HomeMy WebLinkAboutApproved Documents-05.16.2022City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the
$ 22,000.00 plus est. shipping costs of
paint for airfield.
Airport Department to expend
$ 798.00 to pay for or purchase
This purchase or expenditure is being made because:
Letter of Correction from 2021 FAA Cert Inspection requires repainting of primary runway and
corresponding taxiways. Public Works will assist with painting work, if able.
Vendor selected for this purchase: Diamond Vogel
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Diamond Vogel has the state of Iowa contract for paint purchases.
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 29A1P.0049
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
5/16/2022
$ 420,000.00
and the current available balance is $ 301,387.25
Respectfully submitted,
Keith Kaspari 5/18/2022
NeiAeit
5/16/2022
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 5/16/22
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
$ 22,000.00 plus est. shipping costs of $ 500.00 to pay for or purchase
paint and beads for airfield.
This purchase or expenditure is being made because:
Letter of Correction from 2021 FAA Cert Inspection requires repainting of primary runway and
corresponding taxiways. Public Works will assist with painting work, if able.
Vendor selected for this purchase: Diamond Vogel
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Diamond Vogel has the state of Iowa contract for paint purchases.
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 29A1P.0049
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 420,000.00
and the current available balance is $ 306,946.66
Respectfully submitted,
Keith Kaspari 5/4/2022
5/16/22
(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 5/16/22
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 Building Maint Department to expend
$ 3,690.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Repair leaking roof at Waterloo Convention Center - South Freight Elevator Penthouse roof.
Vendor selected for this purchase:
Service Roofing 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 was an emergency repair and Service Roofing was available to do the repairs.
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:
322-22-6860-2152
(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 4/22/2022
$ 3,000,000.00
$ 2,952,230.25
fteA
5/16/22
(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 5/16/22
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 Street Department to expend
$ 2,660.00 plus est. shipping costs of $ 100.00 to pay for or purchase
20 - Elin/Tymco 435 threaded - Zarnoth Disposable Gutter Brooms
This purchase or expenditure is being made because:
To replace brooms on sweepers as needed throughout the season.
Vendor Specific
Vendor selected for this purchase: Zarnoth Brush Works, Inc.
n Bids or written quotes were taken on this purchase, as follows:
Zarnoth Brush Works, Inc. Chilton, WI $2,660.00
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
ElBonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-18-7955-1571
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 495,000.00
and the current available balance is
Respectfully submitted,
Sandie Greco 5/6/2022
$ 74,234.70
p`i/ ie e e ZQe
f' 5/16/22
(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 5/16/22
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
$ 3,500.00 plus est. shipping costs of $ 0.00 to pay for or purchase
cleaning and disposing of materials in the hydrocarbon separator on site at the Regional
Training Center - amending to increase cost by $250.
This purchase or expenditure is being made because:
Needed maintenance on the hydrocarbon separator tank.
Revision to previous committee action due to tank size larger than originally quoted.
Vendor selected for this purchase:
Hydro Klean
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates): 02-07-2022 - approved expense of $3,250.00
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:
010-12-1415 1371
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
$ 7,000.00
and the current available balance is $ 572.20
Respectfully submitted,
Pat Treloar 04-28-22
2U
5/16/22
(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 5/16/22
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
$ 15,895.00
Waterloo Fire Rescue EMS
Department to expend
plus est. shipping costs of $ to pay for or purchase
Five (5) cardiac monitor mounting systems.
This purchase or expenditure is being made because:
Loose equipment in the back of the ambulances must be properly secured when not enclosed
in closed cabinets according to federal guidelines. This allows us to meet these requirements.
Vendor selected for this purchase:
Technimount
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
There are limited options available and the last product we tried failed in an actual
collision that occurred back in August of 2020. The cardiac monitor became a projectile.
This product is of much higher quality.
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 and Laboratory Equipment
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Jason Hernandez May 9, 2022
$ 160,235.00
$ 133,556.61
5/16/22
(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 5/16/22
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
$ 3,131.71
Leisure Services
Department to expend
plus est. shipping costs of $ to pay for or purchase
Foul Poles for Riverfront Sports Park #5 and #6, the youth ball diamonds in Exchange Park.
This purchase or expenditure is being made because:
When those fields were refinished the plates were moved back, which made the dimensions different
the current foul poles do not line up anymore.
Vendor selected for this purchase:
BSN Sports (Dallas, TX)
Ti Bids or written quotes were taken on this purchase, as follows:
BSN Sports (Dallas, TX) $3,131.71
Beacon Athletics (Middleton, WI) $3,555.00
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:
421-37-4202-2178
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Paul Huting 04/27/2022
$ 20,000.00
$ 20,000.00
Netakeib 5/16/22
(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 Commit5h 6/22
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 Leisure Services Department to expend
$ 10,176.00 plus est. shipping costs of $ to pay for or purchase
24 trees to be supplied and planted at South Hills Golf Course.
This purchase or expenditure is being made because:
to beautify the golf course and replace some of the trees lost to EAB.
Trees Please Grant was received from MidAmerican Energy for this project.
Vendor selected for this purchase:
Matthias Landscaping Waterloo IA
n Bids or written quotes were taken on this purchase, as follows:
Matthias Landscaping $10,176.00
Jordan's Nursery $11,910.00
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) Trees Please Grant
This expenditure is to be coded to the following budget line -item:
010-37-4105-1536 37RST. M I DA
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 17,000.00
and the current available balance is $ 17,000.00
Respectfully submitted,
Paul Huting 04/29/2022
ZOe
5/16/22
(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 5/16/22
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
$ 2,970.00 plus est. shipping costs of $ to pay for or purchase
Labor and materials to plant annual flowers in 27 of the saucer style planters at
Riverloop Expo Plaza.
