Loading...
HomeMy WebLinkAboutApproved Documents -3/21/2022Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES If so, date approvOe3/1 /2022 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 Police Department Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 010 11 1160 3603 TRI CO FORF 11TRI.TRIF 40,000.00 010 11 1160 1512 TRI CO FORF 11TRI.TRIF 40,000.00 TOTAL $40,000.00 TOTAL This amendment is being requested because: This is to conform with the City's budget line item control policy. Using current year's revenue to increase the FY22 expense line. $40,000.00 Aaron McClelland, Police Lieutenant 3/4/2022 Prior Committee Actions (Dates): LT. Aaron McClelland ZOe144-eA °'ieeFo�`` 03/21/2022 s (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies \forms\Waterloo.32296.1.Budget_Amendment_Tri_County_3-21-22 (Apr 2003) Under File, Select "Save As" From the "Save In" drop down box, locate the directory you wish to save your file in. You may rename the file in the "File name:" box at the bottom of the screen. REMEMBER: the form itself is protected so you can only enter information in the yellow high -lighted cells. At the top of the form, go to the first cell requiring information. This is Cell El 1, directly after "FYE" Once you've completed the fiscal year you can press the "tab" key to go to the next cell requiring information to be entered. You may continue to press the "tab" key to move between the areas of the form that you must complete. Or, you can simply use your mouse and click on the individual yellow cells you wish to move to. The "TOTALS" will automatically be completed for you. Once all information is entered, save your file and print the form. Obtain the required signature and date and route the completed form to the Finance Department for their signature/approval. /4,\F. '� 1 et.I.Atie Pr" %rloo •o CITY OF WATERLOO, IOWA WATERLOO FIRE RESCUE 425 East Third Street • Waterloo, IA 50703 • (319) 291-4459 Fax (319) 291-4279 March 15, 2022 To: Finance Committee From: Pat Treloar, Fire Chief Re: Purchase of meals for WFR personnel zor sicGED 03/21 /2022 We are seeking authorization to purchase meals for WFR personnel. We received a donation from a Waterloo resident to purchase equipment and meals for WFR personnel. There is a project budget set and approved for these expenditures. To ensure we are meeting city policy for the purchase of meals we are requesting your approval for the following: Purchase meals for A, B, and C shift between the dates of April 9th —April 16t". Not to exceed $1,200 Purchase meals for A, B, and C shift between the dates of May 23rd- May 30t". Not to exceed $1,300 We will coordinate with Waterloo downtown restaurants for the purchases of these meals. www.cedarnet.org/fire CITY WEBSITE: www.cityofwaterlooiowa.com WE'RE WORKING FOR YOU! An Equal Opporlunily/Affirmative Action Employer City Clerk Use Only Approval Date Finance CommiJee/21 /2022 City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police Department to expend $ 10,899.80 plus est. shipping costs of $ to pay for or purchase Vehicle Cradle Points This purchase or expenditure is being made because: Out dated equipment that needs to be configured to Axon. Vendor selected for this purchase: CDWG n Bids or written quotes were taken on this purchase, as follows: CDWG has the state bid for this equipment. n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 420-11-1100-2106 $10,899.80 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ $70,000.00 and the current available balance is $ $39,770.86 Respectfully submitted, Aaron McClelland, Police Lieutenat 2/11/2022 Netqftei ' u 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Commieg Approval Date 03/2 1 /2022 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 Airport Department to expend $ 3,000.00 (NTE) plus est. shipping costs of $ to pay for or purchase billboard advertising American Airlines 10 year anniversary serving ALO. This purchase or expenditure is being made because: American Airlines began serving ALO mid -April 2012. This billboard will celebrate the 10 year anniversary and provide advertising for ALO through April and May 2022. Vendor selected for this purchase: Nagle Signs,Inc n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: The Air Service Working Group Markeint Sub -Committee chose the location for hte bilboard avaalble through Nagle Signs. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-29-7700-1351 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 28,375.00 and the current available balance is $ 28,354.52 Respectfully submitted, Keith Kaspari 3/9/2022 ZOetAez ° 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Commite3e/21 /2022 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 Airport $ 4,700.00 Department to expend plus est. shipping costs of $ to pay for or purchase 19 reflective airfield sign panels plus face insert channel (track). This purchase or expenditure is being made because: signs marked for replacement are weathered, faded and/or cracked. Vendor selected for this purchase: Standard Signs, Inc n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Existing airfield signs are from Standard Signs and these are replacement panels to fit into the existing signs. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-29-7700-1371 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 120,000.00 and the current available balance is $ 29,165.67 Respectfully submitted, Keith Kaspari 3/9/2022 ZOetafteA 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Approval Date Finance Comm03/21 /2022 City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Building Dept Department to expend $ 11,778.92 plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: Security - City Hall Door Access Vendor selected for this purchase: Hawkeye Alarm & Signal Company n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: No other bids received - only local contractor This amount includes Hawkeye Alarm and sub contractor. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 419-22-8800-2152 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 284,980.00 and the current available balance is $ 187,162.52 Respectfully submitted, Greg Ahlhelm 3/9/2022 er,c(eeL " 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 03/21/2022 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/Fire Department to expend $ 3,456.04 plus est. shipping costs of Turbo Charger for Fire Truck #305 $ 250.00 to pay for or purchase This purchase or expenditure is being made because: To replace turbo charger that cannot be repaired in Fire Truck #305. Vendor selected for this purchase: MHC Kenworth n Bids or written quotes were taken on this purchase, as follows: MHCKenworth Waterloo, IA $3,456.04 GTG Peterbilt Waterloo, IA $4,357.98 IT 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 IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-1405-1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 60,000.00 and the current available balance is $ 14,559.38 Respectfully submitted, Sandie Greco 3/15/2022 ZOe64w.z 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 03/21/2022 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/Fire Department to expend $ 18,929.97 plus est. shipping costs of $ 250.00 to pay for or purchase Amended prior pre-auth for additional cost of $5,241.86 to replace cracked head on cylinder which was found while rebuilding engine on 2016 Pierce Fire Truck This purchase or expenditure is being made because: Additional cost to rebuild engine damaged by antifreeze corroding the cylinder lines. Truck has 9,450 hours and 92,932 miles Vendor selected for this purchase: Truck Center Companies n Bids or written quotes were taken on this purchase, as follows: Truck Center Companies Waterloo, IA $13,688.11 GTG Peterbilt Waterloo, IA $35,874.58 MHC Kenworth Waterloo, IA $18,223.38 IT Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): $13,688.11 Approved on 2/21/22 Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-1405-1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 65,000.00 and the current available balance is Respectfully submitted, Sandie Greco 3/10/2022 $ 19,559.38 ZOeben‘ez 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 03/21 /2022 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 10,000 plus est. shipping costs of $ to pay for or purchase TV advertisement package and commercial production for golf course marketing. This purchase or expenditure is being made because: Marketing of the golf courses is necessary to increase play and revenue at each facility. Strategy 4.1 promote City of Waterloo, services and programs. Vendor selected for this purchase: OnMedia n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: OnMedia (Mediacom) is the only regular TV cable provider in the Waterloo market. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer Bonds Sanitation ❑ Federal/other grants j Other (specify) hotel motel grant This expenditure is to be coded to the following budget line -item: 010-37-4105 1351 37HMT.GLF (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 10,000.00 and the current available balance is $ 10,000.00 Respectfully submitted, Paul Huting 3/9/2022 Z0et4tez 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Commiie/21 /2022 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 4,700.00 plus est. shipping costs of $ to pay for or purchase parts required for general maintenance and repairs on the golf course irrigation systems. We have a credit with MTI in the amount of ($1,356.62) makes total amt due $3,411.89 This purchase or expenditure is being made because: regular maintenance is required. This order allows us to have repair parts on hand. Vendor selected for this purchase: MTI Distributing, Grimes IA n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: the irrigation systems were purchased at MTI, they have the parts needed for repairs. They are the only vendor for this area. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4120 1565 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 5,714.00 and the current available balance is $ 3,794.02 Respectfully submitted, Paul Huting 3/01/2022 �y ) I:IlI'A1+ (//Avl si�o 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance ComrI3e /21 /2022 Approval Date UU 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 $ 4,779.98 MIS Department to expend plus est. shipping costs of $ to pay for or purchase Two (2) Dell Precision 3650 tower workstations for use in graphics and video editing. This purchase or expenditure is being made because: Cable Access Television staff is currently utilizing graphics workstations that were purchased 10 years ago. They need to have a higher end workstation then our standard build because of the processing they do. Vendor selected for this purchase: n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Ordering from Dell Direct (state bid) Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 421-01-8225-2106 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 75,000.00 and the current available balance is Respectfully submitted, Chris Youngblut 3/9/2022 $ 40,747.15 ZOz DIGITALLY SIT 03/21 /2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 03/21 /2022 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 $ 3,612.80 plus est. shipping costs of $ to pay for or purchase Second Floor Key fob locking system for door leading out to the council chambers. This purchase or expenditure is being made because: Due to regulations and rules through the CJIS system our building security needs to upgraded. Vendor selected for this purchase: A Tech Freeman Security n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: This is Proprietary to our current building security system. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 419-11-1100-2152 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Aaron McClelland, Police Lieutenat 2/11/2022 $ $168,478.05 $ $120,580.01 wee " 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 03/21 /2022 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 $ 5,317.61 plus est. shipping costs of $ 00 to pay for or purchase Water mediation This purchase or expenditure is being made because: This purchase is being made due to a frozen pipe that burst at 415 E 7th St. This is a city owned building used by the Waterloo Police Property Division. Vendor selected for this purchase: Servpro of Black Hawk County n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: This was a water emergency that had to be taken care of that day. If this had not been done evidence from major cases would have been damaged creating liability for the city. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-22-8800 1378 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Aaron McClelland 2/28/22 $ 17,790.00 $ 14,067.76 Zveic,w.z n,mav 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Commi 5e3/21 /2022 Approval Date (0 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/Traffic/Sanitation Department to expend $ NTE-$8,500.00 plus est. shipping costs of $ to pay for or purchase Carpet for Public Works offices and conference rooms. This purchase or expenditure is being made because: Replacing worn out carpet in offices and conference rooms in the Public Works Building. All carpet being torn out and replaced "in-house". Vendor selected for this purchase: Menards Ti Bids or written quotes were taken on this purchase, as follows: Menards Waterloo, IA $2.64 per Sq. Ft. Home Depot Waterloo, IA $2.70 per Sq. Ft. Lowes Waterloo, IA $3.49 perSq.Ft. n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund IT Road Use Tax IT Sewer n Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7100-1371 ($5,644.01) ; 266-17-7120-1371; ($360.00) 525-15-5400-1371 ($1,995.68) (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 30,000.00; 6,500.00; 8,000.00 and the current available balance is $ 6,819.06; 1,597.99; 5,924.59 Respectfully submitted, Sandie Greco 3/15/2022 eb%eeL ✓" 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Approval Date Finance CommUee� U/21 /2022 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 Sewer Department to expend $ 6,172.00 plus est. shipping costs of $ 225.00 to pay for or purchase (2) Flygt grinder pumps and (2) single phase installation kits. This purchase or expenditure is being made because: Flygt grinder pumps in the effluent Parshal flume structure are in need of replacement. Vendor selected for this purchase: Electric Pump n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Electric Pump is sole provider for Flygt pumps and kits. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n Sanitation ❑ Bonds ❑ 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 the budgeted amount is $ 400,000.00 and the current available balance is $ 114,504.63 Respectfully submitted, Brian Bowman 3/3/22 Neu,ircc2. 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Comm/21 /2022 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 Sewer Department to expend $ 21,474.00 plus est. shipping costs of $ 600.00 to pay for or purchase repair of Satellite pump on the Waste Water Treatment Plant. This purchase or expenditure is being made because: Satellite pump requires repair. Vendor selected for this purchase: Quality Pump n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Quality Pump is sole provider for this service and parts. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n Sanitation ❑ Bonds ❑ 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 the budgeted amount is $ 400,000.00 and the current available balance is $ 26,195.27 Respectfully submitted, Matt Hosford 3/9/22 Ne4teA 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 03/21 /2022 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 Sewer Department to expend $ 10,395.00 plus est. shipping costs of $ 150.00 to pay for or purchase Midsota TB -20 Tilt Bed Trailer for Skid Loader This purchase or expenditure is being made because: Needed to transport Skid Loader to job sites. Vendor selected for this purchase: Thomas Bus Sales, Inc n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: This item was taken from the State DOT bid site. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200-2117 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Matt Hosford 03-10-22 $ 130,000.00 $ 96,501.00 ZOetAeA 03/21/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name City Contract No. Project Manager Project Budget Total Golf Marketing Campaign FY2022 James Bolger $ 10,000.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name CFDA # B. State Grant Yes L� No Grant Name Reap Grant C. City Match Source of Funding D. Other Entities Yes No Name Hotel Motel awarded 10/4/2021 2. Attach copies of any grant agreements that will fund the project (REQUIRED) To be assigned by the Finance Dept. Project No. 37HMT Subproject No. GLF22 % Paid by federal grant Grant Agreement Number % Paid by state grant Grant Agreement Number % Paid by City % Paid by other entity 3. Does the project include the purchase of right of way or other real property? If yes, will real property purchases be reimbursable under the grant? If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs C. Others, list 5. Does this project cover any regular full-time salaries or benefits? If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) 100.00% Done None El El Yes No ❑ ❑X ❑ ❑ ❑ ❑X ❑ ❑X ❑ ❑X ❑ ❑X Leisure Services GOLF was awarded hotel motel funds to be used for marketing the golf courses. Page 2 must be attached and signed. K:\shared goodies\forms\Waterloo.32377.1.Project_Budget_HMT_GOLF_22\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 03/21/2022 Project Name (from page one) GOLF Marketing Campaign FY2022 Department No. project will be budgeted under 37 Activity No. project will be budgeted under 4105 To be assigned by the Finance Dept. Project No. 37HMT Subproject No. GLF22 (Each column should only include amounts by fund) Fund: 010 Fund: Fund: Fund: REVENUES: 010-37-4105 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 3111 Hotel Motel Discretionary EXPENDITURES: Total 10,000.00 10,000.00 TOTALS $ 10,000.00 $ - $ $ - $ 10,000.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 1351 Advertising Paul Huting 3/9/2022 10,000.00 10,000.00 TOTALS $ 10,000.00 $ (Signature Dept. Head) Date - $ $ - $ 10,000.00 Zl7ee4ez. SOLD 03/21/2022 (Signature Finance Dept. Review) Date K:\shared goodies\forms\Waterloo.32377.1. Project_Budget_HMT_GOLF_22\Page 2 (Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name City Contract No. Project Manager Project Budget Total CDBG-CV CARES Act. Funding STATE Round 2 Angie Fordyce $ 610,182.00 1. How will this project be funded? A. Federal Grant Yes Grant Name No To be assigned by the Finance Dept. Project No. 32CARE2 Subproject No. PEOPLES CFDA # 14.228 % Paid by federal grant B. State Grant Yes Grant Name CDBG-CV No C. City Match Source of Funding D. Other Entities Yes Name No 2. Attach copies of any grant agreements that will fund the project (REQUIRED) Grant Agreement Number 20-CVE-0010 % Paid by state grant Grant Agreement Number % Paid by City % Paid by other entity 100.00% Done None ❑X ❑ Yes No 3. Does the project include the purchase of right of way or other real property? ❑ ❑X If yes, will real property purchases be reimbursable under the grant? ❑ ❑ If yes, have you attached authorization to purchase real property to this document? ❑ ❑ 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs ❑ ❑X ❑x ❑ C. Others, list ❑ ❑X 5. Does this project cover any regular full-time salaries or benefits? ❑x If yes, employee/position to be covered. CD staff that work on CV activ 6. Include a brief description of the project in the space below: (REQUIRED) CDBG-CV CARES Act. funding to prevent, prepare for, or respond to COVID-19 provided by the State. Page 2 must be attached and signed. K:\shared