HomeMy WebLinkAboutApproved Documents - 11/4/2019 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1346_
TRAVEL REQUEST FY_2020_ BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Officer Thomas Schuster October 29th, 2019
NAME OF CLASS/ MEETING: DESTINATION: West Des Moines, la.
Technical Accident Investigator School
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: Return Date: DATE(S) OF MEETING:
11/12/19 11/22119 November 12-22, 2019
PURPOSE OF TRAVEL:
Capt. Mohlis is requesting to send Officer Schuster to Technical Accident Investigation School November 12-22,
2019 in West Des Moines la. This course was designed for Accident Investigators to collect and identify crucial
evidence moments after major traffic accidents. The course will also focus on preparation for crash
investigations, road information, vehicle information, measuring and mapping scenes as well as photographing
the vehicles following major crashes. This is a mandatory certification for all Traffic Investigators. The cost of
this course will not exceed 1865.00.
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:
$670.00 LODGING TAXI X GRANT REIMBURSABLE
$345.00 MEALS PARKING YES NO
$800.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
$50.00 MILEAGEIFUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 1865.00 TOTAL: $ 1865.00 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
4�2�-
DEPARtMENT HEAD MAYOR
O - � C_) I. 144 �! �
DATE DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1346
TRAVEL REQUEST FY_2020_ BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST _
LEFT AFTER THIS
REQUEST
DATE
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Sgt. Greg Erie and Inv. Chris Gergen October 29th, 2019
NAME OF CLASS I MEETING: DESTINATION: Oelwein, la.
Taser Instructor Recertification Course
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: Return Date: DATE(S) OF MEETING:
11/20/19 11/20/19 November 20, 2019
PURPOSE OF TRAVEL:
Lt. McClelland is requesting to send Sgt. Erie and Inv. Gergen to the Taser Instructor Recertification November
201h, 2019 in Oelwein la. Both Erie and Gergen are department Instructors in Taser and have to recertify to teach
not only our Officers as well as others from around the state. This mandatory course will go over updates in the
Taser itself as well as law updates regarding use of force. This one-day class will not exceed $990.00.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ N/A
YES NO
METHOD OF TRAVEL:
XXXXXXXX CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM:
$0.00 LODGING TAXI X GRANT REIMBURSABLE
$0.00 MEALS PARKING YES NO
$990.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
$0.00 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 990.00 TOTAL: $ 495.00 PER PERSON
1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
744G
DEPAR ENT HEAD MAYOR
DATE DATE
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 Garage Department to expend
$ 3,464.22 plus est. shipping costs of $ 30.00 to pay for or purchase
Coupler, Granular Feedback Sensor and Cable for salt dispensing controls on trucks
This purchase or expenditure is being made because:
Replace salt dispensing controls on salt route trucks
Vendor selected for this purchase: Force America
�X Bids or written quotes were taken on this purchase, as follows:
Force America Burnsville, MN $3,464.22
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:
FX General Fund FX Road Use Tax EI Sewer ❑ Sanitation
❑ Bonds ❑ Federal/other grants F—I Other(specify)
This expenditure is to be coded to the following budget line-item:
010-18-7955-1571
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 240,000.00 is
and the current available balance is $ 120,433.99
Respectfully submitted,
Signature Dept. pd or Designee) D to (Signature Finance Dept. Review) Date
K:\shared good ies\fo rms\201 9-Octobe r-Expend itu re Pre-Authorization-Garage-Force America-Salt Dispensing Controls-$3,464.22+$30.00-
010-18-7955-1571.xls(Mar 2010)
City Clerk Use Only
Finance Committee
\t�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
$ 994.89 plus est. shipping costs of $ 40.00 to pay for or purchase
bronze recognition plaque for Lincoln Park.
This purchase or expenditure is being made because:
to recognize funding sources as part of grant requirements.
Vendor selected for this purchase: MD Designs by Metal Decor, Springfield, IL
F] Bids or written quotes were taken on this purchase, as follows:
Fx Bids or quotes were not taken on this purchase because:
Leisure Services has used vendor for over 15 years as a direct purchase source
for bronze plaques.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
EIGeneral Fund Road Use Tax EI Sewer ❑ Sanitation
EI Bonds Federal/other grants EX Other(specify) gaming
This expenditure is to be coded to the following budget line-item:
426-37-4105-2168 37 LI NC.GAM E
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 600,000.00
and the current available balance is $ 431,036.45 '
Respectfully submitted,
(Signature De . He esignee) bat6 (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Authorization Lincoln Recognition Plaque.xls(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 Police Department to expend
$ 13,294.80 plus est.shipping costs of $ 80.00 to pay for or purchase
Purchase four mobile digital video recorders for patrol cars.
This purchase or expenditure is being made because:
replace outdated and end car cameras that are installed the patrol cars of the
police department to record police activity and investigations.
Vendor selected for this purchase: Safefleet-Mobile Vision
❑ Bids or written quotes were taken on this purchase, as follows:
Fx Bids or quotes were not taken on this purchase because:
Safefleet Mobile Vision is the provider for the departments current video cameras
and storage system.
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
❑ General Fund EI Road Use Tax ❑ Sewer ❑ Sanitation
Ix Bonds 1:1 Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the foly,�ing budget line-item:
4s 41JI�100 2'I'271 ��9A- 27/4 $ 11-1100 2127 Body/In-Car Video Cameras
(Fund - Department-Activity-Account Number) (Project Code)
00
in which the budgeted amount is $ v,ovo
and the current available balance is $ aO'000 y'
Respectfully submitted/
Aw�A il-l", /d X -3
(Signature Irept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xlsx(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date / "1
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
$ 4,000.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Police Officer recruitment campaign for social and media advertising.
This purchase or expenditure is being made because:
for the Police Department recruitment and hiring process.
Vendor selected for this purchase: Pyke Studios.
❑ Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
Pyke Studios has been managing the Police Departments recruiting process on
social media and has all the current data and information needed to continue
with the new hire event.
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
EI General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation
❑ Bonds El Federal/other grants Qx Other(specify) WPD Forfeiture
This expenditure is to be coded to the following budget line-item:
010-11-1150-1512 11TRIWPDF
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ l�rap�
and the current available balance is $ &0
Respectfully submitted,
(Sign ture Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xlsx(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 Police Department to expend
$ 24,677.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Purchase of ammunition budgeted for the Police Departments FYE 2020 needs
This purchase or expenditure is being made because:
for the Police Department ammunition needs for yearly training and to issue to
police department officers.
Vendor selected for this purchase: Kiesler Police Supply
Qx Bids or written quotes were taken on this purchase, as follows:
Kiesler Police Supply was the sole bidder for the department ammunition
needs for FYE 2020.
