HomeMy WebLinkAboutApproved Documents - 04.18.2022City Clerk Use Only
Finance Committee
Approval Date 4/18/22
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
$ 2,912.70
plus est. shipping costs of
Traffic Operations
Department to expend
$ 200.00 to pay for or purchase
Traffic signal base, 2 signal heads, 2 ped heads and hardware
This purchase or expenditure is being made because:
To replace damaged signal equipment at the intersection of E. 4th & Sycamore
Vendor selected for this purchase: General Traffic Controls, Inc.
�■ Bids or written quotes were taken on this purchase, as follows:
General Traffic Controls, Inc.
Spencer, Iowa $2,912.70
Mobotrex
Davenport, Iowa NO BID
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:
266-17-7120-1576
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 28,400.00
and the current available balance is
Respectfully submitted,
Sandie Greco 4/6/2022
$ 14,754.84
Ue 4/18/22
(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 4/18/22
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
$ 6,000.00 plus est. shipping costs of $ to pay for or purchase
tar for crack sealing on runways and taxiways.
This purchase or expenditure is being made because:
airfield pavements must be maintained for aircraft safety.
Vendor selected for this purchase: Logan Contractors
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Logan is the sole source vendor in Iowa for this type of material.
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 $ 21,365.47
Respectfully submitted,
Keith Kaspari 4/4/22
ZOei4kez
4/18/22
(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 4/18/22
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Bldg Maint Department to expend
$ 6,450.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Piping modifications for City Hall Chiller requested by Building Maintenance.
Vendor selected for this purchase:
Young Plumbing & Heating Co.
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Young Plumbing is currently working at City Hall for other HVAC project.
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
and the current available balance is
Respectfully submitted,
Greg Ahlhelm - Building Official 4/4/2022
$ 120,000 + $164,980.00
$ 187,162.52
Ue ne
4/18/22
(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 Commitj718/22
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
Code Enforcement
Department to expend
$ 3,875 plus est. shipping costs of $ to pay for or purchase
Removal of a hazardous tree at 226 Hammond Ave.
This purchase or expenditure is being made because:
It is a court ordered removal - it will be charged back to the property owner.
Vendor selected for this purchase:
Wilson Custom Tree
n Bids or written quotes were taken on this purchase, as follows:
Wilson Custom Tree - $3,875
Affordable Tree Services, LLC - $5,000
Owens Property Service - $8,000
nBids 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:
n
General Fund
Bonds
n
Road Use Tax Sewer I —I Sanitation
Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
525-15-5125-1390
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 65,000.00
and the current available balance is $ 27,716.45
Respectfully submitted,
Nee 4/18/22
(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 Commitief1 8/22
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
$ 4,000.00
Community Development office
Department to expend
plus est. shipping costs of $ to pay for or purchase
Two additional programs for Neighborly Software - Landlord Program and CHDO program
This purchase or expenditure is being made because:
An approval of software for Community Development was received 12/20/21- at implementation
it was determined that two additional programs would need to be purchased for two activities that CD implements
Vendor selected for this purchase:
Neighborly Software
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Neighborly software has the modules that we need for our programs
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:
224-32-5851-1520 32CARE3.ADMN
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Rudy D. Jones, Comm Dev Director
3-25-22
$ 59,600.00
$ 34,300.00
Oee
-' 4/18/22
(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 4/18/22
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 Engineering Department to expend
$ 2,500.00 plus est. shipping costs of $ 0 to pay for or purchase
Renewal of dTims Software Support
This purchase or expenditure is being made because:
This is the pavement management software that Engineering uses to analyze the road
inspection data provided by the State every two years.
Vendor selected for this purchase:
Institute For Transportation
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
The Institute For Transportation at Iowa State University is the only vendor
to purchase the software support from
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) LOST
This expenditure is to be coded to the following budget line -item:
205-07-7830-1390
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Jamie Knutson 04/05/2022
$ 3,500.00
$ 3,500.00
&If
4/18/22
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
IOWA STATE UNIVERSITY Institute for Transportation
OF SCIENCE AND TECHNOLOGY 2711 S. Loop Drive, Suite 4700
Ames, Iowa 50010-8664
ISU FEIN 42-6004224 Phone: 515-294-8103 Fax: 515-294-0467
City of Waterloo
Attn: Ryan Shatek
715 Mulberry Street
Waterloo, IA 50701
RYAN.SHATEK@WATERLOO-IA.ORG
ISU Account Number
PG 103241
Invoice ITRNS-TJM226
Date 3/16/2022
DESCRIPTION
I
AMOUNT
dTIMS Annual Maintenance and CTRE management services
Questions or concerns, please contact Tim Morris at 515-294-0727 or e-mail tmorris@iastate.edu
PLEASE MAKE CHECK PAYABLE TO:
Iowa State University
PLEASE MAIL CHECK AND REMITTANCE COPY TO:
Tim Morris
Institute for Transportaton
ISU Research Park
2711 S. Loop Drive, Suite 4700
Ames, IA 50010-8664
,------"'
te• 11 1 ' % 73 * -2S-6 4 4 ";
$2,500.00
TOTAL INVOICE
$ 2,500.00
3/16/2022
Tim Morris, Business Manager
City Clerk Use Only
Finance Committee
Approval Date 4/18/22
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 Fire Department to expend
$ 35,132.50 plus est. shipping costs of $ 185.00 to pay for or purchase
Two (2) Lucas 3 Chest Compression Systems. $10,000 of this amount will be paid for with a
grant awarded by VGM Community Giving.
This purchase or expenditure is being made because:
Mechanical CPR is the standard of care in cardiac arrest when not contraindicated.
WFR Currently uses Lucas 3 devices. Zoll's device was trialled and does not meet our needs.
Vendor selected for this purchase:
Stryker
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Stryker is a single source vendor for their products.
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:
010-12-1412-2116; 010-12-1410-2116 12GRT.LUCAS
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 10,000.00 ; 160,235.00
and the current available balance is $ 10,000.00 ; 51,521.10
Respectfully submitted,
Jason Hernandez April 11, 2022
Zee
4/18/22
(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 4/18/22
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
Fire
$ 78,000.58 plus est. shipping costs of $
Three (3) PowerLoad Ambulance Cot Loading Stystems
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
In an effort to reduce the risk of back injury due to the manual lifting of patients and the cot they are transported
on WFR is purchasing an automatic load system that will eliminate the manual lifting into the ambulance.
Vendor selected for this purchase:
Stryker
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
WFR currently utilizes Stryker ambulance cots which are only compatible with the
Stryker PowerLoad 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
ElBonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-12-1410-2116
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Jason Hernandez 4-11-2022
$ 160,235.00
$ 160,235.00
��
SSUR lu,4. 4/18/22
(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 Commit�ep1 8/22
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 Fire Department to expend
$ 10,008.74 plus est. shipping costs of $ to pay for or purchase
(1) Bariatric patient cot
This purchase or expenditure is being made because:
Waterloo Fire Rescue currently does not have the capability to safely and ethically transport a
patient weighing greater than 600 to 700 pounds.
Vendor selected for this purchase:
Stryker
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Waterloo Fire Rescue currently utilizes Stryker cots in all ambulances. Ambulances are
currently equipped to accept Stryker products for uniformity.
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:
010-12-1410-2116
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 160,235.00
and the current available balance is $ 82,235.42
Respectfully submitted,
Jason Hernandez April 11, 2022
ZVeiciftez
4/18/22
(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 Commit[[}}iep1 8/22
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
Fire
Department to expend
$ 20,704.58 plus est. shipping costs of $ to pay for or purchase
(1) Powered Patient Cot
This purchase or expenditure is being made because:
In an effort to reduce the risk of back injury due to the manual lifting of patients and the cot they are transported
on WFR is purchasing power cots that greatly reduce the amount of manual lifting personnel must do.
Vendor selected for this purchase:
Stryker
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
WFR currently uses Stryker cots and mounting systems in the ambulances. Due to constantly
having to move cots from ambulance to ambulance when routine and emergent maintenance is
is being performed these cots must be at least from the same manufacturer. Stryker is sole source of their products.
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:
010-12-1410-2116 Medical & Lab Equipment
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
$ 160,235.00
and the current available balance is $ 72,225.68
Respectfully submitted,
Jason Hernandez 4-11-2022
Nei, e
✓` 4/18/22
(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 4/18/22
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
$ 12,901.79
Human Resources Department to expend
plus est. shipping costs of $ to pay for or purchase
Office furniture for two workspaces and one small conference room in the Human
Resources Department
This purchase or expenditure is being made because:
The furniture in the HR Office has more than completed its predicted life span and no longer fits
the current office configuration.