goodies\forms\Waterloo.32397.1.CDBG-CV_STATE_Round_2_Budget_Worksheet_(1)\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 03/21/2022 Project Name (from page one) CDBG-CV CARES Act. Funding STATE Round 2 Department No. project will be budgeted under 32 Activity No. project will be budgeted under 5851 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 Federal Funds Pass-Throuc EXPENDITURES: To be assigned by the Finance Dept. Project No. 32CARE2 Subproject No. PEOPLES (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total 610,182.00 610,182.00 TOTALS $ 610,182.00 $ $ $ $ 610,182.00 1111 Salaries - Regular 1113 Longevity 1121 FICA 1122 IPERS 1123 Life & Disability 1131 Health Insurance 1313 Legal Service 1315 Education and Training 1317 Audit Expense 1343 Postage and Mailing 1351 Advertising Expense 1358 Economic Development 1376 Office Equipment 1379 Interim Assistance 1393 Contributions and Subsidy 1516 Minor Computer Equipment 1520 Computer Software 1561 Office Supplies 48,000.00 $ 48,000.00 608.00 608.00 5,000.00 5,000.00 5,500.00 5,500.00 2,000.00 2,000.00 549, 074.00 549, 074.00 TOTALS $ 610,182.00 $ $ RUDY JONES (Signature Dept. Head) 03/08/2022 Date $ - $ 610,182.00 Netorkez 03/21/2022 (Signature Finance Dept. Review) Date K:\shared goodies\forms\Waterloo.32397.1.CDBG-CV_STATE_Round_2_Budget_Worksheet_(1)\Page 2 (Donat or NON-constr) (Mar 2010) PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: Chrow RetstA9cr Date: Address: f 3` j-5 I 1 DvI, Ave, City/State/Zip: WO ` e---' lop ; 6 Service Address: ( +h L O Ave, Refund Amount Requested: $ Phone: 3L t-tZe- I,-'-1 **Documentation Included: 'Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: vialoe-tik.5 ll1 { utrio5ae, t2ebff 4,1/ inihe ei,crt- i2- j tct . Signature/Sanitation Department Confirmed Refund Amount: $ [ f • "4 5/ ZOet4ft ez DIGITALLY SIGNED Date Confirmed w/Water Works: Yes No 03/21/2022 Finance Signature Date 91.45 Refund Amount Paid: $ To whom it may concern, I just realized that I have been charged for a recycle can that was removed from my house in December of 2019. Enclosed are copies of the bills for reimbursement. Any questions please call. Thank you Chris Reisinger 1345 Lyon Ave 3194291227 WATERLi WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Curbside Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal Iot12.1 Id f\ CatitC44� .0C c\ cis . 1?) r)al /2 Ob 44i C1/4" /70 4hs \ $35.89 $2.16 $38.05 $54.81 $12.00 $35.25 $12.00 $7.00 $121.06 Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/14/2020 03/06/2020 Previous Balance Credits/Payments $130.60 -$130.60 Water Works Subtotal $38.05 City of Waterloo Subtotal $121.06 Total Current Service Charges $159.11 Total Amount Due $159.11 Amount Due After 03/06/2020 $166.60 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/29/2019 02/06/2020 77 Actual 89 Actual 12 16 14 LL 12 0 10 8 d 6 co a 4 n 2 0 i 00 ,.O O. 0'NA A (19 O'l ,SO 0-1/ Si 00 \ ^0. �0 ^9. N0 010 ry0 rP ,10 ,y0 SPECIAL MESSAGES Yard Waste/Recycling rate increased $3/mo to $4/mo **Mandatory Yard Waste/Recycling Site Maint Fee $5/ mo prorated effective 1/1/20 on this bill** Questions -call Garbage- Sanitation @291-4455 Please detach and return the bottom portion with your payment. See reverse side for additional information WATERLOO WATERWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Account Number: 108086-513433 Total Amount Due: 159.11 Amount Due After : 166.60 Billing Due Date: 03/06/2020 Amount Enclosed: L. 1;,116114 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 WATE R LO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE STATEMENT OF SERVICES ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/14/2020 06/05/2020 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Curbside Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $29.68 $1.79 $31.47 $47.25 $12.00 $35.25 $12.00 $15.00 $121,50 CHARGE SUMMARY Previous Balance Credits/Payments $159.11 -$159.11 Water Works Subtotal $31.47 City of Waterloo Subtotal $121.50 Total Current Service Charges $152.97 Total Amount Due $152.97 Amount Due After 06/05/2020 $159.77 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/06/2020 05/0S/2020 89 Actual 98 Actual 9 12 u_ 10 0 U a) rn co 8 6 4 2 0 ry\lb `LO^O, 01' Ob ti0\9 'l' r • PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: 11 WATERLOO WAS [ .WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 rillIMMIDDRESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Account Number: 108086-513433 Total Amount Due: 152.97 Amount Due After : 159.77 Billing Due Date: 06/05/2020 Amount Enclosed: REM1T To: 41111111.111.111 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 WATERLC�CJ WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Waterloo Water Works Services Water $29.68 Water Service Excise Tax $1.79 Water Works Subtotal $31.47 City of Waterloo Services Sanitary Sewer $50.25 Storm Water Fee $12.75 Garbage $35.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $125.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/14/2020 09/04/2020 CHARGE SUMMARY • Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 09/04/2020 $152.97 -$159.77 -$6.80 $31.47 $125.25 $156.72 $149,92 $156.57 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 05/05/2020 07/29/2020 98 Actual 106 Actual 8 SPECIAL MESSAGES IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VISIT 2020CENSUS.GOV AS SOON AS POSSIBLE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOOSNORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Account Number: 108086-513433 Total Amount Due: 149.92 Amount Due After : 156.57 Billing Due Date: 09/04/2020 Amount Enclosed: REMIT TO: 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 WATERLOO WAER. WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/12/2020 12/07/2020 Waterloo Water Works Services Water $29.68 Water Service Excise Tax $1.79 Water Works Subtotal $31.47 City of Waterloo Services Sanitary Sewer $50.25 Storm Water Fee $12.75 Garbage $35.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $125.25 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 12/07/2020 $149.92 -$149.92 $31.47 $125.25 $156.72 $156.72 $164.46 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 07/29/2020 10/29/2020 106 Actual 115 Actual 9 SPECIAL MESSAGES LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: W Ai E I LC.� C 1/1l}�`C` Val C R 1<5 P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Account Number: 108086-513433 Total Amount Due: 156.72 Amount Due After : 164.46 Billing Due Date: 12/07/2020 Amount Enclosed: REMIT TO: 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 WATERLOO 1rV, r ORKS 325 Sycamore Street P.0 Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Waterloo Water Works Services Water Water Service Excise Tax $30.57 $1.84 Water Works Subtotal $32.41 City of Waterloo Services Sanitary Sewer $50.25 Storm Water Fee $12.75 Garbage $35.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $125.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/15/2021 03/08/2021 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 03/08/2021 $156.72 -$156.72 $32.41 $125.25 $157.66 $157.66 $165.45 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/29/2020 02/04/2021 115 Actual 121 Actual 6 SPECIAL MESSAGES LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WAT___ !ILE.? \AaW 0 R KS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 .. ADDRESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Account Number: 108086-513433 Total Amount Due: 157.66 Amount Due After : 165.45 Billing Due Date: 03/08/2021 Amount Enclosed: 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 WATE R Lo2 WA` W R F 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/17/2021 06/08/2021 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Curbside Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $30.57 $1.84 $32.41 $50.25 $12.75 $35.25 $12.00 $15.00 $125.25 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 06/08/2021 $157.66 -$157.66 $32.41 $125.25 $157.66 $157.66 $165.45 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/04/2021 05/03/2021 121 Actual 129 Actual 8 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks ■ Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS -�.,._. P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ADDRESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108086-513433 Total Amount Due: 157.66 Amount Due After : 165.45 Billing Due Date: 06/08/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA r WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/16/2021 09/07/2021 Waterloo Water Works Services Water $43.35 Water Service Excise Tax $2.61 Water Works Subtotal $45.96 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $13.50 Garbage $35.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $129.00 CHARGE SUMMARY Previous Balance Credits/Payments $157.66 -$157.66 Water Works Subtotal $45.96 City of Waterloo Subtotal $129.00 Total Current Service Charges $174.96 Total Amount Due $174.96 Amount Due After 09/07/2021 $183.58 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 05/03/2021 07/30/2021 129 Actual 144 Actual 15 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks ■ Please detach and return the bottom portion with your payment. See reverse side for additional information alackacKS PAYABLE TO: WATERLOO nisaw,,WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ©RESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108086-513433 Total Amount Due: 174.96 Amount Due After : 183.58 Billing Due Date: 09/07/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOpaORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Reisinger Christopher 108086-513433 1345 LYON AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/12/2021 12/07/2021 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Curbside Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $32.70 $1.97 $34.67 $53.25 $13.50 $35.25 $12.00 $15.00 $129.00 CHARGE SUMMARY Previous Balance Credits/Payments $174.96 -$174.96 Water Works Subtotal $34.67 City of Waterloo Subtotal $129.00 Total Current Service Charges $163.67 Total Amount Due $163.67 Amount Due After 12/07/2021 $171.76 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type. Usage (CCF) 07/30/2021 11/02/2021 144 Actual 154 Actual 10 d s N4 n 2 0 o� °iv « 4 ,.O 9,oq ry°,yo 1 Its O1 Oh O6' SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks ■ Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO t i ley jWC RFPS .... .......,\A....nr�. •' fib R P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Reisinger Christopher 1345 Lyon Ave Waterloo, IA 507023437 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108086-513433 Total Amount Due: 163.67 Amount Due After : 171.76 Billing Due Date: 12/07/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Name: PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE itik I��awlm�c( Address: 323 CJ+X J+`. City/State/Zip: V ikit,, 100 j —``"� 1)-10.3 Service Address: 325 c'vfr �f Date: Phone: Refund Amount Requested: $ 431 ! 