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:
Fx General Fund ❑ Road Use Tax 0 Sewer ❑ Sanitation
EI Bonds 1:1 Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-11-1100-1544
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ �Gc�00 �� ✓
and the current available balance is $C�
Respectfully su mitt d
(Sign8ture Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:lshared goodieslforms\Expenditure Pre-Authorization.xlsx(Mar 2010)
City Clerc se ny
Finance Committee s
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 Sanitation Department to expend
$ 5,289.34 plus est. shipping costs of $ to pay for or purchase
New recycling program sign-up documents postage
This purchase or expenditure is being made because:
Vendor selected for this purchase: POS
Bids or written quotes were taken on this purchase, as follows:
Qx Bids or quotes were not taken on this purchase because:
posage will be the same for both vendors that quotes were recived from
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
EI General Fund ❑ Road Use Tax F-I Sewer Qx Sanitation
Bonds ❑ Federal/other grants F-I Other(specify)
This expenditure is to be coded to the following budget line-item:
525-15-5400-1343
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 24000.00
and the current available balance is $ 16,635.31
Respectfully submitted,
41 f(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authonzation.xls(Mar 2010)
City Clerk Use Only
Finance Committee
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
$ 5,248.00 plus ext. shipping cost of $ 300.00 to pay for or purchase
FILTER PRESS PROGRESSIVE CAVITY PUMP REPAIR/REPLACEMENT PARTS
This purchase or expenditure is being made because:
PROGRESSIVE CAVITY PUMP NEEDS NEW STATOR
Vendor selected for this purchase:
VESSCO
Bids or written quotes were taken on this purchase, as follows
®Bids or quotes were not taken on this purchase because:
SEEPEX/VESSCO IS THE SOLE PROVIDER FOR REPAIR PARTS
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑General Fund: Road Use Tax: Sewer: Sanitation:
Bonds: Federal/other grants: F—]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 avail le balance is $ 234424.95 AU3. 9/0
�,Bespea f ,
ignature ead Or Designee) ate^ (Sig�ature Finance Dept. Review) Date
SEEPEX,
ALL THINGS FLOW
SEEPEX
Vessco Inc US—GP Inc.
Attn: Accounts Payable 511 Speedway Drive
8217 Upland Circle Enon, Ohio 45323
USA
CHANHASSEN MN 55317 Phone(937)864-7150
USA Fax (937)864-7157
www.seepex,com
Quotation sales.us@seepex.com
No. 2553171 Page 1( 2)
Date 10/14/2019
Your inquiry No. Cory A. Sonner
dated 10/14/2019
Your client No. 200280
Project/Reference
BTI 70-12 842050
Validity period
10/14/2019 to 11/14/2019
Terms of delivery
Afterhours Helpline 937-864-7150 X2 ex works, excl. packing SEEPEX INC. plant; Enon, OH
Terms of payment
We thank you for your request and offer on base of within 30 days net
our general terms of sale and delivery (01/99)without
engagement:
Item Material Qty. Deliv.date Price p.unit Discount Total(USD)
20 STAF0060070OCNFX00 1 EAC 5,248.84 5,248.84
stator 60/70-12 NBR TSE, chamfer
Standard stator in stock-Approx lead 3-4 days for TSE and chamfer machining
Weight net: 57.50 KG
SEEPEX,
ALL THINGS FLOW
Quotation
2553171
10/14/2019 Page 2( 2)
Shipping charges on orders will include the applicable shipping charges at cost, a handling charge in the amount of
10% of the shipping charges (minimum $5.00, maximum $150.00), and a freight insurance charge in the amount of
1% of the order value (maximum of$100.00).
Same Day Parts Shipments
There is no charge for same day shipments, if there is sufficient time to pull and pack the parts. However the
following rules apply for orders received after 1 PM, Eastern Time.
Geographic area Expedite Fee Effective Time
Mountain, Pacific, Alaska & Hawaii Time Zones 10 % 2 PM (Eastern Time Zone)
Atlantic, Eastern & Central Tiem Zones 10 % 1 PM (Eastern Time Zone)
Our expedite fee is as follows:
Order value $100.00 -$500.00 = Expedite Fee $50.00
$501.00 and up = 10% of the total order.
The quote is valid for 30 days from date on document.
All prices are Ex Works Enon.
Export of SEEPEX commodities, technology or software shall be in accordance with United States Export
Administration Regulations. Diversion contrary to U.S. law is prohibited.
This offer is limited to SEEPEX Inc. Terms & Conditions of Sale and/or Repair(10-1-19), available online at
www.seepex.com. All prior or future terms, conditions or negotiations (whether written or oral)will be considered
void and inapplicable, unless otherwise agreed to in writing.
Where permissible by law, all products and services paid with a credit card will be subject to a 2.5% convenience
fee. This fee is not greater than our cost of acceptance, and will not apply to orders placed through an online
platform.
Document was created electronically and is valid without signature.
SEEPEX
Pumps
F— City Clerk Use Only
(Finance Committee
,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
$ 20.275.15 plus ext. shipping cost of $ 0.00 to pay for or purchase
REBUILD OF #4 PUMP AT LAGOON
This purchase or expenditure is being made because:
LAGOON NON-WORKING PUMP NEEDS COMPLETE REBUILD
Vendor selected for this purchase:
ELECTRIC PUMP
Bids or written quotes were taken on this purchase, as follows
®Bids or quotes were not taken on this purchase because:
ELECTRIC PUMP IS SOLE PROVIDER OF PUMP
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑General Fund: Road Use Tax: Sewer: 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 available balance is $ 224.185.95 ✓
t€at submit
nature ead Or Designee) Date (Signature Finance Dept. Review) Date
Page:
QUOTATION
4280 E 14th S'"cot
fkMoms tA 59313-2604 USA QlJO`fE NUMBER: 0134379
ELECTRIC PUMP I elcph�: (515)265-22221 FAX(515)265-9079 QUOTE DATE 10/1/2019
'full F=I-8W393-PUMP EXPIRE DATE 11/1/2019
www.eimtnepunip-cm
SALESPERSON: BRIAN FROST
CUSTOMER NO: 2914323
Qu(yj-ED BY: dih
FLYGT 3202.090-0444
QUOTEDT0. JOB LOCATION:
CITY OF WATERLOO CITY Of WATERLOO
715 MULBERRY STREET 715 MULBERRY STREET
WATERLOO,IA 50703 WATERLOO,IA 50703
CONFIRM TO:
QUOTE ORDER-00 NOT PAY***
CUSTOMER P.0, SHIP VIA F.O.B. 'TERMS
OURTRK ORIGIN Net 30 Days
ITEM NIJMBi.-,R UNIT ORDERED SHIPPED BACKORDER PRICE AMOUNT
FLYCiT,3202090-0441,SN 116005 L 462iIMP,3PH,460 V,35HP,
117mpm,
SEAL FAILURE
WT32024 9128119
UPPER SEAL FAILURE TRIPPING THE FLS ALSO LOWER REARING
FAILED THE IMPELLER AND INSERT RING ARE WORN AND NEED
TO BE REPLACED.THE CABLE IS VERY SPONGY AND NEEDS 1-0 BE
REPLACED
0000006-571703 EACH 1.00 0.00 0.00 5,381.00 5,381.00
KjT,REPAIR BASIC 3202.180
0000007693115 EACH 1.00 0,00 0.00 6,595.00 6,595.00
KrT,IMPELLER N MY CODE 642 TIC
0000000942108 EACH 50.00 0.00 0.00 31.00 1,550.00
CABLE.SUBCAB AWG 8t3-2-I-GC+292MM
0000006079501 EACH 1.00 0,00 0.00 3,109.00 3,109.00
JACKS 1',C 316
0000006630400 EACH 1.00 0.00 0.00 303.00 303.00
SENSOR,LE V EL FLS-10
0000000835358 EACH 3.00 0.00 0.00 7.80 23.40
CLAMP,-I ERMINAL
0000006079302 EACH 1.00 oko 0,00 625.00 625.00
JACKET,COOLING STEEL
0000008091300 EACH 1.00 0.00 0.00 179.00 179.00
DIFFUSER.FLOWSTEELCOATED
/GLYCOL GAL 7.00 0,00 0.00 30.00 210.00
GLYCOL
/MISC EACH 1.00 0.00 0.00 179.75 179.75
misc,SHOP SUPPLIES
/ENVI EACH 1.00 0.00 0.00 60.00 60.00
***Continued***
Paye: 2
A NEW QUOTATION
4290 E 14th Saw
Dcs Moi=IA 50313-2604 USA QUOTE NUMBER: 0134379
ELECTRIC PUMP Ttlephaot (5153265-22221 FAX IS 15)2654079 QUOTE DATE- 10/112019
7011 FM I-000-383-PUMP EXPIRE DATE 11/112019
w 'Vl0CWCP=P CM
SALESPERSON: BRIAN FROST
CUSI OMER NO. 2914323
QUOTED BY: dill
FLYG'1'3202,090-0444
QUOTED TO. JOB LOCATION:
CITY OF WATERLOO CITY OF WATERLOO
715 MULBERRY STREET 715 MULBERRY STREET
WATERLOO, IA 50703 WATERLOO,IA 50703
CONFIRM TO:
QUOTE ORDER-DO NOT PAY***
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
OURTRK ORIGIN Net 30 Days
I FEM NUMBER UNIT ORDERED SHIPPED BACK ORDER PRICE' AMOUNT
OIL AND ENVIRONMENTAL CHARGE
fPSMI) HOUR 12.00 0,00 0.00 130.00 1,5%00
PUMP LABOR SEWAGEISUBMERS[BLE
!FR EACH 1.00 0.00 0.00 500.00 500.00
FREIGHT INCLUDED
ESTIMATED LFAD TIME ON PARTS IS 4-6 WEEKS ARO
THANK YOLJ,DONNA HAMMEN
donnah(djelectripump-corn
All return goods must have written approval from Electric Pump,Inc. Net Order: 20,275,15
before returning. Credit will not be issued without written approval and Less Discount: 0.00
if applicable there will be a Restock Fm Freight: 0.00
Sales Tm: 0.00
Order Tatak 20,275.15
ABOVE PRICING EFFECTIVE FOR 30 DAYS
City Clerk Use Only
Finance Committee
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
$ 3,397.52 plus ext. shipping cost of $ 250.00 to pay for or purchase
VACAL REPAIR PARTS
This purchase or expenditure is being made because:
REPAIR VACAL TRUCK
Vendor selected for this purchase:
MUNICIPAL PIPE TOOL
Bids or written quotes were taken on this purchase, as follows
®Bids or quotes were not taken on this purchase because:
MUNICIPAL PIPE TOOL IS SOLE PROVIDER FOR REPAIR PARTS
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
ElGeneral Fund: Road Use Tax: nXSewer: Sanitation:
Bonds: Federal/other grantsDOther(speclfy):
This expenditure is to be coded to the following budget line-item:
520-14-5200-1569
(Fund - Department-Activity-Account Number) (Project Code)
in which budgeted amount is $ 45,000.00
and the current available balance is $ 20.911.25
Res y sub
YY-
(Sign r Dept. H Or esignee) Date (Signature Finance Dept. Review) Date
MUNICIPAL515 5TH STREET— PO BOX 398 Quotatior
HU , IOWA 50
PIPE TOOLF; PhoDne: 319-988-420564
199884205 3 Quote Numbe
WWW.MUNIPIPE.COM Fax: 319-988-3506 4238
"We Protect the Environment"
Quote Date
Oct 28, 2019
Quoted to:
Page:
1
WATERLOO WATER POLLUTION
FLOOD CONTROL
3505 EASTON ST
WATERLOO, IA 50702 Fax:
Customer ID Good Thru Payment Terms Sales Rep
WATERLwpfc 11/27/19 Net 15 Days
Quantity Description Unit Price Extension
1.00110390002 AIR VALVE, DOUBLE SOLENOID 300.72 300.72
2.00VAOOOOS5014 SOLENOID ASSY 12 VDC W/SURGE 52.21 104.42
1.002130120002 AIR CYLINDER,4" BORE 10"STROKE 1,137.36 1,137.36
1.002160060015 BOOM SLIDE PLUNGER VALVE 1,855.02 1,855.02
If our equipment become lodged during attempts to perform duties specified by customer,all costs for rem SUbtOta 3,397.52
replacement of equipment will be the customers.
Quantities shown are estimated and not guaranteed;they are solely for establishing the initial unit price fa Sales Ta
services listed above.Final charges will be based on actual quantities.