This purchase or expenditure is being made because:
Leisure Services no -longer grows flowers "in house" and flowers are needed to
fill the planters.
Vendor selected for this purchase: Petersen & Tietz Florists & Greenhouses
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Petersen & Tietz Florists has completed this work for the City successfully for
the past several years. We have also experienced a lack of interested, qualified
bidders.
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:
010-37-4110-1537
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 7,189.35
and the current available balance is
Respectfully submitted,
Paul Huting 05/04/2022
$ 7,189.35
Oe
5/16/22
(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 5/16/22
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
$ 9,450.00
Leisure Services
plus est. shipping costs of $ n/a
replacement of wiring harnesses on Musco field light pole #B2.
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
damage to wiring harness due to age and possible wind damage.
Vendor selected for this purchase:
Musco Lighting, Oskaloosa, Iowa
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Wiring harness is a special build by Musco and Musco is manufacturer of light pole and
lighting system.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
▪ General Fund IT Road Use Tax IT Sewer n Sanitation
. Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
419-33-4400-2170
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
$ 40,000.00
and the current available balance is $ 33,941.61
Respectfully submitted,
Paul Huting 05/06/2022
5/16/22
(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 5/16/22
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
$ 11,590.00 plus est. shipping costs of $ N/A to pay for or purchase
Triangular shade panel structure at Riverside Skate Park with installation by Leisure Services
park maintenance crew.
This purchase or expenditure is being made because:
to complete requirements of grant applications and to provide shade at skate park. A shade
structure was part of the original design. Meets strategic plan # 1.7 and 4.5.
Vendor selected for this purchase:
Waterloo Tent and Tarp
�■ Bids or written quotes were taken on this purchase, as follows:
Waterloo Tent and Tarp, Waterloo, Iowa $11,590
Cunningham Recreation, Charlotte, NC $14,366.34
Crouch Recreation Inc., Elkhorn, NE $15,319.00 Boland Recreation No Bid
IT Bids or quotes were not taken on this purchase because:
Skate Park Improvement 419-37-4202-2178 $11,590.00
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:
419-37-4202 2178
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 11,590.00
and the current available balance is
Respectfully submitted,
Paul Huting 5/4/2022
N
$ 11,950.00
5/16/22
(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 5/16/22
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 Planning Department to expend
$ 2,900.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Installation and clean -out of sewer to 415 Wellington due to it being connected to 413 Wellington
which was demoed
This purchase or expenditure is being made because:
This was an emergency sewer repair. City owned and demoed 413 Wellington. As part of that
demo, we accidentally crushed the sewer service for 415 Wellington
Vendor selected for this purchase:
Lehman Trucking and Excavating Inc
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Emergency repair situation
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
▪ General Fund IT Road Use Tax IT Sewer n Sanitation
. Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
420 08 5150 1396
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Noel Anderson
5/4/2022
$ 230,000.00
$ 176,821.19
5/16/22
(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 5/16/22
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 Public Works Department to expend
$ 3,013.56 plus est. shipping costs of $ 100.00 to pay for or purchase
4 - Apple !Pads Air Wi-Fi with OtterBox Defender Series Pro - back covers for
tablets
This purchase or expenditure is being made because:
To be used for inputing daily work sssignments in Elements software.
(bid received by Chris Youngblut - IT Director)
Vendor selected for this purchase: CDW-G LLC
n Bids or written quotes were taken on this purchase, as follows:
CDW-G LLC Vernon Hills, IL
$3,013.56
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑ General Fund IT Road Use Tax IT Sewer n Sanitation
❑ Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
266-19-7100-1555
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 14,050.00
and the current available balance is $ 3,337.83
Respectfully submitted,
Sandie Greco 5/5/2022
2uib
5/16/22
(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 5/16/22
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 Public Works Department to expend
$ 7,326.59 plus est. shipping costs of $ to pay for or purchase
2-SMART Board MX (V3) Pro series with IQ SBID-MX255 & MX275-V3-PW
55" and 75" backlit LCD
This purchase or expenditure is being made because:
To be used for conference room and office wall - projecting GIS mapping and
tracking (bid received by Chris Youngblut - IT Director thru Sourcewell)
Vendor selected for this purchase: CDW-G LLC
Ti Bids or written quotes were taken on this purchase, as follows:
CDW-G LLC Vernon Hills, IL
$3,013.56
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
▪ General Fund IT Road Use Tax IT Sewer n Sanitation
❑ Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
266-19-7100-1555
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 14,050.00
and the current available balance is $ 8,362.07
Respectfully submitted,
Sandie Greco 5/6/2022
Neentkeib r 5/16/22
(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 5/16/22
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 Public Works Department to expend
$ 11,968.80 plus est. shipping costs of $ 360.00 to pay for or purchase
Uniforms for Street, Waste Management, Sanitation, Traffic Operations and
Animal Control as per union contract
This purchase or expenditure is being made because:
Annual purchase of uniforms for Public Works Employees
Vendor selected for this purchase: Unifirst
n Bids or written quotes were taken on this purchase, as follows:
Unifirst
Grundy Center, IA $11,968.80
Van Meter Waterloo, IA (could not supply all sizes needed)
Aramark
Waterloo, IA 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 n Sewer
Bonds
0
Sanitation
❑ Federal/other grants ❑� Other (specify) Storm Water, Local Option
This expenditure is to be coded to the following budget line -item:
See separate orders/costs for individual departments
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ 5,000.00
and the current available balance is $ 4,883.03
Respectfully submitted,
Sandie Greco 5/6/2022
Nam 5/16/22
(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 5ll /16/22
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 Public Works Department to expend
$ 2,797.10 plus est. shipping costs of $ to pay for or purchase
6 - CPR-D-Padz One Piece Electrode Pad with Real CPR Help, 19 - Pedi-Padz II
Electrodes - One Pair and 3 - Type 123 Lithium Batteries
This purchase or expenditure is being made because:
To replace current expiring Padz in AED units in multiple City Buildings.
