HomeMy WebLinkAboutApproved Documents - 11/18/2019 FINANCE DEPT, STAFF ONLY
LINE ITEM USED (j'/�} QJ', TldjQ 14.�
TRAVEL REQUEST FYA2&2 BUDGETED
CITY OF WATERLOO EXPENDED YTDj�
THIS REQUEST 3�0
LEFT AFTER THIS
REQUEST
DATE
Original-ClerVFinance Co -be artment
NAME(S)AND POSITiON(S): Dave Boesen, Council DATE:
Member Elect and Jonathan Grieder, Council Member Elect 11/12/2019
NAME OF CLASS/MEETING: DESTINATION: Iowa City, IA and Hiawatha, IA
2019-2020 Municipal Leadership Academy
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
12/7/2019 and 4/4/2020 12/7/2019 and 4/4/2020 12/7/2019 and 4/4/2020
PURPOSE OF TRAVEL/TRAINING: The Municipal Leadership Academy provides municipal officials with a curriculum
to assist them in effectively meeting the requirements of their office. The program offers a comprehensive overview of
Iowa municipal government and is presented by the Iowa League of Cities and the Office of State and Local Government
Programs at Iowa State University Extension.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Waterloo
ESTIMATE OF COST: BUDGET LINE ITEM: 010-02-8100-1346
0.00 LODGING 0.00 TAXI X GRANT REIMBURSABLE
0.00 MEALS 0.00 PARKING YES NO
380.00 REGISTRATION 0.00 AIRFARE x REQUIRED CERTIFICATION
0.00 MILEAGE/FUEL 0.00 MISCITOLLS YES NO
TOTAL FOR ALL: $ 380.00 TOTAL: $ 190.00 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
OiJ1
DEPARTMENT H AD MAYOR
DATE
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
Join us for the 2019-2020 Municipal Leadership Academy Page 1 of 4
Join us for the 2019-2020 Municipal Leadership Academy
Downloads/Links
New to City Government?Set up a Web site login with the Iowa League of Cities before you register for MLA
Register Online with a Credit Card
Sponsor: Iowa League of Cities
Sponsor: Iowa State University Extension
MLA Workshop Policies
Download Registration Form
MLA 2019-2020 Brochure
MLAw
MLA offers education on a variety of important city government topics and is a
great way to prepare for your role as a city official. MLA is designed to help all city
officials better understand their role in municipal government and how to
effectively serve their community. It is widely considered essential training for
elected officials,especially those recently elected to office.
The three-part training series offers a comprehensive overview of city government
and is presented by the Iowa League of Cities and the Office of State and Local
Government Programs at Iowa State University Extension and Outreach.
Package price for MLA Part One, Two & Three: $190
MLA Part One: $80 (includes copy of 2019-2020 Policy Leader's Handbook, a$40
value!)
Seven locations across the state held November 16 through December 14,2019.
Topics:Budget and Finance I Effective City Councils 1 Municipal Operations
Click for Dates&Locations I Learn more
Can't make it to the Part One sessions?The Municipal Policy Leader's Handbook comes
with your MLA Part One registration, but is also available for online purchase as well.
MLA Part Two:$60
The second part of MLA is a group of videos released during the first week of January
2020,which can be viewed on the League's website at your convenience.Watch the
videos all at once or separately in order to fit within a city's orientation program for new
officials.
Topics: The City Budget I You Got Elected, Now What?I Basics of Planning and Zoning
Join us for the 2019-2020 Municipal Leadership Academy Page 3 of 4
605 Washington St, Fayette, IA 52142
Saturday,November 23,2019 (10 a.m:2 p.m.)
Ottumwa I Bridge View Center
102 Church St, Ottumwa, IA 52501
Thursday,December 6,2019 (4 p.m.-8 p.m.)
Griswold I Community Center
601 2nd St,Griswold, IA 51535
Saturday,December 7,2019 (10 a.m.-2 p.m.)
Iowa City I Clarion Highlander Hotel
2525 N Dodge St, Iowa City, IA 52245
Thursday,December 12,2019 (4 p.m:8 p.m.)
Algona I Knights of Columbus Hall
1501 E Walnut St,Algona, IA 50511
Saturday,December 14,2019(10 a.m.-2 p.m.)
Van Meter I Veterans Reception Center
910 Main St,Van Meter, IA 50261
Learn more about MLA Part Two
The second part of MLA is a group of videos released during the first week of January 2020,which can be viewed on the
League's website at your convenience.Watch the videos all at once or separately in order to fit within a city's orientation
program for new officials.
The City Budget
Build on the basic city finance information covered in MLA Part One by hearing how a city budget is developed.The main
focus is getting attendees prepared to participate effectively in their city budget process.
You Got Elected,Now What?
This video covers strategies for success in office, handling human resources issues, council meeting basics and an
overview of roles and responsibilities.
Basics of Planning and Zoning
Get an overview of planning and zoning laws as well as the role and responsibilities of the planning commission,the
board of adjustment and the city council.
MLA Part Two costs$60.