0 **Documentation Included: V Yes No ** All request for refunds required proof of payment before refunds are processed. Comments:.pSLoltA1-- Gras bet C W ' ' c31 nu- ifle moved Lv� lotco for cc 1cv e, lniki .she. cues Vtot- �r ve� ale \acts bi,(tbitted r ca(if-s Gant oolv frad, mecittiyin 6art. Signature/Sanitation Department Confirmed Refund Amount: $ 484-' 9 0 ZOz DIGITALLY SIGNED Date Confirmed w/Water Works: " Yes No 03/21/2022 Finance Signature Date Refund Amount Paid: $ 484.90 T\ UJ , Mqr CQ-hcQrs was h u s- v 40PrivkiLd ko,ve been fog -01r Q\ Q 1- Maato M G' ccr6Q$P Can 32&A- _t r100, 5 67°3 \Aa\iu ir\ HAMMQJ h Nfe_ Cl, °rid - G. , Colin (My P-r 4tQ_- 0,4-c,tkJ docompnk FtEet as_c d ne/tvc e,d l ccb4- `eir 11 \QeA \ a r MA-1\ilc, OA TO1L. S d Vag 411Q, k,r Q qcorkote ca,V 2.& -TLo q l 2 _- 21 23 C •er51- Wk\-ecloo,.T 56763 To: City of Waterloo - Finance Committee From: Malikah Muhammad 323 Center St. Waterloo, IA 50703 RE: 323 Center St - Request for refund of overpayment for garbage services I have been paying for both a large can and a medium can since 6/26/2019 I have only had 1 medium can since then. I am writing to request a refund of $ 484.90 for the amount I overpaid since 6/26/2019 Amount OVERPAID since 6/26/2019. 1st QTR 2nd QTR 3rd QTR : 4th QTR AMT PAID SHOULD HAVE BEEN AMT PAID SHOULD HAVE BEEN AMT PAID SHOULD HAVE BEEN AMT PAID SHOULD HAVE BEEN 2019 $ 20.80 $ l 8,401 $ 78.00 $ 31.50 $ 58.90 2020 88.50 35.25 88.50 35.25 88.50 35.25 88.50 35.25 213.00 2021 88.50 35.25:: 88.50 35.25 88.50 35.25 : 88.50 35.25 213.00 AMOUNT OVER PAID $ 484.90 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 - AGCOUNTSUMMAKY Billing Billing Billing Frequency: Quarterly Date: 07/30/2019 Due Date: 08/20/2019 Customer Name: Malikah Muhammad Account Number: 103860-546482 Service Address: 323 CENTER ST Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage City of Waterloo Subtotal \it,? ihei $7.11 $0.53 $7.64 $13.57 $3.20 $20.80 $37.57 ,CHARGE SUMMARY -$105.00 $105.00 $7.64 $37.57 $45.21 $45.21 $46.41 Credits/Payments Deposit Charged Wafer Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 08/20/2019 Previous Read pate Current Read Date=:. P av ous.Read, 509 Prey ens Read,: Actual ype Cu rent Read 512 1 current Read Type Actual ,' _ t)4age=, 3 GCE) 06/26/2019 07/17/2019 Usage (CCF) SPECIAL MESSAGES , ,�' �^ o ,45 ,a o Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS -PAYABLE TO: WATERL22WAR WORKS P.O. Box 27 Waterloo Iowa 50704 Phone: (319) 232-6280 Malikah Muhammad 323 Center St Waterloo, IA 50703 Account Number: 103860-546482 MOIA0040 45.21 Amount Due After : 46,41 Billing Due Date; 08/24/2019 Amount Enclosed: 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 WATERLOO WA t WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Muhammad CENTER ST ACCOUNT UNWARY Billing Billing Billing Frequency: Quarterly Date: 10/29/2019 Due Date: 11/20/2019 Customer Name: Malikah Account Number: 103860-546482 Service Address: 323 Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage City of Waterloo Subtotal r,.i( v1� $61.58 $3.70 $1.20 $66.48 $87.57 $12.00 $78.00 :-,CHARGESUMMARY, Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 11/20/2019 $46.83 -$48.03 -$1.20 $66.48 $177.57 $244.05 $242.85 $254,81 $177.57 Prey 07/17/2019 dusReadDate Cu rent 10/17/2019 Read Date-°. , Previous 512 Read Previous Actual Read. ype Current 537 Read - Current Actual Read Type Usage:; 25 CCF).' "' ? Usage (CCP) SPEC AL MESSAGES o^1.o 0 A ,o ry ry 0 rya 0I. ry�0 0 o �°�9 ■ Please detach and return the bottom portion with your payment MAKE CNECI($:PAYABLE TO: WATERLOOS WAT WORKS P.O. Box 27 Waterloo Iowa 50704 Phone: (319) 232-6280 Malikah Muhammad 323 Center St Waterloo, IA 50703 Please check box if contact information requires updating and indicate the change(s) on reverse side See reverse side for additional information Account Number: 103860-546482 Total Amount Duei Amount Due After : 242.85 254,81 Biu,.n(Due Date: Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA t. WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ST Billing Frequency: Quarterly Billing Date: 01/28/2020 Billing Due Date: 02/19/2020 Customer Name: Malikah Muhammad Account Number: 103860-546482 Service Address: 323 CENTER Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal z ply I I— -7 $56.59 $3.40 $11.96 $71.95 $80.01 $12.00 $88.50 $4.00 $184,51 Previous Balance Credits/Payments Balance Forward Water Works City of Waterloo Total Current Total Amount Amount Due After CHARGE Subtotal Subtotal Service Charges Due 02/19/2020 SWMNIARY, e -$254.81 „ $242.85 -$11.96 $71.95 $184.51 $256.46 $244.50 $256.36 Previous Read' Date Cu rent Read Date Prey qus Read Prey ous Read ype Current Read Current Read Type Usage 22 CCF) 10/17/2019 01/22/2020 537 Actual 559 Actual Usage (CCE) Ya Waste/Recycling SPEC d Waste/Recycling rate increased Site Maint ** Questions -call Garbage Fee -Sanitation AL $5/ MESSAGES mo $3/mo pro @291-4455 to $4/mo **Mandatory Yard ated effective 1/1/20 on this owbil 0 SPN oa o sit ry 'II) ro '19 ifi if ry eP 0 tiii s°�9 ■ Please detach and return the bottom portion with your payment. See reverse side for additional information - MAKE CHEGliS PAYABLE7Cti WATERLOO Mawr P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 '.-- ADDRESSEE: Malikah Muhammad 323 Center St Waterloo, IA 50703 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 Total Amount pi 244 50 Amount Due After : 256.36 eilli pub. 02/19/2020 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: Account Number: Service Address: Malikah Muhammad 103860-546482 323 CENTER ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/28/2020 05/19/2020 Waterloo Water Works Services Water $64.87 Water Service Excise Tax $3.90 Late Penalty $12.06 Water Works Subtotal $80.83 City of Waterloo Services Sanitary Sewer $90.09 Storm Water Fee $12.00 . Garbage $88.50 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $205.56 53,a 5 AROE'SI 1WMARV" Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $205.59 $244.50 -$257.28 -$12.78 $80.83 Total Current Service Charges $286,42 Total Amount Due $273.64 Amount Due After 05/19/2020 $286.38 Previous Read Date Current Read Date Previous R PreVtous Read Type Oiir ept Current- Read Type'„ ;Usage -(CC9 01/22/2020 04/16/2020 559 Actual 585 Actual 26 28 - 24 g 20 • 12 07 4 0 :SPECALNIESSAGES ■ Please detach and return the bottom portion with your payment. See reverse side for additional information .MAKE CHECKS PAYABLE TO: , WATERLOG? WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE;- - Malikah Muhammad 323 Center St Waterloo, IA 50703 Please check box if contact Information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 Total= Amount Due: 27164 Amount Due After : 286.38 Bi#ling Due Date: 05/2R/2020 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA WORKS WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNTSUNIMARY Customer Name: Account Number: Service Address: Malikah Muhammad 103860-546482 323 CENTER ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/28/2020 08/18/2020 Waterloo Water Water Late Penalty Water City of Sanitary Storm Garbage Yard Waste City of Water Works Services Service Excise Tax Works Subtotal Waterloo Services Sewer Water Fee / Recycle Site Maintenance Waterloo Subtotal OArOTITIA Fee $50.38 $3.03 $13.49 $66.90 $77.05 $12.75 $88.50 $15.00 $193.30 - :;DH ARG):-SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 08/18/2020 $273.64 -$288.00 -$14.36 $66.90 $193.30 $260.20 $245.84 $257.04 ,. Prev 04/16/2020 ous Read Date Current Read 07/20/2020 Rate - Prev ous'Read 585 Previous Actual Read Type Cur en 604 Read Current Read Type .-• Usage Actual 19 CCF) Usage)CCF) _ SPEC, IF YOU HAVE NOT COMPLETED 2020CENSUS,GOV AS SOON AS Ai YOUR POSSIBLE MESSAGES CENSUS FORM PLEASE VISIT r am 0 rie 9 ry 09 oa • 9, o OK 19 9, o• , Please detach and return the bottom portion with your paymen F1KE CHECK .:PAYA81.,E Tp: WATERLOO WATERWORKS P.O. Box 27 Waterloo Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Malikah Muhammad 323 Center St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side See reverse side for additional information Account Number: 103860-546482 Total Ain un7-flue: _ 245.84 Amount Due After : 257.04 RIH riB Due Date: 08/18/2020 Amount Enclosed: REM TTO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA. A„ 1,WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUl Customer Name: Malikah Muhammad Account Number: 103860-546482 Service Address: 323 CENTER ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/28/2020 11/19/2020 Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance City of Waterloo Subtotal f t j( Fee (\IV. $42.10 $2.53 $12.15 $56.78 $66.33 $12.75 $88.50 $15.00 $182.58 CHAM Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 11/19/2020 EB_(JMMARY,• $245.84 -$257.99 -$12.15 $56.78 $182.58 $239.36 $227.21 $238.46 Previous Read Date Current Read Date; Prey ous Read Previous Read ype Cu rent Read ' Cur ent=Read Type; Usage 15 CGFI 07/20/2020 10/09/2020 604 Actual 619 Actual Usage (CCF) LOGAN AVENUE HY-VEE IS BILLS PEC NOW AL MESSAGES ABLE TO TAKE PAYMENTS CURRENT o 0 A h^ ryoa n( . M1� M1 M1^9 ry^9 h^9 M1e P..P. Please detach and eturn the bottom portion with your payment. See reverse side for additional information AKECHECKS -RATABLE TO: WATERLOO WORKS P.O. Box 27 Waterloo Iowa 50704 Phone: (319) 232-6280 ADURE$SEE: Malikah Muhammad 323 Center St Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 Total Amou 227.21 Amount Due After : 238.46 Billing Due Date; Amount Enclosed: 11/19/2020 REMITTO; WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA , WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACC4UNTSUMMARY Customer Name: Malikah Muhammad Account Number: 103860-546482 Service Address: 323 CENTER ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/28/2021 02/18/2021 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance City of Waterloo Subtotal Fee $30.57 $1.84 $32.41 $50.25 $12.75 $88.50 $15.00 $166.50 'D `J 'CHARC ESUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 02/18/2021 $227.21 -$238.46 -$11.25 $32.41 $166,50 $198,91 $187.66 $195.99 Previous Read -Date Current Read Date Previous Read Previous Read Type Current Read _ - Current Read Type. _ ilspge?