HomeMy WebLinkAboutApproved Documents - 9.7.2021 City Clerk Use Only
Finance Committee
Approval Date 9/7/2021
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 Cedar Valley SportsPlex Department to expend
$ 2,657.50 plus est. shipping costs of $ 2,657.50 to pay for or purchase
Flag Football Shirts
This purchase or expenditure is being made because:
Team shirt for youth flag football
Vendor selected for this purchase: Dickey's Printing , Waterloo Iowa
❑ Bids or written quotes were taken on this purchase, as follows:
Dickey's Printing $2657.50
Advantage Screenprint $2773.00
❑ 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:
F■ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation
ElBonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-37-4200-1567
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 22,000.00
and the current available balance is $ 16,154.72
Respectfully submitted,
Paul Huting 08/23/2021 � e w��r� 9/7/2021
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
Finance Committee
9/7/2021
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
$ NTE $23,000 plus est. shipping costs of $ to pay for or purchase
Replacement of Young Arena Ice System compressor#1 motor, starter, bridge CPU &electrical components.
This purchase or expenditure is being made because:
Replacement of key components is needed to keep ice system operational.
& supports the city's strategic Plan,4.5-"Maintain City facilities that support quality of place".
Vendor selected for this purchase: All Temp Refrigeration, Cedar Rapids Iowa
Bids or written quotes were taken on this purchase, as follows:
F■ Bids or quotes were not taken on this purchase because:
All Temp Refrigeration is the only Certified Vilter Ammonia Compessor ice service business in the area.
they have the proper equipment& maintenance records for Young Arena dating back to construction
27 years ago, & provide timely emergency response calls when needed.
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 F—] Sanitation
❑- Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
417-37-4500-2152 / 420-37-4500-2152
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 60,000.00 / 266,998.13
and the current available balance is $ 4,813.91 / 48,012.87
Respectfully submitted,
Paul Huting 08/25/2021 vi.a. 9/7/2021
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 9/7/2021
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 MIS Department to expend
$ 2,600.00 plus est. shipping costs of $ to pay for or purchase
Technical support package block of 20 hours for GIS related incidents.
This purchase or expenditure is being made because:
We utilize PROWest and Associates for GIS related events/incidents that we are unable to handle on our
own. Their expertise in invaluable.
Vendor selected for this purchase: PROWest and Associates
Bids or written quotes were taken on this purchase, as follows:
Q Bids or quotes were not taken on this purchase because:
ProWest and Associates is the vendor that has done numerous GIS Related projects
for us in addition to the initial City Wide Assessment.
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
General Fund El Road Use Tax El Sewer F—] Sanitation
ElBonds El Federal/other grants F—] Other(specify)
This expenditure is to be coded to the following budget line-item:
010-01-8220 1319
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 26,131.00
and the current available balance is $ 18,131.00
Respectfully submitted,
Chris Youngblut 8/24/2021wether 9/7/2021
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)
PROJECT BUDGET WORKSHEET -ALL PROJECTS
PAGE ONE
Project Name Police Grant- State and Community Highway Safety Grant Task 10
City Contract No. To be assigned by the Finance Dept.
Project Manager Captain Matt McGeough Project No. 11 GRT
Project Budget Total $ 3,000.00 Subproject No. IDCTK10
1. How will this project be funded?
A. Federal Grant Yes = No 0 CFDA# % Paid by federal grant
Grant Name Grant Agreement Number
B. State Grant Yes 0 No = % Paid by state grant 100.00%
Grant Name State and Community Highway Safety Grant Grant Agreement Number PAP 21-405d-1=24*P�':
C. City Match Source of Funding % Paid by City
D. Other Entities Yes = No 0 % Paid by other entity
Name
Done None
2. Attach copies of any grant agreements that will fund the project (REQUIRED) FX ❑
Yes No
3. Does the project include the purchase of right of way or other real property? ❑ FX
If yes, will real property purchases be reimbursable under the grant? ❑ FX
If yes, have you attached authorization to purchase real property to this document? ❑ FX
4. Will this project include any non-participating expenses, such as:
A. Stormwater permit fees ❑ FX
B. Publication, or printing costs ❑ FX
C. Others, list ❑ FX
5. Does this project cover any regular full-time salaries or benefits? ❑ FX
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
This grant will cover directed overtime enforcement for traffic safety.