Learn more about MLA Part Tbree
MLA Part Three builds on the understanding developed in the first two parts by covering specific issues and challenges
that cities face, providing attendees tools to improve their communities.
Economic Development
Learn about the city's role in economic development and the tools used by city governments to retain and attract
businesses and housing.This session is essential to understanding the critical role city officials have in maintaining and
improving their local economy.
FINANCE DEPT. STAFF ONLY
LINE ITEM USED (,/ld
TRAVEL REQUEST FYA)&& BUDGETED �5op
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST 3
LEFT AFTER THIS
REQUEST /Jr
DATE 2;724,J
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): Dave Boesen, Council DATE:
Member Elect and Jonathan Grieder, Council Member Elect 11/12/2019
NAME OF CLASS/ MEETING: DESTINATION: Iowa City, IA and Hiawatha, IA
2019-2020 Municipal Leadership Academy
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
12/7/2019 and 4/4/2020 12/7/2019 and 4/4/2020 12/7/2019 and 4/4/2020
PURPOSE OF TRAVEL/TRAINING: The Municipal Leadership Academy provides municipal officials with a curriculum
to assist them in effectively meeting the requirements of their office. The program offers a comprehensive overview of
Iowa municipal government and is presented by the Iowa League of Cities and the Office of State and Local Government
Programs at Iowa State University Extension.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Waterloo
ESTIMATE OF COST: BUDGET LINE ITEM: 010-02-8100-1346
0.00 LODGING 0.00 TAXI X GRANT REIMBURSABLE
0.00 MEALS 0.00 PARKING YES NO
380.00 REGISTRATION 0.00 AIRFARE x REQUIRED CERTIFICATION
0.00 MILEAGE/FUEL 0.00 MISC/TOLLS YES NO
TOTAL FOR ALL: $ 380.00 TOTAL: $ 190.00 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
DEPARTMENT HEAD MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Forni January 2010
Join us for the 2019-2020 Municipal Leadership Academy Page 1 of 4
Join us for the 2019-2020 Municipal Leadership Academy
Downloads/Links
New to City Government?Set up a Web site login with the Iowa League of Cities before you register for MLA
Register Online with a Credit Card
Sponsor: Iowa League of Cities
Sponsor: Iowa State University Extension
MLA Workshop Policies
Download Registration Form
MLA 2019-2020 Brochure
MLAw
MLA offers education on a variety of important city government topics and is a
great way to prepare for your role as a city official. MLA is designed to help all city
officials better understand their role in municipal government and how to
effectively serve their community. It is widely considered essential training for
elected officials, especially those recently elected to office.
The three-part training series offers a comprehensive overview of city government
and is presented by the Iowa League of Cities and the Office of State and Local
Government Programs at Iowa State University Extension and Outreach.
Package price for MLA Part One, Two & Three: $190
MLA Part One: $80 (includes copy of 2019-2020 Policy Leader's Handbook, a$40
value!)
Seven locations across the state held November 16 through December 14, 2019.
Topics:Budget and Finance I Effective City Councils I Municipal Operations
Click for Dates&Locations I Learn more
Can't make it to the Part One sessions?The Municipal Policy Leader's Handbook comes
with your MLA Part One registration, but is also available for online purchase as well.
MLA Part Two: $60
The second part of MLA is a group of videos released during the first week of January
2020,which can be viewed on the League's website at your convenience.Watch the
videos all at once or separately in order to fit within a city's orientation program for new
officials.
Topics: The City Budget I You Got Elected, Now What?I Basics of Planning and Zoning
https://www.iowaleague.org/Pages/MLA.aspx 11/12/2019
Join us for the 2019-2020 Municipal Leadership Academy Page 2 of 4
Learn more
MLA Part Three:$80
MLA Part Three builds on the understanding developed in the first two parts by covering
specific issues and challenges that cities face,providing attendees tools to improve their
communities.
Topics:Economic Development I Community Betterment I Acting Strategically
Click for Dates&Locations I Learn more
MLA Part Four: League Conference
The final part of MLA is attendance at the League's Annual Conference&Exhibit, held
September 16-18,2020 in Coralville. Separate registration for this event is required.The
conference includes more than 40 workshops and is an opportunity to continue your
municipal education yearly as well an opportunity to share ideas with other city officials.
Learn more
Learn more about MLA Part One
Successful leadership and management requires an understanding of the basics of city government and the
responsibilities of city officials.The first part of MLA provides an overview of city government at seven in-person
workshop around the state. In addition, attendees will receive the 2020 Iowa Municipal Policy Leaders' Handbook,which
a great resource on all things city government.The handbook alone is a$40 value!
Session topics
Budget and Finance
A chief duty of the city council and staff is the development and approval of the annual city budget.This session will
provide the basics of city budgets, including the property tax system, budget adoption schedules, revenue streams and
expenditures.
Effective City Councils
Part of being a mayor or council member is learning to work as a team to accomplish the city's goals. Learn strategies to
conduct more efficient and effective meetings.
Municipal Operations
Cities provide a wide variety of daily services to citizens,each of which come with different responsibilities and concerns.
Get a better understanding of your obligations under state and federal laws as well as how basic services are provided.
