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Approved Documents - 9/3/2019
FINANCE DEPT. STAFF ONLY LINE ITEM USED fj 6200 TRAVEL REQUEST FY;&70 BUDGETED (pOdU CITY OF WATERLOO EXPENDED YTD X74 / THIS REQUEST �9QL� ifi -0 LEFT AFTER THIS REQUEST 5 /D DATE '� '� Original-Clerk/Finance Copy-Department NAME(S)AND POSITION(S): DATE: Kathy Skillings-Lab Foreman 08/29/19 NAME OF CLASS 1 MEETING: DESTINAITION: Iowa Water Environment Association DEPARTURE POINT Newton, IA 50208 2019 Operators/Pretreatment Conference IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 09-4-19 09-4-19 09/04/19 PURPOSE OF TRAVELITRAINING: Education WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 520-14-5200-1346 LODGING TAXI x GRANT REIMBURSABLE MEALS PARKING YES NO 140.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO Revised TOTAL FOR ALL: $ 140.00 TOTAL: $ 140.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO - � ; ZFFARTMENT HIM MAYOR DT DATE K:\Shared GoodiesTorms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1105-1346 TRAVEL REQUEST FY _2020_ BUDGETED CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS al REQUEST 2 /oz SD DATE _Ifjsa 8' 7-If Original-Clerk/Finance Copy- Department NAME(S) AND POSITION(S): DATE: Wendy Drinovsky August 26th, 2019 NAME OF CLASS I MEETING: DESTINATION: Cedar Rapids, Iowa Managing Police Records Course DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Return Date: DATE(S) OF MEETING: 10/11/19 10/11/19 October 11, 2019 PURPOSE OF TRAVEL: Captain Mohlis is requesting to send Wendy Drinovsky to the Managing Police Records Course October 11, 2019 in Cedar Rapids Iowa. Wendy is our Records Manager for the department amongst her other duties. With the amount of paperwork her and her staff sees each day along with the ever changing laws and policies regarding police records, it is imperative she attend yearly updates. This is a one day course and the only cost to the department will be registration, food and transportation. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ N/A YES NO METHOD OF TRAVEL: XX)G(X)= CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: $0.00 LODGING TAXI X GRANT REIMBURSABLE $15.00 MEALS PARKING YES NO $204.99.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $0.00 MILEAGEIFUEL MISCITOLLS YES NO TOTAL FOR ALL: $ 219.99 TOTAL: $ 219.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DE TM NT HEAD MAYOR Ll DATE DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1100-1346 TRAVEL REQUEST FY _2020_ BUDGETED 53,000 `R'' CITY OF WATERLOO EXPENDED YTD THIS �l/3 THIS REQUEST ��fb LEFT AFTER THIS �S REQUEST!/ DATE 2&uJ R—,2? Original-Clerk/Finance 'Co -Department NAME(S) AND POSITION(S): DATE: Investigator Jeremy Copp August 26th, 2019 NAME OF CLASS I MEETING: DESTINATION: Ankeny, Iowa DCI Marijuana Identification Course ("wA-)EoroF ) DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Return Date: DATE(S) OF MEETING: 9/16/19 9/19/19 September 16-19, 2019 PURPOSE OF TRAVEL: Lt. Duncan is requesting to send Investigator Copp to the Marijuana Identification Course in Ankeny Iowa September 16- 19th, 2019. This course is hosted by The Iowa Department of Criminal Investigations(DCI) and will cover the techniques in testing and identifying marijuana as it pertains to his job as a Lab Investigator for the department. Officer Copp was assigned the lab less than a year ago and needs this certification to perform his daily duties as an Investigator. The course itself is free and the only cost to the department will be transportation, lodging, and meals. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ N/A YES NO METHOD OF TRAVEL: XXXXXXXX CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: $275.00 LODGING TAXI X GRANT REIMBURSABLE $150.00 MEALS PARKING YES NO $0.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $50.00 MILEAGEIFUEL MISCITOLLS YES NO TOTAL FOR ALL: $ 475.00 TOTAL: $ 475.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO 7� A it DEVAARTMtNTH AD MAYOR - -26 - ) '� / ? DATE DATE TRAVEL REQUEST LINE ITEM USED D`O p y $,?vl0 /3'x& Q FY'Pd�UBUDGETED CITY OF WATERLOO EXPENDED YTD THIS REQUEST moo? LEFT AFTER THIS REQUEST -76- DATE 6DATE ayjcJ S'',;17-/!j Original-Clerk/Finance Copy- Department NAME(S) AND POSITION(S): DATE: Cheryl Huddleston, Human Resources Manager 8/6/19 NAME OF CLASS/MEETING: DESTINATION: Ankeny IA IAPELRA Fall Conference DEPARTURE POINT 'r-acw✓r- 9(gte 6440''ewe?L LNdoK Z61,0af7ff� IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING 9/12/19 9/13/19 9/12-13/19 PURPOSE OF TRAVEL/TRAINING: Attend Iowa Public Employer Labor Relations Association Fall Conference WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ YES NO METHOD OF TRAVEL: CITY VEHICLE X PRIVATE VEHICLE ESTIMATE OF COST: BUDGET LINE ITEM: 010 09 8250 1346 $125.00 LODGING TAXI x GRANT REIMBURSABLE $25.00 MEALS PARKING YES NO $75.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 225.00 TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO L�tki DEPARTMENT FIEAD MAYOR ,e,16h DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 IAPELRA 2019 Fall Conference The IAPELRA fall conference agenda features a great lineup of diverse topics including issues with electronic devices in the workplace, wellness program best practices, and understanding implicit bias. More details about the topics and speakers presenting them can be found in the enclosed conference agenda. As always, there will be wonderful networking opportunities to talk shop with your peers from around the state. September 12-13 Registration Ankeny Police Station Non-Member $150.00 411 Southwest Ordnance Road Member $75.00 Ankeny, IA 50023 Through EventBrite Academy III The Negotiations Process This academy focuses on the negotiation process through classroom teaching as well as a negotiation simulation involving economics, reclassification and benefit issues that give participants an opportunity to sharpen their skills. For the negotiations simulation the class is divided into management and union teams. This interactive workshop on thorny problems and issues such as timing of settlements, impasse strategies and multi-year contracts precedes the simulation and debriefing. Finally, a discussion on "Perspective of the Negotiator" rounds out the day from a management panel. Presented by Jim Hanks and Teresa Rotschafer, Academy III runs from 8:00 am to 4:00 pm on September 11th and includes breakfast, lunch, refreshments, and Academy Resource Materials. The cost to attend Academy III is $299.00 for members, and registration is open through NPELRA. Check-in and breakfast begin at 7:30 am. Academy III will take place at the Ankeny Police Station at 411 SW Ordnance Road. Register here through NPELRA. For IAPELRA members who attend both the IAPELRA Annual Conference and Academy III, IAPELRA will send you a $100 rebate! Hotel Accommodations Residence Inn at Prairie Trail Rate for room with one king bed: $108 The hotel is set to open at the end of August 2019. The reservation link will be sent out as soon as it becomes available. Future Events Upcoming Meeting Dates and Locations Winter Meeting December 6, 2019 Dallas County Spring Meeting May 15, 2020 Altoona Annual Meeting September 17-18, 2020 Ames Winter Meeting December 4, 2020 Mason City 2 Conference Agenda Thursday, September 121h 8:00- 8:30 Registration, breakfast, networking (Breakfast sponsored by Health Solutions) 8:30-9:00 Welcome 9:00- 10:00 Issues with Electronic Devices in the Workplace/1St Amendment Audits —Jim Hanks 10:00- 10:30 Ombudsman Notification Requirement/New Developments on Open Records Law—Ann Smisek 10:30— 10:45 Break 10:45— 12:00 Wellness Programs...What's Working and How Do You Know? —Jen Musick Description: Dr. Jennifer Musick, PharmD, shares her 15+ years of experience in the health and wellness industry. In this session we will discuss what is missing from wellness programs today, how this gap is affecting your members who need "wellness"the most, provide you unique insights into how to implement effective strategies to identify gaps in your program and close them, and most importantly how to measure if your program is working for you. 12:00— 1:00 Lunch (Sponsored by Gallagher Benefit Services) 1:00-4:00 Understanding Implicit Bias Workshop —Stephen Biggs Description:This session focuses on helping participants understand what implicit race bias is, what the science shows about implicit race bias, and to a lesser extent what the science shows about reducing and mitigating those biases. 2:45—3:00 Break 4:00-4:30 Bargaining update and Closing Discussion 4:30-5:00 Annual Meeting followed by Board Meeting Thursday Evening Event 6:00 pm dinner at District 36 1375 SW Vintage Parkway, Ankeny View the menu online here Friday, September 1311 8:30— 11:30 The Essential ADA Disability Compliance Workshop: Making Reasonable Accommodation Decisions Description: Rachel Shaw will provide you with a general overview of ADA/ADAAA law as well as how to develop and implement a compliant Disability Interactive Process. Leave understanding how you can use the Disability Interactive Process Hallway'm to determine what accommodations are reasonable in your organization as well as what to do when reasonable accommodations don't exist. 3 Speaker Biographies James Hanks Jim is Of Counsel with the firm, having worked with clients on a wide range of complex issues. Jim combines extensive education knowledge with a public/private sector employment and traditional labor practice and served as the Chief Negotiator in State collective bargaining for former Iowa Governors Tom Vilsack and Chet Culver. In his education practice with Iowa schools, Jim has proven to be a valuable advisor to his clients as a strategic problem-solver on a diversity of issues, while being sensitive to the mission of education organizations. His specialized expertise includes counsel on issues such as: reviewing and drafting board policies and procedures, contracts for services, and public contract matters; advising on board/school management responsibilities, open meetings and open records compliance, school finance issues, environmental problems, gift laws and elections laws; representing school boards and administrators on student rights and discipline adjudications, civil rights complaints and various litigation issues; representing school districts in proceedings involving special education programs and services; and counseling school districts on constitutional issues including freedom of speech, freedom of religion, due process requirement, and equal protection. On the legislative level, he has been instrumental in directing and shaping the on-going debate concerning amendments to the Public Employment Relation Act and the teacher contract termination law. Jim's employment and labor practice includes: representing, advising, and counseling school districts in their labor negotiations and labor relations, including negotiating contracts and representing the districts in mediation, fact finding, and arbitration; working