Total 3,397.52
ACCEPTED BY: Signature Title Date
Scheduling Contact Person. Phone#: Cell
City Clerk Use Only
Finance Committee
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
$ 4,769.00 plus ext. shipping cost of $ 0.00 to pay for or purchase
GATE VALVE TO CONTROL OVERFLOW IN MAIN SANITARY 8TH & LOCKE AREA
This purchase or expenditure is being made because:
ADDING TO SANITARY PIPE FOR REDUCING/ELIMINATING SSO'S
(REDUCING BASEMENT BACKUPS)
Vendor selected for this purchase:
CORE & MAIN
X]Bids or written quotes were taken on this purchase, as follows
CORE & MAIN $4769 INCLUDES SHIPPING
SCHIMBERG -$5453.95 INCLUDES SHIPPING
UTILITY EQUIPMENT CO - 5613.79 INCLUDES SHIPPING
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund: Road Use Tax: Sewer: Sanitation:
Bonds: F1
Federal/other grants: ❑Other(specify):
This expenditure is to be coded to the following budget line-item:
520-14-5200-1565
(Fund - Department-Activity-Account Number) (Project Code)
in which budgeted amount is $ 10,000.00'/
and the current available balance is $ 4r007.53 4/
illy sub ' ed,
n ture Dep . ead Or Designee) Date (Signature Finance Dept. Review) Date
EE Im
Bid Proposal for WATERLOO VALVE PRICING
CITY OF WATERLOO WMS Core& Main
Job Location:WATERLOO, IA 2355 16th Ave SW
Bid Date: 10/25/2019 05:00 p.m. Cedar Rapids, IA 52404
Core& Main 1109093 Phone: 319-362-1698
Fax: 319.362-3078
Seq# Qty Description Units Price Ext Price
10 VALVES&MISC. PIPE
20 1 12 F6100 MJ RW GV OL ON CLOW GATE VALVE EA 1,675.00 1,675.00
30 1 12 MJ PLUG VALVE EA 2,475.00 2,475.00
8" PLUG VALVES AND BELOW
ARE 1/2 TURN. 12"ADDS GEARING
AND MAKES IT A FULL TURN TO
OPEN
90 1 664-S VALVE BOX WITH LID IMP EA 85.00 85.00
100 1 26 VLV BOX EXT#60 EA 35.00 35.00
110 2 12 M1 DI FOLLOWER GLAND EA 9.50 19.00
120 2 12 MJ REGULAR GASKET F/DI EA 4.00 8.00
130 16 3/4X4 T-HEAD B&N COR BLUE EA 2.00 32.00
140 20 12 C900 DR18 PVC PIPE(G) 20' PC235 FT 14.50 290.00
150 2 1003-1212SR 12 CLAYXAC/DI CPLG SHEAR RING EA 75.00 150.00
170 PLEASE NOTE
180 FREIGHT IS INCLUDED IN THE
190 PRICING
200
210 ALL PRICING WILL BE HELD FIRM
220 FOR ORDERS PLACED ON OR BEFORE
230 15 DAYS AFTER BID DATE AND
240 DELIVERED ON OR BEFORE 30 DAYS
250 AFTER BID DATE. THANK YOUI
Sub Total 4,769.00
Tax 0.00
Total 41769.00
Branch Terms:
s,rc/ cs Skv°R�
UNLESS OTHERWISE SPECIFIED HEREIN,PRICES QUOTED ARE VALID IF ACCEPTED BY CUSTOMER AND PRODUCTS ARE RELEASED BY
CUSTOMER FOR MANUFACTURE WITHIN THIRTY(30)CALENDAR DAYS FROM THE DATE OF THIS QUOTATION.CORE&MAIN LP
RESERVES THE RIGHT TO INCREASE PRICES UPON THIRTY(30)CALENDAR DAYS' NOTICE TO ADDRESS FACTORS, INCLUDING BUT
NOT LIMITED TO,GOVERNMENT REGULATIONS,TARIFFS,TRANSPORTATION,FUEL AND RAW MATERIAL COSTS. DELIVERY WILL
COMMENCE BASED UPON MANUFACTURER LEAD TIMES.ANY MATERIAL DELIVERIES DELAYED BEYOND MANUFACTURER LEAD
TIMES MAY BE SUBJECT TO PRICE INCREASES AND/OR APPLICABLE STORAGE FEES.THIS BID PROPOSAL IS CONTINGENT UPON
BUYER'S ACCEPTANCE OF SELLER'S TERMS AND CONDITIONS OF SALE,AS MODIFIED FROM TIME TO TIME,WHICH CAN BE FOUND
AT: https://coreandmain.com/TandC/
10/28/2019 - 1:29 PM Actual taxes may vary Page 2 of 2
PRICE QUOTATION
Quote Date 10/22/19
Quote Number 6001411-00
SCHIMBERG CO. Quote Expiration Date 10/22/19
Writer BRENT CHAPPELL
4060 Dixon St Salesperson DAN HILBY
Des Moines, IA 50313 Total weight 1014.26000
319-365-9421 Fax: 319-365-9867 Freight Terms FREIGHT ADDITIONAL ON NONSTOCK ITEMS
www.schimberg.com Placed By JOE
aW WATERLOO CITY OF WASTE MNGMNT Ship WATERLOO CITY OF WASTE MNGMNT
To: 3505 EASTON AVE To: 3505 EASTON AVE
23ti2 WATERLOO,IA 50702 WATERLOO,IA 50702
PHONE:(319)291-4553
EMAIL:bchappell@schimberg.com
Terms JiO4Ship Date 1 Ship Poq . Ship Via
NE'f 30 DAPS 10/22/19 SCHIMBERG DES MOINES I S CO TRUCK
Lg NS Part Number And Description Quantity Qty Net Ext.
Ordered U/M Price Price
1 53090481200 1 EACH 1759.50 1759.50
MJXMJ GT VL OPEN LEFT Cl 12
F6100 R/WCAST IRON BODY SQUARE OPERATING NUT LESS ACCESSORI
ES
2 NS N532 1 EACH 2487.43182 2487.43
GA 1/4 TURM MJ PLUG VLV 12"
3 52590460000 1 EACH 46.24 46.24
TYL VALVE BOX SCREW BOTTOM 36B
4 2195 VL BOX CVR W/SEWER LID 6 1 EACH 100.22 100.22
Consisting of the following:
(1)52721950003, 2195 VL BOX CVR CAST ONLY 6
(1)52721950002, SEWER LID FOR 2195 VL BOX CVR
7 56002011200 20.0 FT 19.38 387.60
PIPE PVC C900 DR18 WM 12X20
8 53792181200 2 EACH; 32.76 65.52
MJ STANDARD ACC PACK 12
10 51410031200 Z each 153.72 307.44
FNCO CLAYXDI W/RC 12X12
1003-1212RC
7 Lines Total Quote Total 5,153.95
a
SALESPERSON CONTACT INFORMATION
BRENT CHAPPELL
bchappell@schimberg.com
If"NS" is indicated in the"NS"column or any part number beginning with an "N"or"W" is non-stock material and subject to
manufacturers restock&return freight charges.
---The prices quoted are subject to inventory availability and changes in raw material costs.---
---Jobs with multiple shipments or a duration of more than 30 days must be authorized in advance.--
Customer opy Page 1 of 1
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City Clerk Use Only
Finance Committee /
Approval Date t'!� �
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Department to expend
$ 1,413.00 plus est. shipping costs of $ 200.00 to pay for or purchase
Base Assembly, 3 - section traffic signal head 2 - Ped heads and hardware
This purchase or expenditure is being made because:
Replace traffic signal that was damaged at the corner of W Park Ave & Commercial St
Vendor selected for this purchase: Traffic Control Corp
QX Bids or written quotes were taken on this purchase, as follows:
Traffic Control Corporation Ankeny, IA $1,413.00
General Traffic Control Spencer IA $1,539.71
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund ❑X Road Use Tax Sewer F—I Sanitation
EI Bonds ❑ Federal/other grants F—] Other(specify)
This expenditure is to be coded to the following budget line-item:
266-17-1720-1521
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 28,800.00✓
and the current available balance is $ 23,871.00
Respectfully submitted,
r �� 16'�iy
( ignature Dept. H ad or Designee) Date (Signa ure Finance Dept. Review) Date
K:lshared goodieslforms12019-October-Expenditure Pre-Authorization-Traffic Control Corp-Traffic-Traffic Signal-Park Ave.&Commercial-
$1,413.00-266-17-712-1521.xls(Mar 2010)
City Clerk Use Only
Finance Committee I ,`
l
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 Traffic Department to expend
$ 3,779.04 plus est. shipping costs of $ to pay for or purchase
Camera installation at W. 11th St. & NB (northbound) Washington and W 11th St &
SB (southbound) Washington with a wireless connection to the Traffic Control Center
This purchase or expenditure is being made because:
Bringing cameras online to the Public Works Traffic Control Center.