Page 2 must be attached and signed.
K:\shared good ies\forms\Highway_Safety_Grant_Task_10_Project_Budget_Worksheet.xls\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date 9/7/2021
Project Name (from page one) Police Grant- State and Community Highway Safety Grant Task 49
Department No. project will be budgeted under 11 To be assigned by the Finance Dept.
Activity No. project will be budgeted under 01011 1150 Project No. 11 GRT
Subproject No. IDCTK10
(Each column should only include amounts by fund)
Fund: 1150 Fund: Fund: Fund:
Total
REVENUES:
3000 Cash on Hand $ -
3350 Federal Grant -
3352 Federal HUD Grant -
3354 Shared Program - Local -
3357 Shared Program - County -
3358 Shared Program - City -
3360 Shared Program - State -
3361 State Grant -
3720 Donations - Restricted -
3750 Sale of Bonds -
3373 Fed Pass thru for Iowa 3,000.00 3,000.00
TOTALS $ 3,000.00 $ - $ - $ - $ 3,000.00
EXPENDITURES:
1111 Salaries - Regular $ -
1112 Salaries - Part Time -
1315 Education &Training -
1345 Travel - Official City -
1346 Travel - Prof Training -
1390 Contractual Services -
1125 Overtime 3,000.00 3,000.00
1563 In Car Video Camera -
1573 PBT's -
TOTALS $ 3,000.00 $ - $ - $ - $ 3,000.00
Capt. Dave Mohlis 8/11/20219/7/2021
(Signature Dept. Head) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\Highway_Safety_Grant_Task_10_Project_Budget_Worksheetxls\Page 2(Don at or NON-constr) (Mar 2010)
PROJECT BUDGET WORKSHEET -ALL PROJECTS
PAGE ONE
Project Name Schoitz U of I Project
City Contract No. To be assigned by the Finance Dept.
Project Manager Mayor Hart Project No. 01 MYR
Project Budget Total $ 5,000.00 Subproject No. UIMURAL
1. How will this project be funded?
A. Federal Grant Yes No 0 CFDA# % Paid by federal grant
Grant Name Grant Agreement Number
B. State Grant Yes 0 No 0 % Paid by state grant
Grant Name Grant Agreement Number
C. City Match Source of Funding % Paid by City
D. Other Entities Yes 0 No = % Paid by other entity
Name Otto Schoitz Foundation
Done None
2. Attach copies of any grant agreements that will fund the project(REQUIRED) El El
Yes No
3. Does the project include the purchase of right of way or other real property? ❑ Q
If yes, will real property purchases be reimbursable under the grant? ❑ 7x
If yes, have you attached authorization to purchase real property to this document? El ❑x
4. Will this project include any non-participating expenses, such as:
A. Stormwater permit fees El Q
B. Publication, or printing costs ❑ 7x
C. Others, list El Q
5. Does this project cover any regular full-time salaries or benefits? ❑ 7x
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
The Ottoz Schoitz Foundation awarded the city$5,000 toward the Univeristy of Iowa projects.
Page 2 must be attached and signed.
K:\shared good ies\forms\Schoitz_U_of_IA.xls\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Committee
9/7/2021
Approval Date
Project Name (from page one) Schoitz- U of I
Department No. project will be budgeted under 01 MYR To be assigned by the Finance Dept.