{cCF)" 10/09/2020 01/15/2021 619 Actual 628 Actual 9 Usage (CCF) -:..SPEC LOGAN AVENUE HY-VEE IS NOW BILLS AL MESSAt,ES ABLE TO TAKE PAYMENTS CURRENT Eli ry�0 9, 9. o ° o o" S 46 ryryn ryo ryo 0 ry9' 9, ryry o ryry 0 Please detach and return the bottom portion with your payment. See reverse side for additional information WATERLOO WAT R.WORKS P.O. Box 27 Waterloo Iowa 50704 Phone: (319) 232-6280 ADDRESSEE Malikah Muhammad 323 Center St Waterloo, IA 50703 0 Please check box if contact information requires updating and Indicate the change(s) on reverse side Account Number: 103860-546482 TotaliAmount•DUO: 187,66 Amount Due After : 195.99 Billing Due Date: 02/18/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Malikah Muhammad 323 Center St Waterloo, IA 50703 0 Please check box if contact information requires updating and Indicate the change(s) on reverse side Account Number: 103860-546482 TotaliAmount•DUO: 187,66 Amount Due After : 195.99 Billing Due Date: 02/18/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA kWORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page l of 1 Customer Name: Account Number: Service Address: Malikah Muhammad 103860-546482 323 CENTER ST ACCOUNTSUMMARY Billing Frequency: Quarterly Billing Date: 04/28/2021 Billing Due Date: 05/19/2021 Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance City of Waterloo Subtotal (1) $32.70 $1,97 $8.33 $43.00 $52.93 $12.75 $88.50 Fee $15.00 $169,18 eh, � — MD r C ..3 Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 05/19/2021 CHARGE-SUMMApY $187.66 -$395.99 -$208.33 $43.00 $169.18 $212.18 $3.85 $3.94 Prevous 01/15/2021 Read pate Current 04/20/2021 Read Date : - Prey ous.Read 628 Prey ous Read Actual Type Cacrent 638 Read Current Read Actual Type, ? Usagei(GGFj 10 ;' SPECIAL Now Available Online 2020 Annua http://iowaccr.org/waterloo waterworks MESSAGES D 'nking Water . Quality Report 28 - - Usage( .-,.� o^ 0 5,N o 0 NO N ry rya ro 99 99 99 ,fir° 99 s. Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAS';,'- _ WORKS P.O. Box 27 Water oo Iowa 50704 Phone: (319) 232-6280 ADORE SEE Malikah Muhammad 323 Center St Waterloo, IA 50703 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 Total Amount. Due: 3.85 Amount Due After : 3.94 Billing Due Date; 05/19/2Q21 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WAT., WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: Malikah Muhammad Account Number: 103860-546482 Service Address: 323 CENTER ST Billing Frequency: Quarterly Billing Date: 07/28/2021 Billing Due Date: 08/18/2021 Waterloo Water Water Late Penalty Water City of Sanitary Water Works ServicesARC+ESU_,NIMAiiI Service Excise Tax Works Subtotal Waterloo Services Sewer Water Fee / Recycle Site Maintenance Waterloo Subtotal — u�e* Fee pm. $49.74 $2.99 $0.17 $52.90 $56.09 $13.50 $88.50 $15.00 $173.09 Previous Balance $3.85 Balance Forward $3.85 Water Works Subtotal $52.90 City of Waterloo Subtotal $173.09 Total Current Service Charges $225.99 Total Amount Due $229.84 Amount Due After 08/18/2021 $240.99 Storm Garbage Yard Waste City of Prey 04/20/2021 birs Read Date Current 07/16/2021 Read Date Prey ousRead 638 Prey ous Actual Read ype Current 656 Read Currert€Read Actual Type: ; , r Usage°(CCP) 18 26 Di a ca 0 _ _ ._.' SPEC Now Available Online 2020 Annual http://iowaccr.org/waterloo-waterworks AL MESSAGES D - .nking Water Quality Report ■e o o ti,9 e to tiry o^ ti� tiry tip' ^o tin O^ ti0 Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CFIECKSPAYABI.E T02 WATERLOG} WATWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: .. ' Malikah Muhammad 323 Center St Waterloo, IA 50703 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 Total Amount Due: -229.84 Amount Due After : 240.99 Billing Due Rate: 08/18/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT 'SUM MART Customer Name: Account Number: Service Address: Malikah Muhammad 103860-546482 323 CENTER ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/28/2021 11/19/2021 Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $64.65 $3.88 $11.15 $79.68 $56.09 $13.50 $88.50 $15.00 }-$173.09 "-CHARGE Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 11/19/2021 SKMMART $229.84 -$240.99 -$11.15 $79.68 $173.09 $252.77 $241.62 $253.51 Previous Read 07/16/2021 Rats Cutcent Read Date . Previous Read Prey 10/19/2021 656 ous Read Type Actual Current Read 681 ' Current Read Type "% .- Usage ,(CCF) Actual 25 Usage )CCF) Now http://iowaccr,org/waterloo SPEC Available Online 2020 Annual waterworks AL MESSAGES D inking Water Quality Report 4 0 0 ti^9 ti4' tiry o^ 0 IS) M1I tiry ^o tiry o^ tiry tiry Please detach and return the bottom portion with your payment. See reverse side for additional information AKECHECKSPAYABLE"TO: WATERLOO WAR WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE; Malikah Muhammad 323 Center St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 Total Amourit:Dile; 241.62 Amount Due After : 253.51 Bilbl#g Due Date: ,11/19/2021 Amount Enclosed: REMITTO WATERLOO WATER WORKS P.O, BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 UNT SUMMARY Customer Name: Account Number: Service Address: Malikah Muhammad 103860-546482 323 CENTER ST Billing Frequency: Quarterly Billing Date: 01/27/2022 Billing Due Date: 02/17/2022 Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $33.03 $1.99 $6.89 $41.91 $56.09 $13.50 $88.50 $15.00 $173.09 CEtARG-SUMMARY' Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Due AmountDue Amount Due After 02/17/2022 $241.62 -$250.00 -$8.38 $41.91 $173.09 $206.62 $206.62 $216.86 Prev 10/19/2021 ots.Read Date current 01/14/2022 Read Date- Pr Anus 681 Read P evious Actual Read ype urrent 691 Read : Current ReadType Actual Usage (CCF) 10 28 U. ,e 0 12 0 SREC Now Available Online 2020 http://iowaccr.org/waterloo-waterworks Annual A17vtESSAGEB D ..: , 'nking Water Quality Report o^ o' 0 n a roa o^ �.1 roe rot „o ryn o° n� „o Please detach and return the bottom portion with your payment, See reverse side for additional information MAKE CHECKS, PAYABLE TD WATERLOO WA L WORKS P.O. Box 27 Water oo Iowa 50704 Phone: (319) 232-6280 ADDRESSEE, Malikah Muhammad 323 Center St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 103860-546482 TotalAmoupt Due: 206.62 Amount Due After : 216.86 BOO 1Dde Data 02/17/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: 1ijvl Sioi'Jttt Address: San Ve_rvvt oItt 5#-• Date: G2" (314 "0)a Phone: City/State/Zip: WO-ftA.00 j 10t)36t- Service Address: , O ' °L(W101'1i Refund Amount Requested: $ 17 i5• (07 5b1d1� **Documentation Included: /Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: WGLS pt.\ll VIL - -( a- karci_. CCIrrf bl - ha. (_ mectitCGYI art COik CaitO Signature/Sanitation Department Date Confirmed Refund Amount: $ `1 i 5 (4) 7 zoo [snug ICNEO Confirmed w/Water Works: 1/ Yes No 03/21/2022 Finance Signature Date Refund Amount Paid: $ 415.67 To: City of Waterloo - Finance Committee From: Anna Shower 520 Vermont St Waterloo, IA 50702 RE: 520 Vermont St - Request for refund of overpayment for garbage services I have been paying for a large can since 2003. I have had a medium can since 7/16/2015. I am writing to request a refund of $ 415.67 for the amount I overpaid since 7/16/2015. Amount OVERPAID since 7/16/2015: 1st QTR AMT PAID SHOULD HAVE BEEN 2nd QTR AMT PAID SHOULD HAVE BEEN 3rd QTR AMT PAID SHOULD HAVE BEEN 4th QTR AMT PAID SHOULD HAVE BEEN 2015 $ 46.50 $ 3150 $ 51.67 $ 35.00 $ 31.67 2016 46.50 31.50 46.50 31.50 46.50 31,50 46.50 31.50 60.00 2017 46.50 31,50 46.50 31.50 46.50 31.50 46.50 31.50 60.00 2018 46.50 31.50 46.50 31.50 46.50 31.50 46.50 31.50 60.00 2019 46.50 31.50 46.50 31.50 46.50 31.50 46.50 31.50 60.00 2020 53.25 35.25 53.25 35.25 53.25 35.25 53.25 35.25 72.00 2021 53.25 35.25 53.25 35.25 53.25 35.25 53.25 35.25 72.00 AMOUNT OVER PAID $ 415.67 WATERLOO WATIFAII&ORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 2 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/11/2016 03/03/2016 Waterloo Water Works Services Water $39.20 Water Service Excise Tax $2.75 Water Works Subtotal $41.95 City of Waterloo Services Sanitary Sewer $61.15 Storm Water Fee $8.25 Garbage $46.50 City of Waterloo Subtotal $115.90 31'S-f-) CHARGE SUMMARY trevious balance Credits/Payments Balance Forward S145.34 -$153.00 -$7.66 Water Works Subtotal $41.95 City of Waterloo Subtotal $115.90 Total Current Service Charges $157.85 Total Amount Due $150.19 Amount Due After 03/03/2016 $150.19 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/27/2015 11/22/2015 11/22/2015 11/23/2015 11/23/2015 11/23/2015 11/23/2015 02/01/2016 1,425 1,425 0 0 Actual Actual Actual Actual 1,425 1,425 0 17 Your meter was replaced on 11/23/2015 Actual Actual Actual Actual 0 0 0 