(only vendor that has been working with City on this on-going project)
Vendor selected for this purchase: RC Systems
❑X Bids or written quotes were taken on this purchase, as follows:
RC Systems Waterloo IA $4,779.04
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:
EIGeneral Fund ❑ Road Use Tax ❑ Sewer F Sanitation
Bonds 0 Federal/other grants F—I Other(specify)
This expenditure is to be coded to the following budget line-item:
417-17-7161-2125
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 75,000.00
and the current available balance is $ 63,762.50 ✓
Respectfully�submitted,
ubmitted,
(Signature Dept. kead or Designee) Date (Signature Finance Dept. Review) Date
K:lshared good ies\forms\2019-October-Expenditure Pre-Authorization-RC Systems-Traffic-Install cameras and wireless connection-
$4,779.04-417-17-7161-2125.xls(Mar 2010)
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 11/04/2019
Prepared: Nancy Higbv
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$31.50 for garbage collection fees paid on a vacant property
located at 1521 Hawthorne Ave.
Summary Statement: This property was vacant with no garbage use during the billing period(s)
submitted. Waterloo Water Works confirmed the usage which meets the threshold allowed to
waive 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:
1ile'l/.'K .CLI;Rhll�TlCouncil&FinanceCommunicalionsiCouncilCommuni_aiionstoCouncil OFinan�e��0151,1-inanecCommuni
cation\030975.garba—ejeh id doe 1
,m G"
WATERLOO �A�WO RKS 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: Diaz Cindy Billing Frequency: Quarterly
ccount Number: 122046-519049 Billing Date: 10/03/2019
ervice Address: 1521 HAWTHORNE AVE Billing Due Date: 10/24/2019
Waterloo Water Works Services
Previous Balance... ... . .... .. ...... . . . .. . . .... . $47.92
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29.10
Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $1.75 Credits/Payments..... ... . ..... ....... .I .... ... -$100.00 Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.06 Balance Forward... ..... ..... ...... .. ... .. ..... -$52.08
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $32.91 Water Works Subtotal.. ..... .. ... ... ..... .. ... .. $32.91
City of Waterloo Services City of Waterloo Subtotal. ..... ........ ..... .... . $90.75
Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $47.25 Total Current Service Charges.. ....... ...... .... .
$123.66
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00 Total Amount Due. . .... ..... ...... ....... ......
Garbage . . . . . . . . . $71.58
$31.50 Amount Due After 10/24/2019. ....... . ..... ... $75.08
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $90.75
06/19/2019 09/23/2019 126 Actual 126 Actual 0
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' Account Number: 122046-519049
WATERLOO WATER WORKS
Amount Due After: 75.08
P.O. Box 27
Waterloo,Iowa 50704 ,- ` _ - `"� .r •�' -- -�,
Phone:(319)232-6280 Amount Enclosed:
EA
„e.
Diaz Cindy
3528 High Hampton Cir
Tampa,FL 336109756 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
-. _ __..---. _ . _.,. . .. - -- -._...r.... ,�.
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CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 11/04/2019
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$837 for garbage and yard waste collection fees billed in error on
a property located at 1225 Lois Lane.
Summary Statement: Waterloo Water Works has verified this property was exempt from any
collection 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:
ii .+ihvCL6RKllAhCouncil Fin�uiceCrnmm�nicxU�n.1�'ouncilCumnnmication,WCowicil307 inun�� ?0l 1FinanceCommuni
cationA03091 _-arhac-�c.j�cfund dgc
1
15 October 19
City of Waterloo
City Finance Department
715 Mulberry Street
Waterloo, IA 50703
To whom it may concern,
I recently discovered that I have been billed garbage and yard waste
inadvertently since I purchased my condo in April 2014.
Enclosed are copies of bills & screen shots provided from Annette at Waterloo
Water Works to verify this error. I am requesting a refund of $837.00.
If you have questions about this request I've provided my contact information in
my signature line below.
Thank you,
Terri Inouye
1225 Lois Lane
Waterloo, IA 50702
319.239.9360 )
terri.lj.inouye@gmail.com
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WATERLOO O RK5 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: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 01/06/2016
ervice Address: 1225 LOIS LN Billing Due Date: 01/27/2016
Waterloo Water Works Services 1 11 "1 � CHARGE SUMMARY
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.45 Water Works Subtotal.........................., $33.66
Water Service Excise Tax. . . . . ... . . . . . . . .... . . . $2.21
City of Waterloo Subtotal............ ............ $96.10
Water Works Subtotal. . . . . .. . . . . . . . . . . . . . . . . . $33.66
City of Waterloo Services Total Current Service Charges........... ....... .. $129.76
Total Amount Due.............................. $129.76
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $47.35 Amount Due After 01/27/2016.......... ......... $129.76
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $96.10
r
09/11/2015 12/11/2015 328 Actual 342 Actual 14
is
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+ Account Number: 120352-532895
WATERLOO ER 11VORKS Total Amount Due: 129.76
*.. Amount Due After : 129.76
P.O.Box 27 Billing Due Date: 01/27/2016
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Inouye Terri
1225 Lois Ln
Waterloo,IA 507024246 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 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: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 03/30/2016
ervice Address: 1225 LOIS LN Billing Due Date: 04/20/2016
Waterloo Water Works Services
Service
Previous Balance...................... ......... $129.76
Water . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $32.2Credits/Payments.............................. -$129.76
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.266
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $34.46 Water Works Subtotal..... ............... ....... $34.46
City of Waterloo Services City of Waterloo Subtotal.. ...................... $100.70
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges.................... $135.16
Storm Water Fee. . . . . . . . . .. . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $135.16
GarbaRe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/20/2016................... $135.16
Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $100.70
PrOVIOUS Reid Date CurrcntReadDatp Previous Rc�d Previous Read Type
urrent Read t&rcnt Read Typ-- Usage(CCF)
12/11/2015 03/10/2016 342 Actual 355 Actual 13
16 SPECIAL MESSAGES
0
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DA
Please detach and return the bottom portion with your payment.See reverse side for additional information
MAKE CHECKS PAYABLE TOAccount Number: 120352-532895
WATERLOO WT_�R WORKS Total Amount Due: 135.16'
Amount Due After : 135.16
P.O.Box 27 Billing Due Date: 04/20/2016
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Inouye Terri
1225 Lois Ln
Waterloo,IA 507024246 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contactinformation requires WATERLOO,IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO `+t/M/,gT R_ O RKS Phone: (319) 232-6280
www.waterloowater.org
325 Sycamore Street Page 1 of 1
P.O. Box 27
Waterloo,Iowa 50704 STATEMENT OF SERVICES
ustamer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 06/28/2016
ervice Address: 1225 LOIS LN Billing Due Date: 07/20/2016
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance............................... $135.16
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $32.20
Credits/Payments.............................. -$141.81
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.26 Balance Forward......................... ..... . -$6.65
Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.65
Water Works Subtotal . . . . . ... . . . . . . . . ... . . . . . $41.11 Water Works Subtotal................... ........ $41.11
City of Waterloo Services City of Waterloo Subtotal........................ $100.70
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges............... ..... $141.81
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $135.16
Garbage. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/20/2016............ ....... $141.81
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $100.70
Proious Read Date Current Read Date Provioris Read Previous Read Type CUrrCT)t Read Cur rent Read Type U"ge(CCF�
03/10/2016 06/13/2016 355 Actual 368 Actual 13
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Please detach and return the bottom portion with your payment.See reverse side for additional information
MAKE CHECKS PAYABLE TO: Account Number: 120352-532895
WATERLOO WORKS Total Amount Due:
"'—�� 6■� Amount Due After: 141.81
P.O.Box 27 Billing Due Date- 07/20/2016'
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Inouye Terri
1225 Lois Ln REMIT TO: 's
Waterloo,IA 507024246 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
s
ustomer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 09/28/2016
ervice Address: 1225 LOIS LN Billing Due Date: 10/20/2016
Waterloo Water Works Services 14 11 16 i
Previous Balance. . .. . . . .. . . . .... ... .. ..... . . ... $135.16
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30.45
Credits/Payments.. .. ... .. ..... . . . .. .. . . .. ... .. -$135.16
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.14
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $32.59 Water Works Subtotal. ..... .. ...... .. .. .. . . .. .. , $32.59
City of Waterloo Services City of Waterloo Subtotal.. . . .... ... .. ... .. . . ... . $98.40
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $49.65 Total Current Service Charges. .... . ... . . .... .. .. . $130.99
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due. ..... ... .. .... .. $130.99
. . . . .... .. ...