MLA Part One costs$80, which includes a meal and a copy of the 2020 Iowa Municipal Policy Leaders'Handbook.
MLA Part One Dates and Locations
Saturday,November 16,2019(10 a.m.-2 p.m.)
Wall Lake I Community Center
209 2nd St,Wall Lake, IA 51466
Thursday, November 21,2019 (4 p.m.-8 p.m.)
Fayette I Upper Iowa University, Student Center Ballroom
https://www.iowaleague.org/Pages/MLA.aspx 11/12/2019
Join us for the 2019-2020 Municipal Leadership Academy Page 3 of 4
605 Washington St, Fayette, IA 52142
Saturday,November 23,2019 (10 a.m.-2 p.m.)
Ottumwa I Bridge View Center
102 Church St, Ottumwa, IA 52501
Thursday,December 6,2019 (4 p.m.-8 p.m.)
Griswold I Community Center
601 2nd St, Griswold, IA 51535
Saturday, December 7,2019 (10 a.m.-2 p.m.)
Iowa City I Clarion Highlander Hotel
2525 N Dodge St, Iowa City, IA 52245
Thursday,December 12,2019 (4 p.m:8 p.m.)
Algona I Knights of Columbus Hall
1501 E Walnut St,Algona, IA 50511
Saturday, December 14,2019(10 a.m.-2 p.m.)
Van Meter I Veterans Reception Center
910 Main St,Van Meter, IA 50261
Learn more about MLA Part Two
The second part of MLA is a group of videos released during the first week of January 2020,which can be viewed on the
League's website at your convenience.Watch the videos all at once or separately in order to fit within a city's orientation
program for new officials.
The City Budget
Build on the basic city finance information covered in MLA Part One by hearing how a city budget is developed. The main
focus is getting attendees prepared to participate effectively in their city budget process.
You Got Elected,Now What?
This video covers strategies for success in office, handling human resources issues, council meeting basics and an
overview of roles and responsibilities.
Basics of Planning and Zoning
Get an overview of planning and zoning laws as well as the role and responsibilities of the planning commission,the
board of adjustment and the city council.
MLA Part Two costs$60.
Learn more about MLA Part Three
MLA Part Three builds on the understanding developed in the first two parts by covering specific issues and challenges
that cities face, providing attendees tools to improve their communities.
Economic Development
Learn about the city's role in economic development and the tools used by city governments to retain and attract
businesses and housing.This session is essential to understanding the critical role city officials have in maintaining and
improving their local economy.
https://www.iowaleague.org/Pages/MLA.aspx 11/12/2019
4
Join us for the 2019-2020 Municipal Leadership Academy Page 4 of 4
Community Betterment
All want a healthy, clean and vibrant community, but it does not come easy. Hear how your city can proactively clean up
properties and neighborhoods, improve its nuisance abatement efforts and boost community pride.
Acting Strategically
Discussion will focus on ways cities can determine priorities,set goals and carry out initiatives.Any successful city must
think and act strategically and this session will provide attendees tools to conduct planning and ways to work together.
MLA Part Three costs$80.
MLA Part Three Dates and Locations
Saturday,April 4, 2020 (10 a.m.-2 p.m.)
Hiawatha I Community Center
1610, 101 Emmons St, Hiawatha, IA 52233
Thursday,April 9, 2020 (4 p.m.-8 p.m.)
Atlantic I Cass County Extension Center
805 W 10th St, Atlantic, IA 50022
Thursday,April 16, 2020 (4 p.m.-8 p.m.)
Clear Lake I Community Center
10 N Lake View Dr, Clear Lake, IA 50428
Saturday,April 18,2020 (10 a.m.-2 p.m.)
Cherokee I Community Center
530 W Bluff St, Cherokee, IA 51012
Thursday,April 23, 2020 (4 p.m.-8 p.m.)
Mt. Pleasant I Civic Center
307 East Monroe, Mt. Pleasant, IA 52641
Saturday,April 25,2020 (10 a.m.-2 p.m.)
Windsor Heights I Community Center
6900 School St, Windsor Heights, IA 50324
https://www.iowaleague.org/Pages/MLA.aspx 11/12/2019
FINANCE DEPT. STAFF ONLY
LINE ITEM USED Q/d ,�2 Siad l3�fG
TRAVEL REQUEST FY;l [/ BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS yp
REQUEST
DATE
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S): DATE:
Bob Stanley, Combination Inspector 1117/2019
NAME OF CLASS 1 MEETING: DESTINATION DEPARTURE POINT
2017 NEC Update Class (National Electrical Code) IF NOT WATERLOO Cedar Falls, Iowa
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
12/4/2019 12/4/2019 12/4/2019
PURPOSE OF TRAVEL/TRAINING
Required Certification
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: 010-22-5100-1346
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
179.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 179.00 TOTAL: $ 179.00 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
DEPARTMENT HEAD MAYOR
t1-7—jc� t\A `3
EfAMared Goodies\Forms\Travel Request Form January 2010 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 requQsted to authorize the following
purchase or expenditure submitted by the Airport Department to expend
$ 2,114.10 plus est. shipping costs of $ to pay for or purchase
parts and labor to repair K800 fueling system.