Vendor selected for this purchase:
Workspace / Storey Kenworthy
�■ Bids or written quotes were taken on this purchase, as follows:
Storey Kenworthy's national piggy -back contract satisfies all local bid requirements
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:
418-22-8800-2118
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 12902.00
and the current available balance is
Respectfully submitted,
Lance Dunn 4/6/22
$ 12902.00
7e
(gin 4/18/22
(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 4/18/22
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 15,768.00 plus est. shipping costs of $ to pay for or purchase
Shuttle services during Black Hawk hockey games provided by Metropolitan Transit
Authority of Black Hawk County.
This purchase or expenditure is being made because:
to provide parking services during games. Enhance the spectator experience of attending
a hockey game.
Vendor selected for this purchase:
Met Transit
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 the vendor for city buses.
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) hotel motel
This expenditure is to be coded to the following budget line -item:
010-37-41051390 37HMT.SHTL22
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Paul Huting 03/28/2022
$ 15,768.00
$ 15,768.00
Ue e
• 4/18/22
(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��}}it�eComma")8/22
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
$ 80.00
Native Plant Plugs
plus est. shipping costs of
Engineering Department to expend
$ 50.00 to pay for or purchase
This purchase or expenditure is being made because:
We would like to provide a prize item for individuals who attend the HCVC Backyard Tour.
This is part of our education and outreach requirement as part of our Stormwater Permit
Vendor selected for this purchase:
DMF Gardens
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
This company has provided plants at a discount rate for the last three years
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) Stormwater
This expenditure is to be coded to the following budget line -item:
521-07-7830-1335
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Jamie Knutson 04/05/2022
$ 7,000.00
$ 5,552.98
ZVactftez
4/18/22
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
IOWA STATE UNIVERSITY Institute for Transportation
OF SCIENCE AND TECHNOLOGY 2711 S. Loop Drive, Suite 4700
Ames, Iowa 50010-8664
ISU FEIN 42-6004224 Phone: 515-294-8103 Fax: 515-294-0467
City of Waterloo
Attn: Ryan Shatek
715 Mulberry Street
Waterloo, IA 50701
RYAN.SHATEK@WATERLOO-IA.ORG
ISU Account Number
PG 103241
Invoice ITRNS-TJM226
Date 3/16/2022
DESCRIPTION
I
AMOUNT
dTIMS Annual Maintenance and CTRE management services
Questions or concerns, please contact Tim Morris at 515-294-0727 or e-mail tmorris@iastate.edu
PLEASE MAKE CHECK PAYABLE TO:
Iowa State University
PLEASE MAIL CHECK AND REMITTANCE COPY TO:
Tim Morris
Institute for Transportaton
ISU Research Park
2711 S. Loop Drive, Suite 4700
Ames, IA 50010-8664
,------"'
te• 11 1 ' % 73 * -2S-6 4 4 ";
$2,500.00
TOTAL INVOICE
$ 2,500.00
3/16/2022
Tim Morris, Business Manager
City Clerk Use Only
Finance Committee
Approval Date 4/18/22
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
$ 4,370.00 plus est. shipping costs of $ 350.00 to pay for or purchase
3 rowing machines and 2 skiing machines
This purchase or expenditure is being made because:
new machines are needed for classes and members have asked for these
machines.
Vendor selected for this purchase: Concept 2 (Morrisville, VT)
Bids or written quotes were taken on this purchase, as follows:
Concept 2 (Morrisville, VT) $4,720.00
Gopher Sport (Owatonna, MN) $5,483.70
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
❑ Bonds . Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
290-37-4105-2123 37SPLX.IAFIT
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 288,057.00
and the current available balance is $ 77,502.34
Respectfully submitted,
Todd Derifield 03/31/2022
eidteiL
4/18/22
(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 4/18/22
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
$ 3,264.00 plus est. shipping costs of $ to pay for or purchase
Labor and materials to replace 1/2 of a double swing gate in the North block of Riverloop
Expo Plaza.
This purchase or expenditure is being made because:
This gate was damaged beyond repair.
Vendor selected for this purchase:
D&N Fence Co. Inc. Cedar Rapids Iowa
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
D&N was the original provider of this fence and gate system and we want the replacement
gate to be manufactured and installed in identical fashion to the rest of the fencing and
gates at Expo Plaza.
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:
010-37-4110-1371
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Paul Huting 4/11/2022
$ 20,940.00
$ 7,448.83
ZUetqfteT
4/18/22
(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 4/18/22
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the MIS Department to expend
$ 8,393 plus est. shipping costs of $ to pay for or purchase
Seven (7) Applie 12.9" iPads
This purchase or expenditure is being made because:
These iPads will replace the aging iPads used by council members currently.
Vendor selected for this purchase:
US Cellular
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
US Cellular owns the bid for our Cell Devices including iPads.
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:
418-01-8225-2106
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 8393.00
and the current available balance is $ 8393.00
Respectfully submitted,
Chris Youngblut 4/6/22
7e 4/18/22
(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 4/18/22
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
$ $11,244.00 plus est. shipping costs of $ 0
Department to expend
to pay for or purchase
Repair and paint flooring for the Police Department break room and womens locker room.
This purchase or expenditure is being made because:
This is part of the building remodeling of downstairs break room/ locker room.
Vendor selected for this purchase:
Even Quality Works
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Even Quality Flooring was the only business that would bid a floor of this type. We have
used this company for other renovations which will match the work they have already done
inside the police department.
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 Police Department Improvements
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Captain Aaron P. McClelland
$ $146,478.05
$ $56,750.87
ZUeidtez
4/18/22
(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 4/18/22
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
$ 6,868.00 plus est. shipping costs of $ 0 to pay for or purchase
Hawkeye Alarm mandatory equipment move from the Tri County Drug Task Forces old office
to their new office space.
This purchase or expenditure is being made because:
Hawkweye Aalrm will move telephone systems, junction boxes, and install essential
phone jacks at workstations in the new office location essential for the investigators.
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:
This is proprietory to our current phone and alarm systems.
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) Tri-County Forf
This expenditure is to be coded to the following budget line -item:
010-11-1160-1512 11TRITRIF
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ $150,000
and the current available balance is $ 29,384.56
Respectfully submitted,
Aaron McClelland, Police Captain 3-30-22
w�� 7
4/18/22
(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 4/18/22
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ $2,850.00 plus est. shipping costs of $ 0 to pay for or purchase
Plumbing renovations and repair.
This purchase or expenditure is being made because:
This is part of the building renovations in the WPD break room. There are existing
plumbing repairs and roughing in of new sinks
Vendor selected for this purchase: Young Plumbing & Heating
n Bids or written quotes were taken on this purchase, as follows:
Young Plumbing $2,850.00
Tony's Plumbing $$7,800.00
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:
419-11-1100-2152 Police Department Improvements
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
$ $146,478.05
and the current available balance is $ $45,506.87
Respectfully submitted,
Captain Aaron P. McClelland 4/6/22
Ne-4-ex, Jr 4/18/22
(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 Commite�1 8/22
Approval Date [[}}
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 7,650.00 plus est. shipping costs of $ 0 to pay for or purchase
professional liability insurance renewal for the Tri-County Drug Enforcement Task Force.
This purchase or expenditure is being made because:
This is an annual renewal of liability insurance coverage for Tri-County Drug Enforcement
Task Force personnel.
Vendor selected for this purchase:
Iowa Communities Assurance Pool (ICAP)
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Iowa Communities Assurance Pool (ICAP) is a group insurance carrier that provides
coverage for Tri-County Drug Enforcement Task Force Board, Staff and Investigators.
This insurance has been in place for several years.
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) Tri-County Forf
This expenditure is to be coded to the following budget line -item:
010-11-1160-1512 11TRITRIF
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 190,000.00
and the current available balance is $ 45,186.01
Respectfully submitted,
Aaron McClelland, Police Captain 3-23-22
ZOei lve SGNED
4/18/22
(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 Committttef18/22
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
$ 7,842.00
plus est. shipping costs of
Department to expend
$ 125.00 to pay for or purchase
Lobe, seal and wear plate kits for Vogelsang primary sludge pumps
This purchase or expenditure is being made because:
Primary sludge pumps are in need of replacement parts.
Vendor selected for this purchase: Zimmer & Francescon
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Zimmer & Freancescon is the sole provider for Vogelsang pumps within Iowa.
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 $ 18,615.05
Respectfully submitted,
Matt Hosford
3/25/22
7e
• 4/18/22
(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 4/18/22
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
$ 5,863.91 plus est. shipping costs of $ 95.00 to pay for or purchase
JWC Severe Duty Seal Kit for spare Muffin Monster sludge grinder
This purchase or expenditure is being made because:
Spare Muffin Monster needs to be rebuilt so that we have a backup sludge grinder for digesters and primary building.
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 of JWC Severe Duty Seal kit.
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
Respectfully submitted,
Brian Bowman
3/25/2022
$ 24,573.96
Nz
4/18/22
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk
�jUse Only
Finance Commit4/ 1 8/22
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
$ 3,561.27 plus est. shipping costs of $ to pay for or purchase
Transformer and lug kits for 330 building
This purchase or expenditure is being made because:
Previous transformer was damaged overnight in a storm.
