HomeMy WebLinkAboutApproved Documents - 3/13/2017TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED ;,? 9 77t)O 6160
FY 20/7BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori.inal - Clerk/Finance
`) U UU
;.? 5 442
7/,, 3 - F-/7
Co. - De..rtment
NAME(S) AND POSITION(S):
Keith Kaspari, Director of Aviation
DATE:
March 7, 2016
NAME OF CLASS / MEETING:
Air Service Workshop / Meeting
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
Chicago, Illinois
DEPARTURE DATE:
Thursday, March 30, 2017
RETURN DATE:
Friday, March 31, 2017
DATE(S) OF MEETING:
Friday, March 31, 2017
PURPOSE OF TRAVEL:
Attend an Air Service Workshop in Chicago, Illinois
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
METHOD OF TRAVEL:
X CITY VEHICLE
N/A
AIRFARE
X COST $
YES NO
No additional Airport Staff to attend
DEPARTING FROM:
PRIVATE VEHICLE
Waterloo Regional Airport
ESTIMATE OF COST:
$200.00 LODGING
$50.00 MEALS
$0.00 REGISTRATION
$100.00 MILEAGE/FUEL
$0.00 TAXI
$25.00 PARKING
$0.00 AIRFARE
$20.00 MISC/TOLLS
TOTAL FOR ALL: $ $395.00
BUDGET LINE ITEM: 010 29 7700 1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $
$395.00 PER PERSON
I BELIEVE T
AN ' IS N
CIT OF W
IS TRIP SERVES A PUBLIC PURPOSE
ESS RY AND BENEFICIAL TO THE
ER •O
DEPARTMENTH
March 8, 2017
I APPROVE THIS TRAVEL REQUEST
0 ivi9 ---� Kam—'
MAYOR
3/
DATE DATE
3/1
K:\Shared Goodies\Forms\Travel Request Form January 2010
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FYI"J / BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
pie 2-3 5lOO / 3q ca
iU,aap
De • artment
Co.
NAME(S) AND POSITION(S):
Bob Osgood, Chief Plumbing Inspector
DATE:
3/7/2017
NAME OF CLASS / MEETING:
IAPMO (IA Plumbing & Mechanical Officials)
Spring 2017 8 hrs Mechanical Continuing Education
DESTINATION Waterloo, Iowa
DEPARTURE POINT
IF NOT WATERLOO
DEPARTURE DATE:
3/31/2017
RETURN DATE:
3/31/2017
DATE(S) OF MEETING:
3/31/2017
PURPOSE OF TRAVEL/TRAINING
CEU
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
MEALS
135.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 135.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-22-5100-1346
X GRANT REIMBURSABLE
YES NO
X
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 135.00
PER PERSON
I BELIEVE THIS TRIP SERVES A P
AND IS NECESSARY AN y BENEFICIA
CITY OF WATER
RPOSE
HE
DEPARTMENT HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1150 1512 _
FY _2017_ BUDGETED 11 TRI-WPDF
EXPENDED YTD "7 JJ-6/K-
THIS REQUEST
LEFT AFTER THIS
REQUEST z)
DATE r%$es:". 3Sq
Original - Clerk/Finance Co.y- De•artment
NAME(S) AND POSITION(S):
Up to (12) Waterloo Police Officers
DATE
March 2nd, 2017
NAME OF CLASS / MEETING:
2017 Inclusion and dedication of P.O. Adam Liddle at the
National Law Enforcement Officers Memorial
DESTINATION Washington DC
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
May 12, 2017
Return Date:
May 15`h, 2017
DATE(S) OF MEETING:
May 12-15, 2015
PURPOSE OF TRAVEL:
Chief Dan Trelka is requesting authorization to send (12) twelve police officers to Washington DC on May 12-15TH, 2017.