Vendor Specific
Vendor selected for this purchase: General Medical Devices, Inc.
�■ Bids or written quotes were taken on this purchase, as follows:
General Medical Devices, Inc. Palatine, IL $2,797.10
IT Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund IT Road Use Tax IT Sewer n Sanitation
ElBonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-09-8255-1573
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 5,000.00
and the current available balance is $ 4,883.03
Respectfully submitted,
Sandie Greco 5/6/2022 Ne'%' 5/16/22
(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 2
Approval Date
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Operations Department to expend
$ 4,860.00 plus est. shipping costs of $150.00 to pay for or purchase
30 Each of Walk and Don't Walk LEDs
This purchase or expenditure is being made because:
To replace burnt out Walk and Don't Walk LEDs
Vendor selected for this purchase: Mobotrex
n Bids or written quotes were taken on this purchase, as follows:
Mobotrex Davenport, IA
$4,860.00
General Traffic Controls
Spencer, IA $6,810.00
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:
266-17-7120-1522
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 14,000.00
and the current available balance is $ 11,861.20
Respectfully submitted,
Sandie Greco 5/4/2022
NeidreeA
• 5/16/22
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
PUBLIC WORKS SANITATION DEPARTMENT
REFUND REQUEST GARBAGE/YARD WASTE
E Jo OUJ Very c rc �5 t nq
Name: v V T 1`"G Date:
Address: P' Q '� 38'� Phone:
c),
City/State/Zip: Oaf ei- (00 1 U wCk
3 irLt
Service Address:
319 - sod - Sogt 5
Refund Amount Requested: $ ) D-0 `66
**Documentation included: Yes No
** All request forrefunds required proof of payment before refunds are processed.
t A
Comments: is Dett +\% pal* Ok- G Plt)L Wks
s
be t y,.(b, c frtofC e J -6 f irba _
Signature/Sanitation Department Date
Confirmed Refund Amount: $ I j�
DIGITALLY
SIGNED
Confirmed w/Water Works: 1Yes No
5/16/22
Finance Signature Date
Refund Amount Paid: $
To whom it concerns:
My name is Rick Gautney. I'm contacting you in regards to a mistake the Waterloo Water Works
billing department made on our bill from the 1st day we started service at 618-620 W 3rd St. (The
Melrose Building).
My wife managed the bills the first few years of owning the rentals and it was a steep learning curve
for the both of us at that time on all fronts. We were new to rentals and didn't know that the "garbage"
line item wasn't supposed to be on the bill. 620 W 3rd is the house account on this 9plex building to
cover the common laundry needs. The Waterloo Water Works knows that we are responsible for
garbage for any building over 5 units but somehow added the "Garbage" fee anyways.
My wife didn't know this and missed it the first couple years of owning 618-620 W 3rd St. Then it
got handed over to 3 different management companies over the last 8 years and none of them caught
the mistake either.
My wife and I have now owned many rental properties over the last 15 years consisting of a 13plex,
12plex, 9plex, 8plex, 5plex, 3 duplexes and other single family homes. Over 50 units at one point in the
past. During all this time we have never had an occurrence like this one. I am the General Contractor/
Owner that did all the rehab to all of our buildings and I just took back over the bills on this building a
couple months ago I happened to compare the bills from our 13plex and this 9plex in question and saw
the error for the 1st time.
So, in conclusion, we are requesting a credit or refund of $1290, for all "Garbage' fees we incorrectly
paid to the Waterloo Water Works. This is for a mistake we didn't know about and should have never
happened. Enclosed are all the water bills since 2012.
We thank you for your time and consideration on this matter. Have a phenomenal day.