This purchase or expenditure is being made because:
System stopped communicating and we were unable to pull reports showing amounts _
of fuel pumped-, tech then lost all account info and sytem stopped working altogether. .
Vendor selected for this purchase: Seneca Companies
F] Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
Seneca installed this system many years ago and is the sole source able to
provide technical assistance and 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 F—I Sewer F—] Sanitation
EIBonds Federal/other grants F1 Other(specify)
This expenditure is to be coded to the following budget line-item:
010-29-7700-1371
(Fund - Department-Activity-Account Number) ( ro�ecf Code)
in which the budgeted amount is $ 114,005.00 ✓
and the current available balance is $ a4-094,83 -10,_430
Rs et II u ttd,
(Signatured or Designee) Date ( Ignature Finance Dept. Review) Date
r
Kf shared goodies\forms Seneca Repairs.xis(Mar 2010)
City Clerk Use Only
Finance Committee ' \
Approval Date A 00/1`i
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
$ 15,999.00 plus est. shipping costs of $ n/a to pay for or purchase
Installation of (48) LED Metalux LED fixtures hardware and controls for Young Arena
This purchase or expenditure is being made because:
The new fixtures will futher enhance the light quality for events & are energy rebate eligible.
Supports the City's Strategic Plan 4.5-"Maintain City facilities that support quality of place"
Vendor selected for this purchase: KW Electric, Cedar Falls Iowa
Ox Bids or written quotes were taken on this purchase, as follows:
KW Electric, Cedar Falls Iowa $15,999.00
Cedar Valley Electric $22,474.00
❑ Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑ General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation
Fx 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 $ 66,700.00
Respectfully submitted, -
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\2019 LED Ice Lighting Installation Pre-AuthorizationAs(Mar 2010)
City Clerk Use Only
Finance Committee i
Approval Date �i \
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
$ 6,275.00 plus est. shipping costs of $ n/a to pay for or purchase
Replacement of heating bank on Young Arena Munters HVAC unit.
This purchase or expenditure is being made because:
The current heating unit is no longer operational and needs replaced
Supports the City's Strategic Plan, 4.5-"Maintain City facilities that support quality of place"
Vendor selected for this purchase: Young Plumbing and Heating, Waterloo Iowa
Q Bids or written quotes were taken on this purchase, as follows:
Young Plumbing and Heating Waterloo la. --- $6,250
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
Qx 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 $ 70 f
Res ubmitted,
;7/, W-1 3-1
(Signature Dept. d or Designee) Date ( Ign tures a Finance Dept. Review) Date
KAshared good ies\forms\201 9 Munters heater 4 replacement Expenditure Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
Finance Committee
I.,
Approval Date l
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
$ 5,228.00 plus ext. shipping cost of $ 300.00 to pay for or purchase
REPAIR PARTS FOR DAMAGED GAS LINE AT LAGOON
This purchase or expenditure is being made because:
DAMAGED GAS LINE NEEDS REPAIRED
Vendor selected for this purchase:
CORE & MAIN
XXBids or written quotes were taken on this purchase, as follows
CORE & MAIN -$5528.00 (SHIPPING INCLUDED)
SCHIMBERG - $6897.41 (SHIPPING INCLUDED)
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: FX Sewer: Sanitation:
Bonds: F Federal/other grants: [:]Other(specify):
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 a_v lance is $ 2 a-7,nF apy s 23
Res ubmitt
l l
-l3
<y
i a e t. H Designee)
pDate (Signature Finance Dept. Review) Date
CORE
Bid Proposal for WATERLOO MAINTENANCE 11-8-19
CITY OF WATERLOO WMS Core & M,
Bid Date: 11/08/2019 05:00 p.m. 2355 16th Ave '
Core & Main 1126004 Cedar Rapids, IA 524
Phone: 319-362-1E
Fax: 319-362-3C
Seq# Qty Description Units Price Ext Price
10 1100 6 IPS DR17 HDPE PIPE FT 4.05 4,455.1
20 1 6 IPS DR17 HDPE TEE MOLD EA 39.00 39.1
30 2 6 IPS DR17 HDPE 90 BEND MOLD EA 32.00 64.1
40 4 6 IPS DR17 HDPE FLG ADPT EA 18.00 72.1
50 4 6" IPS PLATE LAP JOINT FLANGE EA 10.00 40.1
60 1 12 PVC S80 VANSTONE FLG SW EA 75.00 75.1
70 1 837-666FB 12X6 SCH80 BUSHING EA 265.00 265.1
80 1 6 PVC S80 VANSTONE FLG SW EA 18.00 18.1
90 1 12X6 SCH80 REDUCER 829-666N EA 200.00 200.1
150 PRICES VALID FOR 15 DAYS
160 FROM BID DATE
170 SUBJECT TO PRIOR SALES
180 FREIGHT INCLUDED IF SHIPPED
190 IN SINGLE SHIPMENT
200 WE RESERVE THE RIGHT TO
210 CHARGE FREIGHT IF CHOSEN
220 TO TAKE IN MULTIPLE
230 SHIPMENTS
Sub Total 5,228.1
Tax 0.1
Total 5,228.(
Branch Terms:
UNLESS OTHERWISE SPECIFIED HEREIN, PRICES QUOTED ARE VALID IF ACCEPTED BY CUSTOMER AND PRODUCTS ARE RELEASED I
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 FOUN
AT: https://coreandmain.com/TandC/
11/12/2019 - 2:15 PM Actual taxes may vary Page 2 c
PRICE QUOTATION
Quote Date 10/22/19
Quote Number 7906393-00
SCHIMBERG CO. Quote Expfration Date 11/11/19
1106 Shaver Road NE writer Randy Walker
Cedar Rapids, IA 52402 Salesperson DAN HILBY
Ph: 319-365-9421 FAX: 319-365-9867 'Total weight 3760.89000
Freight Terms SCOT
www.schimberg.com placed By JESSE
WATERLOO CITY OF WASTE MNGMNT Ship `gip WATERLOO CITY OF WASTE MNGMNT
3505 EASTON AVE To: 3505 EASTON AVE
WATERLOO, IA 50702 WATERLOO,[A 50702
PHONE.-(319)291-4553
EMAIL:rwalker@schimberg.com
Terms Req Ship Date Ship Point Ship Via
NET 30 DAYS 10/22/19 SCHIMBERG CEDAR RAPIDS S CO TRUCK
Line NS Part Number And Description Quantity Qty Net Ext.