with administrators in investigating and responding to allegations of employee misconduct; representing school districts in grievances filed under the collective bargaining agreements with the district's organized employees; advising school districts regarding discipline and discharge of employees in the organized units as well as other employees; preparing personnel policies and administrative procedures; and representing school districts in all matters involving claims of discrimination filed with the EEOC and the Iowa Civil Rights Commission. Ann Smisek Ann works in the firm's Government Law and Education Law Practice Areas, and currently leads the Collective Bargaining/Labor Law Practice Group. Ann counsels clients on various personnel matters regarding hiring, disciplining, and terminating employees, as well as how to conduct workplace investigations. She advises on compliance with applicable state and federal regulations, and reviews handbooks to provide recommendations on legal compliance and best practices. Ann also advises clients on labor issues, representing employers in collective bargaining agreement negotiations, in cases before the Public Employment Relations Board, and in grievance arbitrations. Prior to Ahlers & Cooney, she served as an Administrative Law Judge for the Iowa Public Employment Relations Board (IPERB). She conducted prehearing conferences and presided at contested case hearings concerning labor and employment disputes. She performed legal research and issued proposed rulings on pre-hearing motions and on the merits of cases. She handled administrative appeals before the district court, Iowa Court of Appeals and Iowa Supreme Court regarding negotiability disputes. She also acted as a mediator to help settle cases and assist in the negotiation of collective bargaining agreements. Prior to the IPERB and upon graduation from law school, she worked 3-1/2 years as a Judicial Law Clerk for former Chief Judge Rosemary Shaw Sackett at the Iowa Court of Appeals. Before law school, Ann started her 4 career in scientific publishing where she oversaw and managed the editorial review and publication process of academic medical research articles. Ann grew up in Mitchellville, Iowa and while at the University of Iowa College of Law, served on the Iowa Law Review. Jennifer Musick Dr. Jennifer Musick, PharmD is the founder of Health Solutions and serves as President and Chief Health and Wellness Officer for the company. Jennifer's background as a clinical pharmacist and wellness visionary has been key to the development of Health Solutions' unique strategic approach to developing impactful client and participant solutions that result in meaningful health and financial outcomes for their customers. Jennifer received her Pharm D from the University of '_. Iowa in 2001 and completed a Community Practice Residency at Iowa in 2002. Health Solutions specializes in clinically-based Health Coaching services as well as providing comprehensive wellness solutions for its clients. Health Solutions has been on the Inc. 5000 List four times, voted Best Wellness Plan firm by the Corridor Business Journal five times, and recognized five times as one of the Fastest Growing Companies in Eastern Iowa. Health Solutions currently provides services nationwide and continues to grow under Jennifer's leadership. Stephen Biggs f I-A Stephen Biggs is an Associate Professor of Philosophy at Iowa State University. He researches how people acquire knowledge. He teaches about logic, scientific reasoning, and philosophy of mind and language. Rachel Shaw Rachel Shaw is the President and Principal Consultant of Shaw HR Consulting, Incorporated. With more than 15 years of executive-level Human Resources experience, Rachel is recognized statewide as a leader in helping public and private sector employers manage their most challenging personnel issues. Rachel and her team provide comprehensive solutions to employers on how to successfully manage the interconnected roles of human resources, workers' compensation and disability compliance to successfully reduce litigation, the costs of claims and improve employee-employer relations throughout the process. Rachel is known nationally as the authority on how to implement and manage the FEHA/ADA Disability Interactive Process for candidates and employees. Her trainings and seminars are highly anticipated by Human Resource and Risk Management professionals as informative, dynamic and packed with real- life practical solutions. She is author of the industry best-selling and award-winning book, "The Disabled Workforce: What the ADA Never Anticipated." Rachel served as the Director of Human Resources for the City of Oxnard and prior to that was the Human Resources Director for the Montebello Unified School District. She is a graduate of Brown University and later earned a Master of Business Administration from Colorado State University. 5 Thank you for joining us for the Annual IAPELRA Fall Conference ! Please look for a conference survey in your email. We value your feedback and encourage you to share your comments and future topic or speaker ideas. Feel free to contact our organization regarding membership and resources we can provide for those who join our organization. Stephanie Romagnoli, President City of Muscatine I sromagnoli@muscatineiowa.gov Alissa Wignall, Vice President Story County I awignall@storycountyiowa.gov Perm Buffington, Secretary City of Mason City I pbuffington@masoncity.net Doug Garnett, Treasurer Des Moines Water Works I garnett@dmww.com 6 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 09/03/2019 Prepared: Nancy High Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of$6.80 yard waste service fees paid in error on a property located at 1008 7h Street. Summary Statement: This property was erroneously charged for yard waste fees. The Sanitation Department has confirmed this and recommends approval of refund request. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: hle/i�h;C[.F_RKDA7��Council&Pinn�iceComniuniceitinn,ACouncilC��mmunicationstoCbmici�OFinance 2Ol>\FinancaCommuni cahon;030915garbaoexefund.doc I WATERLOO RL©O WA=ZL&WORKS Phone: (319) 232-6280 www.waterlc)owater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES r ustomer Name: Donald Small Billing Frequency: Quarterly ccount Number: 107529-544517 Billing Date: 05/10/2019 ervice Address: 1008 W 7TH ST Billing Due Date: 06/03/2019 Waterloo Water Works Services CHARGESMIMARYD Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $39.94 Water Works Subtotal ... ....... ........ ..... ... , $42.34 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.40 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $42.34 City of Waterloo Subtotal ..... ........ ..... ...... $102.68 City of Waterloo Services Total Current Service Charges........... . ..... ... $145.02 Total Amount Due.... .... . ..... ........ ..... ... $145.02 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $54.52 Amount Due After 06/03/2019. ........ ..... .. ... $152.16 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.23 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.13 ` Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.80 1?� \ �� City of Waterloo Subtotal . . . .. . . . .. . . . . . . . $102.68 \\\ Cot V [Pt6vilbus'Readoate Current Read Date Ptevious'Read Previous Read Type Currcnt Real Cut rent Reid Type US4#6faq 02/22/2019 04/24/2019 1,413 Actual 1,429 Actual 16 6 d LL 12 (U1 10 A 2 N z Q 06 01 �� 0^ Op 01 ♦� O^ OP Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 107529-544517 4w� . . Amount Due After: 152.16 P.O. Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Donald Small 1008 W 7th St e Waterloo,IA 50702 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO,IOWA 50704 updating and indicate the change(s)on reverse side _ � � �,,. � ,;;.. ,_ ___- t�' ., e - CITY OF WATERLOO Committee Communication Finance Committee Meeting: 09/03/2019 Prepared: Nancy Higley Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of$840 for garbage collection fees billed in error on a properties located at 209 Jackson Street and 130 Jackson Street. Summary Statement: This property utilized a private hauler and was therefore exempt from garbage fees. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: I I I tilea;'K:`1C16RKDA1 ,Council&h'inwice(,cnun mi i nv n�' t cat o .ACou �ilComrounicationsto '1 catio{i,03091 _garU .r_fiind.doc �fi 07 L Black Hawk Waste Disposal Company, Inc. 811 Dearborn Avenue P.O. Box 2592 319-232-4150 Waterloo, Iowa 50704 Fax: 319-232-1086 Pastor Jenkins: This letter is to inform you of the period of time you have been a customer with Black Hawk Waste Disposal. Our records indicate service at 209/13016tkson St in Waterloo since August of 2002. We Thank you for your continued seP46. Stephanie Thome Administrative assistant Black Hawk Waste Disposal 811 Dearborn Ave Waterloo, IA 50703 Exemption year: PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date 1 l Ppyy�.fS � rr c� C `o. Applicant' s Name: � G rrT`e�lephone No. Billing Address: :2,0 �— Address of Exemption: `�. � a�� `�r,v, -� �3 �a c�rC S n k=, Water Works Account No. : ZH 341 ( o 51 (19 I I request an exemption from Garbage Fees during the current Calendar Year. I employ the services of a licensed trash hauler. Only the location where the. trash hauler picks up garbage and trash will qualify for the exemption. Applicant' s Signa ure TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) h(la �\�u �l� I uzz hereby declare that we are Company-Name a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up garbage and refuse at the following location: Beginning Ending Address Location of Date of Date of Customer' s Name Garbage/Trash Pick-Un Contract Qontract LI tutor �k Cwck., Q -41�Q 7 QAMS&n CONTRACT PERIOD MUST COVER AT LEAST CURRENT CALENDAR YEAR We understand that the above information is used by the Clerk' s Office in Waterloo, City Hall, 715 Mulberry Street, to determine eligibility for exemption from garbage fees for the current calendar year. I, the undersigned, declare under penalty of perjury that I have examined this claim, including all statements and above schedule, and to the best of my knowledge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I agree to comply with all ordinances and policies of the City of Waterloo and the Black Hawk County Solid Waste Commission. In -the event that the above person discontinues service with said company during the current calendar year, we hereby agree to notify the Clerk' s Office of this event by callin 291-4323. Date— §Waturb of-Ai3thorl'sdd Company Representative 1 Q a.c- Company' s dress 1 � Garbage & Trash Hauler' s Permit License (issued by Black Hawk County) PLEASE RETURN TO: CITY CLERK & FINANCE OFFICE 715 MULBERRY STREET WATERLOO, IOWA 50703 City Clerk' s Copy - white Customer' s Copy - yellow }r ____ _... Ji_ _ _ _ __ ; �.,,ts: b WATERLOO WATLR WORKS Phone: (319)232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES t ustomer Name: Union Baptist Church Billing Frequency: Quarterly 111 � ccount Number: 105492-502426 Billing Date: 06/20/2019 ervice Address: 130 JACKSON ST Billing Due Date: 07/12/2019 Waterloo Water Works Services Previous Balance. ........ ..... .. ...... .. ... .. .. $96.39 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29.10 Credits/Payments........ ............. ..... .... -$100.74 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.75 Balance Forward .... . ..... ..... ........ ..... ... -$4.35 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4.35 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $35.20 Water Works Subtotal .... .... . .. ...... ...... .... $35.20 City of Waterloo Services City of Waterloo Subtotal. .... . . . ...... .... . . . ... $117.17 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.00 Total Current Service Charges. ..... .. . . .. . . . ..... $152.37 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due... ... ....... ...... .. ..... ... . $148.02 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/12/2019. ....... .. ... .... .. $154.96 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.67 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $117.17 03/13/2019 06/11/2019 229 Actual 230 Actual 1 a 3.5 u 3 2 M , qp�-c 00, Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 105492-502426 WATERLOO WANE!& WORKS ria= Amount Due After: 154.96 P.O.Box 27 Ag Waterloo,Iowa 50704 -; r Phone:(319)232-6280 Amount Enclosed: • ii° Union Baptist Church PO BOX 2092 ' Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO VVATER WQRKS Phone: (319)232-6280 a www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES a11,11,11 mill I 7ermvice ame: Union Baptist Church Billing Frequency: Quarterly mber: 105492-502426 Billing Date: 03/20/2019 ress: 130 JACKSON ST Billing Due Date: 04/10/2019 Waterloo Water Works Services Previous Balance.... .... ..... ............. ..... $53.28 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29.10 Credits/Payments... . ... ..... ........ ... .. ..... -$106.56 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $1.75 Balance Forward ..... ... ..... ........ ..... ..... -$53.28 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.65 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $32.50 Water Works Subtotal.. ............. ..... .. .... . $32.50 City of Waterloo Services City of Waterloo Subtotal. ..... ...... .. ..... ..... $117.17 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.00 Total Current Service Charges..... ... ... .. ..... .. $149.67 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due. .......... ...... . . . .. . . . ..... $96.39 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/10/2019..... ...... ..... ... $100.74 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.67 City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $117.17 12/11/2018 03/13/2019 228 Actual 229 Actual4 PE PER 1 3.5 LL 3 V 2.5 SA 1.5 N 1 mos 0 No ME Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 105492-502426 WATERLOO 'WATER WORKS —" Amount Due After: 100.74 P.O.Box 27 Waterloo,Iowa 50704 ' Phone:(319)232-6280 Amount Enclosed. sae• Union Baptist Church PO BOX 2092 ' Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the changes)on reverse side � � L�Q OS Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES 4 ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 12/19/2018 ervice Address: 130 JACKSON ST Billing Due Date: 01/14/2019 Waterloo Water Works Services Previous Balance... . .... .. ... .. ...... .. ... . .... $144.14 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $27.70 Credits/Payments... .... .... . . . .. .... . ... . . . ... -$235.00 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $1.67 -$90.86 Balance Forward ..... ... ..... ........ .. ... .. ... Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $29.37 City of Waterloo Services Water Works Subtotal.. ....... ...... ....... ..... $29.37 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 City of Waterloo Subtotal. ..... ........ ..... . . ... $114.77 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Current Service Charges. . .. . . .. .. .. . .. .. . .. $144.14 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Total Amount Due... ... ..... ...... .. ..... .. ... . $53.28 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 Amount Due After 01/14/2019..... ... ..... ...... $54.93 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 . •. . ®. 09/11/2018 12/11/2018 227 Actual 228 Actual 1 4 35 LL 3 V25 3 MN I SOS5 0 (P d> Off' 1� Oma' CRS 00 ----------- —___—_—_ __.._..--------------------- Please -----_--_-.Please detach and return the bottom portion with your payment.See reverse side for additional information a Account Number: 105492-502426 WATERLOO WATER WORKS t ��_r-.r ---� Amount Due After: 54.93 P.O.Box 27 Waterloo,Iowa 50704 — �" Phone:(319)232-6280 Amount Enclosed: poi^ Union Baptist Church PO BOX 2092 ° Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the changels)on reverse side WATE RL Q WA 2Q QR 5 Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street PaEe 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 09/20/2018 ervice Address: 130 JACKSON ST Billing Due Date: 10/11/2018 Waterloo Water Works Services Previous Balance..... ..... ..... ........ ..... ... $144.41 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $27.70 Credits/Payments.... ....................... ... $144.41 Water Service Excise Tax. . . .. . . . . . . . . . . . . . . . . . $1.67 Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $29.37 Water Works Subtotal...... ........ ..... ..... ... $29.37 City of Waterloo Services City of Waterloo Subtotal... ..... ... ..... ..... ... $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. ........ ..... ..... $144.14 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due....... ....... ...... ..... .. ... $144.14 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/11/2018. ...... .. ..... ..... $150.90 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 ® �. . .- 06/12/2018 09/11/2018 227 Actual 227 Actual 0 4 was LL 3 025 2 W15 M 1 .05 0 Op 01 fin' 00 OHO O°j ^R' O� OE' __.___---_----__ -----—--- _ _ ---_- _......__ Please detach and return the bottom portion with your payment.See reverse side for additional information ' Account Number: 105492-502426 WAERLC3C7 W , WC) KS r „ 4 . :''” Amount Due After. 150.90 P.O.Box 27 Rk "a, . Waterloo,Iowa 50704 �" MAP Phone:(319)232-6280 Amount Enclosed: Union Baptist Church PO BOX 2092 ' Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO W� ��1, WORKS Phone: (319)232-6280 mmW — --- _ .,.. www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 06/20/2018 ervice Address: 130 JACKSON ST Billing Due Date: 07/12/2018 Waterloo Water Works Services ��111 1111 Previous Balance.... .... ..... ........ ..... ..... $144.41 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $27.70 Credits/Payments....... ..... ............. ..... -$144.41 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $1.94 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $29.64 Water Works Subtotal...... ..... . .. ..... .... . ... $29.64 City of Waterloo Services City of Waterloo Subtotal... .... .. . . .... . .. .. . . .. $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges. . . ...... . . ... . . .... $144.41 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due........ ..... .. ...... ..... ... . $144.41 Garbage . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/12/2018.. ........ ..... .. .. $151.17 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 03/09/2018 06/12/2018 226 Actual 227 Actual 1 i6 i4 LL 12 V 10 m g w m 0 m P 7 0 �O �O ry0 ry0 ry0 ry0 ,y0 ,LO ry0 Please detach and return the bottom portion with your payment See reverse side for additional information • Account Number: 105492-502426 WAT RL00 1NATER WORKS aunt ' Amount Due After: 151.17 P.O.Box 27 T`(' ' Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WATER W O R KS Phone: (319) 232-6280 ------ www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES e ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 03/15/2018 ervice Address: 130 JACKSON ST Billing Due Date: 04/05/2018 Waterloo Water Works Services Previous Balance........... ..... ... ..... ..... .. $141.74 Water. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . $27.70 Credits/Payments......... ..... . . ...... ...... .. $141.74 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.94 Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $29.64 Water Works Subtotal... ..... ........ ..... ..... $29.64 City of Waterloo Services City of Waterloo Subtotal... ....... . ............. $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. ...... . . ..... ..... $144.41 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due.. .. ... ..... ........ ..... .... . $144.41 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/05/2018....... ..... .. ... .. $151.17 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 12/12/2017 03/09/2018 225 Actual 226 Actual 1 ,6 _14 2 LL 1 u 10 to 6 N 2 N 2 21 - E w win° Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 105492-502426 WATERLOO WA _j, 'u'�fC3RK5 ���A a�t�►tt _ t x Amount Due After: 151.17 P.O. Box 27 dQt �kt a Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: ovaijail Union Baptist Church PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA , WIORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 12/20/2017 ervice Address: 130 JACKSON ST Billing Due Date: 01/15/2018 Waterloo Water Works Services Previous Balance..... ..... ..... ........ ..... ... $141.74 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Credits/Payments.... ... ..... ........ ..... .. ... $141.74 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal. ..... ..... ... ..... ..... .. $26.97 City of Waterloo Services City of Waterloo Subtotal... ..... ... ..... ..... ... $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. ....... $141.74 . ..... ..... Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due....... ..... .. ...... ....... ... $141.74 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/15/2018. ........ ..... ..... $148.37 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 Mill I .- 09/12/2017 12/12/2017 222 Actual 225 Actual 3 a LL 12 U 10 ro 6 n 4 2 0 no 01 0 1P & Oq _-------------------------------------- Please ------- -—--- _____.-_-_._.Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 105492-502426 WATERLO RKS ttmlil"''Want Amount Due After: 148.37 P.O.Box 27 77ff Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: . a*. Union Baptist Church PO BOX 2092 ° Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO, IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO W61L&WIORKS Phone: (319) 232-6280 *w www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES • ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 09/21/2017 ervice Address: 130 JACKSON ST Billing Due Date: 10/13/2017 Waterloo Water Works Services Previous Balance... .......... ...... .. ..... ..... $135.11 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Credits/Payments.......... ..... ... ..... ..... .. $135.11 Water Service Excise Tax. . . .. . . . . . . . . . . . . . . . . . $1.77 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal... ..... ........ .. ... . .... $26.97 City of Waterloo Services City of Waterloo Subtotal ..... ...... .. ..... ...... $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. ........ ..... ..... $141.74 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due....... ....... ...... .. ..... ... $141.74 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/13/2017. ........ ..... ..... $148.37 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $114.77 06/13/2017 09/12/2017 220 Actual 222 Actual 2 16 14 LL 2 U11 0 _ g m g m 4 7 � 0 ryo^y ryo^y ryoy, ryo^0 ryo^� ryo^� ryo1� ryo,, ryo^,�. ------_----- Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 105492-502426 ATERLO WATER ` ORKS 6 4 " Amount Due After: 148.37 P.O.Box 27 Waterloo, Iowa 50704 Phone:(319)232-6280 Amount Enclosed: •:- Union Baptist Church PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO Wl A WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES s ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 06/21/2017 ervice Address: 130 JACKSON ST Billing Due Date: 07/13/2017 Waterloo Water Works Services Previous Balance.. .......... ..... ... ..... .... .. $141.74 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Credits/Payments. ........ ....... .............. $148.37 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 Balance Forward. , . .. . ..... .... . . .. ..... .. .. . .. $6.63 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 City of Waterloo Services Water Works Subtotal..... .... . . . ...... ..... . ... $26.97 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 City of Waterloo Subtotal.. ..... . ....... ..... ... . $114.77 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Current Service Charges. ... .. ...... .. ...... $141.74 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Total Amount Due. . . ... ..... . . .. .. $135.11 .. ..... .. ... . Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 Amount Due After 07/13/2017.... ... . .. .. . .... .. $140.48 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 03/10/2017 06/13/2017 218 Actual 220 Actual 2 is LL i] UJ 10 g m 0 w m 2 m 2 ------------------------------------------------ ti0^y ry0^y ryQ^h ry0^y ry0^O ry0^6 ry0,0, ry0^O. �0,,�. Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 105492-502426 WATERLQ{ WATER WORKS ! " Amount Due After: 140.48 P.O.Box 27 �, ( Waterloo, Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Baptist Church PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO W ` - WORKS Phone: (319) 232-6280 H www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES e ustomer Name: Union Baptist Church Billing Frequency: Quarterly ount Number: 105492-502426 Billing Date: 03/23/2017 ervice Address: 130 JACKSON ST Billing Due Date: 04/13/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance. .. . ..... ..... . ....... ..... . ... $87.06 Credits/Payments... ... ..... .. ...... .. ... .. ... . -$90.61 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 Balance Forward .. . . .... ..... ...... .. ... .. . . ... -$3.55 Late Penalty. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $3.55 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $30.52 Water Works Subtotal..... ..... ........ ..... ... , $30.52 City of Waterloo Services City of Waterloo Subtotal. .... .. . ...... .... . . . ... $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges..... ...... ....... .. $145.29 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due..... ... .. ..... ........ ....... $141.74 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/13/2017.. . . ...... ..... . . . . $148.37 Sales Tax. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 12/12/2016 03/10/2017 214 Actual 218 Actual 4 18 4 LL 12 U 10 8 m 8 m 4 2 0 ryO^P. ryo1�. ryoy. ryo,�b ry�^y M1o,�b" ryo.�b ryo,�b ryo.�Fi Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 105492-502426 WATERLOG} WA WORKS ota)AtnountDue �� � m Amount Due After: 148.37 P.O. Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: _ ►® Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WATER WORK Phone: (319)2326280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 12/21/2016 ervice Address: 130 JACKSON ST Billing Due Date: 01/17/2017 Waterloo Water Works Services Previous Balance.. .... .... . ........ .. ... . ...... $141.74 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16.52 Credits/Payments.... . ..... ..... ... ..... ..... .. $148.37 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $1.16 Balance Forward. ........ . . . .. . . . . .. ... .. .. .. .. -$6.63 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $17.68 City of Waterloo Services Water Works Subtotal.. ....... ...... .. ..... ..... $17.68 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28.03 City of Waterloo Subtotal. ..... ...... .. ..... ..... $76.01 Storm Water Fee . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $22.00 Total Current Service Charges... .. ...... .. ... .. .. $93.69 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21.00 Total Amount Due........ .. ..... ...... .. ....... $87.06 Sales Tax. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $4.98 Amount Due After 01/17/2017.. .. ...... ..... . . . . $90.61 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $76.01 10/14/2016 12/12/2016 214 Actual 214 Actual 0 6 14 LL 12 U 10 8 a 6 m n N 2 7 a Please detach and return the bottom portion with your payment.See reverse side for additional information a Account Number: 105492-502426 WATERLOO WA WORKS Yl- Amount Due After: 90.61 P.O.Box 27 Bi1IDats- i„ Waterloo, Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Baptist Church PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA AR W11QRK5 Phone:(319)232-6280 �._,��. www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 11/04/2016 ervice Address: 130 JACKSON ST Billing Due Date: 11/30/2016 7 Waterloo Water Works Services Previous Balance..... ... ..... .. ...... ..... .. .. . $141.74 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Credits/Payments.. .... . . .. . . ... ... . . . .. . . ..... -$148.37 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $1.77 Balance Forward.... ... ..... ..... . .. ..... ..... . Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.63 $6.63 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.60 Water Works Subtotal..... . ..... ....... . . .... .., $33.60 City of Waterloo Services City of Waterloo Subtotal.. . . .. . . . ...... .. .. . . ... $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges. ..... ... ..... ...... $148.37 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due.. .... ..... ........ ..... . . ... . $141.74 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 11/30/2016.... ....I. .. ..... .. $148.37 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 Citv of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 07/20/2016 10/14/2016 213 Actual 214 Actual 1 6 014 0 12 u 10 . 6 w s R 2 2 0 -______.._-_. - - - -.__....__-_-_- --_ ---- -_ Please detach and return the bottom portion with your payment.See reverse side for additional information :1191 + Account Number: 105492-502426 W'ATERLOC7 WATER W RK5tour fi w _ Amount Due After: 148.37 P.O.Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO, IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA WQRKJ� Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES rcccervice omer Name: Union Baptist Church Billing Frequency: Quarterly unt Number: 105492-502426 Billing Date: 08/04/20166 Address: 130 JACKSON ST Billing Due Date: 08/25/2016 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance... ... . . . .. .. ...... .. . .... .... . $133.90 Credits/Payments. ... ..... ..... .. ...... ..... ... -$139.27 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 Balance Forward.... ..... ..... ........ ..... .. .. -$5.37 Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.37 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $32.34 Water Works Subtotal..... .. ..... .............. $32.34 City of Waterloo Services City of Waterloo Subtotal. ..... ........ ..... . . ... $114.77 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges. . . . ..... . . . .. .. .... $147.11 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Amount Due... .... .... . . ....... .... . . .... $141.74 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 08/25/2016.... . .. ..... ..... .. $148.37 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 04/18/2016 07/20/2016 212 Actual 213 Actual 1 i6 12 LL 12 U 10 g 6 A 2 N Z P O O Oa 19, 1O^ 136 10 ,P 10 ,y0 10 ,f ry0 ry0 ,y0 ------.._.._._. ------ _ Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 105492-502426 WATERLOO WATER WORKS P.O.Box 27 Amount Due After: 148.37 Waterloo,Iowa 50704 Iii0 EB G Phone:(319)232-6280 Amount Enclosed: . •p Union Baptist Church PO BOX 2092 s Waterloo,IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO,IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO W � , R WORKS -tea Phone: (319)232-6280 —" www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ustomer Name: Union Baptist Church Billing Frequency: Quarterly ccount Number: 105492-502426 Billing Date: 05/04/2016 ervice Address: 130 JACKSON ST Billing Due Date: 05/25/2016 Waterloo Water Works Services 1,1,1111 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance.. ........ ........ ..... .. ...... $161.21 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 Credits/Payments... ... ..... .. ...... .. ..... ... . -$169.05 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Balance Forward. ..... ... . . . .... .. . ..... ....... -$7.84 City of Waterloo Services Water Works Subtotal. ..... . ..... .. . ... . . ....... $26.9-7 San itary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 City of Waterloo Subtotal ..... . . ...... .... . . . ... . $114.71 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Current Service Charges. ..... ... .... . . . ... . $141.74 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Total Amount Due. .......... ........ ..... ..... . $133.90 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.52 Amount Due After 05/25/2016. .. ...... ..... ..... $139.27 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.77 a .a ®. - .a M. - a .a a .• a- .a a x- 01/20/2016 04/18/2016 212 Actual 212 Actual 0 16 14 LL 12 V 10 ,J g m 6 2 x 2 0 O, Ox 01 �O O6 06 p1 ^O p6 ,^a ry0 ry0 �O ,LO .�O ry0 ry0 ry0 ,y0 Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 105492-502426 WATERLOG} iNATER WaRKS � .�, a � , P.O. Box 27 Amount Due After: 139.27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: • ii' Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO,IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WATER W IORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES =Address: Baptist Church Billing Frequency: Quarterly -502426 Billing Date: 02/04/2016 KSON ST Billing Due Date: 02/25/2016 Waterloo Water Works Services Previous Balance... ... . .. .. ........ . . . .... .... . $139.49 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.70 Credits/Payments.... . ... . ..... ... . .... ..... ... $2.50 -$146.01 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . Balance Forward... . .... ..... . . ...... . .. -$6.52 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $38.20 City of Waterloo Services Water Works Subtotal .... .... . . ....... . ..... .... $38.20 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $56.55 City of Waterloo Subtotal.... ..... ... ..... ..... .. $129.53 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33.00 Total Current Service Charges..... .. . ..... ..... . . $167.73 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Total Amount Due...... .. . . ..... .. . . .. .. ....... $161.21 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.48 Amount Due After 02/25/2016. ........ ..... . . ... $161.21 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $129.53 10/19/2015 01/20/2016 197 Actual 212 Actual 15 2 IS LLifi Mill Utz u o.e m H 04 d '40 h0 '10 ,ti0 ry0 ry0 ry0 ryp ,yp ________— —___.___— --_____._..._.-__ Please detach and return the bottom portion with your payment.See reverse side for additional information ° Account Number: 105492-502426 WATERLOO WATER WORKS P.O.Box 27 Amount Due After: 161.21 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: , 00- Union Baptist Church PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO, IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO VW'ATER_WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Pape 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES 1 1111 no ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 03/20/2019 ervice MMMMMAddress: 209 JACKSON ST Billing Due Date: 04/10/2019 Waterloo Water Works Services Previous Balance............. ............. ..... $173.08 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $173.78 Credits/Payments.......... ..... ... ..... ....... -$347.16 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Balance Forward.. ........ ....... . ............. -$174.08 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $11.24 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.61 Water Works Subtotal.... ..... .. ...... ....... ... $205.13 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $205.13 City of Waterloo Subtotal. ..... ........ ..... ..... $287.47 City of Waterloo Services Total Current Service Charges..... ... ..... ..... .. $492.60 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $179.40 Total Amount Due.. ... ..... .. ...... .. ... .. ..... $318.52 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 04/10/2019.... ... ..... ..... .. $331.96 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance.... ... ..... ....... $327.28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $18.82 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $287.47 12/11/2018 03/12/2019 2,527 Actual 2,592 Actual 65 70 60 SPECIALWSSAGES U 60 U40 yp� ,o 0 0 ry0^^" ry0,9. ry0^9. ry0^'1" ry0^9. �O^0 ry0^0. ry0^e" ry0^a' _- —--- — — --—- --— —--____-------...-._-..__-________________-_______________.----__— Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 124391-516971 WATERLOO WATERWORKS ror t zrt mss ' �..,, , ,h..,., Amount Due After: 331.96 P.O.Box 27 Bill�i D Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Missionary Baptist Churc PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 Please check box if contact information requires WATERLOO, IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO 1NATER WORKS Phone: (319) 232-6280 w www,waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES 7ervic mer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly unt Number: 124391-516971 Billing Date: 12/19/2018 e Address: 209 JACKSON ST Billing Due Date: 01/14/2019 Waterloo Water Works Services Previous Balance... . ..... ..... .. ...... .... . . ... $256.82 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.25 Credits/Payments... ... ..... .. ...... .. ..... .. . . $300.00 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Balance Forward... . .... ..... .. ...... . . .. . . .... -$43.18 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $4.25 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $75.00 Water Works Subtotal.. .... . . . .. .... . . .. . . ..... $75.00 City of Waterloo Services City of Waterloo Subtotal.... . .... ... . . .. . . ...... $141.26 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges... .. ...... .. .. . . ... $216.26 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Total Amount Due........ . ..... ... . .... ..... ... $173.08 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/14/2019. ........ ..... .. ... $179.69 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.26 Payment Arrangement Balance... ... ..... ..... ... $327.28 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $141.26 09/11/2018 12/11/2018 2,518 Actual 2,527 Actual 9 MINOR ea Z'50 U ao U 30 b m zo N w to 7 0 db 0 OP OHO 09 Nl' OP dF IS5 Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 124391-516971 WATERLOO WATER WORKS �����+a� Amount Due After: 179.69 P.O.Box 27 0111 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Missionary Baptist Churc PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO, IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA. R W O R KS Phone:(319)232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES m ustamer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 09/20/2018 ervice Address: 209 JACKSON ST Billing Due Date: 10/11/2018 Waterloo Water Works Services 111 Previous Balance.. ... .... . ..... ... ..... ..... ... $271.28 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $74.62 Credits/Payments.... . .. . . ..... ... . .... ..... ... -$271.28 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $S.29 Water Works Subtotal ... ..... ........ ..... .. ... $93.41 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $93.41 City of Waterloo Subtotal ..... ........ ..... .. ... . $163.41 City of Waterloo Services Total Current Service Charges. ...... ....... ...... $256.82 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $63.45 Total Amount Due. . . ... ..... . . .. .... ..... . .... . $256.82 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.7S Amount Due After 10/11/2018.... .. . ..... ..... .. $268.19 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance. ...... .. ..... ..... $327.28 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10.71 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $163.41 06/12/2018 09/11/2018 2,500 Actual 2,518 Actual 18 70 60 0 50 U_W m 30 20 j 10 1P '.n" 1�1 00 Please detach and return the bottom portion with your payment.See reverse side for additional information a Account Number: 124391-516971 WATERLOO VII&, '_ WORKS Amount Due After: 268.19 P.O.Box 27s Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Union Missionary Baptist Churc PO BOX 2092 ° Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO.IOWA 50704 ❑Please check box if contact information requires updating and indicate the changes)on reverse side V'VATERLOO W6jgBWt3RK5 Phone: (319) 232-6280 www.waterloowater.org 32S Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391 516971 Billing Date: 06/20/2018 ervice Address: 209 JACKSON ST Billing Due Date: 07/12/2018 Waterloo Water Works Services Previous Balance........ ..... .. ...... .. ..... ... $248.65 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $80.41 Credits/Payments.. .... . . .. . . . ... .. . . . .... .... . -$248.65 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $6.58 Water Works Subtotal..... ..... . . ...... .... . . .. $100.49 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $100.49 City of Waterloo Subtotal ....... ........ ..... ... . $170.79 City of Waterloo Services Total Current Service Charges.... .. . ..... ........ $271.28 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $70.35 Total Amount Due. ........ ........ ..... ........ $271.28 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 07/12/2018... ...... .. ..... ... $283.29 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance... ... ..... ..... ... $327.28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11.19 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $170.79 03/09/2018 06/12/2018 2,479 Actual 2,500 Actual 21 60 _ 70 u 60 U s0 40 W 30 x 20 10 0 OA CS° 09 '��' OA 00 00 �ti OA Please detach and return the bottom portion with your payment.See reverse side for additional information a Account Number: 124391-516971 WATERLOO WATER WORKS — Amount Due After: 283.29 P.O.Box 27 8111111l" f { I � Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: DD Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WATER WORKS Phone:(319) 232-6280 I www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 03/15/2018 ervice Address: 209 JACKSON ST Billing Due Date: 04/05/2018 Waterloo Water Works Services 211111 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $70.76 Previous Balance...... .. . . ..... ... . .... ..... ... $419.42 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Credits/Payments.. ...... . . .. . . . ...... .. .. . . ... -$419.42 . Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $5.91 Water Works Subtotal.. ..... .... . ... ..... ..... .. $90.17 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $90.17 City of Waterloo Subtotal.... .. .. . ... .... . . . .. ... $158.48 City of Waterloo Services Total Current Service Charges.. . ........ .... .. ... $248.65 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $58.85 Total Amount Due.... . .. . . ... .. ... . .. .. ..... ... $248.65 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 04/05/2018. ........ ..... .. .. . $259.60 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance... ...... .. ..... ... $327.28 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10.38 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $158.48 MITI. .Y r. . . ®- 12/11/2017 03/09/2018 2,463 Actual 2,479 Actual 16 eo 0 LLo s u 50 �-ao 30 m 20 j 10 0 zP 09 Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 124391-516971 WATERLOO WATER WORKS c 91�1r crfn t e ; , ;, ,ss r Amount Due After: 259.60 P.O.Box 27 � : Waterloo, Iowa 50704il '_" Phone:(319)232-6280 Amount Enclosed: Union Missionary Baptist Churc PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATERLOG) WATER W O R K5 Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 12/20/2017 ervice Address: 209 JACKSON ST Billing Due Date: 01/15/2018 Waterloo Water Works Services Previous Balance........ ..... .. ............. ... $389.08 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $136.05 Credits/Payments.. .... .... . . ...... . . . .... .... . -$389.08 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $10.48 Water Works Subtotal ..... ..... .. ...... ..... . .., $160.03 Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $160.03 City of Waterloo Subtotal ..... .. ...... ....... ... . $259.39 City of Waterloo Services Total Current Service Charges.... ....... . . .... ... $419.42 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $153.15 Total Amount Due.... . .. .. ..... ... ..... ........ $419.42 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 01/15/2018. ........ ....... .. . $438.35 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance. ........ ....... ... $327.28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16.99 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $259.39 09/11/2017 12/11/2017 2,406 Actual 2,463 Actual 57 100 LL 80 U 60 m 40 w w 20 0 OA 61 65 1P Off' Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 124391-516971 WATERLOOWA WORKS vota6'�ir�p , Amount Due After: 438.35 P.O. Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: . Qy• Union Missionary Baptist Churc PO BOX 2092 r Waterloo,IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WATT R &(0R S Phone: (319) 232-6280 ..Wwwwwwpw I www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES • ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 09/21/2017 ervice Address: 209 JACKSON ST Billing Due Date: 10/13/2017 Waterloo Water Works Services $13.803.50 Previous Balance..... . ... . . .. . . ... . .. . . ..... ... $290.46 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Credits/Payments... ... .. ..... ........ ..... ... . $290.46 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $9.62 Water Works Subtotal..... .. ... ... ..... ..... ... $146.92 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $146.92 City of Waterloo Subtotal.. ..... .... .... ..... ... . $242.16 City of Waterloo Services Total Current Service Charges.... . ... ..... . . .. ... $389.08 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $137.05 Total Amount Due. .... .... . . . ..... . . ..... ..... . $389.08 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 10/13/2017... ... ..... ..... ... $406.59 Garbage . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance...... ....... ...... $327.28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15.86 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $242.16 NEMPONT-l".070iffaffffffir"M.1 M. 06/13/2017 09/11/2017 2,356 Actual 2,406 Actual 50 ,00 LL 6a U 60 m�60 u 20 0 06 Oma' ��' OA OHO 09 ��' OA 06 Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 124391-516971 WATERLOO WA WKS019 dl - Amount Due After: 406.59 P.O.Box 27 - Waterloo,Iowa 50704 1 Phone:(319)232-6280 Amount Enclosed: ` i®' Union Missionary Baptist Churc PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the changes)on reverse side WATERLOO WA "WORKS Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES s ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 06/21/2017 ervice Address: 209 JACKSON ST Billing Due Date: 07/13/2017 Waterloo Water Works Services Previous Balance.. ........ .. ...... .. ... .. ..... . $272.07 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $88.80 Fire Lines . . . . . . . . . . . . . . . . . . . . . . . $ .50 Credits/Payments.. . ..... .. .. . . ....... . . ... $284.02 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $7.17 Balance Forward... ... .. ..... . . ...... .. .. . . .... -$11.95 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $109.47 Water Works Subtotal .... . ..... ... . .. .. ..... ... , $109.47 City of Waterloo Services City of Waterloo Subtotal...... ...... ....... ..... $192.94 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $91.05 Total Current Service Charges.. .. ...... . . .. .. .... $302.41 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Total Amount Due. . . .... ..... . . ...... .... . . .... $290.46 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/13/2017.... ... ..... .... . .. $303.32 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.64 Payment Arrangement Balance.. .. ........ ....... $327.28 City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $192.94 03/10/2017 06/13/2017 2,326 Actual 2,356 Actual 30 100 C BO U 60 b 40 m w 20 0 CP ,P ,v0 ,P ______— ----------------------------- ___-__--- -- -------...___ __.._------------ _.___--- — —---_- --------- ___--_ Please detach and return the bottom portion with your payment.See reverse side for additional information ' Account Number: 124391-516971 WATERLQC71NA R WQRKS { . _ Amount Due After: 303.32 P.O.Box 27 Waterloo,Iowa 50704'' 00, Phone:(319)232-6280 Amount Enclosed: Union Missionary Baptist Churc PO BOX 2092 0 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO W6 WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ° =Address: n Missionary Baptist Churc Billing Frequency: Quarterly 91-516971 Billing Date: 03/23/2017 JACKSON ST Billing Due Date: 04/13/2017 Waterloo Water Works Services Previous Balance.... ... ..... .. ........ ..... ... . $406.41 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $76.55 Credits/Payments. . ... ..... . ... . ... ..... . . ..... $424.73 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Balance Forward . . .. ...... . . .. . . .. ..... .. .. .... -$18.32 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $6.31 Late Penalty. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $18.32 Water Works Subtotal. . ..... ...... . . ..... ..... .. $114.68 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $114.68 City of Waterloo Subtotal... ..... ... ..... ..... ... $175.71 City of Waterloo Services Total Current Service Charges... . . .. ..... . . .. . ... $290.39 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $74.95 Total Amount Due... . ..... .. ... . .. ..... .. .. . ... $272.07 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 04/13/2017. ........ ....I . .... $284.12 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance. ........ ..... ..... $327.28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11.51 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $175.71 12/09/2016 03/10/2017 2,303 Actual 2,326 Actual 23 iao LL BO U 60 40 yA 20 J 0 Please detach and return the bottom portion with your payment.See reverse side for additional information 3mzm °�� Account Number: 124391-516971 WATERLOO WATT R W R K5 Total Ai�ityit4t lhm: '. Amount Due After: 284.12 P.O.Box 27 Die; Waterloo,Iowa 50704 a "®" Phone:(319)232-6280 Amount Enclosed: °°> Union Missionary Baptist Churc PO BOX 2092 ° Waterloo, IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side VVATE RL00 1/1dA R V1IC C3 K5 Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ° r omer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly unt Number: 124391-516971 Billing Date: 12/21/2016 ice Address: 209 JACKSON ST Billing Due Date: 01/17/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $130.80 Previous Balance.... ... ..... ........ ....... ... . $393.41 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Credits/Payments........ .. ..... ........ ....... -$393.41 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $10.11 Water Works Subtotal.... .. ... .. ... ..... ........ $154.41 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $154.41 City of Waterloo Services City of Waterloo Subtotal... .. ...... ....... ...... $252.00 Total Current Service Charges....... ..... .. ...... $406.41 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $146.25 Total Amount Due......... ..... ... ..... .. ... ... $406.41 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 01/17/2017. ...... . . .... . .... . $424.73 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance.... .... .... . . . ... . $327.28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $252.00 ,. °. - 09/12/2016 12/09/2016 2,249 Actual 2,303 Actual 54 100 LL 60 U 60 m 40 M M 20 J 0 __.__——— ——___..__— -------- Please detach and return the bottom portion with your payment.See reverse side for additional information ° Account Number: 124391-516971 WATERLOO WASER WORKS M0AmoU Dter -� Amount Due After: 424.73 P.O.Box 27 Waterloo, Iowa 50704 Phone:(319)232-6280 Amount Enclosed: . °yam Union Missionary Baptist Churc PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATE I LOO }�T��' WORKS Phone:(319) 232-6280 '""`"` www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustamer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 09/22/2016 ervice Address: 209 JACKSON ST Billing Due Date: 10/14/2016 Waterloo Water Works ServicesCHARGE SUMMAR Water. . . . . . . . . . . . . . . . . . ...... . . . . ... . . . . . . . $125.55 Previous Balance............................... $436.75 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Credits/Payments.............................. -$456.49 Water Service Excise Tax. . . . . . . . . . .. . . . . . . . . . . $9,74 Balance Forward............................... -$19.74 Late Penalty. . ..... . . . . . . .. . . . . . . . . . . . . . . . . . . $19.74 Water Works Subtotal........................... $168.53 Water Works Subtotal . . . . . . . . . . . . . . . .. . . . . . . . $168.53 City of Waterloo Subtotal........................ $244.62 City of Waterloo Services Total Current Service Charges........ ............ $413.15 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $139.35 Total Amount Due............... ............... $393.41 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 10/14/2016................... $411.13 Garbage. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance................... $327,28 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16.02 City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $244.62 06/14/2016 09/12/2016 2,198 Actual 2,249 Actual 51 100 LL Be SPECIAL MESSAGES U 60 m�40 m 20 J 0 61 CP 09 ^ry O"' p6 Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 124391-516971 WATERLOO W VldC7CtK5 Total Amount Due: 393.41' „ v.