Rick and Trisha Gautney
Owners of Rising Star Properties LLC
PO Box 1386 Waterloo, IA 50701
319-504-8095
POB 27 WATERLOO IA 50704
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WATERLOO WAT
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: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
Waterloo Water Works Services
Water $23.10
Fire Lines $13.50
Water Service Excise Tax $2.57
Water Works Subtotal $39.17
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/22/2015
01/10/2016
Water Works Subtotal
City of Waterloo Subtotal $82.50
$39.17
Total Current Service Charges $121.67
Total Amount Due $121.67
Amount Due After 01/10/2016 $121.67
Please detach and return the bottom portion wi h your paymen
WATERLOO WAT ..WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
0 Please check box if contact information requires
updating and indicate the change(s) on reverse side
See reverse side for additional information
Account Number: 124968-524616
Total
Amount Due: 121.67
Amount Due After : 121.67
Billing
Due Date: 01/10/2016
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/10/2016
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
ustomer Name: Rising Star Properties LLC
ccount Number: 124968-524616
ervice Address: 620 W 3RD ST
Waterloo Water Works Services
Water
Fire Lines
Water Service Excise Tax
Water Works Subtotal
City of Waterloo Services
Sanitary Sewer
Storm Water Fee
Garbage
City of Waterloo Subtotal
$25.20
$13.50
$2.72
$41.42
$42.75
$8.25
$31.50
$82.50
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/24/2016
04/14/2016
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Previous Balance
Credits/Payments
Balance Forward
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 04/14/2016
$121.67
-$136.12
-$14.45
$41.42
$82.50
$123 92
$109.47
$109.47
Please detach and return the bottom portion wi h your payment. See reverse side for additional information
ECKSTAY/ABI
WATERLOO WAT WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total
Amount Due: 109.47
Amount
Due After
: 109.47
Billing
Due
Date: 04/14/2016
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 04/14/2016
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
'ACCOUNT SUNWIRRY
Customer Name: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/23/2016
07/15/2016
Waterloo Water Works Services
Water $25.20
Fire Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/15/2016
$109.47
-$109.47
$41.42
$82.50
$123.92
$123.92
$129.31
.47
IALMESSA
Please detach and return the bottom portion with your payment. See reverse side for additional information
ARE 'CHECKS ABLET
WATERLOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
11DDRESSE
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total
Amount
Due: 123,92
Amount Due After
: 129.31
Billing
Due
Date:
: 07/15/2016
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 07/15/2016
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
Page 1 of 1
Customer Name:
Account Number:
Service Address:
Rising Star Properties LLC
124968-524616
620 W 3RD ST
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/22/2016
10/14/2016
Waterloo Water Works Services
Water $25.20
Fire Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 10/14/2016
$123.92
-$123.92
$41.42
$82.50
$123.92
$123.92
$129.31
Liffaikeadbara-
VitiLiSTTRea8
06/10/2016
09/09/2016
68
Actual
73
Actual
5
■
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WORKS
Account Number: 124968-524616
Total Amount Due; 123.92
Amount Due After : 129.31
Billing'.
Due
Date:':" 10/14/2016
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 10/14/2016
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
WATERLOO WAT
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
ustomer Name:
ccount Number:
ervice Address:
WORKS
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
teOUNTSUM
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/21/2016
01/17/2017
Phone: (319) 232-6280
www.waterloowater.org
Paee l of 1
Waterloo Water Works Services
Water $25.20
Fire Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8 25
Garbage $31.50
City of Waterloo Subtotal $82.50
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 01/17/2017
$123.92
-$123.92
$41.42
$82.50
$123,92
$123.92
$129.31
tyrant Rea
09/09/2016
12/09/2016
73
Actual
76
Actual
3
■
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total
Amount Due: 123.92
Amount Due After : 129.31
Billing
Due
Date:: 01/17/2017
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/17/2017
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
:ustomer Name: Rising Star Properties LLC
Account Number 124968-524616
Service Address: 620 W 3RD ST
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/23/2017
04/13/2017
Waterloo Water Works Services
Water $25.20
Are Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal $82.50
$123,92
-$123.92
$41.42
Total Current Service Charges $123.92
Total Amount Due $123.92
Amount Due After 04/13/2017 $129.31
urrent h ad Date
preotoys,Read„1Ey
urrentRe
u7rent Re
12/09/2016
03/10/2017
76
Actual
76
Actual
0
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
:ADDRESSEE
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total
Amount Due: 12392
Amount Due After : 129.31
Billing
Due Date: 04/13/2017
Amount En losed:
Total Amount Due will be withdrawn from your bank
account on 04/13/2017
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WAT WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
Customer Name:
Account Number:
Service Address:
Rising Star Properties LLC
124968-524616
620W3RDST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water $25.20
Fire Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
6
U.
6
011
ry
h
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/21/2017
07/13/2017
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/13/2017
$123.92
-$123.92
$41.42
$82.50
$123.92
$123.92
$129.31
■
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WA ER_WORKS
P.O. Box 27 ti
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount
Due: 123.92
Amount Due After : 129.31
Billing
Due
Date
07/13/2017
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 07/13/2017
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
WORKS
Customer Name: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
Phone: (319) 232-6280
www.wate rloowater. org
Paee 1 of 1
STATEMENT OF SERVICES
Waterloo Water Works Services
Water $25,20
Fire Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8,25
Garbage $31.50
City of Waterloo Subtotal $82.50
Billing frequency:
Billing Date:
Billing Due Date:
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 10/13/2017
$123.92
-$123.92
$41.42
$82.50
$123.92
$123.92
$129.31
evioustRea
7eIusei
e
fwt1
06/12/2017
09/11/2017
82
Actual
85
Actual
3
■
Please detach and return the bottom portion
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
WORKS
h your paymen
See reverse side for additional information
Account Number: 124968-524616
Total
Amount Due: 123.92
Amount Due After : 129.31
Billing
Due
Date: 10/13/2017