Ordered tl/M Price Price
1 82704010600 1100 EACH 5.21 5731.00
PIPE HDPE DR17 6X40
2 82760760600 2 EACH 29.64 59.28
HDPE DR17 BW 90 ELL 6
3 82761160600 1 EACH 38.16 38.16
HDPE DR17 BW TEE 6
4 82774140600 4 EACH 16.20 64.80
HDPE DR17 FLG ADP 6
5 71074170600 4 EACH 17.78 71.12
I DI LW"STB END"B/U FLG 6
7 88074111200 1 EACH 99.98 99.98
PVC80 FLG V/S SXS W/PVC RNG 12
8 N84060021206 1 EACH 212.65 212.65
PVC40 BUSH SXS 12X6
9 88074110600 1 EACH 21.76 21.76
PVC80 FLG V/S SXS W/PVC RNG 6
10 N88060001206 1 EACH 298.66 298.66
PVC80 CPLG SXS 12X6
9 Lines Total Quote Total 6,597.41
v,v
O
SALESPERSON CONTACT INFORMATION
Randy Walker aj
rwalker@schim berg.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 opv Page 1 of 1
City Clerk Use Only
Finance Committee
i '
Approval Date
� r1
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 Department to expend
$ 6,710.58 plus est. shipping costs of $ to pay for or purchase
Felling - 10 ft. Tilting Trailer
This purchase or expenditure is being made because:
To be used to haul roller and other equipment for road maintenance.
(bid thru Sourcewell)
Vendor selected for this purchase: Murphy Tractor& Equipment
❑X Bids or written quotes were taken on this purchase, as follows:
Murphy Tractor & Equipment Waterloo IA $6,710.88
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:
EI General Fund F—I Road Use Tax ❑ Sewer ❑ Sanitation
Bonds 1:1 Federal/other grants F� Other(specify)
This expenditure is to be coded to the following budget line-item:
419-19-7100-2117
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 570,000.00
and the current available balance is $ 570,000.00
Respectfully su ,
411 ,W
d(Siture Dept. Read or Designee) Elate Sign turre Financeept. Review) Date
KAshared good ies\forms\2019-November-Expenditure Pre-Authorization-Street-Felling 10 ft.tilt trailer-Murphy Tractor
(sourcewell)$6,710.88-419-19-7100-2117.xis(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date a/Ick
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
$ 4,445.00 plus est. shipping costs of $ to pay for or purchase
200 - 1 3/4" - 12 ft. Steel posts and 25 - 2" - 12 ft. Steel Posts
This purchase or expenditure is being made because:
Replace damaged sign posts and new sign installations throughout the City.
Vendor selected for this purchase: Iowa DOT
❑X Bids or written quotes were taken on this purchase, as follows:
IDOT Ames, IA $4,445.00
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 ❑ Sewer F-1 Sanitation
❑X Bonds ❑ Federal/other grants F-] Other(specify)
This expenditure is to be coded to the following budget line-item:
41A-17-7120-2125
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 20,000.00
and the current available balance is $ 20,000.00
Re pectfully submitted,
i3_4
(Signature Dept. ead or Designee) I bate (Signature Finance Dept. Review) Date
K:\shared goodies\forms\2019-November-Expenditure Pre-Authorization-Traffic dDOT-200-1 3-4in.and 25-2 in.- 12 ft. steel posts-$4,445-
418-17-7120-2125.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date ir
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
$ 13,055.00 plus est. shipping costs of $ to pay for or purchase
TSI Gridsmart Detection System including Camera w/mount Processor & turn on
assistance for US 218 (Washington) and Hawthorne St. intersection
This purchase or expenditure is being made because:
Monitoring cameras for Traffic Adaptive System thru Washington and
San Marnan corridors.