Officers will be attending the inclusion of WPD Police Officer Adam Dean Liddle (EOW10-29-15) to the National Law
Enforcement Officers Memorial. His name will formally will be dedicated on May 13th, 2017 at the 29th Annual Candlelight
Vigil during National Police Week. A City Vehicle will be needed for this travel.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
BUDGET LINE ITEM:
Met
$2500.00 LODGING 500.00 transportation x GRANT REIMBURSABLE
$.00 MEALS 250.00 Tolls YES NO
$.00 REGISTRATION .00 AIRFARE x REQUIRED CERTIFICATION
$750.00 MILEAGE/FUEL .00 Baggage fee YES NO
TOTAL FOR ALL: $ 4000.00
TOTAL: $ 333.33 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
Z —
DATE
I APPROVE THIS TRAVEL REQUEST
MAYOR
3//3/r"7
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
010-11-1160-1512-
LINE ITEM VSED 11TRI-TRIF
FY _2017 BUDGETED tig)-- mt ' q 5`r`,1
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST i71 RPV
DATE 2? 3-f-f 7
NAME(S) AND POSITION(S):
WPD Sgt_ Gehrke, Inv. Berry, Inv. Girsch CFPD Gerzema
DATE
March 1st, 2017
NAME OF CLASS / MEETING:
2017 Iowa Narcotic Officers Association Conference
(INOA)
DESTINATION West Des Moines, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
March 28th, 2017
Return Date:
March 30th, 2017
DATE(S) OF MEETING:
March 28th-30`h, 2017
PURPOSE OF TRAVEL:
Lt. Jason Feaker is requesting authorization to send Sgt. Gehrke, Investigators Berry, M. Girsch and CFPD Inv. Gerzema
to the 2017 INOA Conference in West Des Moines, Iowa on March 28th-30th'2017. The conference will cover numerous
topics related to Narcotics enforcement that will assist the Investigators with their job. All of the listed Investigators are
assigned to the Tri-County Drug Task Force. The Tri-County Drug Task Force Board has approved to send each of the
Investigators to the conference and pay for it. There will be no cost to the City. City vehicles will be needed for this
training.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$/000.00 LODGING .00 Rental car
$328.00 MEALS .00 Parking
$800.00 REGISTRATION .00 AIRFARE
$50.00 MILEAGE/FUEL .00 Baggage fee
TOTAL FOR ALL: $ 2178.00
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ 544.50 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD MAYOR
I APPROVE THIS TRAVEL REQUEST
DATE DATE
City Clerk Use Only
Finance Committee
Approval Date -3//3 // 7
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint Department to expend
$ 3,231.50 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Semi-annual contract renewal with Jaytech Inc. to provide inspections & chemicals for
cooling towers at City Hall & Young Arena
Vendor selected for this purchase: Jaytech Inc.
❑ Bids or written quotes were taken on this purchase, as follows:
❑ Bids or quotes were not taken on this purchase because:
)) 0-IL -Annual contract renewal 12/1/2016 thru 6/30/2017
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
Road Use Tax n Sewer ❑ Sanitation
Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
010-22-8800-1390
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Project Code)
$ 4t6���
$37,7LLc�
AynCa-Goima
�3�7//7 7i� /,Q/, /�J, ��, 3-fs<7
(Sig ature ept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date /fj/ 17
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint Department to expend
$ 1,904.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Spring, Summer and Fall cleanup; monthly maintenance for Five Sullivan Brothers
Convention Center
Vendor selected for this purchase: Matthias Landscaping Co.
ri Bids or written quotes were taken on this purchase, as follows:
❑ Bids or quotes were not taken on this purchase because:
Matthias Landscaping has been previous vendor
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
Road Use Tax ❑ Sewer ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
(IC (aX6 0 //.3D
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
(Project Code)
$ Roo0
$ %Y/ds�
Respectfully submitted,
(Signature pt. Heaeor Designee) at (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date ?//3/77
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint
$ 2,448.00 plus est. shipping costs of $
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Spring, Summer and Fall cleanup; monthly maintenance for Library
Vendor selected for this purchase: Matthias Landscaping Co.
Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Matthias Landscaping has been previous vendor
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
• General Fund Road Use Tax n Sewer Sanitation
• Bonds Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
- 6/0 S SOU I6'i/
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Project Code)
$-73,340 c �
% - l7
(Si nature [9e t. Head or Designee) Date (ature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth - Library - Landscaping.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 3/(.3 / ( 7
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 2,478.00
plus est. shipping costs of $ na to pay for or purchase
repair to walk in cooler at Riverfront Stadium.
This purchase or expenditure is being made because:
To repair head unit for walk in cooler damaged by the flood of 2016
Vendor selected for this purchase: Wilson Restaurant Supply Inc. Cedar Falls, Iowa
ri Bids or written quotes were taken on this purchase, as follows:
Q Bids or quotes were not taken on this purchase because:
This is a repair and Wilson Restaurant Supply is the servicing vendor for this
cooler.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund n Road Use Tax n Sewer n Sanitation
Bonds ❑ Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
290-37-4100-2170 01 FL16-37STAD
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfu submitted,
3—7 ���.�� c� --Y
(Signature Dep e d or Designee) Date Signature Finance Dept. Review) Date
K:\shared goodies \forms\Pre-Authorization Cooler Repair Riverfront Stadium.xls (Mar 2010)
City Clerk Use Only
Finance Committee 2
Approval Date 3/i3/17
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 23,600.00 plus est. shipping costs of $ N/A to pay for or purchase
58 trees to be supplied and planted at Iry Warren Golf Course will be paid partially with
golf bond and the remainder is from the sale of the ash logs
This purchase or expenditure is being made because:
160 ash trees were removed at Iry Warren Golf Course due to emerald ash borer
infestation. These trees will act as replacements for some that were lost.
Vendor selected for this purchase: Jordan's Nursery Cedar Falls
n Bids or written quotes were taken on this purchase, as follows:
Jordan's Nursery, Cedar Falls - $23,600
Matthias Landscaping, Waterloo - $24,698.50
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
x
General Fund
Bonds
Road Use Tax
Federal/other grants
x
Sewer
Other (specify)
This expenditure is to be coded to the following budget line-itym:
415-37-4120 2174 $15,43.30 010-37-4105 1536 $7756.70
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
ubmitled,
Sanitation
(Project Code)
f
$ 125,000 7,756.70
$ 1 83'62' 7,756.70
(Signature Dept. He. ; Iesignee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Iry Warren Pre Auth.xls (Mar 2010)
City Clerk Use Only
Finance Committee 7
Approval Date 7/3 // 7
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 3,967.51 plus est. shipping costs of $ n/a to pay for or purchase
Electric boiler and materials for radiant floor heat at chemical storage building
This purchase or expenditure is being made because:
Electric boiler and materials for radiant floor heat at chemical storage building
Vendor selected for this purchase: Air Management
x
Bids or written quotes were taken on this purchase, as follows:
Air Management Waterloo, Iowa $3967.51
Plumb Supply Company Waterloo, Iowa $4645.00
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
nGeneral Fund
nBonds
Road Use Tax n Sewer
Federal/other grants
Other (specify)
This expenditure is to be coded to the following budget line -item:
414-37-4105-2168
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Sanitation
(Project Code)
$ 100,000.00 7
$ 7,348.41
Signature Dep Head or esignee) Date (Signature Finance Dept. Review)
K:\shared goodies\forms\Pre-Authorization Electric Boiler Chemical Building (2).xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 3/13ji
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 23,500.00 plus est. shipping costs of $ 0.00 to pay for or purchase
purchase a 2017 Chevrolet silverado Pick up Truck
This purchase or expenditure is being made because:
to replace an aging older pick up truck belonging to the Tri-County Drug Task
Force. This purchase was approved by the Tri-County Board of Directors
Vendor selected for this purchase: Karl Chevrolet
n Bids or written quotes were taken on this purchase, as follows:
❑x Bids or quotes were not taken on this purchase because:
Karl Chevrolet has the state bid for Chevrolet Pick up Trucks
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑
General Fund n Road Use Tax