Vendor selected for this purchase: Electrical Engineering & Equipment
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 an emergency purchase for the plant.
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 1521
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 75,000.00
and the current available balance is
Respectfully submitted,
Brian Bowman
4/13/2022
$ 19,776.81
eiCtfteiL
4/18/22
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
If so, date app o e�/18/22
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 2021 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 3299
K9 Donations
11PRO.PDK9
1,000.00
010 11 1160 1528
K9 Program
11PRO.PDK9
1,000.00
TOTAL
$1,000.00
TOTAL
$1,000.00
This amendment is being requested because:
This is to conform with the City's budget line item control policy. This is to correct the K9 Program line for ongoing training and expenses.
Prior Committee Actions (Dates):
Aaron McClelland, Police Captain 4-6-2022
(Signature Dept. Head or Designee) Date
Neitinelb
4/18/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Waterloo.32766.1.Budget_Amendment_K9_4-18-22 (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.
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
NO 4/18/22
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2021 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 1150 3873
Reimb for Services
11GRT.ODEF
6,000.00
010 11 1150 1114
Overtime
6,000.00
TOTAL
$6,000.00
TOTAL
This amendment is being requested because:
This is to conform with the City's budget line item control policy. See attached paper worked, continued funding for OCDETF-
$6,000.00
Easy Money WC-IAN-0139 for FY22.
Aaron McClelland, Police Captain 4/6/2022
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee) Date
e c(n
SIGNED
4/18/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Waterloo.32787.1.Budget_Amendment_ODEF_additional_funding_4-18-22 (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.
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
If so, date approved: - / 1 8/22
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 Leisure Services 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 37 4125 3000
cash
37GLF0001
20,500.00
010 37 4125 1537
holt
37GLF 0001
8,700.00
010 37 4125 1371
bldg maint
37GLF 0001
11,800.00
TOTAL
$20,500.00
This amendment is being requested because:
to budget the balance left in this golf set aside balance at the end of Fiscal 2021.
TOTAL
$20,500.00
The funds will be available for upcoming possible expenses in the fiscal year 2022.
Prior Committee Actions (Dates):
Paul Huting 3/30/2022
(Signature Dept. Head or Designee) Date
w
Ulf, SIGNED
4/18/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Department Request 4125.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO _-/18/22
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2022 submitted by the Fire 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
010-12-1410 3414
Ambulance
Service Fee
60,000.00
010-12-1410 1311
Contractual
Services
60,000.00
010-12-1410 3414
Ambulance
Service Fee
367,000.00
010-12-1410 1319
Other Professional
Services
367,000.00
010-12-1410 3414
Ambulance
Service Fee
160,235.00
010-12-1410 2116
Medical &
Laboratory
Equipment
160,235.00
TOTAL
This amendment is being requested because:
$587,235.00
TOTAL
$587,235.00
1410-1311: This budget amendment is being requested to fund the estimated cost of paying the monthly fee for WFR's ambulance billing.
The fee associated with this cost is based on ambulance revenue.
1410-1319: This budget amendment is being requested to fund the estimated cost of paying the mandatory State of Iowa's share of the
Ground Emergency Medical Transport monthly fee, as well as the anticipated fee for WFR's GEMT consulting group.
The fee associated with this cost is based on ambulance revenue.
1410-2116: This budget amendment is being requested to fund the purchase of a bariatric system, power cots, and for two (2) Lucas 3,
mechanical CPR devices. $7,575 of this request is the cost of the required funds needed to match the acceptance of a
$10,000 VGM Giving Grant
Prior Committee Actions (Dates):
Pat Treloar 4/4/2022
(Signature Dept. Head or Designee) Date
Zu 512 4/18/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name
City Contract No.
Project Manager
Project Budget Total
Mechanical CPR Grant
Jason Hernandez
$ 10,000.00
1. How will this project be funded?
A. Federal Grant Yes No
Grant Name
CFDA #
B. State Grant Yes No
Grant Name
C. City Match
Source of Funding 010-12-1410 3414: Ambulance Revenue
D. Other Entities Yes X No
Name
Donation: VGM Community Giving Grant
To be assigned by the Finance Dept.
Project No. 12GRT
Subproject No. LUCAS
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
% 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)
To purchase one (1) Zoll Lucas 3, mechanical CPR device.
43.00%
57.00%
Done None
El El
Yes No
❑ ❑X
❑ ❑
El El
❑ ❑X
❑ ❑
Page 2 must be attached and signed.
K:\shared goodies\forms\Waterloo.32849.1.Project_Budget_Worksheet_Mechanical_CPR_Grant\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Commitlep1 8/22
Approval Date ��FF
Project Name (from page one) Mechanical CPR Grant
Department No. project will be budgeted under 12
Activity No. project will be budgeted under 1412
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
3721 Private Donation
EXPENDITURES:
To be assigned by the Finance Dept.
Project No. 12GRT
Subproject No. LUCAS
(Each column should only include amounts by fund)
Fund: 010 Fund:
Fund: Fund:
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
2112 Firefighting Equipment
1394 Restaurant/Food Service
2116 Medical & Lab Equipment
10,000.00 10,000.00
TOTALS $ 10,000.00 $
Pat Treloar 04-05-2022
(Signature Dept. Head) Date
$ - $ 10,000.00
Neigke
SIGNED
4/18/22
(Signature Finance Dept. Review) Date
K:\shared goodies\forms\Waterloo.32849.1.Project_Budget_Worksheet_Mechanical_CPR_Grant\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
Young Arena Event Shuttle Hotel Motel Funds
Chris Dolan
$ 15,768.00
1. How will this project be funded?
A. Federal Grant Yes
Grant Name
No
CFDA #
B. State Grant Yes No
Grant Name Reap Grant
C. City Match
Source of Funding
D. Other Entities Yes No
Name
Hotel Motel
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
Council awarded in April
To be assigned by the Finance Dept.
Project No. 37HMT
Subproject No. SHTL22
% 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
❑ ❑
Yes No
❑ ❑X
❑ ❑
❑ ❑
❑ ❑X
❑ ❑X
Young Arena received Hotel Motel funds to be used for event shuttle services.
Page 2 must be attached and signed.
K:\shared goodies\forms\Waterloo.32674.1.Project_Budget_HMT_YA_Event_Shuttle\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date 4/18/22
Project Name (from page one) Young Area Event Shuttle Project
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. SHTL22
(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
15,768.00 15,768.00
TOTALS $ 15,768.00 $ - $ $ - $ 15,768.00
1111 Salaries - Regular
1112 Salaries - Part Time
1315 Education & Training
1345 Travel - Official City
1346 Travel - Prof Training
1390 Contractual Services
1351 Advertising
15,768.00 15,768.00
TOTALS $ 15,768.00 $
Paul Huting 03/28/2022
(Signature Dept. Head) Date
$ $ 15,768.00
Zt)ee4fteA 4/18/22
(Signature Finance Dept. Review) Date
K:\shared goodies\forms\Waterloo.32674.1.Project_Budget_HMT_YA_Event_Shuttle\Page 2 (Donat or NON-constr) (Mar 2010)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
If so, date approved: 18/22
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 1150 3373
Federal Pass Thru
1GRT.COVID
14,385.00
010 11 1150 2110
Machinery Equip
1GRT.COVID
14,385.00
TOTAL
$14,385.00
TOTAL
$14,385.00
This amendment is being requested because:
This is to conform with the City's budget line item control policy. See attached paper worked, $14,385 additional funding for Waterloo PD's
Covid-19 Pandemic Initiative Grant#20-CESF-383558 for FY22 to cover the cost of a drying cabinet for biological evidence.
Aaron McClelland, Police Lieutenant 4/6/2022
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee) Date
Oe e
4/18/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies \ forms \Budget_Amendment_COVID2_additional_funding_4-18-2022.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
NO
YES —4
If so, date approved: / 1 8/22
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 1150 3900
Seized Property
11TRI.WPDF
5,000.00
010 11 1150 1512
WPD Forfeiture
11TRI.WPDF
5,000.00
TOTAL
$5,000.00
TOTAL
This amendment is being requested because:
This is to conform with the City's budget line item control policy. Using current revenue to increase the FY22 expense line.
$5,000.00
Aaron McClelland, Police Captain 4/6/2022
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee) Date
ZVeictrtea
4/18/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Waterloo.32764.1.Budget_Amendment_WPD_Forfeiture_4-18-2022 (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.