Activity No. project will be budgeted under 8203 Project No. 01 MYR
Subproject No. UIMURAL
(Each column should only include amounts by fund)
Fund: Fund: Fund:
Fund: _010 Total
REVENUES:
3000 Cash on Hand $ -
3350 Federal Grant -
3352 Federal HUD Grant -
3354 Shared Program - Local -
3357 Shared Program - County -
3358 Shared Program - City -
3360 Shared Program - State -
3361 State Grant -
3720 Donations - Restricted 5,000.00 5,000.00
3750 Sale of Bonds -
3369 Transfer of Jurisdiction -
3614 Interest Revenue -
TOTALS $ 5,000.00 $ - $ - $ - $ 5,000.00
EXPENDITURES:
1111 Salaries - Regular $ -
1112 Salaries - Part Time -
1315 Education &Training -
1345 Travel - Official City -
1346 Travel - Prof Training -
1390 Contractual Services 5,000.00 5,000.00
2103 Engineering -
2165 Constructrion -
TOTALS $ 5,000.00 $ - $ - $ - $ 5,000.00
Wendy Bowman 7/7/2021 m, e we1eY 9/7/2021
(Signature Dept. Head) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Schoitz_U_of_IA.xls\Page 2(Donat or NON-constr) (Mar 2010)
Completed forms should he routed directly to the Finance Dept. FINANCE DEPT.ONLY
Finance Committee approval required?
YES ® No`9/7/2021
If so,date approved:
City of Waterloo
Line-Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line-item budget
amendment for FYE 2022 submitted by the CDBG Department:
EXPENSESIREVENUE
DECREASE EXPENDITURES(INCREASE REVENUE) INCREASE EXPENDITURES(DECREASE REVENUE)
Fund Dept Activity Accl# Accl Name Proj Code Amount IF,,d Dept Activity Acct# Acct Name Proj Code Amount
224 32 5851 3350 Federal Grant 522,046.00 224 32 5851 1111 Salaries-Reg 32CAREI.ADMN 55,075.00
224 32 5851 1121 FICA 32CAREI.ADMN 5,584.00
224 32 5851 1122 IPERS 32CAREI.ADM 5,979.00
224 32 5851 1123 Life/Disab 32CAREI.ADM 1,000.00
224 32 5851 1131 Health 32CAREI.ADMN 20,000.00
224 32 5851 1313 Legal 32CARE1,ADM 1,000.00
224 32 5851 1315 Training 32CAREI.ADM 2,345.00
224 32 5851 1317 Audit 32CAREI.ADM 3,000.00
224 32 5851 1351 Advertising 32CARE1.ADMN 1,588.00
224 32 5851 1358 Economic Dev 32CAREI.SBA 40,000.00
224 32 5851 1376 Office Equip 32CARF1.ADM 2,500.00
224 32 5851 1379 Interim Asst. 32GAREI.ER 79,264.00
224 32 5851 1393 Contributions 2CARE1.PUBSV 278,139.00
224 32 5851 1516 Minor Equip 32CARFI.ADM 854.00
224 32 5851 1520 Software 32CAREl.ADMN 24,840.00
224 32 5851 1561 Office Supplies 32CARF1.ADM 878.00
TOTAL $522,046.00 TOTAL $522,046.00
This amendment is being requested because:
Carry over Grant Budget from FY21
Prior Committee Actions(Dates):
aye w��r� 9/7/2021
(Si lure pt. Head or Designee) Date (Signature Finance Dept, Review) Date
Date Posted(Finance Dept.)
Kauserslshared goodieWormsTDBG CARES Carryover FYE22.xlsx(Apr 2003)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name Downtown Implementation FY22
City Contract No . To be assigned by the Finance Dept,
Project Manager Noel Anderson Project No.
Project Budget Total $ 721000 . 00 Subproject No.
1 . How will this project be funded?