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/20/2016.. . . . . . . .. .. .. ... .. $137.43
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $98.40
.-
06/13/2016 09/12/2016 368 Actual 380 Actual 12
16
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'LO^b. '40^p ti0^o-, 'LO^'. '4�^'• `L�^� '1�^y 'LO^(• `L�1b•
_—_..____.-----—_ _—_____...............-----— — ___________ ------------__
Please detach and return the bottom portion with your payment.See reverse side for additional information
a Account Number: 120352-532895
WATERLOOWA Q,WORKS
""'• fs� . Amount Due After: 137.43
P.O. Box 27
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
U
Inouye Terri
1225 Lois Ln •
Waterloo,IA 507024246 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 Pave 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ustomer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 12/29/2016
ervice Address: 1225 LOIS LN Billing Due Date: 01/23/2017
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance............................... $130.99
Water. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . $25.20
Credits/Payments.............................. -$137.43
Water Service Excise Tax . . . . . . . . . . . . . . .. . . . . . . $1.77 -$6.44
Balance Forward............... ................
Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . $6.44
Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $33.41 Water Works Subtotal........................... $33.41
City of Waterloo Services City of Waterloo Subtotal........................ $91.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.................. .. $124.91
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $118.47
Garbage. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/23/2017............... .... $124.31
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50
Pr6ious Read Date Current Read DatePrevious Read Previous •' Usage(CCF),
09/12/2016 12/14/2016 380 Actual 389 Actual 9
6
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MAKE CHECKS PAYABLE TO: Account Number: 120352-532895
WATERLOO Wi TER WORKS ITotalAmount Due: 118.47
Amount Due After : 124.31
P.O.Box 27 Billing Due Date: 01/23/2017
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Inouye Terri
1225 Lois Ln � t17
Waterloo,IA 507024246 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 W61LL 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
ustomer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 03/28/2017
ervice Address: 1225 LOIS LN Billing Due Date: 04/18/2017
Waterloo Water Works Services
Previous Balance... ..... ..... .. ... ..... . . .. .. . . $118.47
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26.95 Credits/Payments. . .... . . .. .. ........ .. ..... . .. $124.31
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.89
Balance Forward . . .... . . .. .. ........ .. .... . . ... -$5.84
Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.84
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $34.68 Water Works Subtotal .... . . . .. .. ... ..... .. ..... $34.68
City of Waterloo Services City of Waterloo Subtotal.. .... . . ... . .. .. .. ... ... $93.80
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.05 Total Current Service Charges. .... . . .. .. .. . . .. .. . $128.48
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due. ..... ... .. . . .. .. $122.64
. . . . .... .. ...
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/18/2017.. . . .. . ..... .. ..... $128.68
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $93.80
12/14/2016 03/16/2017 389 Actual 399 Actual 10
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Account Number: 120352-532895
WATERLOO11VA"'ER WORKS 7otaAntoutt�u 164'
�.
Amount Due After: 128.68
P.O.Box 27 $iilirigOubDate:
Waterloo,Iowa 50704 -
Phone:(319)232-6280 Amount Enclosed:
. Mr.
Inouye Terri
1225 Lois Ln
Waterloo,IA 507024246 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 OKS 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: Inouye Terri Billing Frequency: Quarterly
%ccount Number: 120352-532895 Billing Date: 06/28/2017
ervice Address: 1225 LOIS LN Billing Due Date: 07/20/2017
Waterloo Water Works Services CHARGE SUMMARY
Service
$1.20 Previous Balance..... .......................... $122.64
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Credits/Payments.............................. $128.68
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77
Late Penalty. . . . . ... . . . . . .. . . . . . . . . . . . . . . . . . . $6.04 -$6.04
Balance Forward ...............................
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.01 Water Works Subtotal...... ..................... $33.01
City of Waterloo Services City of Waterloo Subtotal........................ $91.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.................... $124.51
Storm Water Fee. . . . . . . . . .. . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $118.47
Garbage . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/20/2017................... $124.31
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50
• •. - .t •. - .. 0 f Y" - Y
03/16/2017 06/13/2017 399 Actual 407 Actual 8
6
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Please detach and return the bottom portion with your payment.See reverse side far additional information
MAKE CHECKS PAYABLE TO: Account Number: 120352-532895
WATERLOO W�WORKS Total Amount Due: : 118.47
Amount Due After: 124.31
P.O.Box 27 Billi " 07/20/2017
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Inouye Terri
1225 Lois Ln
Waterloo,IA 507024246 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�E Phone:(319)232-6280
x www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O. Box 27
Waterloo.Iowa 50704 STATEMENT OF SERVICES
ustomer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 09/28/2017
ervice Address: 1225 LOIS LN Billing Due Date: 10/20/2017
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance............................... $118.47
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 -$124.31
Credits/Payments..............................