Address:
PUBLIC WORKS SANITATION DEPARTMENT
REFUND REQUEST GARBAGE/YARD WASTE
MA:'NA bb+
Name: urW [ Date: r 1`
!105 if Ave
City/State/Zip: V J } e-!o 1 WL{_- 51)10 (
Service Address:
I l05 Kv‘oll Ave-
Refund Amount Requested: $ 1j 1 93.77
Phone:
**Documentation Included: v Yes No
** All request for refundsrequiredproof of payment before refunds are`processed.
Comments: Ckurck (, J& bV l (�/i ri(Si1 �d ��N 3
114,01,C.0 Ca(CLvl,ct `11/ o v,t,
Signature/Sanitation Department Date
CI Confirmed Refund Amount: $ 41 1 `3'� l
Necdpteit
Confirmed w/Water Works: �_ Yes No
4/18/22
Finance Signature Date
Refund Amount Paid: $ 1' 193'77
To: City of Waterloo - Finance Committee
From: Hagerman Baptist Church
1105 Knoll Ave
Waterloo, IA 50703
RE: 1105 Knoll Ave - Request for refund of overpayment for garbage services
We have been paying for 2 large cans on our bill @ 1105 Knoll Ave. since 1/11/2016.
The church has only ever had 1 Large can at this address.
I am writing to request a refund of $ 1,193.77 for the amount the church has overpaid since 1/11/2016.
Attached you will find supporting documentation from Water Works.
Amount OVERPA D since 1/11/2016:
2016
2017
2018
2019
2020
2021
2022
2nd QTR
4th QTR
AMT:PAID
65.0
4W!
511mA
AHAVgBEEN=
),00
AMT PAID
$ 46 50
46.50
46.50
46.50
53.25
53.25
SHOULD
HAVE BEEN
0.00
0.00
0.00
0.00
0.00
0.00
AMT PAID
53;25r
53.25'
SHOUtp ;..
HAVE BEgN.?
0
AMT PAID
$ 46.50
46.50
46.50
46.50
53.25
53.25
SHOULD
HAVE BEEN
0.00
0.00
0.00
0.00
0.00
0.00
$ 163.27
186.00
186.00
186.00
206.25
213.00
53.25
AMOUNT OVER PAib
If you have questions or need any more information, please don't hesitate to call me (319)230-7832.
Thank you for your help with this.
sincerely,
Daft. Abboff-
Treasurer
WATERLOO WATE) - WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Pave 1of1
atiti.e'malu gpite
:ustomer Name:
account Number:
service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/07/2016
03/28/2016
Waterloo Water Works Services
Water
Water Service Excise Tax!....
Water Works Subtotal
City of Waterloo Services
Sanitary Sewer
.. • :•••:
• •-... • • •.. • •. . .
..............,... ..., .. . . -
Storm Water Fee .......... . . . ::•. .,.:.
Garbage :.:..::.:
Sales Tax :'.:::•.::..:.::.:••
City of Waterloo Subtotal
$31.50
$2.21
$33.71
$42.75
$82.50
$70.27
$13,71
$209.23
'
(lytt i ;..� . n -
k\kce•
Previous Balance ...,, •, ......,.,,, • ....,.a •.• ! • ,.,•.
Credits/Payments .. , •...,• ,•.. •• •;.:.. :'. �:.:,.. �...
Balance Forward , ... , •.:..;.::;::•::.;:':::•.:•.:::.•..
Water Works Subtotal . , , . , , ....::..:;..':,, ...:.'.::•
City of Waterloo Subtotal ....;
Total Current Service Charges ...:...:,....;
Total Amount Due
Amount Due After 03/28/2016
$214.72
-$224.75
-$10.03
$33.71
$209.23
$242.94
$232,91
$232,91
Udrta.�l'c�x s •` 01tiio__(twir(2_1W IL
11/20/2015 02/22/2016
ate Previous Read
373
•tub, I: 'I
Actual
i li(ie-Tiililt=tl
378
Current Read Type
Actual
14
12
310
0 6
v 6
N0) 4
w 2
� 0
.4_'
11
r1
! r
—1-1
NV
9,
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Please detach and return the bottom portion with your payment. See reverse side for additional Information
EICLAN?Cin `tiWAN t : e
WATERLOO WASE&WORKS
P.O, Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box if contact Information requires
updating and indicate the change(s) on reverse side
Account Number: 114515-506291
Total
Amount Due: 232.91
Amount Due After : 232.91
Billing
Due Date:
03/28/2016
Amount Enclosed:
I �I11U 1v
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WATIAZORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterl oowater. o rg
Page 1of1
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/03/2016
06/24/2016
Waterloo Water Works Services
Water Water Service Excise Tax .::. .. . . :: . .:.:::...: ..:
Water Works Subtotal .. .::.:. .-:.
City of Waterloo Services
Sanitary Sewer ......... ,,:,:::,:.:,:•..:.:..;.,
Storm Water Fee ....... .....:.::: ;
Garbage.............. .....:; c::
Sales Tax
City of Waterloo Subtotal . . ...... . . :..:. • • • •
$31.50
$2.21
$33.71
$42.75
$82.50
$93.00
$15.30
$233.55
CHARGE SUMMARY
Previous Balance .......... .......... ...............>..
Credits/Payments .......
$232.91
-$232.91
Water Works Subtotal ..::... •:.;., ,..... $33.71
City of Waterloo Subtotal; ....... , ....... _. $233.55
Total Current Service Charges ...,.:....... .:.. •.•••
Total Amount Due .......... .....:, ::....,.
Amount Due After 06/24/2016....:r• . , •
$267.26
$267.26
$279.76
Previous Read Date Current Read Date Previous Read
Previous Read Type
Current Read Current Read Type
U
e (CCF)
02/22/2016
03/04/2016
03/04/2016
05/23/2016
378
378
Actual
Actual
378
381
Actual
Actual
0
3
SPECIAL MESSAGES
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CHECKS PAYABLE TO;..
WATERL®Q V1lATERWORI<5
P.O. Box 27
Waterloo, Iowa 50704
Phone:,(919 :232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
El Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account
Number;
114515-506291
., A7fip70t
e.,.
i.
Amount Due After :
279.76
kW
0g D le p8s
-. - e
D6/R4/10U
Amount
Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
WATERLOO. WATE•RWORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
.A000UNTSUMMARV
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Waterloo Water Works Services
Water
Water Service Excise Tax ...... ...:..
Water Works Subtotal --
$35.00
$2.45
$37.45
City of Waterloo Services
Sanitary Sewer ........... :............ :........ • $4735
Storm Water Fee ...... .:::.... ... r..: $82.50
Garbage ............... ...::: ..;;::..:. $93.00
Sales Tax .. $15.62
City of Waterloo Subtotal _ $238.47
DATAprIqk
Billing Frequency Quarterly
Billing Date: 09/06/2016
Billing Due Date: 09/27/2016
CHARGE SUMMARY
Previous Balance '. $267,26
Credits/Payments .....:,.. •, -$267.26
Water Works Subtotal...,,.. ..., .....,.... ... $37.45
City of Waterloo Subtotal ... • . • • ......., „....,..,.,. $238.47
Total Current Service Charges:.....,,,.,,.,. $275.92
Total Amount Due $275.92
Amount Due After 09/27/2016 $288,82
Previous Read Date Current Read Date Previous Read
Previous Read ype' - 'Current Read
Current Read Type
Usage (CCF)
05/23/2016
08/23/2016
__381.. ....
Actual
392 Actual.,
SPECIAL MESSAGES
■
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:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number: 114515:506291
Total,QWRCDun : , ¢75.92
Amount Due After : . 288c$2
B
IOW
: b91 EM
Amount Enclosed::
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOQW_AALIZORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704 ._..._. -
STATEMENT of SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee1of1
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/07/2016
12/30/2016
Waterloo Water Works Services
Water $64.75
Water Service Excise Tax $4.54
Water Works Subtotal .., ......., ... • • ..• $69.29
City of Waterloo Services
Sanitary Sewer........ ...,....•.- $86.45
Storm Water Fee ........ .......:..:........ $82.50
Garbage - :, $93.00
Sales Tax...............:...;:a::,..:::.::: $18.36
City of Waterloo Subtotal: ... , :: 2880.31
56
CHARGE SUMMARY
Previous Balance ........... r: , • .. ..:.:: ; I. 4
Credits/Payments _.
$275.92
-$275.92
Water Works Subtotal $69,29
City of Waterloo Subtotal - $280.31
Total Current Service Charges ..... $349.60
Total Amount Due $349.60
Amount Due After 12/30/2016 , • • • • • $365.94
Previous Read Date Current Read Date Previous R
d. Previous Read Type Current Read Current Read Type
Usage (CCF)
08/23/2016
11/28/2016
392
Actual
420
Actual
28
SPECIAL MESSAGES
■
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATERLOO WAORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box If contact Information requires
updating and Indicate the changes) on reverse side
Account
Number: 114515-506291
T'ott v:utthtouii
t atfl)
Amount Due After
t
365.94
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
Page 1 of 1
A[couNTSUMMARY
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/21/2016
01/17/2017
Waterloo Water Works Services
Water
Water Service Excise Tax;.:., • ... -:, ;: ,.