A. Federal Grant Yes = No FX CFDA # % Paid by federal grant
Grant Name Grant Agreement Number
B. State Grant Yes 0 No OX % Paid by state grant
Grant Name Grant Agreement Number
C. City Match Source of Funding % Paid by City
D. Other Entities Yes = No FX % Paid by other entity
Name
Done None
2 . Attach copies of any grant agreements that will fund the project (REQUIRED) ❑ Fx
Yes No
3 . Does the project include the purchase of right of way or other real property? ❑ F
If yes, will real property purchases be reimbursable under the grant? F-1 ❑
If yes, have you attached authorization to purchase real property to this document? El 7
4 . Will this project include any non-participating expenses, such as:
A. Stormwater permit fees El I A
B. Publication , or printing costs F ❑x
C. Others, list ❑ Fx
5. Does this project cover any regular full-time salaries or benefits? F ❑x
If yes, employee/position to be covered .
6 . Include a brief description of the project in the space below: (REQUIRED)
Vandewalle & Associates will continue to provide professional services for implementation of Riverfront Renaissance
Plan in downtown Waterloo
s
Page 2 must be attached and signed .
K:\shared goodies\forms\Vandewalle fy21 .xls\Page 1 All Projects (Mar 2010)
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date 9/7/2021
Project Name (from page one) Downtown Implementation FY22
Department No. project will be budgeted under 08 To be assigned by the Finance Depf.
Activity No. project will be budgeted under 6100 Project No.
Subproject No.
(Each column should only include amounts by fund)
Fund 421 Fund: Fund: Fund:
Total
REVENUES:
3000 Cash on Hand $
3112 Local Option Sales Tax -
3350 Federal Grant -
3357 Shared Program -County
3358 Shared Program -City -
3360 Shared Program -State -
3361 State Grant -
3365 State RISE Grant -
3368 EPA Grant
3377 EDA Grant
3720 Donations - Restricted -
3750 Sale of Bonds 72,000.00 72,000.00
TOTALS $ 72,000.00 $ - $ - $ - $ 72,000.00
EXPENDITURES:
2103 Engineering & Consulting $ 72,000.00 $ 72,000.00
2125 Traffic Control Equipment -
2140 Land Acquisition -
2144 Land Improvements -
2146 Demolitions -
2151 Building Construction
2156 Bikeway Construction -
2162 Storm Sewers
2163 Sanitary Sewers
2164 Sidewalks -
2165 Streets & Roadways -
2199 Non-participating Misc -
S $ 72,000.00 $ - $ - $ - $ 72,000.00
9/7/2021
(Signature Dept. Head) Date (Signature Finance Dept. Review) Date
KAsha red good ieslformsWandewalle fy21.xlslPago 2(Constr Proj) (Mar 2010)
PROJECT BUDGET WORKSHEET -ALL PROJECTS
PAGE ONE
Project Name F.Y. 2022 4th Street Bridge and Dam Lighting Project
City Contract No. 1054 To be assigned by the Finance Dept.
Project Manager Wayne Castle Project No. 07RVF
Project Budget Total $ 44,900.00 Subproject No. LIGHT
1. How will this project be funded?
A. Federal Grant Yes = No 0 CFDA# % Paid by federal grant
Grant Name Grant Agreement Number
B. State Grant Yes 0 No 0 % Paid by state grant
Grant Name Grant Agreement Number
C. City Match Source of Funding % Paid by City
D. Other Entities Yes 0 No 0 % Paid by other entity 100.00%
Name WDC
Done None
2. Attach copies of any grant agreements that will fund the project(REQUIRED) FX ❑
Yes No
3. Does the project include the purchase of right of way or other real property? El ❑X
If yes, will real property purchases be reimbursable under the grant? ❑ FX
If yes, have you attached authorization to purchase real property to this document? ❑ FX
4. Will this project include any non-participating expenses, such as:
A. Stormwater permit fees El ❑X
B. Publication, or printing costs ❑ FX
C. Others, list El FX
5. Does this project cover any regular full-time salaries or benefits? ❑ FX
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
Construction of lighting to enhance the 4th Street bridge and the Cedar River Dam
Page 2 must be attached and signed.