17 6 w 4 0 2 U Q O� ,, A p. ^p gyp. ,, �y. ,�0 ,6O\ry0^,ip ,tio ,ip ,y0 ' '6' ,lo SPECIAL MESSAGES WATERLOO W WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/24/2015 12/17/2015 Waterloo Water Works Services Water $29.96 Water Service Excise Tax $2.10 Water Works Subtotal $32.06 City of Waterloo Services Sanitary Sewer $52.44 Storm Water Fee $9.17 Garbage $51.67 City of Waterloo Subtotal $113.28 CHARGE SUMMARY Water Works Subtotal $32.06 City of Waterloo Subtotal $113.28 Total Current Service Charges $145.34 Total Amount Due $145.34 Amount Due After 12/17/2015 $145,34 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 07/27/2015 10/27/2015 1,412 Manual Estimate 6 LL 4 0 2 u c a z 63 7 a 6 Oh ry0 ry0 ,�O ,y0 ,y0 ,y0 ,�O ,y0 ry0 1,425 Manual Estimate 13 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAT�ORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 145.34 Amount Due After : 145.34 Billing Due Date: 12/17/2015 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAT WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 150.19 Amount Due After : 150.19 Billing Due Date: 03/03/2016 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WAWORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T 5r 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/10/2016 06/01/2016 Waterloo Water Works Services Water $46.20 Water Service Excise Tax $3.24 Water Works Subtotal $49.44 City of Waterloo Services Sanitary Sewer $70.35 Storm Water Fee $8.25 Garbage $46,50 City of Waterloo Subtotal $125.10 CHARGE SUMMARY Previous Balance Credits/Payments $150.19 -$150.19 Water Works Subtotal $49.44 City of Waterloo Subtotal $125.10 Total Current Service Charges $174.54 Total Amount Due $174.54 Amount Due After 06/01/2016 $183.11 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/01/2016 04/26/2016 17 Actual 38 Actual 21 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATAkeRKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 174.54 Amount Due After : 183.11 Billing Due Date: 06/01/2016 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA - WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/10/2016 08/31/2016 Waterloo Water Works Services Water $39.20 Water Service Excise Tax $2.75 Late Penalty $8.57 Water Works Subtotal $50.52 City of Waterloo Services Sanitary Sewer $61.15 Storm Water Fee $8.25 Garbage $46,50 City of Waterloo Subtotal $115.90 CHARGE SUMMARY Previous Balance Credits/Payments $174.54 -$174.54 Water Works Subtotal $50.52 City of Waterloo Subtotal $115.90 Total Current Service Charges Total Amount Due Amount Due After 08/31/2016 $166.42 $166.42 $174.18 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 04/26/2016 07/28/2016 38 Actual 55 Actual 17 24 LL 2D L 16 12 m w - 4 ▪ 0 00 O31' ryO,b. 1534. tiO,h �11 ^y. M1O ,�h ry0 .10 �O ry0 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA�W�ORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 'Total Amount Due: 166.42 Amount Due After : 174.18 Billing Due Date: 08/31/2016 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/10/2016 12/06/2016 Waterloo Water works services Water $37.45 Water Service Excise Tax $2.63 Water Works Subtotal $40.08 City of Waterloo Services Sanitary Sewer $58.85 Storm Water Fee $8.25 Garbage $46,50 City of Waterloo Subtotal $113.60 CHARGE SUMMARY Previous tsaiance Credits/Payments 5166.42 -$166.42 Water Works Subtotal $40.08 City of Waterloo Subtotal $113.60 Total Current Service Charges $153.68 Total Amount Due $153.68 Amount Due After 12/06/2016 $161.23 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CC"-) 07/28/2016 10/27/2016 55 Actual 71 Actual 16 24 LL 20 U 16 2 12 CP 8 4 0 ili 04r ^, Off' Oh Oa Off' Off' 01 tiO'L01e' ryO'�`�. tiO,o' ^o SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATERWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 153.68 Amount Due After : 161.23 Billing Due Date: 12/06/2016 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATF�WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/10/2017 03/06/2017 Waterloo Water Works Services CHARGE SUMMARY Water $30.45 Previous Balance $153.68 Water Service Excise Tax $2.14 Credits/Payments $154.00 Water Works Subtotal $32.59 Balance Forward $0.32 City of Waterloo Services Water Works Subtotal $32.59 Sanitary Sewer $49.65 City of Waterloo Subtotal $104.40 Storm Water Fee $8.25 Total Current Service Charges $136.99 Garbage $46.50 Total Amount Due $143.40 City of Waterloo Subtotal $104.40 Amount Due After 03/06/2017 $143.40 Q S 3V f Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Reid Type Usage (CCF) 10/27/2016 01/31/2017 71 Actual 83 Actual 12 24 LL 20 o 16 V 12 0, 6 4 0 . 0. 0 0" 0. 4.. 0" 0" 01' 4P 0 N's 0�' Oa ryQ1� ryQ^yryoti�ryoryoryOryo,10 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO W • TEAR WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: 319 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 13667 Amount Due After : 143.40 Billing Due Date: 03/06/2017 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOOORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/11/2017 06/02/2017 Waterloo Water Works Services Water $26.95 Water Service Excise Tax $1.89 Late Penalty $6.73 Water Works Subtotal $35.57 City of Waterloo Services Sanitary Sewer $45.05 Storm Water Fee $8.25 Garbage $46.50 City of Waterloo Subtotal $99.80 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $136.67 -$143.40 -$6.73 Water Works Subtotal $35.57 City of Waterloo Subtotal $99.80 Total Current Service Charges $135.37 Total Amount Due $128.64 Amount Due After 06/02/2017 $134.98 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage(CCF) 01/31/2017 04/27/2017 83 Actual 93 Actual 10 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATFWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: 319 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 12864 Amount Due After : 134.98 Billing Due Date: 06/02/2017 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 WORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/08/2017 08/29/2017 Waterloo Water Works Services Water $35.70 Water Service Excise Tax $2.50 Late Penalty $6.34 Water Works Subtotal $44.54 City of Waterloo Services Sanitary Sewer $45.05 Storm Water Fee $8.25 Garbage $46.50 City of Waterloo Subtotal $99.80 Eklam g?� CHARGE SUMMARY Previous balance Credits/Payments $128.b4 -$128.64 Water Works Subtotal $44.54 City of Waterloo Subtotal $99.80 Total Current Service Charges $144.34 Total Amount Due $144,34 Amount Due After 08/29/2017 $151.12 Previous Read Date Current Read Date Previous Read Previous Re Type Current Read Current Read Type Usage (CCF) 04/27/2017 07/31/2017 93 Actual 108 Actual 15 24 20 e 18 12 71 4 0 ot ry0,�h ,y0^y ,LO^h ryO^� ryO^O. ryO4. 4k" ryO*" SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 Vi ORKS ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Totat Amount Due: 144.34 Amount Due After : 151.12 Bitting Due Date: 08/29/2017 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Pase 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/09/2017 12/05/2017 Waterloo Water Works Services Water $44.45 Water Service Excise Tax $3.12 Water Works Subtotal $47.57 City of Waterloo Services Sanitary Sewer $45.05 Storm Water Fee $8.25 Garbage $46.50 City of Waterloo Subtotal $99.80 9 s CHARGE SUMMARY Previous Balance Credits/Payments $144.34 -$144.34 Water Works Subtotal $47.57 City of Waterloo Subtotal $99.80 Total Current Service Charges $147.37 Total Amount Due $147,37 Amount Due After 12/05/2017 $154.58 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 07/31/2017 10/26/2017 108 Actual 128 Actual 20 SPECIAL MESSAGES n oy ry00. '49 Oh 6O y0 ry09. 19N.C3 '49 iil O^ Oa ,15;' ROB^ 01 '4 Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 Ej Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due.. 147.37 Amount Due After : 154.58 Billing Due Date: 12/05/2017 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 c WORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/09/2018 03/02/2018 Waterloo Water Works Services Water $39.28 Water Service Excise Tax $2.75 Water Works Subtotal $42.03 City of Waterloo Services Sanitary Sewer $45.05 Storm Water Fee $8.25 Garbage $46.50 City of Waterloo Subtotal $99.80 CHARGE SUMMARY Previous Balance Credits/Payments $147.37 -$147.37 Water Works Subtotal $42.03 City of Waterloo Subtotal $99.80 Total Current Service Charges $141.83 Total Amount Due $141.83 Amount Due After 03/02/2018 $148.78 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/26/2017 01/25/2018 128 Actual 143 Actual 15 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO. W®3�ORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 141.83 Amount Due After : 148.78 Billing Due Date: 03/02/2018 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOOWORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: otccount Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/11/2018 06/04/2018 Waterloo Water Works Services Water $35.42 Water Service Excise Tax $2.48 Late Penalty $6.95 Water Works Subtotal $44.85 City of Waterloo Services Sanitary Sewer $51.95 Storm Water Fee $8.25 Garbage $46.50 City of Waterloo Subtotal $106.70 d' CHARGE SUMMARY $141.83 Credits/Payments -$141.83 PrevIuus BaldrlLe • Water Works Subtotal $44.85 City of Waterloo Subtotal $106.70 Total Current Service Charges $151.55 Total Amount Due $151.55 Amount Due After 06/04/2018 $158.66 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 01/25/2018 04/26/2018 143 Actual 156 Actual 13 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA -WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 151.55 Amount Due After : 158.66 8111ing Due Date: 06/04/2018 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA L WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/09/2018 08/30/2018 Waterloo Water Works Services CHARGE SUMMARY Water $31.56 Previous Balance Credits/Payments $151.55 -$160.00 Water Service Excise Tax $1.90 Late Penalty $7.11 Balance Forward -$8.45 Water Works