Water Works Subtotal.. ,.,
City of Waterloo Services
Sanitary Sewer ....... .
Storm Water Fee
Garbage _ ... ..
Sales Tax
City of Waterloo Subtotal a
$7.18
$0,51
$7.69
$9.59
$11.00
$12.40
$2,33
$35.32
CHARGE SOMMARY
Previous Balance ..............,:.:.e:., $349.60
Credits/Payments _ -$349,60
Water Works Subtotal ...... ..........•:.x
City of Waterloo Subtotal - - - -
Total Current Service Charges
Total Amount Due ......... ,
Amount Due After 01/17/2017 .... ..............
$7.69
$35.32
$43.01
$43.01
$43.56
Previous Read Date Current Read Date Previous Read
Previous Read Type - Current Read Current Read Type
Usage (CCF)
11/28/2016
12/09/2016
420
Actual
423
Actual
3
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: 019)232-6280,.
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box if contact Information requires
updating and Indicate the change(s) on reverse side
Account,
Number:.---
114515-506291
7Oar ?j5otllit
bue
-1301
Amount Due After;:;
BiRl)t�gDOIMO
W i
y,.07 J1/
Oi
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
Customer Name: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105KNOLL AVE
ACCOUNT SUMMARY',
,
Billing Frequency: Quarterly
Billing Date: 03/23/2017
BillingDue Date: 04/13/2017.
Waterloo
Water
Water
Water
City of
Sanitary
Water
Service Excise
Works Subtotal
Waterloo
Sewer
Water Fee
Waterloo
.........:
Works
Tax
Services
......
Subtotal.
Services
;
......
.:.
.:..•...::r.-....,.:...
....
.
, ....
; .
,
- -
• .:..
4 ....
.::.
- -
-
r........
..
...
-
-
......
, . :. •
-
$233.55
$31.50
$2.21
$33.71
$42.75
$82.50
$93.00
$15.30
CHARGE SUMMARY
Previous Balance
Credits/Payments - -
Water Works Subtotal -- --- , - - _
City of Waterloo Subtotal.-:t:..., ,..... .... :...
Total Current Service Charges
Total Amount Due - - - -
Amount Due After 04/13/2017.... .::.:.......sw.
$43.01
$43.01
$33.71
$233.55
$267.26
$267126
$279.76
Storm
Garbage
Sales Tax
City of
Previous Read Date
Current
03/10/2017
Read Date Previous Read
423
Previous Rea
Actual
Type Current Read Current Read Type
425 Actual
Usage (CCF)
12/09/2016
se
o LI 0
__- '.,.
__. SPECIAL MESSAGES
• o
b'
ry,� till M1� �6u , 'to 4
4)
'P
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:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contactInformation requires
updating and Indicate the change(s) an reverse side
Account Number:
114515-506291
I it `0t cou13,a.
�71
Amount Due After:
279.76
WI
tl IROchEe r.. -t
._ ....< a /19J
AZ
Amount
Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO. WAAORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page l of 1
ustomer Name: Hagerman Baptist Ch
etccount Number: 114515-506291
service; Address: 1105 KNOLL AVE
ACCOUNT SUMMARY
Billing Frequency: Quarterly
Billing Date: 06/21/2017
Billing Due Date: _ 07/13/2017
Waterloo
Water
Water
Water
City of
Sanitary
Storm
Garbage
Sales Tax
City of
Water
Service Excise
Works
Subtotal
Tax
Services
-
-
•-
-
-
-
--
_.
- -
-
-
-
.
-
- —
-
-.
$50.75
$3,56
$54.31
$68.05
$82.50
$93,00
$17.07
$260,62
'
Previous
Credits/Payments
Water
City of
Total
Total
: Amount
CHARGE SUMMARY
Balance .......... .............-..,.
- - --
Works Subtotal..,----
Waterloo Subtotal -- - - . -
Current Service Charges
$267.26
-$267.26
$54,31
$260,62
$314.93
$314.93
$329,65
Works Subtotal
Waterloo Services
Sewer
Water Fee
Waterloo
_ _ _ .
Amount Due - - -
Due After 07/13/2017. - -. —
Previous Read Date Current Read Date.
03/10/2017 06/13/2017
Previous Read
425
Previous Read Type - Current Read Current Read Type
Actual 445 Actual
Usage (CCF)
20
Ir.
as
30
-
SPECIAL MESSAGES
I
Ilto
u
®
iii
II
Iml
o d
rvd'e rvde o5 Q h 6 ^, F o
o' o%
vd ry
ry
&
•P
■
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. Box27
Waterloo, Iowa 50704
-. ,. _.. Phone: 0319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number:. 114515.506291
Tn��lAtrit�rlt4e .,._,.. :. .rQ4j
Amount Due After:
329.65
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WATER W. ORKS
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: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105 KNOLL AVE
ACCOUNT
SUMMARY
Billing Frequency Quarterly
Billing Date: 09/21/2017
Billing Due Date: 10/13/2017
Waterloo Water
Water
Water Service
Water Works
City of Waterloo
Sanitary Sewer
Storm Water
Garbage
Sales Tax
City of Waterloo
Works
Excise
Subtotal
Services
,•,,,,,...,.,,,,
Fee
Subtotal
Tax
Services
........
...,...,,,,,....••
..
4..
-
• ,••--.,,•••,
. -
-
$31.50
$2.21
$33.71
$42,75
$82.50
- $93.00
- $15.30
$233.55
i
Previous
Credits/Payments
Water
City
Total
Total
Amount
CHARGE SUMMARY
Balance ........... „ .,...,
__. ...,..
- -
Works Subtotal ....
of Waterloo Subtotal .. . -
Current Service Charges
$314.93
-$314.93
$33.71
$233.55
$267.26
$279,76
Amount Due.......... ,.
Due After 10/13/2017... ,.,., ..
PreviousRead Date Current Read Date
06/13/2017 09/11/2017
Previous Read Previous Read Type. Current Read Current Read Type
445. Actual 450 Actual
Usage (CC-)
5
as
6 s
a
6
n
SPECIAL MESSAGES
..,,
._.._.
yy
®
�'
rr
MEW
Y
di d' 4
b' 1 � 1' b'M1 hd u 'Le'
elf
bg 0
ti^b 1' 1'
Please detach and return the bottom portion with your payment. See reverse side for addltional InformatIon
MAKE CHECKS PAYABLE TO:
WATERLOO WAy. \WORKS
P,O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
0 Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number:
114515=506291
Tn�
t1tiPlthtt�e c
�2 '26
Amount
Due Aker:, -
- 279.76
NIIIIO
.tfepaa
iQMAW
Amount Enclosed:
-
REMIT TO:
WATERLOO WATER WORKS
P.0, 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.waterloowate r.org
Page 1 of 1
Customer Name: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105 KNOLL AVE
ACCOUNT
SUMMARY
Billing
Billing
Billing
Frequency: Quarterly
Date: 12/20/2017
Due Date: 01/15/2018
Waterloo
Water
Water Service
Water Works
City of Waterloo
Sanitary
Storm Water
- Garbage
Sales Tax
City of Waterloo
Water
Excise
Subtotal..
Sewer
Fee
..............
Works
Services
.......
Subtotal
Services
- -
Tax
......:..
........,..
-
.....
-
--
•
_..
......
- -
_,
.::.....
-
, ..•
....,.....,
-
.:.:
. • ...
_-__
$31.50
$2 21
$33.71
$42.75
$82.50
$93.00
$15.30
$233.55
Previous Balance
Credits/Payments
Water Works
City of Waterloo
Total Current
Total Amount
Amount Due
CHARGE
-
Subtotal..:..:.
Subtotal ,
Service Charges
SUMMARY
- -
.:.:.;
v...z ,
-
..,,;,.........
- -
- -
... ....:,:
... -..sx:...
-
-
$267.26
-$267 26
$33,71
$233.55
$267 26
Due
After 01/15/2018
$267,26
$279.76
Previous Read Date Current Read Date -
09/11/2017 12/11/2017
Previous Read
450
Previous Read Type Current Read Current Read Type
Actual 453 Actual
Usage (CCF)
3
35
u
s
s
g fu
n
SPECIAL MESSAGES
®
r .••®
o om
ro
M1 tin
oa
ti, ,\
re
0'
�6'�
cP dA
M1
■
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATERLOO WI KS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319.232-6280_.
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account.
Number:-
114515-506291
Mell
0An
Aye ,; 47
Amount Due After : 279.76
81
004iE
DBter .1200
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA S0704
WATERLOO A_ WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.wate rloowater,org
Page 1 of 1
Customer
Account
Service
Name:
Number:
Address:
Hagerman
114515-506291
1105 KNOLL
Baptist Ch
AVE
ACCOUNT SUMMARY
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/15/2018
, _....