Bonds ❑ Federal/other grants
Sewer
Sanitation
Other (specify) Forfeiture Funds
This expenditure is to be coded to the following budget line -item:
010-11-1160-1512 11TRITRI
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Fspectfully s
(Signature De
esignee)
$ fpo5 0241— l i, 5
l511.7o (Signature Finance Dept. Review)
3i7
Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 2�i3 /
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 2,889.00 plus est. shipping costs of $ 100.00 to pay for or purchase
purchase 2500 rifle and 3000 handgun simmunition ammuntion rounds
This purchase or expenditure is being made because:
the purchase of simmunition ammuntion is utilized in force on force training
for Police Officers
Vendor selected for this purchase: Ultramax Ammuntion
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Ultramax is vendor that has the FY 17 ammuntion bid for the Waterloo
Police Department
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
�x General Fund n Road Use Tax ❑ Sewer ❑ Sanitation
❑ Bonds n Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1100-1544
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully sub
(Project Code)
$ fco6v6) v
10 3/2)17 "/,�Afit,/ 2� 34-1
(Signature Dept. ead�r Des' nee) D to (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee 3
Approval Date //3/(7
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 10,368.22 plus est. shipping costs of $ 0.00 to pay for or purchase
Repair Squad car # 508 which was damaged in a traffic accident
This purchase or expenditure is being made because:
Repair Squad car # 508 which was damaged in a traffic accident. This is an ammended
Pre-Auth to repair other damaged located after it was being fixed
Vendor selected for this purchase: Johns Autobody
❑ Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Original Bids were taken and Johns Autobody was lowest bidder. While repairing
the car more damage was located causing the cost to rise. An agreement on this
repair price was negotiated between the vendor and the city attorney
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund ❑ Road Use Tax n Sewer n Sanitation
Bonds n Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1100-1378
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ g5,000
and the current available balance is
Respectfully suitted,
1--
(Signature Dept. Hea.: Iesi. e)
-3(3// 6).1,{A 2-8'17
Date ( ignature Finance Dept. Review) Date
$ 61.5 (/
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 3 /13 it ; %
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Operations Department to expend
$ NTE 4,500 plus est. shipping costs of $ to pay for or purchase
200 - 14 Gauge - 1.75" X 12 ft. Steel Posts
This purchase or expenditure is being made because:
Replace damaged sign posts and additional signage
State Bid
Vendor selected for this purchase: !DOT
X I Bids or written quotes were taken on this purchase, as follows:
Iowa Department of Transportation Ames, la NTE$4,500.00
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund Road Use Tax Sewer n Sanitation
Bonds Federal/other grants n Other (specify)
X
This expenditure is to be coded to the following budget line -item:
415-17-7120-2125
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Project Code)
$ 10,000.00 f
$ 8,404.00
L_87 791,r . fie. %.lei 3 d y7
Signature Dept. F�ea� or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\2017-March-Expenditure Pre-Authorization-IDOT-200 1.75X12ft. steel sign posts-NTE$4,500.00-415-17-7120-
2125.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 311 3 ,( 7
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Operations Department to expend
$ 6,589.00 plus est. shipping costs of $ to pay for or purchase
220 - LED Street Light Lamps
This purchase or expenditure is being made because:
Downtown E. 4th and W. 4th St. decorative pole LED replacements
This order will complete the replacement - need to order from the same vendor.
Vendor selected for this purchase: Crescent Electric Supply Co.
X
Bids or written quotes were taken on this purchase, as follows:
Crescent Electric Supply Company Waterloo, IA $29.95 ea
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
X
General Fund
Road Use Tax
Bonds Federal/other grants
Sewer n Sanitation
Other (specify)
This expenditure is to be coded to the following budget line -item:
415-17-7105-2129
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Signature Deptead or Designee) Date
(Project Code)
$ 30,000.00 t�
$ 15,277.38
(Signature Finance Dept. Review)
3 -/ 7
Date
K:\shared goodies \forms\2017-March-Expenditure Pre-Authorization-Crescent-220 LEDs-$6,589.00-415-17-7105-2129.xls (Mar 2010)