Subtotal $40.57 Water Works Subtotal 540.57 City of Waterloo Services City of Waterloo Subtotal $108.50 Sanitary Sewer $47.35 Total Current Service Charges $149.07 Storm Water Fee $8.25 Total Amount Due $140.62 Garbage $46.50 Amount Due After 08/30/2018 $147.56 Yard Waste / Recycle Curbside $6.40 City of Waterloo Subtotal $108.50 S\S 3 ''' Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 04/26/2018 07/30/2018 156 Actual 167 Actual 11 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Tana{ Amount Due: 140.62 Amount Due After: 147.56 Billing Due Date: 08/30/2018 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA L WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/09/2018 12/05/2018 U/atprinn \A/atar UMrkc cprviroc Water $33.49 Water Service Excise Tax $2.01 Late Penalty $6.94 Water Works Subtotal $42.44 City of Waterloo Services Sanitary Sewer $49.65 Storm Water Fee $8.25 Garbage $46.50 Yard Waste / Recycle Curbside $9.00 City of Waterloo Subtotal $113.40 CHARGE SUMMARY rrevluus odlance $140,62 Credits/Payments-$148.00 Balance Forward -$7.38 Water Works Subtotal $42.44 City of Waterloo Subtotal $113.40 Total Current Service Charges $155.84 Total Amount Due $148.46 Amount Due After 12/05/2018 $155.78 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 07/30/2018 10/26/2018 167 Actual 179 Actual 12 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 El Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 14g,gg Amount Due After : 155.78 Billing Due Date: 12/05/2018 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA [ WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNTSUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/11/2019 03/04/2019 Waterloo Water Works Services CHARGE SUMMARY Water $29.10 Previous Balance Credits/Payments $148.46 -$149.00 Water Service Excise Tax $2.36 Water Works Subtotal $31.46 Balance Forward $0.54 City of Waterloo Services Water Works Subtotal $31.46 Sanitary Sewer $54.60 City of Waterloo Subtotal $118.35 Storm Water Fee $8.25 Total Current Service Charges $149.81 Garbage $46.50 Total Amount Due $149.27 Yard Waste / Recycle Curbside $9.00 Amount Due After 03/04/2019 $157,13 City of Waterloo Subtotal $118.35 1j N/))\\ Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/26/2018 02/05/2019 179 Actual 193 Actual 14 5). tip,^ ryo,�1 ryo4reg' SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAIEJI WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 149.27 Amount Due After: 157.13 Billing Due Date: 03/04/2019 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/10/2019 06/03/2019 Waterloo Water Works Services CHARGE SUMMARY Water $29.10 Previous Balance Credits/Payments $159.42 -$159.42 Water Service Excise Tax $1.87 Water Works Subtotal $30.97 Water Works Subtotal $30.97 City of Waterloo Services City of Waterloo Subtotal $111.15 Sanitary Sewer $47.40 Total Current Service Charges $142,12 Storm Water Fee $8.25 Total Amount Due $149.24 Garbage $46.50 Amount Due After 06/03/2019 $149.24 Yard Waste / Recycle Curbside $9.00 City of Waterloo Subtotal $111.15 5\6 J/ 2' J Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/05/2019 04/25/2019 193 Actual 203 Actual 10 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: WATERLOO WAWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 D Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 142.12 Amount Due After : 149.24 Billing Due Date: 06/03/2019 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA C WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST STATEMENT OF SERVICES Waterloo Water Works Services Water $29.10 Water Service Excise Tax $1.99 Late Penalty $7,12 Water Works Subtotal $38.21 City of Waterloo Services Sanitary Sewer $49.77 Storm Water Fee $12.00 Garbage $46.50 Yard Waste / Recycle Curbside $9.00 City of Waterloo Subtotal $117.27 Billing Frequency: Billing Date: Billing Due Date: Qua rterly 08/09/2019 08/30/2019 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 CHARGE SUM Previous Balance Credits/Payments -$151.27 Balance Forward -$7.12 Water Works Subtotal $38.21 City of Waterloo Subtotal $117.27 Total Current Service Charges $155.48 Total Amount Due $148.36 Amount Due After 08/30/2019 $155.89 Previous Read Date Current Read Date Previous Read Previous Read T pe Current Read Current Read Type Usage (CCF) 04/25/2019 07/29/2019 203 Actual 214 Actual 11 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount flue: 14836 Amount Due After : 155.89 Bluing Due Dates 08/30/2019 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO, AO RKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/12/2019 12/05/2019 Waterloo Water Works Services Water $57.52 Water Service Excise Tax $3.46 Late Penalty $7.53 Water Works Subtotal $68.51 City of Waterloo Services Sanitary Sewer $49.77 Storm Water Fee $12.00 Garbage $46.50 Yard Waste / Recycle Curbside $9.00 City of Waterloo Subtotal $117.27 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $151.41 -$159.95 -$7.53 Water Works Subtotal $68.51 City of Waterloo Subtotal $117.27 Total Current Service Charges $185.78 Total Amount Due $178.25 Amount Due After 12/05/2019 $187,00 Previous Read Date Current Read Date Previous Read Prev ous Read Type Current Read Current Read Type Usage (CCF 07/29/2019 10/28/2019 214 Actual 237 Actual 23 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAT;54Z9RKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 Please check box if contact information requires updating and Indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 178.25 Amount Due After : 187.00 Billing Due Date: 12/05/2019 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA t WORKS 325 Sycamore Street P.O. Box 27 1 Ahtarinn Imma 5(17(l4 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paae 1 of 1 ACCOUNT ''SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/11/2020 03/03/2020 Waterloo Water Works Services Water $33.82 Water Service Excise Tax $2.03 Water Works Subtotal $35.85 City of Waterloo Services Sanitary Sewer $49.77 Storm Water Fee $12.00 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee . , , $6.00 City of Waterloo Subtotal $133.02 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $178,25 -$179.00 -$0.75 Water Works Subtotal $35.85 City of Waterloo Subtotal $133.02 Total Current Service Charges $168.87 Total Amount Due $168.12 Amount Due After 03/03/2020 $176.12 Previous Read Date Current Read Date Previous Read Previous Read ype Current Read Current Read Type Usage CC 10/28/2019 01/30/2020 237 Actual 248 Actual 11 SPECIAL MESSAGES Yard Waste/Recycling rate increased $3/mo to $4/mo **Mandatory Yard Waste/Recycling Site Maint Fee $5/ mo prorated effective 1/1/20 on this bill** Questions -call Garbage- Sanitation @291-4455 Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 168.12 Amount Due After : 176.12 Billing Due Dates 03/03/2020 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/11/2020 06/02/2020 Waterloo Water Works Services Water $40.03 Water Service Excise Tax $2.41 Late Penalty $8.00 Water Works Subtotal $50.44 City of Waterloo Services Sanitary Sewer $59.85 Storm Water Fee $12.00 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $152.10 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $168.12 -$180.00 -$11.88 Water Works Subtotal $50.44 City of Waterloo Subtotal $152.10 Total Current Service Charges $202.54 Total Amount Due $190.66 Amount Due After 06/02/2020 $199.32 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 01/30/2020 04/29/2020 248 Actual 262 Actual 14 SPECIAL MESSAGES PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FF Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and Indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 190.66 Amount Due After : 199.32 Billing Due Date: 06/02/2020 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA C WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/11/2020 09/01/2020 Waterloo Water Works Services Water $52.45 Water Service Excise Tax $3.15 Water Works Subtotal $55.60 City of Waterloo Services Sanitary Sewer $55.61 Storm Water Fee $12.75 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $148.61 CHARGE SUMMARY Previous Balance Credits/Payments $190.66 -$190.66 Water Works Subtotal $55.60 City of Waterloo Subtotal $148.61 Total Current Service Charges $204.21 Total Amount Due $204.21 Amount Due After 09/01/2020 . . .... . $213.51 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 04/29/2020 07/28/2020 262 Actual 282 Actual 20 SPECIAL MESSAGES IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VISIT 2020CENSUS.GOV AS SOON AS POSSIBLE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 20421 Amount Due After : 213.51 Billing Due Date: 09/01/2020 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA C WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paae 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONTST Waterloo Water Works Services Water $44.17 Water Service Excise Tax $2.66 Water Works Subtotal $46.83 City of Waterloo Services Sanitary Sewer $55.61 Storm Water Fee $12.75 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $148.61 Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/10/2020 12/04/2020 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $204.21 -$214.00 -$9.79 Water Works Subtotal $46.83 City of Waterloo Subtotal $148,61 Total Current Service Charges $195.44 Total Amount Due $185.65 Amount Due After 12/04/2020 $194.80 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 07/28/2020 10/28/2020 282 Actual 298 Actual 16 24 SPECIAL MESSAGES 18 LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS u 1 7 11A14 O% ^� Off' Op 61 •.O^ 0. 