04/05/2018
Waterloo Water
Water .................
Water Service
Water Works
City of Waterloo
Sanitary Sewer
Storm Water
Garbage
Sales Tax .............
City of Waterloo
Excise
Subtotal..,
Fee
Works
Services
........
Subtotal
Tax
Services
...
--
.
...::....-.-
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- -•Amount
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$34.65
$37.08
$42.75
$82.50
$93.00
$15.30
$233.55
$2.43
Previous
Credits/Payments
Water
City
Total
Total
CHARGE
Balance .........
..........
Works Subtotal .......
of Waterloo Subtotal
Current Service Charges
SUMMARY
.....::,,....,:
.....:.: ....a.
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$267.26
-$267.26
$37.08
$233.55
$270.63
$270.63
$283.28
,..:.
.......
........
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.,............
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_
-
-
Amount Due
Due After 04/05/2018
6.
Previous Read Date . Current Read Date
12/11/2017 03/09/2018
Previous Read
453
Previous Read Type Current Read - Current Read Type
Actual 456 Actual
Usage (CCF)
3
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SPECIAL MESSAGES
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MAKE CHECKS PAYABLE TO
WATERLOO WA ;_1NORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone:(319)232c6280_._. ....__
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number:
114515-506291
xO iMiliau _:
v -;
2p0;¢3
AmoUht DUe After:
283.28
AmotintEhclosed:
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
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
.AC000NTSUMMARY
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/20/2018
07/12/2018
Water Service Excise Tax -
Water Works Subtotal ....:......:.
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee ...............:........ .... $82.50
Garbage $93.00
Sales Tax ............... ......::.::...::..... $15,30
City of Waterloo Subtotal . $233,55
Waterloo Water Works Services
Water . - $34.65
$2.43
$37.08
CHARGE SUMMARY
Previous Balance .........:...:.„
$270163
Credits/Payments-5270.53
Water Works Subtotal $37.08
City of Waterloo Subtotal . ,;.:.
Total Current Service Charges :.,
Total Amount Due .......... .....
:...... ..... •_...
Amount Due After 07/12/2018
$233.55
$270.63
$270,63
$283.28
Previous Read Date Current Read Date.
03/09/2018 06/12/2018
Previous Read
456
Previous Read Type Current Read
Actual
459
Current, Read Type Usage (CCF).
Actual
3
35
u25
30
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SPECIAL MESSAGES
0
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
a
WATERLOO WWORKS
P.O, Box 27 `
Waterloo, Iowa 50704
Phone:4319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and indicate the change(s) on reverse side
Actount,Number:
114515-506291
Tatia1 AM4ylt 4i8 , f
.
70:$3
Amount Due After:
283.28
Billing
Dl�e Date
ti17A Mp18
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
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/20/2018
10/11/2018
Waterloo Water Works Services
Water
Water Service Excise Tax , , .. . .
Water Works Subtotal„
City of Waterloo Services
Sanitary Sewer _
Storm Water Fee
Garbage
Sales Tax
City of Waterloo Subtotal
Moif
$34.65
$2.08
$36.73
$42.75
$82.50
$93.00
$15.30
$233.55
C IARGE SUMMARY
Previous Balance........ ..n:.rrs. $270.63
Credits/Payments........... ...1....... ,...;v:-$270.63
Water Works Subtotal $36.73
City of Waterloo Subtotal ........ .....r.: v: , .::.: $233.55
Total Current Service Charges - - -- $270.28
Total Amount Due ..........:: qr $270.28
Amount Due After 10/11/2018, ._, $282.93
Preview Read D
Current Read Date
Previous .Read
Previous Read Type Current Read Current Read Type
Usage (CCF)
06/12/2018
09/11/2018
459
Actual
462
Actual
3
'SPECIAL MESSAGES
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE. CHECKS PAYABLE TO:
WATERL
O W IERWORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280,_._ _
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account
114515-506291�
yNumb
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Amount Due After;:
282.93,
0
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J20
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
Customer Name: Hagerman
Account Number: 114515-506291
Service Address: 1105
Baptist Ch
KNOLL AVE
ACCOUNT
SUMMARY_
Billing
Billing
Billing
Frequency:
Date:
Due Date:..__.01/14/2019
Quarterly
12/19/2018
-
Waterloo Water
Water ...............
Water Service
Water Works
City of Waterloo
Sanitary Sewer
Storm Water
Garbage
Sales Tax
City of Waterloo
Excise
Subtotal
Services
........
Fee
Subtotal
Works
......
Services
Tax,
..
.....
. ..
.........
. .
a ....
----
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. ......
. ...
-
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-
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. .
--
$44.30
$2.66
$46.96
$54.25
$82.50
$93.00
$16.10
$245.85
-
CHARGE SUMMARY
Previous Balance • - -
Credits/Payments
Water Works Subtotal -- --'-
City of Waterloo Subtotal :....: .. .
Total Current Service Charges - - - - - - - -
Total Amount Due - - -
Amount Due After 01/14/2019 1:..........:...:
$270.28
-$270.28
$46.96
$245 85
$292.81
$292.81
$306,52
Previous Read. Date' .Current Read Date Previous Read
09/11/2018 12/11/2018 462
Previous Rea
Actual
Type Current Read Current Read Type
476 Actual
Usage (CCF)
14
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Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATERLOO WAORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280..___.
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact information requires
updating and Indicate the change(s) on reverse side
AccouritNumber:.,.. - .• T14515-5U6291
LA I Ot ud; -.. 232 1
Ai Onnt Due After : 306.52
iIIII(>gige fe aft., .. ,, ., .. . �1%14/204
AmountEnclosedi-
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
WATERLOO WAL;ORKS
325 Sycamore Street
P.O, Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Ch
ACCOUNISUMMARY
•
Billing Frequency Quarterly
_ ..
Customer
Account
Service
Name: Hagerman Baptist
Number: 114515-506291
Address: 1105 KNOLL AVE
Billing Date: 03/20/2019
Billing Due Date: 04/10/2019
Waterloo
Water
Water Service
Water Works
City of Waterloo
Sanitary
Storm Water
Garbage
Sales Tax
City of Waterloo
Water
Sewer
Subtotal
Fee
Excise
Works
Services
Subtotal,
Services
Tax
....:......:.
,
,.
.
,-,,
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,.
.- -
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$36.40
$2.19
$38.59
$45.00
$82,50
$93.00
$15.45
$235.95
$292.81
-$306.52
-$13.71
$38.59
$235.95
$274.54
$260.83
$272.99
Previous
Credits/Payments
Balance
Water
City
Total
Total
Amount
CHARGE
Balance..... ,......
,,,,,,,,,
Forward ,,;,;...
Works Subtotal ......
of Waterloo Subtotal ........
Current Service Charges
SUMMARY
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.,,,.,•.•...,,,,.,•
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..... .,.,.,., .,..-,.
...................
- - - --
Amount Due..........
Due After 04/10/2019
Previous Read Date Current Read Date
12/11/2018 03/12/2019 _
Previous Read
476
Previous Rea
Actual
Type -'Current Read Current Read Type
„.„479 Actual
Usage (CCF)
3
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SPECIAL MESSAGES
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MAKE CHECKS PAYABLE TO:
WATERLOO WA1444tORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number: 114515-506291
Toil
}rloitnt
ue, F h
_169;$
Amount Due After°;:
272.99
ROMe�A
, , .?=
4/3072010
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO V. AjnORKS
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: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105 KNOLL AVE
ACCOUNT
SUMMARY
'
Billing Frequency: Quarterly
Billing Date: 06/20/2019
Billing Due Date: 07/12/2019
Waterloo Water
Water
Water Service
Water Works
City of Waterloo
Sanitary Sewer
Storm Water
Garbage
Sales Tax
City of Waterloo
Works
Excise
Subtotal
Services
Fee .......
Subtotal
Services
Tax
........
...........
....
...:,.
- -
. .....
.............
......,..
-
4-5....
-
,
- - -
. --
$36.40
$2.19
$38,59
$45.00
$82.50
$93,00
$15.45
$235,95
CHARGE SUMMARY
Previous Balance ........... ........ .......
Credits/Payments........... ....,..•.......
Waterworks Subtotal ....... •....................
City of Waterloo Subtotal _ , �
Total Current Service Charges.,.,.,.. .::.. .... ..... ::..
Total Amount Due,,..,.....
Amount Due After 07/12/2019
$260,83
-$260.83
$38,59
$235.95
$274.54
$274.54
$287.39
Previous Read Date
Current Read Date Previous Read
06/11/2019 479
Previous Read Type . Current Read Current Read Type
Actual 487 Actual
'Usage (CCF)
8
03/12/2019 __..