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 10/13/2017
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO IOWA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT__ .WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
Customer Name: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
STATEMENT OF SERVICES
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/20/2017
01/15/2018
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Waterloo Water Works Services
Water $25.20
Fire Lines $13.50
Water Service Excise Tax $2.72
Water Works Subtotal $41.42
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 01/15/2018
$123.92
-$123.92
$41.42
$82.50
$123.92
$123.92
$129.31
L il?' nea
09/11/2017
12/11/2017
85
Actual
89
Actual
4
Please detach and return the bottom portion wi h your payment
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
ti E'
Rising Star Properties LLC
Rising Star Properties LLC
Po BOX 1386
Waterloo, IA 50704
See reverse side for additional information
Account Number: 124968-524616
Total Amount
Due: 123.92
Amount Due After
: 129.31
Billing
Due
Date: 01/15/2018
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/15/2018
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
ustomer Name: Rising Star Properties LLC
ccount Number: 124968-524616
ervice Address: 620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water $27.70
Fire Lines $13.50
Water Service Excise Tax $2.89
Water Works Subtotal $44.09
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/15/2018
04/05/2018
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 04/05/2018
$123.92
-$123.92
$44.09
$82.50
$126.59
$126.59
$132.11
EPALNIESSAG
Please detach and return the bottom portion
WATERLOO WA WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
p
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
h your payment. See reverse side for additional information
Account Number: 124968-524616
Total
Amount; Due: 126.59
Amount Due After : 132.11
Billing
Due
Date: 04/05/2018
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 04/05/2018
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
ustomer Name:
ccount Number
ervice Address:
WORKS
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water $27.70
Fire Lines $13.50
Water Service Excise Tax $2.89
Water Works Subtotal $44.09
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/20/2018
07/12/2018
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/12/2018
$126 59
-$126.59
$44.09
$82.50
$126.59
$126.59
$132.11
Jib : ex1`
03/09/2018
06/12/2018
93
Actual
96
Actual
3
Please detach and return the bottom portion wi h your payment. See reverse side for additional information
WATERLOO WAT.0 WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount Due: 126.59
Amount Due After
: 132.11
Billing
Due
Date: 07/12/2018
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 07/12/2018
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
Please check box if contact Information requires
updating and indicate the change(s) on reverse side
WATERLOO WA 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
ustomer Name: Rising Star Properties LLC
ccount Number: 124968-524616
ervice Address: 620 W 3RD ST
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/20/2018
10/11/2018
Waterloo Water Works Services
Water $27.70
Fire Lines $13.50
Water Service Excise Tax $2.48
Water Works Subtotal $43.68
City of Waterloo Services
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82,50
fr
ry,
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 10/11/2018
$126.59
-$126.59
$43.68
$82.50
$126.18
$126.18
$131.70
Please detach a
d return the bottom portion with your payment. See reverse side for additional information
WATE RLOO WAT WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total
Amount Due: 126.1$
Amount Due After : 131.70
Billing
Due
Date: 10/11/2018
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 10/11/2018
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA S0704
WATERLOO WA WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
ustomer Name:
ccount Number:
ervice Address:
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water
Fire Lines
Water Service Excise Tax
Water Works Subtotal
City of Waterloo Services
$27.70
$13.50
$2.48
$43.68
Sanitary Sewer $42.75
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $82.50
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/19/2018
01/14/2019
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 01/14/2019
$126.18
-$126.18
$43.68
$82.50
$126.18
$126.18
$131.70
Please detach and return the bottom portion with your payment, See reverse side for additional information
WATERLOO WAI WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
APPBMPEI
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount Due: 126.18
Amount Due After : 131.70
Billing
Due
Date:
01/14/2019
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/14/2019
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
ustomer Name:
ccount Number:
ervice Address:
WORKS
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/20/2019
04/10/2019
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Waterloo Water Works Services
Water $29.10
Fire Lines $13.50
Water Service Excise Tax $2.56
Water Works Subtotal $45.16
City of Waterloo Services
Sanitary Sewer $45.00
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $84.75
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 04/10/2019
$126.18
-$126.18
$45.16
$84.75
$129.91
$129.91
$135.61
Please detach and return the bottom portion with your payment. See reverse side for additional information
CHECKSPAYABLEr
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
WORKS
Account Number: 124968-524616
Total
Amount Due: 129.91
Amount Due After
: 135.61
Billing
Due
Dater 04/10/2019
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 04/10/2019
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT 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: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
Waterloo Water Works Services
Water $29.10
Fire Lines $13.50
Water Service Excise Tax $2.56
Water Works Subtotal $45.16
City of Waterloo Services
Sanitary Sewer $45.00
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $84.75
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/20/2019
07/12/2019
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/12/2019
$129.91
-$129.91
$45.16
$84.75
$129.91
$129.91
$135.61
Please detach and return the bottom portion wi h your payment. See reverse side for additional information
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
DORESSE
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount
Due: 129.91
Amount Due After
: 135.61
Billing
Due Date: 07/12/2019
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 07/12/2019
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Customer Name: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/19/2019
10/10/2019
Waterloo Water Works Services
Water
Fire Lines
$29.10
$13.50
Water Service Excise Tax $2.56