01 P P P P ryo P ryo ryo Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATAj�WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 185.65 Amount Due After : 194.80 Billing Due Date: 12/04/2020 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/10/2021 03/03/2021 Waterloo Water Works Services Water $45.48 Water Service Excise Tax $2.73 Late Penalty $9.15 Water Works Subtotal $57.36 City of Waterloo Services Sanitary Sewer $69.01 Storm Water Fee $12.75 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $162.01 S CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $185.65 -$195.00 -$9,35 Water Works Subtotal $57.36 City of Waterloo Subtotal $162.01 Total Current Service Charges $219,37 Total Amount Due $210.02 Amount Due After 03/03/2021 $220.38 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/28/2020 02/01/2021 298 Actual 314 Actual 16 SPECIAL MESSAGES LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAT4ZORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: 319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 210.02 Amount Due After : 220.38 Billing Due Date: 03/03/2021 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WATEETORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/11/2021 06/02/2021 Waterloo Water Works Services Water $41.22 Water Service Excise Tax $2.48 Late Penalty $10.36 Water Works Subtotal $54.06 City of Waterloo Services Sanitary Sewer $63.65 Storm Water Fee $12.75 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $156.65 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $210.02 -$221.00 -$10.98 Water Works Subtotal $54.06 City of Waterloo Subtotal $156.65 Total Current Service Charges $210.71 Total Amount Due $199.73 Amount Due After 06/02/2021 $209.59 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/01/2021 04/29/2021 314 Actual 328 Actual 14 24 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks 20 c U 12 p'8 g , 7 0 _ MI INN MIN 01' Da 01 0 O, CI6 O^ o Off' Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAT,_WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 El Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 199.73 Amount Due After : 209.59 Billing Due Date: 06/02/2021 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA v WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/12/2021 09/02/2021 Waterloo Water Works Services Water $36.96 Water Service Excise Tax $2.22 Water Works Subtotal $39.18 City of Waterloo Services Sanitary Sewer $61.77 Storm Water Fee $13.50 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $155.52 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $199.73 -$200.00 -$0.27 Water Works Subtotal $39.18 City of Waterloo Subtotal $155.52 Total Current Service Charges $194.70 Total Amount Due $194.43 Amount Due After 09/02/2021 $204.04 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 04/29/2021 07/28/2021 328 Actual 340 Actual 12 24 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks 16 u -12 , a �+ 4 0 ,19 ,yo ,19ryo ry91' ,Yo'4 ryo`Y ryo`L ,Lo`L ryo`L Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WAWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amaunt Due: 194.43 Amount Due After : 204.04 BHIUIng DuDate; - 09/02/202 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WATWORKS 325 Sycamore Street P.O. Box 27 WaterInn Inwa 5n7nd CTATFMFNT nr GPM/If-Pc Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number; Service Address: Shower Anna M & Michael T Sr 107881-517278 520 VERMONT ST Waterloo Water Works Services Water $34.83 Water Service Excise Tax $2.09 Water Works Subtotal $36.92 City of Waterloo Services Sanitary Sewer $58.93 Storm Water Fee $13.50 Garbage $53.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $152.68 SIG Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/10/2021 12/06/2021 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $194.43 -$195.00 -$0.57 Water Works Subtotal $36.92 City of Waterloo Subtotal $152.68 Total Current Service Charges $189.60 Total Amount Due $189.03 Amount Due After 12/06/2021 $198.38 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 07/28/2021 10/27/2021 340 Actual 351 Actual 11 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: 319 232-6280 ADDRESSEE: Shower Anna M & Michael T Sr 520 Vermont St Waterloo, IA 507022926 El Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 107881-517278 Total Amount Due: 189.03 Amount Due After : 198.38 Billing Due Date: 12/06/2021 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Name: PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE TI-illOtKi Milk Address: (g I c 4av+v\1cLfr1 ArVe- Phone: City/State/Zip: (Lkrt oo La 501 o t Date: _a q Service Address: Sig 4arfirha-n / ,U_ Refund Amount Requested: $ (23. 301 **Documentation Included: V Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: Signature/Sanitation Department Date Confirmed Refund Amount: $ 1 ,,)•3, 301- w DIGITALLY SIGNED Confirmed w/Water Works: 1/ Yes No 03/21/2022 Finance Signature Date Refund Amount Paid: $ 123.32 Apologies, just had a bunch of interruptions. I'm sure you can relate. O $53.25 - $30.00 = $23.25 credit per quarter 5 quarters x $23.25 = $116.25 His first bill (last on this email) was prorated for days. If my calculations are correct, O, I would say he should get $7.07 credit for this period. You are the math wiz. Feell free to correct me. O Let me know if you need additional information. Carla Bills 8/30/2021 and 11/29/2021 were correct. Billed 6/02/2021 Location 1113969 Fixed Consumption $93.00 $80.82 Taxes Bill Total Outstanding Amt $1.84 $175.66 $0.00 From From 2/19/2021 2/25/2021 to I 5/27/2021 5/24/2021 Date Details 5/24/2021 Reading for meter 87431147 WWW-WATER Prev, = 29 Curr. = 32 Diff. = 3 WWW-STORM Stcrmwater,EF-7/1/2020 WWW-VW VW / Recycle Cur;.EF-1/1/2020 WWW-GARB-C Garbage,EF-1/1/2020 WWW-YWM YW/Recy cl a Site,EF-1/1/2020 WWW-WATER Add-cn Minimum C,EF-1/1/2021, 30.57 1'VWW-WATER Charges Above Mi,EF-1/1/2021, 3 x 0 WW1 -SEWER Minimum Charge 0,EF-7/1/2020, 50.25 W\'VW-SEWER Charges Above Mi,EF-7/1/2020, 3 x 0 Tax - Waterloo Water 30.57 © 6.0000D% Total current charges Billed 3/01/2021 Void Posting I Void Creation Voided By Reason Code Comment Gross Penalty Actual Penalt Extended Bill Amount 12.75 12.00 53.25 15.00 30.57 50.25 1.84 175.66 2 Requested By I Location 113969 Fixed Consumption Taxes Bill Total Outstanding Amt Date 2/24/2021 $93.00 $80.82 $1.84 $175.66 $0.00 From From 11/18/2020 11/21/2020 to to 2/26/2021 2/24/2021 Void Postir Void Creat Voided By Reason Cc Comment Gross Pen Actual Per Details Reading for meter 87434447 WW1'V-WATER Prey. = 23 Curr. = 29 Diff. = 6 Extended I {_Amount VA:NV-STORM Stormwater;EF-7/1/2020 VAAV-YIN Y1'V / Recycle Cur,EF-1/1 /2020 VwaV-GARB-C Garbage;EF-1/1/2020 WWW-VWM YW/Recycle Site ,EF-1/1/2020 VVWVV-WATER Add -on Minimum C,EF-1/1/2021, 30.57 WWW-WATER Charges Above Mi,EF-1/1/2021, 6 x 0 WWW-SEWER Minimum Charge O,EF-7/1/2020, 50.25 WWW-SEWER Charges Above Mi,EF-7/1/2020, 6 x 0 Tax - Waterloo Water 30.57 @ 6.00000% Total current charges Billed 11/30/2020 12.75 12.00 53.25 15.00 30.57 50.25 1.84 175.66 Location 113969 Fixed Consumption Taxes Bill Total Outstanding Amt $93.00 $79.93 $1.79 $174.72 $0.00 From 8/20/2020 to From 8/21/2020 to 11/24/2020 11/20/2020 Void Posting Void Creation Voided By Reason Code Comment Gross Penalts Actual Penalt Extended Bill Date 11/20/2020 Details Reading for meter 87431117 WWW-WATER Prev. = 15 Curr. = 23 Diff. = 8 WWW-STORM Stormwater; EF-7/1/2020 WWW-YW YW / Recycle Cur;.EF-1/1/2020 WWW-GARB-C Garbage,EF-1/1 r2020 WWW-YWM VW/Recycle Site;EF-1/1/2020 WWW-WATER Add -on Minimum C; EF-1/1/2020, 29.68 WWW-WATER Charles Above Mi,EF-1/1/2020, 8 x 0 WI'V\'V-SEWER Minimum Charge 0,EF-7/1/2020, 50.25 WWW-SEWER Charges Above Mi; EF-711/2020, 8 x 0 Tax - Waterloo Water 29.68 © 6.00000% Total current charges Billed 8/28/2020 Amount 12.75 12.00 53.25 15.00 29.68 50.25 1.79 174.72 Location 113969 Fixed Consumption Taxes $93.00 $79.93' Bill Total $1.79 $174.72 Outstanding Amt $0.00 From From 5/26/2020 5/27/2020 to 8/24/2020 8/20/2020 Void Postinc Void Creatio Voided By Reason Coc Comment Gross Penal Actual Pena Extended Bi Date 8/20/2020 Details Reading for meter 87434447 MAY -WATER Prev, = 7 Curr. - 15 Diff. = 8 VANW-STORM Stcrmvvater,EF-7/1/2020 b' WW-YW'A'V/ Recycle Cur,EF-1/1/2020 WWW-GARB-C Garbage,EF-1/1/2020 WWW-VWM VW/Recycle Site ,EF-1/1/2020 WWW-WATER Add -on Minimum C,EF-1/1/2020, 29.68 WWW-WATER Charges Above Mi,EF-1/1/2020, 8 x 0 WWW-SEWER Minimum Charge 0,EF-7/1/2020, 50.25 WWW-SEWER Charges Above Mi,EF-7/1/2020, 8 x 0 Tax - Waterloo Water 29.68 @ 6.00000% Total current charges Billed 5/28/2020 Amount 1235 12.00 53.25 15.00 29.68 50.25 1.79 174.72 Requested By Location Fixed Consumption Taxes Bill Total 0 utstanding Amt 113969 $92.25 From $76.93 $1.79 $170.97 $0.00 Date 5/26/2020 0 From 2/25/2020 2/10/2020 to to 5127/2020 5/26/2020 Void Posting [ Void Creation Voided By Reason Code Comment Gross Penalty Actual Penaly Extended Bill Details Rea cling for meter 8743/1147 MAW -WATER Prev. = 0 Curr. = 7 Diff. = 7 WWW-STORM Stormwater,EF-7/1/2019 WWW-YW VW / Recycle Cur,EF-1!1/2020 t'V''tW-GARB-C Garbage,EF-1/1/2020 \'W/t'V-Yl'VM YW/Recycle Site ,EF-1/1/2020 VNAV-WATER Add -on Minimum C,EF-1/1/2020, 29,68 MAV-WATER Charges Above Mi,EF-1/1/2020, 7x 0 WWW-SEWER Minimum Charge 0,EF-7/1/2019, 47.25 VAVW-SEWER Charges Above Mi,EF-7/1/2019, 7 x 0 Tax - Waterloo Water 29.68 © 6,00000% Total current charges Billed 2/28/2020 This bill was his first bill and prorated for the two week period. Amount 12.00 12.00 53.25 15.00 29.68 47.25 1.79 170.97 amption • gal 3nding Amt $27.68 $16.24 $0.38 $44.30 $0.00 From From 1 /31 /2020 to 1/30/2020 to 2/26/2020 2/17/2020 Details 2020 Rea cling for meter 8743211/7 WWW-STORM StormwaterrEF-7f1/2019 WWW-YW YW / Recycle Cur; EF-1/1 rr2020 W WVW-GARB-C Garbacje,EF-1/1 f2020 WWW-YWM YW/Recycle Site;EF-1;r1/2020 WWW-WATER Adcl-cn Minimum C; EF-1/1/2020, 29.68 WtW/-WATER Charges Above hvli,EF-1/1/2020, 0 I'VWW-SEWER Ivlrnimurn Charge 0,EF-771,'2019, 47.25 WWW-SEWER Charges Above Mi,EF-7.1/2019, 0 Tax - Waterloo Water 6.27 © 6.00000% Total current charges Carla Manahl, Office Manager Waterloo Water Works 325 Sycamore St. P.O.Box 27 Waterloo, IA 50704-0027 319-232-6280 Ext. 3903 Void Cre Voided E Reason Cornrnen Gross Pe Actual P Extende& Amount .3.60 3.60 15.98 4.50 6.27 9.97 0.38 44.30