�, "�""""•t•� Amount Due After : 411.13 P.O.Box 27 Waterloo,Iowa 50704 Billing Due Date: 10/14/2016 Phone:(319)232-6280 Amount Enclosed: DD Union Missionary Baptist Churc PO BOX 2092 • Waterloo,IA 507042092 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO,IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA' ��` WORKS Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ° ustomer Name: Union Missionary Baptist Churc Billing Frequency: Quarterly ccount Number: 124391-516971 Billing Date: 06/23/2016 ervice Address: 209 JACKSON ST Billing Due Date: 07/15/2016 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $143.05 Previous Balance.. .... ..... . . ...... .. .. . . ...... $442.21 Fire Lines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.50 Credits/Payments... .... .. .. . . . ... .. . . ..... .... -$442.21 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $10.97 Water Works Subtotal... .... . . ....... . . .. .. .... $167.52 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $167.52 City of Waterloo Services City of Waterloo Subtotal.. .. .... .... .. . . ..... ... $269.23 Total Current Service Charges... .. ..... . .... . . ... $436.75 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $162.35 Total Amount Due... ... ..... .. ...... ....... ... . $436.75 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.75 Amount Due After 07/15/2016... ... ..... ..... ... $456.49 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Payment Arrangement Balance.. . . ...... . . .. . . ... $327,28 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17.63 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $269.23 03/11/2016 06/14/2016 2,137 Actual 2,198 Actual 61 100 LL 80 U 60 u 40 %20 0 Please detach and return the bottom portion with your payment.See reverse side for additional information ° Account Number: 124391-516971 WATERLOO WAR WORKS ° ,y.F ,, m,_. . Amount Due After: 456.49 P.O.Box 27 Waterloo,Iowa 50704 ` `� �•' �'" `"Oil��'� Phone:(319)232-6280 Amount Enclosed: Union Missionary Baptist Churc PO BOX 2092 Waterloo,IA 507042092 WATERLOO WATER WORKS P.O. BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side City Clerk Use Only Finance Committee Approval Date 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 Bldg Insp Department to expend $ 1,500.00 plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: Fire alarm suppression system plan review - 3rd & Cedar Street - Art Mall Vendor selected for this purchase: Lund Fire Protection ❑ Bids or written quotes were taken on this purchase, as follows: FX Bids or quotes were not taken on this purchase because: City of Waterloo has a contract with Lund Fire Protection Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑X General Fund EI Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-22-5100-1390 (Fund - Department-Activity -Account Number) (Project Code) in which the budgeted amount is $ g000 and the current available balance is $ Respec Ily submitted, (Signature Dept. Head or Designee) Date Signature Finance Dept. Review) Date KAshared good ies\forms\Expend itu re Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committees, Approval Date 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 $ me 3,000.00 plus est. shipping costs of $ to pay for or purchase Grass seed for three municipal golf courses. Must match the type of grass currently in these areas. This purchase or expenditure is being made because: to maintain the quality of the turf in these areas. Vendor selected for this purchase: D&K Products, Des Moines IA Bids or written quotes were taken on this purchase, as follows: FX Bids or quotes were not taken on this purchase because: D&K Products, Des Moines $3,000.00 deliver & offload at each location We need the grass seed to match the type of grass currently at each location. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: FX General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds ❑ Federal/other grants EI Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4125-1537 (Fund - Department-Activity-Account Number) (Project Code) V/ in which the budgeted amount is $ 8,648.00 and the current available balance is $ 8,648.00 Respectfully submitted, (Signature Dept. H dor signee) Date (Signature Finance Dept. Re ew) Date Klshared goodies\forms\Grass seed preapprovalAs(Mar 2010) City Clerk Use only Finance Committee Approval Date 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 $ 2,120.16 plus est. shipping costs of $ to pay for or purchase scorecards for the golf courses 39,000 would be purchases for this price This purchase or expenditure is being made because: Supply of scorecards is low and more are needed Vendor selected for this purchase: Colorfx Printing Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Colorfx Printing has printed the last several runs of scorecards Having them print these will ensure the cards match others already stocked at the courses 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 1-1 Sewer ❑ Sanitation EIBonds 1:1 Federal/other grants F Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4120-1353 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 2,000.00 ✓ and the current available balance is $ 2,120.16 after amendment " Res,DBEffullysubmitted, / . Q (Signature Dept. d or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Pre-Auth Scorecards 3.xls(Mar 2010) .Completed fonns should be routed directly to the Finance Dept. FINANCE DEPT.ONLY Finance Committee approval required? YES_ NO_ If so,date approved: City of Waterloo Line-Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line-item budget amendment for FYE 2020 submitted by the Leisure Services Department: EXPENSES/REVENUE DECREASE EXPENDITURES(INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct#I Acct Name Pro'Code Amount Fund Dept Activity Acct# Acct Name Proj Code Amount 010 37 4120 1353 rinting 120.16 010 37 4120 1561 office supplies 120.16 IL AT TOTAL $120.16 COPY TAIL $120.16 This amendment is being requested because: to have enough funds to pay for printing of golf scorecards Prior Committee Actions(Dates): (Signature Dept. H or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:Wsers\shared goodies\farms\Budget Amendment Request Form.xls(Apr 2003) City Clerk Uae Only Finance Committee Approval Date I3 11� 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 $ 5,285.00 plus est. shipping costs of $ to pay for or purchase Phase 2 Young Arena concourse rail counter/ handicap south seating area and counter. Price includes installation This purchase or expenditure is being made because: Additional standing room reserved locations have been requested by Black Hawks staff for season ticket holders.Plan 4.5Maintain City facilities that support quality of place Vendor selected for this purchase: LJ's Welding& Fabrication , Waterloo Iowa ❑ Bids or written quotes were taken on this purchase, as follows: 0 Bids or quotes were not taken on this purchase because: LJ's Welding designed and fabricated all rail counter modifications during phase 1 of the project. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund El Road Use Tax 0 Sewer ❑ Sanitation ❑x Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 419-37-4500-2152 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 77,000.00 and the current available balance is $ -72-,7-3g 66, -700 �= Respectfu ubmitted,, ('Z G Ignature Dept. H ad or signee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expe Hl 'ure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date f 3/1 6( 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 $ 2,400.00 plus est. shipping costs of $ 30.00 to pay for or purchase Intruder G2 ballastic shield for the tactical unit. This purchase or expenditure is being made because: The current ballastic shield is in need of replacement for the tactical unit which protects the officers on high risk incidents. Vendor selected for this purchase: Streichers Qx Bids or written quotes were taken on this purchase, as follows: Striechers $2430.00 Amron International $3063.57 Galls $3150.00 ❑ 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: Ox General Fund ❑ Road Use Tax Sewer 0 Sanitation ❑ Bonds 1:1 Federal/othergrants Q Other(specify) WPD Forfeiture This expenditure is to be coded to the following budget line-item: WPD 010-11-1150-1512 11TRI.WPDF (Fund -Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ /S00 and the current available balance is $ /SpaO Respectfully submitted, 4,94919 C; 7 g��Jlg-, nature:Dept."Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization(Mar 2010) City Clerk Use Only Finance Committee 1 Approval Date City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the SEWER Department to expend $ 11,802.00 plus ext. shipping cost of $ 100.00 to pay for or purchase New Roots Blower This purchase or expenditure is being made because: EMERGENCY REPLACEMENT OF NON-WORKING BLOWER AT ANAEROBIC LAGOON Vendor selected for this purchase: JL COMPONENTS Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: JL COMPONENTS IS SOLE PROVIDER FOR REPLACEMENT BLOWER Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund: Road Use Tax: RXSewer: Sanitation: Bonds: Federal/other grants: ❑Other(speclfy): This expenditure is to be coded to the following budget line-item: 520-14-5200-1571 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 400,000.00✓ and the current ayglitable balance is $ 350,865.33 R ctfu ub ' gnature p . Head Or Designee) Date (Signature Finance Dept. Review) Date Maintenance Foreman WMS From: Clayton Conaway <cconaway@jlcomponents.com> Sent: Wednesday,August 28, 2019 4:21 PM To: Maintenance Foreman WMS Cc: John Larson Subject;: Roots blower quote Hi Jesse. Thanks for the extra info for the blower. Included in quotation: J .. (1)New Roots Blower Qv-��� Model#412GJ (gas) (for top shaft, left hand discharge) ....................$ 11,802.00+ $100 frt. 1#1s o,lve (1)New Roots Blower Model#412J L (for top shaft, left hand discharge) a (� b ....................$ 8,008.00 + $100 frt. S Preliminary estimate for repair of(1)412J Roots Blower........$ 6170.00 U f�.2 1 This price does not include and machine work that may be needed. JL Components offers a tear down and comprehensive estimate, at our Kansas City facility, at no charge you you. Jesse please let me know if you have any questions or concerns. Clayton Conaway Regional Account Manager (Omaha Branch) JL Components, LLC. 5155 E. Front St. Kansas City, MO 64120 Phone: (816)207-0090 Ext. 106 x www.JLComponents.com Please send a copy of all PO's to Orders(cr�,JLComponents.com ; this is to ensure timely entry and accuracy. For all invoices and accounting inquiries,please use APgJLComponents.com I City Clerk Use Only Finance Committee Approval Date /3/.e1 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 Street & Sewer Department to expend $ 23,274.00 plus est. shipping costs of $ 1,700.00 to pay for or purchase 25 Ton Tilt Tag Trailer This purchase or expenditure is being made because: Current trailer was taken out of service because of deterioration and safety issues This trailer will be used by both street and sewer departments so cost can be split Vendor selected for this purchase: Carolina Trailers ❑X Bids or written quotes were taken on this purchase, as follows: Carolina Trailers Tryon NC $23,274.00 Jim Hawk Truck Trailers Manchester, IA $29,770.00 Trail-Eze Mitchell, SD $46,770.00 ❑ 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. 