K:\shared good ies\forms\River_Lighting_Contract_1054_Project_Budget_Worksheet.xls\Page 1 All Projects (Mar 2010)
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date 9/7/2021
Project Name (from page one) F.Y. 2022 4th Street Bridge and Dam Lighting Project
Department No. project will be budgeted under 07 To be assigned by the Finance Dept.
Activity No. project will be budgeted under 7610 Project No. 07RVF
Subproject No. LIGHT
(Each column should only include amounts by fund)
Fund: Fund: Fund:
Fund: 426 Total
REVENUES:
3000 Cash on Hand $ -
3112 Local Option Sales Tax -
3350 Federal Grant -
3357 Shared Program - County -
3358 Shared Program - City -
3360 Shared Program - State -
3361 State Grant -
3365 State RISE Grant -
3368 EPA Grant -
3377 EDA Grant -
3720 Donations - Restricted 44,900.00 44,900.00
3750 Sale of Bonds -
Sanitary TIF -
Roadway TIF -
TOTALS $ 44,900.00 $ - $ - $ - $ 44,900.00
EXPENDITURES:
2103 Engineering &Consulting $ 44,900.00 $ 44,900.00
2125 Traffic Control Equipment -
2140 Land Acquisition -
2144 Land Improvements -
2146 Demolitions -
2151 Building Construction
2156 Bikeway Construction -
2162 Storm Sewers -
2163 Sanitary Sewers -
2164 Sidewalks -
2165 Streets & Roadways -
2199 Non-participating Misc -
2173 Water Main -
TOTALS $ 44,900.00 $ - $ - $ - $ 44,900.00
� weer 9/7/2021
(Signature Dept. Head) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\River_Lighting_Contract_1054_Project_Budget_Worksheet.xls\Page 2(Constr Proj) (Mar 2010)
PUBLIC WORDS SANITATION DEPARTMENT
REFUND REQUEST GARBAGE/YARD WASTE
Name: !_ate 11�e 10 - Date: a0 a
Address: i3L,3 r bo rn A Ut Phone:
City/State/Zip:
Service Address: r e6,r h O v �t l P
Refund Amount Requested:$ 5o. P4 **Documentation Included: Yes No
**All request for refunds required proof of payment before refunds are processed[..
�
Comments: �i Ct m o Lyjf re e S S �� -[ buf-
Co R(es o� over a- vv�e o f Ts G, c[i���t�e�nf G-VA CU(,n f
Signature/Sanitation Department Date
5D. a4
Confirmed Refund Amount:$ Confirmed w/Water Works: V `Yes No
9/7/2021
Finance Signature Date
Refund Amount Paid:$ 50.24
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' WATERLOO WtATLR.WORK5 Phone: (319) 232-6280
www.waterloowater.org
325 Sycamore Street Page 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ACCOUNTSUMMARY
ustomer Name: Bailey Samella Billing Frequency: Quarterly
ccouht Number: 101730-533052 Billing Date: 10/16/2020
ervice Address: 123 DEARBORN AVE Billing Due Date: 11/06/2020
Waterloo Water Works Services CHARGE SUMMARY
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . $73.61 :.