Vendor selected for this purchase: General Traffic Controls
FX Bids or written quotes were taken on this purchase, as follows:
General Traffic Controls Spencer, IA $13,055.00
MidAmerican Signal, Inc. Kansas City, Kansas $20,950.00
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:
EI General Fund Road Use Tax EI Sewer ❑ Sanitation
FR Bonds Federal/other grants F-] 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,
(Signature Depi Head or Designee) D to (Signature Finance Dept. Review) Date
KAshared goodies\forms\2019-November-Expenditure Pre-Authorization-Traffic-General Traffic Controls-TSI GRidsmart Detection System-
Hawhtorne-218-$13,055-417-17-7161-2125.xls(Mar 2010)
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 11/18/2019
Prepared: Nancy igby
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$875.81 for sanitary sewer fees billed in error for property
located at 406 Litchfield Avenue, which is on a septic system.
Summary Statement: This was verified through the city's engineering department and the
Water Works provided documentation for the amount of refund.
Expenditure Required: As indicated above
Source of Funds: Sewer Fund 520-14-5200-1785
Policy Issue: None
Alternative: Not give the reimbursement.
Background Information:
111 [,1;RKDA I ACounciIMintin�eCommumctUon,�Coun�IlCu��irzuIIiCd6 xi;10CotnijI&0l inar_c c '015AFioail cc(omnuni
catioii03091_5,2arl;tac.gdu1ILl doc
WATERLOO WATER WORKS
1
CHAD COON 325 SYCAMORE STREET • P.O.BOX 27 319-232-6280 TRUSTEES: MARY H.POTTER,Chair
General Manager WATERLOO,IOWA 50704 FAX:319-232-1962 SCOTT WIENANDS,Vice-Chair
THOMAS E.WALL
11/5/2019
City of Waterloo Finance Dept.
Attn: Michelle Weidner
715 Mulberry St
Waterloo, IA 50703
Re: 406 Litchfield Ave Account# 104666-512283 Dwayne Eilers (319-833-0101/218-831-5137)
Michelle,
I am writing on behalf of Dwayne Eilers who is the owner of the property noted above. Dwayne came
into our office today and presented his current bill. He stated that he was being billed sewer and said
this property is and always has been on septic. I called City Engineering and talked with Steve Walker
in drafting and he confirmed this to be true.
I am therefore requesting for Dwayne Eilers a refund for past sewer charges paid in error. Our records
show this account for 406 Litchfield was put into Dwayne's name on 9/9/2015. 1 have attached the
'document history by location' showing all billing for review starting with services from 9/9/2015. 1 have
written in the sewer charges for each bill from his start date that he has paid. I have come up with
$875.81 that the City should reimburse Dwayne. If you come up with a different amount or dispute this
amount, please let me and/or Dwayne know.
We sincerely apologize for this error and hope that this has not caused any inconvenience.
Sincerely,
Mary Ratkovich-Office Manager
Waterloo Water Works
319-232-6280 ext 3903
Cc Dwanye
i
;: a
System Date: 11/6/2019 10:28:43 AM Waterloo Water Works Page: 0 1
User Date '11/6/2019 Document History by Location User: MARY-R
Location: 104666 Address: 406 LITCHFIELD AVE WATERLOO IA 50701
Customer: 512283 Dwayne R Eilers
Including: Work, Open, History, Voided
Last Statement Date 11/6/2019 Last Statement Balance $98.80 Collection Agency Balance $0.00
Last Payment Date 8/16/2019 Current Balance $98.80
Date Document Type Connection Consumption Amount Running Balance
10/29/2019 SPECOOOO0002556 Open SPECIA D Lu Qo vZa9_r_i'i�,0 $98.80 $98.80
10/29/2019 BILL00001071485 History REGULA VOID $166.21
10/17/2019 READ00000903186 History METER 1 WATERLOO-WATER 35
8/16/2019 PYMT00000619332 History PAYMEN11 f�S/ S� lA � $149,69 $0.00
7/30/2019 BILL00000991562 History REGULA 0:44 $144.69 $144.69
7/17/2019 READOOCOOB65702 History METER 1 WATERLOO-WATER 5
5/14/2019 PYMT00000518269 History PAYMEN $120.52 $0.00
4/29/2019 BILL00000950628 History REGULAL044.db $120.52 $120.52
4/12/2019 READ00000835015 History METER 1 WATERLOO-WATER 17
1/31/2019 PYMT00000537598 History PAYMEN $105.62 $0.00
1/29/2019 BILL00000892905 History REGULA q.5-bb $105.62 $105.62
1/171/2019 READ00000800571 History METERi
WATERLOO-WATER 19 -
11/6/2018 PYMT00000503721 History PAYMEN $86.50 $0.00
10/29/2018 BILL00000840681 History REGULA $86.50 $86.50
10/12/2018 READ00000762141 History METER 1 WATERLOO-WATER 12