Water Works Subtotal $45.16
City of Waterloo Services
Sanitary Sewer $47.25
Storm Water Fee $12.00
Garbage $31.50
City of Waterloo Subtotal $90.75
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 10/10/2019
$129.91
-$129.91
$45.16
$90.75
$135.91
$135.91
$141.91
Please detach and return the bottom portion wi h your payment. See reverse side for additional information
WATERLOO WATER WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount Due: 135.91
Amount Due After
: 141.91
Billing
Due
Date:`
10/10/2019
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 10/10/2019
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
Ej Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WA T WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
ustomer Name:
ccount Number
ervice Address:
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water $29.10
Fire Lines $13.50
Water Service Excise Tax $2.56
Water Works Subtotal $45.16
City of Waterloo Services
Sanitary Sewer $47 25
Storm Water Fee $12.00
Garbage $31.50
City of Waterloo Subtotal $90.75
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/20/2019
01/15/2020
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 01/15/2020
$135.91
-$135.91
$45.16
$90.75
$135.91
$135.91
$141.91
Please detach and return the bottom portion with your paymen
WATERLOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
WORKS
See reverse side for additional information
Account Number: 124968-524616
Total
Amount
Due: 135.91
Amount Due After : 141.91
Billing
Due
Date: 01/15/2020
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/15/2020
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WA .WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
Customer Name:
Account Number:
Service Address:
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water
Fire Lines
Water Service Excise Tax
$29.68
$13.50
$2.60
Water Works Subtotal $45.78
City of Waterloo Services
Sanitary Sewer
$47 25
Storm Water Fee $12 00
Garbage $35.25
City of Waterloo Subtotal $94.50
Phone: (319) 232-6280
www.waterloowater.org
Pave 1 of 1
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/20/2020
04/10/2020
mmetlimonm
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 04/10/2020
$135.91
-$135.91
$45.78
$94.50
$140.28
$140.28
$146.48
12/09/2019
03/10/2020
105
Actual
109
Actual
4
Yard Waste/Recycling rate increased $3/mo to $4/mo **Mandatory Yard
Waste/Recycling Site Maint Fee $5/ mo prorated effective 1/1/20 on this
bill** Questions -call Garbage- Sanitation @291-4455
Please detach and return the bottom portion with your paymen
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
WORKS
See reverse side for additional information
Account Number: 124968-524616
Total
Amount Due: 140.28
Amount Due After : 146.48
Billing
Due
Date: 04/10/2020
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 04/10/2020
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
Customer Name: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water $29.68
Fire Lines $13.50
Water Service Excise Tax $2.60
Water Works Subtotal $45.78
City of Waterloo Services
Sanitary Sewer $47.25
Storm Water Fee $12.00
Garbage $35.25
City of Waterloo Subtotal $94.50
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Billing Frequency: Quarterly
Billing Date: 06/22/2020
Billing Due Date: 07/14/2020
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/14/2020
$140.28
-$140.28
$45.78
$94.50
$140.28
$140.28
$146.48
PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN
REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE
■
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WATERWORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total
(Amount
Due: 14028
Amount Due After : 146.48
Billing
Due Date:
07/14/2020
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 07/14/2020
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WATER. WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
ustomer Name:
ccount Number:
ervice Address:
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/22/2020
10/14/2020
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Waterloo Water Works Services
Water $29.68
Fire Lines $13.50
Water Service Excise Tax $2.60
Water Works Subtotal $45.78
City of Waterloo Services
Sanitary Sewer $50.25
Storm Water Fee $12 75
Garbage $35.25
City of Waterloo Subtotal $98.25
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 10/14/2020
$140.28
-$140.28
$45.78
$98.25
$144.03
$144.03
$150.42
IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VISIT
202OCENSUS.GOV AS SOON AS POSSIBLE
Please detach and return the bottom portion with your payment. See reverse side for additional information
HECKS,P4 NAME
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount Due: 144.03
Amount Due After : 150.42
Billing
Due
Date: 10/14/2020
Amount
Enclosed:
Total Amount Due will be withdrawn from your bank
account on 10/14/2020
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WATER WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Customer Name: Rising Star Properties LLC
Account Number: 124968-524616
Service Address: 620 W 3RD ST
Waterloo Water Works Services
Water $29.68
Fire Lines $13.50
Water Service Excise Tax $2.60
Late Penalty $6.39
Water Works Subtotal $52.17
City of Waterloo Services
Sanitary Sewer $50.25
Storm Water Fee $12.75
Garbage $35.25
City of Waterloo Subtotal $98.25
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/22/2020
01/15/2021
Previous Balance
Credits/Payments
Balance Forward
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 01/15/2021
$144.03
-$150.42
-$6.39
$52.17
$98.25
$150.42
$144.03
$150,42
LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT
BILLS
Please detach and return the bottom portion with your payment, See reverse side for additional information
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
WORKS
Account Number: 124968-524616
Total
Amount Due: 14403
Amount Due After : 150.42
Billing
Due
Date:
01/15/2021
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/15/2021
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
■
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
ustomer Name: Rising Star Properties LLC
ccount Number: 124968-524616
ervice Address: 620 W 3RD ST
STATEMENT OF SERVICES
Waterloo Water Works Services
Water
Fire Lines
Water Service Excise Tax
Water Works Subtotal
City of Waterloo Services
Sanitary Sewer
$30.57
$13.50
$2.65
$46.72
$50.25
Storm Water Fee $12.75
Garbage $35.25
City of Waterloo Subtotal $98.25
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/22/2021
04/12/2021
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
Previous Balance
Credits/Payments
$144.03
-$144.03
Water Works Subtotal $46.72
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 04/12/2021
$98.25
$144..97
$144.97
$151.41
LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT
BILLS
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WA _WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Number: 124968-524616
Account
Total
Amount