Late Penalty. . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . $5.84 Balance Forward........................ ....... -$5.84
Water Works Subtotal . . . . . .. . . . . . . . . . .. . . . . . . $32.81 Water Works Subtotal............ ......... ..... , $32.81
City of Waterloo Services City of Waterloo Subtotal....... ................. $91.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges............. ....... $124.31
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $118.47
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/20/2017................ ... $124.31
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal .... . . . . . . . . . . . . . . . . . . $91.50
IPrevioiqs�adDate Current Read 'Date Previous Read Previous Read typ" Curr6ht Read Current Read Type Usagem
06/13/2017 09/14/2017 407 Actual 416 Actual 9
6
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MAKE CHECKS ' Account Number: 120352-532895
WAT E R L O WA WORKS Total Amount Due: 118.47
Amount Due After: 124.31
P.O.Box 27 Billing Due Date: 10/20/2017
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
DD
Inouye Terri
1225 Lois Ln a
Waterloo,IA 507024246 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
www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ustomer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 12/29/2017
ervicAddress.
1225 LOIS LN Billing Due Date: 01/22/2018
Waterloo Water Works Services
Previous Balance.... ..... .. ... .. ... .... . . . .... . $118.47
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Credits/Payments... ... . . . .... ........ .. .... . .. $124.31
Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $1.77 Balance Forward . . . .... .... . . ........ .. ..... ... -$5.84
Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.84
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $32.81 Water Works Subtotal.... .. .... . . .. . . .. . . .. ... . , $32.81
City of Waterloo Services City of Waterloo Subtotal. . .... .. ... ... .. . . .. . ... $91.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges. .... .. . .. ... .. . . ... $124.31
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.. ... ..... .. ... ... .. .... . . ... . $118.47
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/22/2018.... ... .... . . . .... . $124.31
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
Cite of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50
RMIM MIN r. .-
09/14/2017 12/13/2017 416 Actual 424 Actual 8
16.
14
LL 12
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+ Account Number: 120352-532895
WATERLOO W W Q R K5 notal�mou►at r� i�: 118.A
Amount Due After: 124.31
P.O.Box 27 $111ir►gtlEDatet " 0112 � A6
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Inouye Terri
1225 Lois Ln +
Waterloo,IA 507024246 WATERLOO WATER WORKS
P.O.BOX 27
F-1Please check box if contact information requires WATERLOO. IOWA 50704
updating and indicate the change(s)on reverse side
. WATERLOO WAIA R 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
reice
omer Name: Inouye Terri Billing Frequency: Quarterly
unt Number: 120352-532895 Billing Date: 03/27/2018
Address: 1225 LOIS LN Billing Due Date: 04/17/2018
Waterloo Water Works Services CHARGE SUMMARY
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... $35.42 Previous Balance............................... $118.47
Credits/Payments.............................. -$124.13
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.48
Balance Forward.............. ......... ........ $5.66
Late Penalty. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $5.84
Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $43.74 Water Works Subtotal........................... $43.74
City of Waterloo Services City of Waterloo Subtotal............... ......... $100.70
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges.... .............. .. $144.44
Storm Water Fee . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due................. ............. $138.78
Garbage . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/17/2018. ............... . .. $145.59
Yard Waste. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . .. $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $100.70
Previous Read • Type Usage (CCF)
12/13/2017 03/15/2018 424 Actual 437 Actual 13
4
2 SPECIAL MESSAGES
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MAKE CHECKS PAYABLE TO: Account Number: 120352-532895
WATERLOO WATER WORKS Total Amount Due: ) ae , 138.78
Amount Due After: 145.59
P.O.Box 27 Billing Due Date: 04/17/2018
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
•o
Inouye Terri
1225 Lois Ln a
Waterloo,IA 507024246 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
. WATERLQWAPhone: (319)232-6280WC
www.waterloowater.org
325 Sycamore Street Page 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
7ccc
omer Name: Inouye Terri Billing Frequency: Quarterly
unt Number: 120352-532895 Billing Date: 06/28/2018
ice Address: 1225 LOIS LN Billing Due Date: 07/20/2018
Waterloo Water Works Services I CHARGE SUMMARY
Previous Balance.............................. . $138.78
Water. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . $31.56
Water Service Excise Tax. . . .. . . . . . .. . . . . . . . . . . . $2.21 -$145.59
Credits/Payments..............................
Balance Forward ............................... -$6.81
Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . $6.81
Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $40.58 Water Works Subtotal.........................., $40.58
City of Waterloo Services City of Waterloo Subtotal........................ $96.10
Sanitary Sewer. . . . . . . . ..... . . . . . . . . . . . . . . . . . . $47.35 Total Current Service Charges.................... $136.68
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.................. ............ $129.87
Garbage.. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/20/2018.......... ......... $136.26
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $96.10
Pr-e!;�'V;��jous Read Date Current Read Dous Usage(CCF I
Read Type Current Read Current Read Type
03/15/2018 06/13/2018 437 Actual 448 Actual 11
4
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Please detach and return the bottom portion with your payment.See reverse side for additional information
MAKE CHECKS PAYABLE TO: Account Number: 120352-532895
WATERLOO...... WORKS Total Amount Due: 129.87
...�' Amount Due After: 136.26
P.O.Box 27 billing Due Dates
Waterloo,Iowa 50704 07/20/2018
Phone:(319)232-6280 Amount Enclosed:
DD
Inouye Terri
1225 Lois Ln •
Waterloo,IA 507024246 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 WQIRKS Phone:(319) z3z-6zso
www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
00*SLIMMARY;
ustomer Name: Inouye Terri Billing Frequency: Quarterly
ccount Number: 120352-532895 Billing Date: 09/27/2018
ervice Address: 1225 LOIS LN Billing Due Date: 10/18/2018
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance............................... $129.87
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29.63
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . ... $1.78 -$129.87
Credits/Payments..............................