Credits/Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -$105 .00
Deposit Charged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $105 .00
Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $4.42
Water Works Subtotal . 0 . . . . . . . . . . . . . . . . . . . . . . $78.03 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . $78.03
City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $134.92
Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $71.02 Total Current Service Charges . . . . . . . . . . . . . . . . . . . . $212.95
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10.06 Total Amount Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $212.95
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.01 Amount Due After 11/06/2020 . . . . . . . . . . . . . . . . . . . $223.37
Yard Waste / Recycle Site Maintenance Fee . . . . . . . $11.83
City of Waterloo Subtotal . $134.92
\ \ - f`Il�rAlt.,yYCar• � �1 .17
Previous Read
Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF)
08/04/2020 10/02/2020 8 Actual 40 Actual 32
6 SPECIAL MESSAGES
LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT
°
m -21 BILLS
s
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO: Account Number: 101730-533052
WATERLOO WATER WORKS Total Amount Due: 212.95
'• Amount Due After : 223 .37
P.O . Box 27
Waterloo, Iowa 50704 Billing Due Date : 11/06/2020
Phone: (319) 232-6280 Amount Enclosed :
. rr •
Bailey Samella
123 Dearborn Ave
Waterloo, IA 50703 WATERLOO WATER WORKS
P.O. BOX 27
❑ Please check box if contact information requires WATERLOO. IOWA 50704
updating and Indicate the changes) on reverse side
I
' WATERLOO WIT 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
ACCOUNTSUMMARY
ustomer Name: Bailey Samella Billing Frequency: Quarterly
ccount Number: 101730-533052 Billing Date : 01/18/2021
ervice Address: 123 DEARBORN AVE Billing Due Date: 02/08/2021
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $212.95
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $109 .38 Credits/Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 106.48
Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $6.57 Balance Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $106.47
Water Works Subtotal 14 . . . . . . . . . . . . . . . 6 . . . . . 0 $115.95
City of Waterloo Services Water Works Subtotal . . . . . . I . . . . . . . . . . . . . . . . . . . . $115 .95
Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $114.57 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $239.94
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.75 Total Current Service Charges . . . . . . . . . . . . . . . . . . . . $355 .89
Yard Waste / Recycle Site Maintenance Fee . . . . . . . $15.00 Total Amount Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $462.36
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $97.62 Amount Due After 02/08/2021 . . . . . . . . . . . . . . . . . . . $479.83
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $239.94
xwk - Lo'-v Car % S 3 , ),
G ,l.
Previous Read
Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF)
10/02/2020 01/08/2021 40 Actual 86 Actual 46
N SPECIAL MESSAGES
U ' LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT
"m m BILLS
io
0
o 06 d'
41'
1 ry� 44% foo ti O ( ti' ^ 0ry
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO: Account Number: 101730-533052
WATERLOO WATER WORKS Total Amount Due: 462.36
Amount Due After : 479. 83
P.O. Box 27 Billing Due Date: 02/08/2021
Waterloo, Iowa 50704
Phone: (319) 232-6280 Amount Enclosed :
Bailey Samella
123 Dearborn Ave
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
" WATERLOO WATER W O R KS Phone: (319) 232-6280
www.waterl oowate r.o rg
325 Sycamore Street P Paee 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ACCOUNTSUMMARY
ustomer Name: Bailey Samella Billing Frequency: Quarterly
ccount Number: 101730-533052 Billing Date: 04/15/2021
ervice Address: 123 DEARBORN AVE Billing Due Date: 05/06/2021
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance . . . . . . . 1 . . . . . . . 1 . 44 . . . . . . . . . . . . $462.36
Water . . . , . , . , . . , . . . $ 115.77 Credits/Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $479 .55
Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $6.95
Balance Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -$17. 19
Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17. 19
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $139.91 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . $139.91
City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $291.70
Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $157 .45 Total Current Service Charges . . . . . . . . . . . . . . . . . . . . $431. 61
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 $12.75 Total Amount Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $414.42
Yard Waste / Recycle Site Maintenance Fee . . . 1111 $15.00 Amount Due After 05/06/2021 . . . . . . . . . . . . . . . . . . . $434.80
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $106.50
City of Waterloo Subtotal . $291.70
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Previous . Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF)
01/08/2021 04/06/2021 86 Actual 135 Actual 49
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40 SPECIAL MESSAGES
Now Available Online 2020 Annual Drinking Water Quality Report
d 20 http://iowaccr.org/waterloo-waterworks
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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: 101730-533052
WATERLOO WATERWORKS Total Amount Due: 414.42
Amount Due After : 434. 80
P.O. Box 27
Waterloo, Iowa 50704 Billing Due Date: 05/06/2021
Phone: (319) 232-6280 Amount Enclosed :
Bailey Samella
123 Dearborn Ave
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