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MAKE CHECKS PAYABLE TO:
WATERLOO WA WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone) l0319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number:
114515-506291,
Tnta-Ptitfttpft0
;
<ci
27 %
AMount Due After: --
287.39
11 'MOO
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Amount
Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO IOWA 50704
WATERLOO WALTEVeRKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
STATEMENT OF SERVICES
ACCOUNT SUMMARY
Waterloo Water Works Services
Water - $36.40
Water Service Excise Tax $2.19
Water Works Subtotal ..
City of Waterloo Services
Sanitary Sewer .......... ........,,.,..,... $47 25
Storm Water Fee ....... .......,. ,;...:.,.,., $120,00
Garbage $93.00
Sales Tax - _-- $18.23
City of Waterloo Subtotal . $278.48
$38.59
Billing Frequency:
Billing Date:
Billing Due Date:
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Quarterly
09/19/2019
10/10/2019..
CHARGE SUMMARY
Previous Balance............::.:::..,o,n:::::::,:
Credits/Payments ..... ::.........
Water Works Subtotal ....... ,,:...:.
$274.54
-$274.54
$38.59
City of Waterloo Subtotal --:-.. $278.48
Total Current Service Charges - - - - $317.07
Total Amount Due $317.07
Amount Due After 10/10/2019 _ $331.90
Previous Read Date Current Read Date Previous Read
Previous Read Type Current Read
C4rrent Read Type.
Usage(CCF)
06/11/2019
09/13/2019
487
Actual
490
Actual
3
SPECIAL MESSAGES.
■
Please detach and return the bottom p Mon with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATERLO® WATORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone:,(319 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box if contact Information requires
updating and Indicate the change(s) on reverse side
Account Number:
114515-506291
dot@ giti t V
�i,92
Amount Due After:.
331.90
BIRIrNOWDate
r" x
SD1,1
LIM.
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.waterl oowater.o rg
Paae 1 of 1
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/20/2019
01/15/2020
Waterloo Water Works Services
Water ................ .......,,
Water Service Excise Tax ..... ....:...,...
Water Works Subtotal .. . , . ,
City of Waterloo Services
Sanitary Sewer .......... -.
Storm Water Fee ........ ,
Garbage
SalesTax ..............::
City of Waterloo Subtotal
$36.40
$2.19
$38.59
$47 25
$120.00
$93.00
$18.23
$278 48
CHARGE SUMMARY
Previous Balance ............ :.:.
$317.07
Credits/Payments -$317.07
Water Works Subtotal .. .. $38.59
City of Waterloo Subtotal $278.48
Total Current Service Charges $317.07
Total Amount Due .,$317,07
Amount Due After 01/15/2020 . _ $331,90
.Previous Read Date Current Read Date. Previous. Read .Previous.Read Type
.Current Read Current Read Type.
Usage (CCF)
09/13/2019
12/11/2019 490
Actual
497
Actual _.._.
7
SPECIAL MESSAGES
fa 8
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATERLOO WATEBZORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone:; 319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number: 114515-506291
T9 f
04tfZ Dtte :PT
Amount
Due After:
331.90
Amotfet
Enclosedf.
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO IOWA 50704
WATERLOO. WapRtORKS
325 Sycamo e 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: Hagerman Baptist Ch Billing Frequency: Quarterly
Account Number: 114515-506291 Billing Date: 03/20/2020
Seri/lee Address: 1105 KNOLL AVE Billing Due Date: 04/10/2020
Waterloo Water
Water ................
Water Service
Water Works
City of Waterloo
Sanitary Sewer
Storm Water
Garbage
Sales Tax
City of Waterloo
*i
Works
Excise
Subtotal
Services
Fee
Subtotal
v
Services
Tax .. ...
... .........
- -
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s
$120.00
$106,50
$292.92
$37 13
Previous
Credits/Payments
Water
City
Total
Total
Amount
CHARGE SUMMARY
Balance.. ......... - . . $317,07
.... .. .. ................-$317.07
Works Subtotal ........ ..... ,,.; ;: ...... ., $39.36
of Waterloo Subtotal ................;•; .•::..• $292.92
Current Service Charges .. ,.•.,c:; .. $332,28
$2,23
$39.36
$47.25
$19.17
Amount Due $332,28
Due After 04/10/2020 ...,.•. $347,83
Previous Read Date
Current Read Date Previous Read .Previous Read Type, Current Read ',-Current Read Type Usage (CCF)
03/10/2020 497. _ _ Actual 500 .. Actual 3
12/11/2019 ...
Yard
Waste/Recycling
bill**
SPECIALMESSAGES
Waste/Recycling rate lnereased $3/the to $4/mo *`Mandatory Yard
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Please detach and return the bottom portion with your payment. see reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATERLOO WATER WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
0 Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number: 114515-5Q6291
nTa�Atoi
TIT,
OSle ,., ,2r$
Amount Due After : -- - 347.83
Blllln
111 1Date
?s 0?�0.71040
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 5070
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Customer
Account
Service
Name: Hagerman Baptist Ch
Number: 114515-506291
Address: 1105 KNOLL AVE
ACCOUNT SUMMARY
Billing Frequency: Quarterly
Billing Date: 06/22/2020
Billing Due Date: 07/14/2020,...:...
Waterloo
Water
Water
Water
City
Sanitary
Storm
Garbage
Sales
City
Service
Works
of Waterloo
Water
Tax
of Waterloo
Mocifoki
Water
Sewer
Excise
Subtotal
Fee
Works
Services
........
Subtotal
Tax
..
Services
,.. -
:::;
,,
. . ..... . ...
- -----
_... _.
.........
...1•.4..
........
_
$3713
$2.23
$39.36
$47.25
$120,00
$106.50
$19.17
$292,92
CHARGE SUMMARY -.
Previous Balance - $332.28
Credits/Payments -$332.28
Water Works Subtotal ....... ...:..:.:. ::$39.36
City of Waterloo Subtotal ............ .:..... .::. $292.92
Total Current Service Charges , $332,28
Total Amount Due - -' - $332,28
Amount Due After 07/14/2020 , . 4 . $347.83
;
`�� ::::
Previous Read Date
Current Read Date
06/09/2020
Previous. React
500
Previous Read Type Current Read Current Read Type :Usage (CCF)
Actual 508 Actual 8
03/10/2020
-
PLEASE
REGARDS
- SPECIAL MESSAGES
CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN
It:
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_._
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MAKE CHECKS PAYABLE TO:
WATERLOO WAT ORK5
t
P.O. Box 27
Waterloo, Iowa 50704
Phone: 319 232-6280.
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
❑ Please check box If contact Information requires
updating and indicate the change(s) on reverse side
Account Number: _.
...
_ 114515-506291
iA-- kit D B11; _n
..,u
A
Amount
Due After :
347.83
91
iM.1aa er . =`
... 07J100.0
Amount
Enclosed:
REMIT TO:..
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
ACCOUNTSUMMARY
Customer Name: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105 KNOLL AVE
Billing Frequency: Quarterly
Billing Date: 09/22/2020
Billing Due Date: ;10/14/2020
. ... ..
Waterloo Water Works Services
Water - - - $47.48
Water Service Excise Tax ,,,,,,;;, ,,,, ,;r::. $2.85
Water Works Subtotal .. ......... ..... ..... $50,33
City of Waterloo Services -
CHARGE SUMMAN.Y
Previous Balance ......... .......; ...::: . $332.28
Credits/Payments -$332.28
Water Works Subtotal - $50.33
City of Waterloo Subtotal ....: $318.50
Sanitary Sewer .. _. -- $63.65
Storm Water Fee - $127.50
Garbage - - - $106.50
Sales Tax - $20.85
...... ... .......
Total Current Service Charges - - $368.83
Total Amount Due.......... ,.: ... $368.63
Amount Due After 10/14/2020.......... .... $386.09
City of Waterloo Subtotal .-,.. r. -r-., $318.50
53a��
Previous Read Date Current Read Date - Previous Read Previous Rea
06/09/2020 09/11/2020 508 Actual
Type Current Read Current Read Type Usage (CCF)
522 Actual 14
- SPECIAL MESSAGES
IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VISIT
2020CENSUS.GOV AS SOON AS POSSIBLE
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MAKE CHECKS PAYABLE: TO:
WATERLOO WA`[' "
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319 232-6280_.
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
RKS
Account.. Number: -__.
_.114515-506291
TO ,n_ D. mt-I ':
3 B 133
Amount
Due After :
386.09
el
1.0010
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10J34/
U20
Ainot(ntEnclosed:
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
Page 1 of 1
Customer
Account
Service
-"
Name: Hagerman Baptist Ch
Number: 114515-506291
Address: 1105 KNOLL AVE
ACCOUNT SUMMARY
Billing Frequency; Quarterly
Billing Date: 12/22/2020
Billing Due Date: 01/15/2021
'-
Waterloo Water
Water ................
Water Service Excise
Water Works Subtotal..:
City of Waterloo
Sanitary Sewer
Storm Water Fee
Garbage
Sales Tax
City of Waterloo
Works
Tax
Services
.......