8/9/2018 PYMT00000468478 History PAYMEN $80.37 $0.00
7/30/2018 BILL00000793264 History REGULA $80.37 $80.37
7/13/2018 READ00000726582 History METER 1 WATERLOO-WATER 6
5/18/2018 PYMT00000429973 History PAYMEN r $86.24 $0.00
4/30/2018 BILL00000745051 History REGULA $86.24 $86.24
4/13/2018 READ00000692366 History METER 1 WATERLOO-WATER 4
2/12/2018 PYMT00000391391 History PAYMEN $112.14 $0.00
1/30/2018 BILL00000678346 History REGULA ya.�s $112.14 $112.14
1/18/2018 READ00000657838 History METER 1 WATERLOO-WATER 6
11/14/2017 PYMT00000355847 History PAYMEN U / $109.47 $0.00
10/30/2017 BILL00000622312 History REGULA 7�•�S $109.47 $109.47
10/16/2017 READ00000621479 History METER 1 WATERLOO-WATER 3
8/14/2017 PYMT00000318420 History PAYMEN $109.47 $0.00
7/26/2017 BILL00000566016 History REGULA y�,15 $109.47 $109.47
7/18/2017 READ00000587196 History METER 1 WATERLOO-WATER 8
5/15/2017 PYMTOC000268319 History PAYMEN ^ of $104.57 $0.00
4/28/2017 BILL00000493244 History REGULA ���{, !S $104.57 $104.57
4/17/2017 READ00000548324 History METER 1 WATERLOO-WATER 6
2/14/2017 PYMT00000230300 History PAYMEN $77.97 $0.00
1/30/2017 BILL00000415288 History REGULA X11% $77,97 $77.97
1/20/2017 RFAB00000514401 History METER 1 WATERLOO-WATER
11/9/2016 PYMT00000191090 History PAYMENq $164.47 $0.00
10/28/2016 3ILL00000327603 History REGULA �.IS $164.47 $164.47
10/20/2016 READ00000482612 History METER 1 WATERLOO-WATER 38
8/9/2016 PYMTOOOD0148384 History PAYMEN / $142.00 $0.00
n
7/28/2016 BILL0000024593C History REGULA V. /Q,5 $142.00 $142.00
7/20/2016 READ00000444394 History METER 1 WATERLOO-WATER 26
5/5/2016 PYMT00000108487 History PAYMEN $136.38 $0.00
4/28/2016 BILL00000181303 History REGULA r)N,4 $136.38 $136.38
4/15/2016 READ00000409074 History METER 1 WATERLOO-WATER 23
2/17/2016 PYMT00000073097 History PAYMENr, n $223.82 $0.00
1/29/2016 BILL00000099316 History REGULA - gAa $223.82 $223.82
1/20/2016 READ00000371368 History METER 1 WATERLOO-WATER 57
11/20/2015 PYMT00000033439 History PAYMEN $86.84 $0.00
11/10/2015 BILLOGOOOO16293 History REGULA _M'o $86.84 $86.84
10/12/2015 READ00000321411 History METER 1 WATERLOO-WATER 26
51 Documents
95.81 RM0N�
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 11/18/2019
Prepared: Nancy Highv
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$18.20 for garbage collection fees paid on a vacant property
located at 433 Sherman 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:
it
it i;,'T�(,LLRKIMI1Conntilckl III ctui0>>,to(_cwnciliYZOfin;ince_2{l15A. iI:all reCoIII nit III
i
cation,030915.garhaLc_rcfund_d oc
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WA7E LOO WI4.T W RKS Phone: (319)232-6280
www.waterloowater.org
w Paee 1 of 2
325 Sycamore Street
P.O.Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
e
ustomer Name: Thomas Ernestine Billing Frequency: Quarterly
ccount Number: 103591-501527 Billing Date: 10/24/2019
ervice Address: 433 SHERMAN AVE Billing Due Date: 11/15/2019
Waterloo Water Works Services
Previous Balance...... .... . ..... .......... .... . $124.79
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29.10 Credits/Payments..... .... . ............... . .... -$124.79
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $1.75
Water Works Subtotal . . . . . . . . . . .. . . . . . . . . . . . . $30.85 Water Works Subtotal. ..... . . ........ ...... ..... $30.85
City of Waterloo Services City of Waterloo Subtotal. ... ....... ... .... . ..... $77.45
Sanitary Sewer. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . $47.25 Total Current Service Charges. ............... .... $108.30
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00 Total Amount Due.. ...... .. .. . . .... ........... . $108.30
Garbage. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . ,$18.20 Amount Due After 11/15/2019.. . ............... . $112.72
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $77.45
SL.I �<�'—✓ �� r Actual 179 Actual 0
!�S:. I �— Actual 222 Actual D
Actual 22 Actual 0
•meter was replaced on 08/21/2019
SPECIAL MESSAGES�
: 4
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O^. OP 01 �O O^ Oa 01 ♦O O,
109 ^09� 1�e' ^mag ,�� 1�g- 1P 1
4
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Please detach and return the bottom portion with your payment.See reverse side for additional information