0 General Fund ❑ Road Use Tax IJ Sewer F] Sanitation FX Bonds ❑ Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 415-19-7100-2117 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 486; 66-80 J40,000 and the current available balance is $ '7�3_ 7a 70c) Respectfully submitted, L L11 '� �61, , r (Signature Dept. Read or Designee) ate (Signature Finance Dept. Review) Date KAshared good ies\forms\2019-August-Pre-Auth-Carolina Trailers-25 Ton Tilt Tag Trailer-Street and Sewer-415-19-7100-2117&520 Sewer $23,247.00.xls(Mar 2010) Budget Amendment Descriptions for 9/3/2019 Finance Committee Meeting Agenda: 1. Approve the project budget for the Local Fire Protection and Emergency Medical Services grant, funded with $7,888.99 in in state grant funds to be used for a portable fire extinguisher training system, submitted by the Fire Department. Please use this for project budget descriptions on Finance agenda. Do not need to include this cover sheet in the Finance Committee packet. PROJECT BUDGET WORKSHEET -ALL PROJECTS '4vt�4 PAGE ONE 01 1:3'19 Project Name Local Fire Protection and Emergency Medical Services Grant City Contract No. N/A Project Manager Chris Ferguson, Fire Marshal1otis 1Gi Project Budget Total $ 7,888.99 s 1. How will this project be funded? A. Federal Grant Yes = No = CFDA# % Paid by federal grant Grant Name Grant Agreement Number B. State Grant Yes = No = % Paid by state grant 100.00% Grant Name Local Fire Protection & Emergency Medical Services Grant Agreement Number Grant Program. C. City Match Source of Funding % Paid by City D. Other Entities Yes = No % Paid by other entity Name Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) ED El Yes No 3. Does the project include the purchase of right of way or other real property? El Qx If yes, will real property purchases be reimbursable under the grant? ❑ ❑ If yes, have you attached authorization to purchase real property to this document? 0 El 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees ❑ 0 B. Publication, or printing costs ❑ 0 C. Others, list 0 0 5. Does this project cover any regular full-time salaries or benefits? 0 ❑X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Grant funds must be used for equipment specifically One Lion ITS portable fire extinguisher training system Funds to be reimbursed after purchase of system. Page 2 must be attached and signed. K:\shared goodies\forms\12GRTFIREEXT..xls\Page 1 All Projects (Mar 2010) CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) Local Fire Protection & Emergency Medical Services Grant Department No. project will be budgeted under 12 aY#g � fJ Activity No. project will be budgeted under 1412 p j 9 Y _ } uv e i (Each column should only include amounts by fund) Fund: Fund: Fund: _010_ Total REVENUES: 3000 Cash on Hand $ 3112 Local Option Sales Tax 3350 Federal Grant 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State _ 3361 State Grant 3365 State RISE Grant _ 3368 EPA Grant _ 3377 EDA Grant 3720 Donations- Restricted 7,888.99 3750 Sale of Bonds TOTALS $ 7,888.99 $ $ $ - $ 7,888.99 EXPENDITURES: 2103 Engineering & Consulting $ _ 2125 Traffic Control Equipment 2140 Land Acquisition _ 2144 Land Improvements _ 2146 Demolitions 2151 Building Construction 2156 Bikeway Construction 2162 Storm Sewers 2163 Sanitary Sewers _ 2164 Sidewalks 2165 Streets & Roadways 2199 Non-participating Misc _ aZSS5 Minor Equipment/Supplies 7,888.99 7,888.00 TOTALS $ 7,888.99 $ $ - $ $ 7,888.99 (Signature D(pt. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\12GRTFIREEXT..xls\Page 2(Constr Proj) (Mar 2010) Kim Reynolds Department of Public Safety Governor Adam Gregg Stephan K. Bayens Lt. Governor Commissioner Local Fire Protection and Emergency Medical Services Grant Program - Grant Agreement Letter August 5, 2019 Waterloo Fire Department Attn: Chris Ferguson 425 E 3rd St Waterloo IA 50703 Dear Chris: The Iowa State Fire Marshal is pleased to inform you that a grant has been approved in the amount of$7,888.99 for use under the Local Fire Protection and Emergency Medical Services Grant Program. This letter and its attachments outline the terms and conditions of accepting this grant. Please read all the terms and conditions carefully, sign, and return along with this agreement letter before making any purchase(s). If the Division does not receive signed copies of this grant award letter and general grant terms within 14 days after the date of the grant award letter, this grant may be revoked. Grant funds must be used for equipment, specifically One Lion ITS portable fire extinguisher training system, as stated in your approved grant proposal. You must submit a written request to us for reimbursement after each purchase and a check will be mailed to you upon review and approval of the purchase. The grant funds are to be expended within one year from the date of this letter and written approval must be received prior to spending funds on anything not already approved in your grant proposal. -'- '�^'^ - •. o€fn It «/e n U f nil r to Dina oagiatu,ations on «��s re of your important.ffffb,IS. l.,o11 o..ra-d .., wor._.-a with you during the coming year. Sin ly, Dan Wood Iowa State Fire Marshal Department of Public Safety ACCEPTED AND AGREED: c )C: Fire Chief or Designee (signature)/Date STATE FIRE MARSHAL DIVISION•215 EAST 7TH STREET• DES MOINES IOWA 50319-0047.515-725-6145 Integrity, Fairness, Respect, Honesty, Courage, Compassion,Service LOCAL FIRE PROTECTION AND EMERGENCY MEDICAL SERVICES GRANT PROGRAM ------------------- GENERAL GRANT TERMS, CONDITIONS,AND UNDERSTANDINGS In addition to the specific terms and conditions in the grant award letter dated August 5, 2019, to which these General Grant Terms, Conditions, and Understandings are attached,the Iowa State Fire Marshal (Division) is awarding this grant in the amount of$7,888.99 to you as the Grantee contingent upon the following: Expenditure of Funds: This grant is to support specific fireworks safety education programming to the public; or to purchase necessary enforcement,protection, or emergency response equipment related to the sale and use of consumer fireworks in Iowa. You must submit a written request to us for reimbursement after each purchase and a check will be mailed to you upon review and approval of the purchase. The Grantee must provide a written report to the Division if any portion of the grant is unexpended after 12 months to include the amount of funds left, how it will be used, and when it will be expended. This grant is made for the purpose outlined in the grant award letter, and terms and conditions. Grant funds may not be expended for any other purpose without prior written approval from the Division. No Assignment or Delegation: You may not assign, or otherwise transfer, your rights or delegate any of your obligations under this grant without prior written approval from the Division. Records and Reports: You are required to submit a written request, including itemized receipt(s), to the Division after a related purchase is made. A reimbursement check will be sent to you upon review and approval of the purchase. You are required to keep the financial records with respect to this grant, along with copies of any reports submitted to the Division, for at least five years following the year in which all grant funds are fully expended. Required Notification: You are required to provide the Division with immediate written notification of: (1) your inability to expend the grant within 12 months for the purposes described in the grant award letter and terms and conditions; or (2) any expenditure from this grant to be made for any purpose other than those for which the grant was intended. IlPage Reasonable Access for Evaluation: You will permit the Division, at its request, to have reasonable access during regular business hours to your files, records, accounts, personnel and clients, or other beneficiaries for the purpose of making such financial audits, verifications, or program evaluations as the Division deems necessary or appropriate concerning this grant award. Right to Modify or Revoke: The Division reserves the right to discontinue, modify or withhold any payments to be made under this grant award or to require a total or partial refund of any grant funds if, in the Division's sole discretion, such action is necessary: (1) because you have not fully complied with the terms and conditions of this grant; or(2)to comply with the requirements of any law or regulation applicable to you, the Division, or this grant. The undersigned certify that they are duly elected and authorized officers of the Grantee and that, as such, are authorized to accept this grant on behalf of the Grantee, to obligate the Grantee to observe all of the terms and conditions placed on this grant, and in connection with this grant to make, execute and deliver on behalf of the Grantee all grant agreements, representations, receipts, reports and other instruments of every kind. ACCEPTED AND AGREED TO: WA 4G loo T,2.c, Fire Department 0�41 !tel/ — S Iowa State Fire Marshal (printed) Io to Fire Marshal (signature)/Date DI a Fire Chief or Designee (printed) Fire Chief or Designee (signature)/Date 21 Page U M C C 7 0 C y Q It N V N � C O E « p Q 4 O Q C1 6T C1 C1 am M M M M M UC mi 61 T 6t Ol Cil a% Cl 0) al 0a a0 00 oD 00 a0 W 00 00 00 fL 00 a0 00 00 00 00 W 00 00 co M ;z 66 00' 00 00 co 00 W OD CO CO 00 � c n n n ri n ri �• vS V1 N N W VL VT VS N tM1 N c n o � v `o ME Y' _ n c _ G L w a y a c v 0 � L a+ ° a > 7a G a L J d r +•' 4 0 a n C a m fC v s91. v n V q v E a r cu a+ y � `° m 0 •5 0 c N L L • = N P , V n al CUc CL o G c U ice+ O a m Q 0 M y y y R ++ 3 r $ A Z C C � 3 3 E m C U 00 cu yi U D O a R m m y ate+ v CA o �. O bR C c + LLJ •N tom+ G u v Z U R v u n i `C- a 3 c :3 a e " m 0 0 3 E E v _ a S c CJ a H Ca G o 3 V L G O N c c v c L' E N r a m a 3 a U v m J m m o E v v r _ E x E ani o Q > i a m c 4! w o a E N p N — o G C d N o w C'o E "S c v 3 v Em '- m 0 ° a C c E A V ` W m N n� E Q s _ z c O � Kim Reynolds Department of Public Safety Governor Adam Gregg Stephan K. Bayens Lt. Governor Commissioner Local Fire Protection and Emergency Medical Services Grant Program - Grant Agreement Letter August 5, 2019 Waterloo Fire Department Attn: Chris Ferguson 425 E 3rd St Waterloo IA 50703 Dear Chris: The Iowa State Fire Marshal is pleased to inform you that a grant has been approved in the amount of$7,888.99 for use under the Local Fire Protection and Emergency Medical Services Grant Program. This letter and its attachments outline the terms and conditions of accepting this grant. Please read all the terms and conditions carefully, sign, and return along with this agreement letter before making any purchase(s). If the Division does not receive signed copies of this grant award letter and general grant terms within 14 days after the date of the grant award letter, this grant may be revoked. Grant funds must be used for equipment,specifically One Lion ITS portable fire extinguisher training system, as stated in your approved grant proposal. You must submit a written request to us for reimbursement after each purchase and a check will be mailed to you upon review and approval of the purchase. The grant funds are to be expended within one year from the date of this letter and written approval must be received prior to spending funds on anything not already approved in your grant proposal. Congraitliations or,this recognition of your important effarts. We look forward to working with you during the coming year. Sin ly, Dan Wood Iowa State Fire Marshal Department of Public Safety ACCEPTED AND AGREED: Fire Chief or Designee (signature)/Date STATE FIRE MARSHAL DIVISION•215 EAST 7TH STREET•DES MOINES IOWA 50319-0047.515-725-6145 Integrity, Fairness, Respect, Honesty, Courage, Compassion,Service