Subtotal
Services
-
.......•.
,
....
-
.........
.....
.
-
-
.......,,
6......4.
- --
........
6�J'—
$37.13
$2.23
$39.36
$50.25
$127.50
$106.50
$19,91
$304.16
..,.\\
` CHARGE SUMMARY
-
..Total
Previous Balance -
Credits/Payments — .-
Water Works Subtotal..:.::.. ......,,.:..
City of Waterloo Subtotal,,,,,,,,,.,.., .,....,:,.
Current Service Charges - -
$368.83
$368,83
$39.36
$304.16
$343.52
$343.52
$359,60
Total Amount Due - --- ........
Amount Due After 01/15/2021 - -
�
Previous Read Date Current Read Date
09/11/2020 12/11/2020
Pi evious Read
522
Previous Read Type Current Read Current Read Type
Actual 524 Actual
Usage (CCF)
2
'
SPECIAL. MESSAGES
LOGAN AVENUE HY-VEE 15 NOW ABLE TO TAKE PAYMENTS CURRENT
BILLS
18
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MAKE CHECKS PAYABLE TO:
WATERLOO Vi7A' $. WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone:(519) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number:. 1145157506291
Tfaali3un?�teh:'
Ahtount
Due After : 359.6f)
QlNB1?1dePf..
?._ ;_ :101/15/29.4
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O, BOX 27
WATERLOO, IOWA 50704
WATERLOOW/ WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterl oowa ter.o rg
Paee 1 of 1
-
2ustorner
Account
Service
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
" ACCOUNT SUMMARY
Billing Frequency: Quarterly
Billing Date: 03/22/2021
Billing Due Date: 04/12/2021
Name:
Number:
Address;.
Waterloo Water Works
Water ::..............
Water Service Excise
Water Works Subtotal..
City of Waterloo Services
SanitarySewer .........
Storm Water Fee.......
Garbage
Sales Tax
City of Waterloo Subtotal
Tax
Services
..-..,..,..
....
•
. ,
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.
$44.63
$2.68
$47.31
$58.29
$127.50
$106.50
$20.48
$312.77
'
`
CHARGE SUMMARY
Previous Balance....... ........ . ........... .......
Credits/Payments
Water Works Subtotal....,.,,.. ... -..... ••.-•••.
City of Waterloo Subtotal....,..,.,......... ..._..... .
Total Current Service Charges
Total Amount Due
Amount Due After 04/12/2021 - -
$343.52
-$343.52
$47.31
$312.77
$360.08
$360.08
$376.93
Pt emus
12/11/2020
Read Date
Current Read Date
03/12/2021
Previous Read
524
Previous Rea
_,.._,Actual
Type Current Read " Curent Head Type
536 Actual
Usage (CCF)
12
SPECIAL MESSAGES
LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT
BILLS
u12
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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:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box If contact information requires
updating and indicate the change(s) on reverse side
Account Number:----
114515-506291
Amount Due After :
376,93
!POP
Ptie:Date _ ,.
, r;:
DAi AR%
Atnpunt-Enclosed;_
- - -.
REMIT TO:.
WATERLOO WATER WORKS
P.O, BOX 27
WATERLOO. IOWA 50704
WATERLOO WAT
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
WORKS
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Customer Name: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105 KNOLL AVE
ACCOUNT SUMMARY
Billing Frequency: Quarterly
Billing Date: 06/22/2021
, Billing Due Date: 07/14/2021
Waterloo Water
Water
Water Service Excise
Water Works Subtotal
City of Waterloo Services
Sanitary Sewer .........
Storm Water Fee
Garbage
Sales Tax
City of Waterloo Subtotal
Works
.......
Tax
..
Services
.
•
, ,
, , •
.
. $ ;
.. ...
, ...
• . •
-
:... 4
.: . .
• . ..
• .
-
:..: , . ;...
. . .......
• .. • ...
.... 4 ...
....
$38.24
$2.30
$40.54
$50.25
$127.50
$106.50
$19,91
304.15
.
CHARGE
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/14/2021
SUMMARY
:.
.... :...... :.......
$360.08
-$360.08
$40.54
$304.16
$344.70
$344.70
$360.83
5�as
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Previous Read Date Current
03/12/2021 06/14/2021
Read Date-
Previous Read
536
Previous Read
Actual
Type Current Read Current. Read Type Usage (CCF)
__.. 538 Actual,_. 2
=
SPECIAL MESSAGES
Now Available Online 2020 Annual Drinking Water Qualify Report
blip://iowaccr.org/waterloo-waterworks
+-
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'
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1S' h, • tit hdP r ,e.
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:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA507012349
❑ Please check box If contact information requires
updating and Indicate the change(s) on reverse side
Account Number:
114515-506291
o
Amount Due After:
360.83
Blll01
,bue O3 ei a. '
'_
g7/.447404
AmountEncloserit_.
EMIT 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 l of 1
ACCOUNTSUMMARY 4
Customer Name:
Account Number:
Service; Address.
Hagerman Baptist Ch
114515-506291
1105 KNOLL AVE
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/22/2021
10/13/2021
Waterloo Water Works Services
Water $38.24
Water Service Excise Tax - - $2.30
$40.54
Water Works Subtotal .. r..:
City of Waterloo Services
Sanitary Sewer - $53.25
Storm Water Fee - $135.00
Garbage ..............:,:. ,:,:., - $106.50
Sales Tax $20.64
City of Waterloo Subtotal :.... • . $315.39
5
CHARGE SUMMARY
Previous Balance ....... :: .:::
$344.70
Credits/Payments -$344.70
Water Works Subtotal $40.54
City of Waterloo Subtotal..,..; i:: ..: .:.. $315.39
Total Current Service Charges .. .. ........
Total Amount Due
Amount Due After 10/13/2021 ...... . ...., .......,
$355.93
$355.93
$372.58
:Previous Read Date Current Read Date Previous Read
06/14/2021 09/10/2021
evious Rea Type Current Read.
Actual
14
gui
go
539
Ct
rent Read Type...
Actual
Usage (CCF)
1
SPECIAL MESSAGES
Now Available Online 2020 Annual Drinking Water Quality Report
http://lowaccr.org/waterloo-waterworks
■
Please detach and return the bottom portion with your payment, See reverse side for additional information
MAKE CHECKS PAYABLE TO:
WATERL®O WAT4AtteRKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA 507012349
Please check box if contact Information requires
updating and Indicate the change(s) on reverse side
Account
Number:m
114515-50e6291
T telAint,ad.,
p}itt ._
�35?93
Amount
Due After :
_ 372.58
Pi
WWDatBt,,..;-:
zF,. '
<0l13f2 ,
AtnountEnclosed:
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
Pane 1 of 1
—
Customer Name: Hagerman Baptist Ch
Account Number: 114515-506291
Service Address: 1105 KNOLL AVE
ACCOUNT
SUMMARy
Billing Frequency: Quarterly
Billing Date: 12/22/2021
Billing Due Date: 01/17/2022
Waterloo Water Works Services
Water
Water Service Excise Tax „-... .. . ..........
Water Works Subtotal , . — _
City of Waterloo Services
Sanitary Sewer ......... . . ..... .
Storm Water Fee ....... ..:..
Garbage .............. ...::.:c•,..::.-.:..
SalesTax ............... ......................-4.
City of Waterloo Subtotal......................
.......
M
- -
.........
-
6
.,,
....
,
f
..
.
.
$38 24
$2,30
$40.54
$53.25
$135.00
$106.50
$20.64
$315.39
CHARGE
SUMMARY
\
Previous Balance
Credits/Payments
Water Works Subtotal ... , ...
City of Waterloo Subtotal
Total Current Service Charges
...... ...
-
- --- -
_
$355.93
-$355.93
$40 54
$315.39
$355.93
$355.93
$372.58
Total Amount Due
Amount Due After 01/17/2022
53as
-
Previous Read Date Current Read Date. Previous Read
09/10/2021 12/14/2021 539
Previous Read Type Current Read Current Read Type . Usage (CCF)
Actual 545 Actual 6
++
+o
Ia
n o
-----
--
SPECIAL MESSAGES
Now Available Online 2020 Annual brinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
-.-
-
—_
da
ry,o
,ry A4
tie N' h� ry M1�
..(w
■
Please detach and return the bottom portion with your payment. See reverse side for additional Information
MAKE CHECKS PAYABLE TO:
WATEI2:LOO WA`[ W. ORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone; (319) 232-6280
ADDRESSEE:
Hagerman Baptist Ch
1105 Knoll Ave
Waterloo, IA507012349
Please check box If contact Information requires
updating and Indicate the change(s) on reverse side
Account Number: 114515-506291
Amount Due After :
372.58
Bill
ng'ptiti
aiei ?
Oi/17/ R22
Amoutit..Enclosed:`.
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704