Water Works Subtotal . . . . . .. . . . . . . . . . ... . . . . . $31.41 Water Works Subtotal......... ............... ... $31.41
City of Waterloo Services City of Waterloo Subtotal........................ $93.80
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.05 Total Current Service Charges......... ........... $125.21
Storm Water Fee. . . . . . . . . .. . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due................... ........... $125.21
Garbage. . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/18/2018................... $131.38
Yard Waste. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . $9.00
City of Waterloo Subtotal . . . . . . . . . . . . ... . . . . . . . $93.80
PrboOous Read Date Current Read • . Usage(CCOMM
-
06/13/2018 09/13/2018 448 Actual 458 Actual 10
t4
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MAKE CHECKS PAYABLE TO: Account Number: 120352-532895
WATERLC,3C? \NATER WORKS Total Amount Due: 125.21
Amount Due After: 131.38
P.O.Box 27
Waterloo,Iowa 50704 Billing Due Date- 10/18/2018
Phone:(319)232-6280 Amount Enclosed:
DD
Inouye Terri
1225 Lois Ln •
Waterloo,IA 507024246 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
I
WATERLOO Wy' WORKS Phone: (319) 232-6280
www.waterloowater.org
325 Sycamore Street Statement I of 1
P.O. Box 27
Waterloo, IA 50704 STATEMENT OF SERVICES
.1 000��� Quarterly
Customer Name: Inouye Terri Billing Frequency:
Account Number: 120352-532895 Billing Date: 12/27/2018
Service Address: 1225 LOIS LN Billing Due Date: 1/18/2019
Waterloo Water Works Services r- CHARGE SUMMARY
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120.34 Previous Balance . . . .. . . . .. . . .. .. .. . . .. ...125.21
Water Service Excise Tax. .... . .. . .......... . . . ..7.23 Credits/Payments. . . .. . . . . . . . . .* . . . ... . . . . .. . . .125.21 CR
Water Works Subtotal.......... .. ............ .$127.57 Deposit Payment. . .. . . . . . . .*.. .. . . . ... . . .. .. . . . ..0.00
Balance Forward. ..... ... ........ ..... .... .. . . ..$0.00
Atli f,
17� 11H
Sanitary Sewer. .. .. . . .. . . . . .. .. . . . . . . . .. .. . . . ..51.95 Water Works Subtotal . . . .. . . . .. . ... . .... . .. . .. .127.57
Storm Water Fee.. .. . . .. . ... .. .. . . . . ... .... .. . .. .8.25 City of Waterloo Subtotal . . . .. . ... ..... . .. . ...100.70
Garbage. . . . . .. . . . .. . . . .. . .... .. . . . .......... . ..31.50 Total Current Service Charges. . . ... .. . . . .. . . . .228.27
YardWaste. . .. . . . .. . . . .. . . ... .. . . . .. ........ . .. .9.00
City of Waterloo Subtotal.... .. ............. .$100.70
Total Amount Due. . .. . .... . . . .. ......... . .. ...$228.27
Amount Due After 01/18/2019. .. . ........ . .. . . .$239.33
12/13/2018 458 515 Actual 57
7
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•
Account Number: 120352-532895
Total Am lust E - -
WATERLOO 9. $239.33
V �W WORKS KS Amount Due After 01/18/201 -
......................iiiiiiillaiiiiii;i�
-OHM
Billing Due Date:i �!I":l "F"
P.O. Box 27
Amount Enclosed:
Waterloo, IA 50704
ADDRESS SERVICE REQUESTED 3 1
INOUYETERRI WATERLOO WATER WORKS
1225 LOIS LN PO BOX 27
WATERLOO,IA 50702-4246 WATERLOO [A 50704-0027
❑Please check box if your contact information requires
updating and indicate the change(s)on reverse side. rd
WATERLOO W .,-i, WORKS Phone (319)232-6280
� www.waterloowater.org
325 Sycamore Street _ Statement 1 of 1
P.O. Box 27
Waterloo, IA 50704 STATEMENT OF SERVICES
Customer Name: Inouye Terri Billing Frequency: Quarterly
Account Number: 120352-532895 Billing Date: 3/26/2019
Service Address: 1225 LOIS LN Billing Due Date: 4/16/2019
Waterloo Water Works Services r- CHARGE SUMMARY
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116.39 Previous Balance.... ... .. .... . .. . . . ... . .. . .. . .228.27
Water Service Excise Tax. .... . . .. . . ..... .. . . . . . .6.99 Credits/Payments.... ......... . .. . . . ... . .. . .. . .228.27 CR
Water Works Subtotal. .... . . .. . . .. .... ..... .. .$123.38 Deposit Payment. .... ... .. . ... . .. . . . ... . .. . .. . . . .0.00
01;iy of, 44Sterlav Services Balance Forward. .... ..... ....... .......... .. . . .$0.00
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148.20 Water Works Subtotal. . . ... . . . .. .... .. .. . . .. .. .123.38
Storm Water Fee.. . . . . . . . . . . . . . .. . . . . .. .. . .. . . . . .8.25 City of Waterloo Subtotal. . . . .. .... .. .. . . .. ...196.95
Garbage. , . . . . .. .. . .. . ... .. . .. . .. .... .. ... .. . . . .31.50 Total Current Service Charges.. .... .. .. . . .. . . .320.33
Yard Waste. . . .. . . . .. . . . .. .... . .. . . .... ... .. . . . ..9.00
City of Waterloo Subtotal.... ............ .. . .$196.95
Total Amount Due..... ..... ......... .. .. ... . . .$320.33
Amount Due After 04/16/2019. . .. .... .. .. . . . . . .$336.00
---------------
70rev;iput Read Vate CurrentFleadDate Provioua Rend Previouc.Re,9d Type Curreot Reaa Current Read Type U�age(CCF)
12/13/2018 3/13/2019 515 567 Actual 52
50
40
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Account Number: 120352-532895
Total Amount Due: $320.33 ;
WATERLOO WTER W O R KS Amount Due After 04/16/2019: $336.00
IMINIIIIIII Billing Due Date: 4116/2019
P.O. BOX 27 Amount Enclosed: $
Waterloo, IA 50704 _._..._.
ADDRESS SERVICE REQUESTED 3 1HEs
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WATERLOO W TER WQRKS Phone: (319) 232-6280
"- www.waterloowater.org
325 Sycamore Street Statement 1 of 1
P.O. Box 27
Waterloo, IA 50704 STATEMENT OF SERVICES
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Customer Name: Inouye Terri Billing Frequency: Quarterly
Account Number: 120352-532895 Billing Date: 6/26/2019
Service Address: 1225 LOIS LN Billing Due Date: 7/18/2019
Waterloo Water Works Services
CHARGE SUMMARY
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29.10 7BalanceForward
lance. . .. . .... . . . .. .... ... .. . .. . .. .320.33
Water Service Excise Tax. . . . . ... .. . .. . . . .. . . . .. .1.75 ments. . .. . . ... . . . .. . ...... .. . .. . . . .336.00 CR
Late Penalty. . . .. .. .... .. . . .. .. . .... .. .. .. . . . ..15.67 ment. . . .. . . . .. . .. .. . . . .. . . . . . . 0.00
Water Works Subtotal......... ............... . .$46.52 ard. .. .. . . . ........ .... .. ..... . . . .$15.67 CR
� alSubtotal . . .. .. ... . . . .. . . 46.52
. . . .. . . . .. .anitary Sewer. . . . . . . .. . . .... . . . . .. . . ... .. .. . . .45.00 yoaterloo Subtotal,. . .. . . .. . . . . . ... . . .. .93.75
Storm Water Fee. . .. . . .. . . . ... ... . .. . . . .. . . . .. . ..8.25 Total Current Service Charges. .. ... ... .. ... . ..140.27
Garbage. . . . . . .. . . . . . . . . .. . ... . ....... . ... . . .. . .31.50
YardWaste.. . . . .. . . . .. . . . .... . . . .. ......... .. . . .9.00
City of Waterloo Subtotal....... .. ............$93.75 Total Amount Due..... .. . .. ... . . .. ...... .. . . ..$124.60
Amount Due After 07/18/2019.... .. . . .. .. .. .. ..$130.75
3/13/2019 6/13/2019 567 576 Actual 9
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Please detach and return bottom portion with your payment.See reverse side for additional information.
Account Number: 120352-532895
Tota)Amount Due:: $124.50
WATERLOO WAWO R KS Amount Due After 07/18/2019: $130.75
~ J~ Billing Due Date: 7/18/2019
P.O. BOX 27 _ Amount Enclosed: $
Waterloo, IA 50704
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