® Account Number: 103591-501527
r 'A` "E R L00 W�4TE W 3 KS Total Amount Due: 108.30
Amount Due After: 112.72
P.O. Box 27 gid ung.pue Date: 13.1151201.9
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
o•
L3683
mas Ernestine
LWhite e Rd
00395139 WATERLOO WATER WORKS
P.O.BOX 27
WATERLOO.IOWA 50704
Please check box if contact information requires
updating and indicate the change(s)on reverse side
Nancy Higby
From: DOUG ANDERSON
Sent: Monday, November 04, 2019 11:52 AM
To: Nancy Higby
Subject: FW:433 SHERMAN AVE
Sincerely,
Doug Anderson
City of Waterloo
715 Mulberry St.
Waterloo, IA 50703
Clerk II
319-291-4323
-----Original Message-----
From: ELLA ELLIS
Sent: Monday, November 04, 2019 11:49 AM
To: DOUG ANDERSON
Subject: RE: 433 SHERMAN AVE
Okay,that's fine, she does not have a cart there.And I will contact Water Works to stop charging her for garbage.
-----Original Message-----
From: DOUG ANDERSON
Sent: Monday, November 4, 2019 11:29 AM
To: ELLA ELLIS<ELLA.ELLIS@WATERLOO-IA.ORG>
Subject: RE: 433 SHERMAN AVE
She was just wanting a refund for the last 2 months of garbage and then didn't want to be billed until further notice.
Sincerely,
Doug Anderson
City of Waterloo
715 Mulberry St.
Waterloo, IA 50703
Clerk II
319-291-4323
-----Original Message-----
From: ELLA ELLIS
Sent: Monday, November 04, 2019 11:27 AM
To: DOUG ANDERSON
Subject: RE: 433 SHERMAN AVE
1
I don't have a number for her and she has not talked to me or do we have her in the system for a cart. Need to know
what size?
-----Original Message-----
From: DOUG ANDERSON
Sent: Friday, November 1,2019 9:22 AM
To: ELLA ELLIS<ELLA.ELLIS@WATERLOO-IA.ORG>; Nancy Higby<Nancy.Higby@WATERLOO-IA.ORG>
Subject: FW:433 SHERMAN AVE
Hi Ella,
This lady claims that she just had the water turned back on and doesn't have a garbage can.
Can you confirm that? Ms.Thomas acted like she'd already talked to you.
Sincerely,
Doug Anderson
City of Waterloo
715 Mulberry St.
Waterloo, IA 50703
Clerk II
319-291-4323
-----Original Message-----
From: cityclerkfinanceoffice@waterloo-ia.org [m a ilto:cityclerkfinanceoffice @waterloo-ia.org]
Sent: Friday, November 01, 2019 9:18 AM
To: DOUG ANDERSON
Subject: Message from "RNP002673A8C782"
This E-mail was sent from "RNP002673A8C782" (MP C6003).
Scan Date: 11.01.2019 10:19:44 (-0400)
Queries to: cityclerkfinanceoffice@waterloo-ia.org
2
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 11/18/2019
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$36.17 for garbage collection fees paid on a vacant property
located at 620 Beech Street.
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:
hle:/�,']ti'C.i;I;RKD iIlC��uncilc�Pinar rCommunutUons_C�>gneilC�nnnmictllionsuiCounrli�OFinunce�20lg�Iinanc�C_.'n�muni
c lion10091 i. arbt .rcfiini� oc
WAT. vZLOO W6 WQR 5 Phone: (319)232-6280
www.waterloowater.org
325 Sycamore Street PaEe 1 of 1
P.O. Box 27 FINAL BILL
Waterloo. Iowa 50704 STATEMENT OF SERVICES
•
ustomer Name: Patsy Washington Billing Frequency: Quarterly
ccount Number: 105169 544649 Billing Date: 09/25/2019
ervice Address: 620 BEECH ST Billing Due Date: 10/16/2019
Waterloo Water Works Services
Previous Balance... .. ... ..... .. ...... ....... ... $136.60
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22.31
Credits/Payments. . .... .. .. . . . .. ... . .... .. ..... -$136.50
Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.34 Balance Forward . . . ... ..... . . .... ........ .. ... . $0.10
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $23.65
City of Waterloo Services Water Works Subtotal ... .................... . ... $23.65
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $36.23
City of Waterloo Subtotal . .. . . . .. ... . . . ... . ...... $81.73
Storm Water Fee. . . . . . . . . . . . . . . . ... . . . . . . . . . . $9.33 Total Current Service Charges... .. ...... .... . . . .. $105.38
Garbage. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . $36.17 Total Amount Due.. . ..... ..... ........ .... . . ... $105.48
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $81.73
�o-s
Rill
07/18/2019 09/25/2019 205 Actual 206 Actual 1
Cos
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01 10 O, Oa O� �O 01 Op 01
-- — ——-----------------------------____—_—————————-----------------
-——__.._.—______._..._......._......__-----
------
—_-- — — —— — ----
Please detach and return the bottom portion with your payment.See reverse side for additional information
Account Number: 105169-544649
WATERLOO VY TiR_WORKS
Amount Due After: 105.48
P.O.Box 27
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Patsy Washington
812 Beech St
Waterloo,IA 50703 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