Due: 144.97
Amount Due After
: 151.41
Billing
Due
Date: 04/12/2021
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 04/12/2021
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO 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
ustomer Name:
ccount Number:
ervice Address:
Rising Star Properties LLC
124968-524616
620W3RDST
Waterloo Water Works Services
Water
Fire Lines
Water Service Excise Tax
Water Works Su btota l
City of Waterloo Services
Sanitary Sewer
$30.57
$13.50
$2.65
$46.72
$50.25
Storm Water Fee $12.75
Garbage $35.25
City of Waterloo Subtotal $98.25
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
06/22/2021
07/14/2021
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 07/14/2021
$144.97
-$144,97
$46.72
$98.25
$144.97
$144.97
$151.41
Now Available Online 2020 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
WATERLOO WATERWORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Account Number: 124968-524616
Total
Amount
Due: 144.97
Amount Due After
: 151.41
Billing
Due Date:
07/14/2021
Amount
Enclosed:
Total Amount Due will be withdrawn from your bank
account on 07/14/2021
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO IOWA 50704
•
Please check box if contact information requires
updating and indicate the change(s) on reverse side
WATERLOO WAT WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Customer Name:
Account Number:
Service Address:
Rising Star Properties LLC
124968-524616
620 W 3RD ST
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
09/22/2021
10/13/2021
Waterloo Water Works Services
Water
Fire Lines
Water Service Excise Tax
Water Works Subtotal
City of Waterloo Services
Sanitary Sewer
Storm Water Fee
Garbage
City of Waterloo Subtotal
$30.57
$13.50
$2.65
$46.72
$53.25
$13.50
$35.25
$102.00
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 10/13/2021
$144.97
-$144.97
$46.72
$102.00
$148.72
$148.72
$155.35
Now Available Online 2020 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
ES
NECKS -PAYABLE
WATERLOO WA ER WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number: 124968-524616
Total Amount
Due: 148.72
Amount Due After
: 155.35
Billing
Due
Date•J
10/13/2021
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 10/13/2021
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
WATERLOO WAT
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
ustomer Name:
ccount Number:
ervice Address:
WORKS
Rising Star Properties LLC
124968-524616
620 W 3RD ST
STATEMENT OF SERVICES
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
12/22/2021
01/17/2022
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Waterloo Water Works Services
Water $30.57
Fire Lines $13.50
Water Service Excise Tax $2.65
Water Works Subtotal $46.72
City of Waterloo Services
Sanitary Sewer $53.25
Storm Water Fee $121.53
Garbage $35.25
City of Waterloo Subtotal $210.00
ESUM
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
Total Current Service Charges
Total Amount Due
Amount Due After 01/17/2022
$148.72
-$148.72
$46.72
$210.00
$256.72
$256.72
$268.75
emus. e
TentRea Itar
evious
IeVIOtly:Rea
09/10/2021
12/14/2021
128
Actual
132
Actual
4
Now Available Online 2020 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
■
Please detach and return the bottom portion with your payment
WATERLOO WAT
R.WORKS
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
Rising Star Properties LLC
Rising Star Properties LLC
PO BOX 1386
Waterloo, IA 50704
Please check box if contact information requires
updating and indicate the change(s) on reverse side
See reverse side for additional information
Account Number: 124968-524616
Total Amount Due: 256.72
Amount Due After : 268.75
Billing
Due Date: `r 01/17/2022
Amount Enclosed:
Total Amount Due will be withdrawn from your bank
account on 01/17/2022
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
"°5/16/22
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 Finance 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 03 9050 3000
Cash
2,200,000.00
010 03 9050 2700
Transfers Out
2,200,000.00
01ARPA.FTTHDSN
290 03 9050 6050
Transfers In
2,200,000.00
290 03 6105 2103
Engineering
2,200,000.00
01ARPA.FTTHDSN
01ARPA.FTTHDSN
TOTAL
$4,400,000.00
This amendment is being requested because:
To budget to transfer ARPA funds to Fund 290 to pay for fiber design.
TOTAL
$4,400,000.00
Prior Committee Actions (Dates):
Michelle Weidner 4/28/2022
(Signature Dept. Head or Designee) Date
5/16/22
SIGNED
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\shared goodies\forms\Waterloo.33147.1.Bdgt_Amend_ARPA_Transfer_to_Fund_290 (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.
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name
City Contract No.
Project Manager
Project Budget Total
Dolly Parton Imagination Library
Amy Rousselow
$ 8,000.00
1. How will this project be funded?
A. Federal Grant Yes
Grant Name
No
CFDA #
B. State Grant Yes No
Grant Name
C. City Match Source of Funding None
x
D. Other Entities Yes
Name
LORAL Trust
No
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
To be assigned by the Finance Dept.
Project No. 33GFT
Subproject No. DOLLY
% 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.
0.00%
0.00%
0.00%
100.00%
Done None
❑ ❑x
Yes No
❑ ❑x
❑ ❑x
❑ ❑x
❑ ❑x
❑ ❑x
❑ ❑x
❑x
6. Include a brief description of the project in the space below: (REQUIRED)
Marketing materials for the Dolly Parton Imagination Library project. Initial donation from the LORAL Trust.
Page 2 must be attached and signed.
users\michelle-w\forms\Waterloo.33217.1.Copy_of_project-worksheets-dolly-library-2022-0427\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date 5/16/22
Project Name (from page one) Dolly Parton Imagination Library
Department No. project will be budgeted under 33
Activity No. project will be budgeted under 3180
REVENUES:
3000 Cash on Hand
3350 Federal 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
3800 Miscellaneous Revenue
EXPENDITURES:
To be assigned by the Finance Dept.
Project No. 33GFT
Subproject No. DOLLY
(Each column should only include amounts by fund)
Fund: 010
Fund:
Fund: Fund:
Total
8,000.00 8,000.00
TOTALS $ 8,000.00 $ - $ $ - $ 8,000.00
1523 Program Supplies
8,000.00 $ 8,000.00
TOTALS $ 8,000.00 $
Kim Chapman 4/27/2022
- $
(Signature Dept. Head) Date
$ - $ 8,000.00
5/16/22
(Signature Finance Dept. Review) Date
users\michelle-w\forms\Waterloo.33217.1.Copy_of_project-worksheets-dolly-library-2022-0427\Page 2 (Donat-non constr) (Mar 2010)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
N°-5/16/22
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 22 submitted by the Street 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
266 19 7100 3345
Fed Emergency
40.39
266 19 7100 1579
Uniforms
40.39
266 19 7100 3502
Scrap
1,323.44
266 19 7100 1573
Uniforms
1,323.44
266 19 7100 3800
Misc
28.40
266 19 7100 1573
Uniforms
28.40
266 19 7100 3871
Damage Claim
1,637.26
266 19 7100 1573
Safety Equip
1,637.26
TOTAL
This amendment is being requested because:
Budget to spend additional revenue received.
$3,029.49
TOTAL
$3,029.49
Prior Committee Actions (Dates):
Randy Bennett 4/28/2022
(Signature Dept. Head or Designee) Date
e4telt
SIGNEU 5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies \forms\Waterloo.33115.1.2022-April-_Budget_Amendment_Request_-_Street_-266-19-7100-_$3_029.49-_Revenues-3345_3502_3800_to_15 (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: -5/16/22
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 Finance 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 03 8960 3000
782,000.00
010 03 8960 1365
Indemintiy Payments
122,000.00
1368
Medical claims
660,000.00
TOTAL
$782,000.00
This amendment is being requested because:
Budget for estimated work comp expenses increases expected through June 30, 2022.
TOTAL
$782,000.00
Prior Committee Actions (Dates):
Michelle Weidner 4/29/2022
(Signature Dept. Head or Designee) Date
zu,
5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\shared goodies\forms\Waterloo.33146.1.Bdget_Amd_Work_Comp (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO-5/16/22
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 Finance 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 4100 1111
Salaries - Bachman
28,231.00
010 37 4100 1111
Salaries -Parks
12,494.00
010 37 4110 1111
laries - Downtown Mtce
6,255.00
010 37 4120 1111
Salaries - Golf
6,010.00
010 37 4200 1111
Salaries - Sports
1,683.00
010 37 4500 1111
salaries - Young Arena
1,789.00
TOTAL
This amendment is being requested because:
$28,231.00
TOTAL
$28,231.00
Prior Committee Actions (Dates):
Michelle Weidner 9/7/2021
(Signature Dept. Head or Designee) Date
Oetotftei
SI3F, D
5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\shared goodies\forms\Waterloo.33146.1.Bdget_Amd_Work_Comp (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 -5/16/22
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 Finance 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
322 03 8980 3750
Sale of Bonds
14,075,000.00
322 08 6205 1358
Econ Dev
14,000,000.00
322 03 8980 3751
Bond Premium
167,280.65
322 03 8980 1750
Debt Svc Exp
242,280.65
TOTAL
$14,242,280.65
This amendment is being requested because:
To budget for the sale of bonds and grant payment for the Lost Worlds theme park.
TOTAL
$14,242,280.65
Prior Committee Actions (Dates):
Michelle Weidner 4/30/2022
(Signature Dept. Head or Designee) Date
7e
CY@LLY
SIGNED 5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\shared goodies \forms\Waterloo.33145.1.Bdget_Amd_New_World_Bonds_issue_FYE22 (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-5/16/22
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 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 4500 3000
Cash
142,662.00
010 37 4500 1112
Part Time Salaries
25,500.00
010 37 4500 1400
Utilities
42,162.00
010 37 4500 3471
Arena Revenue
75,000.00
TOTAL
This amendment is being requested because:
Part time increase for projected 5 playoff games.
$142,662.00
TOTAL
$142,662.00
Utilities increase due to increase in natural gas prices.
Revenue decrease due to Black Hawks Hockey not paying annual facility rental fees.
Prior Committee Actions (Dates):
Paul Huting 4/22/2022
(Signature Dept. Head or Designee) Date
NetotfteA
DIG TALLY
SIGNED 5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\shared goodies\forms\Waterloo.33149.1.Bdget_Amd_Young_Arena (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.
FFNANCE DEPT. ONLY
Finance Committee approval required?
YES NO-5/16/22
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 22 submitted by the Garage 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 18 7955 3920
Fuel
100,000.00
010 18 7955 1533
Fuel
100,000.00
010 18 7955 3923
Parts
150,000.00
010 18 7955 1571
Parts
150,000.00
010 18 7955 3921
Oils
5,000.00
010 18 7955 1547
Oils
5,000.00
TOTAL
This amendment is being requested because:
Balance Motor Pool Service Budget Line Items
$255, 000.00
TOTAL
$255, 000.00
Prior Committee Actions (Dates):
zi&L)
(Signature
ept. Head or Designee)
z(kg/i,te
s" 5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:luserslshared goodieslforms12022-April- Budget Amendment Request - Street -266-19-7200-1111 to 7100-$61,000.00-1533 to 1376,1555 $5,100.00 {Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
"°5/16/22
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 Finance 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 03 8400 3000
Cash
859,105.00
010 03 9050 2700
Transfers Out
859,105.00
266 07 9050 6050
Transfers In
859,105.00
266 07 7500 2103
Engineering
150,000.00
266 07 7500 2165
Paving
709,105.00
TOTAL
$1,718,210.00
TOTAL
This amendment is being requested because:
To budget to transfer interest earned on Road Use Tax Transfer of Jurisdiction funds to Fund 266 to be used for University Ave
construction.
$1,718,210.00
Prior Committee Actions (Dates):
Michelle Weidner 4/26/2022
(Signature Dept. Head or Designee) Date
Ue,
SIGNED 5/16/22
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\shared goodies\forms\Waterloo.33148.1.Bdgt_Amend_Interest_Earned_on_TOJ_Funds_to_RUT_for_Constr (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.