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HomeMy WebLinkAboutApproved Documents - 12/4/2023FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-22-5100-1346 TRAVEL REQUEST CITY OF WATERLOO FY 2024 BUD6ETEb $6,000.00 EXPENDED YTb 2,819.56 THIS REQUEST 290.00 LEFT AFTER THIS REQUEST 2,890.44 DATE Original - Clerk/Finance Co* - be•artment NAME(S) AND POSITION(S): Brian Wirtz - Combination Inspector DATE: 11/14/2023 NAME OF CLASS / MEETING: Commercial Building Inspector - B2 Exam DESTINATION: Waterloo, Iowa DEPARTURE POINT IF NOT WATERLOO: Online Exam DEPARTURE DATE: TBD RETURN DATE: TBD DATE(S) OF MEETING: TBD PURPOSE OF TRAVEL/TRAIN1NG: Required Certification WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: LODGING TAXI MEALS PARKING 290.00 (exam) REGISTRATION AIRFARE MILEAGE/FUEL MISCITOLLS TOTAL FOR ALL: $ 290.00 BUDGET LINE ITEM: 010-22-5100-1346 X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 290.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Greg Ahlhelm - Building Official Date Approved by Finance Committee: 12/4/2023 DEPARTMENT HEAD DATE 11/14/2023 DATE K:\Shared Good ies\Forms\Travel Request Form J__ 2/2/23, 8:53 AM about:blank Commercial Building Inspector - B2 EXAM ID CATEGORY STATE TYPE CODE YEAR B2 Commercial Inspector National/All National Certification 2021 v ® INFO . OUTLINE SCOPE A Commercial Building Inspector will be responsible for performing inspections of structures to determine compliance with the various Building Codes and Standards adopted by his/her jurisdiction. At this level of certification, the Inspector shall be able to inspect commercial structures of any size or occupancy. REFERENCES 2021 International Building Code ACI 318-19: Building Code Requirements for Structural Concrete and Commentary ACI 318-14: Building Code Requirements for Structural Concrete and Commentary Concrete Manual: Based on the 2021 IBC OR ACI 318-19* Concrete Manual: Based on the 2015 IBC OR ACI 3I8-14* *You may use either edition of the Concrete Manual to take this exam. * any copyrighted, bound book may be used at a test site. Exam questions will only come from the listed approved references, and exam appeals may only be based on the listed approved references. QUESTIONS 80 TIME LIMIT 3:30 Flours OPEN BOOK? Open AVAILABLE METHODS Proctored Online Testing $290,00 Register General Administration 6% Project Administration Verify that project information is provided and is adequate. Verify that the project is designed by approved persons when required, and has required approvals. Verify that products not detailed in the building code 1% are approved by the building official and installed according to their listing. Verify that the required approved plans and specifications are available when required and retained by the building official for the period required, Public Information and Legal For new and existing structures, answer questions about the need for permits and inspections, including special inspections and structural observations, general code compliance of designs, procedures, and materials. Communicate issue, and maintain inspection reports, correction notices, stop work orders, and data for the issuance of the certificate of occupancy. Plan Reading 4% 1% nhnuhhtank 1/5 FINANCE DEPT. STAFF ONLY TRAVEL REQUEST CITY OF WATERLOO LINE ITEM USED FY 24 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance 266-19-71001346/010-18-7950-1315/1346 $3,500.00/$1,150.00/$1, 000.00 $0/$0/$0 $2,950.00/$1,150.00/$1,000.00 $550/$0/$0 11/28/23 Copy - Department NAME(S) AND POSITION(S): Scott Brunson, Sanitation Director; Shawn Fisher, Street Dept Director; Rich Strange, Fleet Maint Director; Brad Manahl, Asst Director Maint/ICT DATE: Once per month Feb - Dec, 2024 NAME OF CLASS / MEETING: LEAD Certificate Training DESTINATION: Hawkeye Community College DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: PURPOSE OF TRAVEL/TRAINING: Leadership training. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: No YES NO COST $ METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI MEALS PARKING 5,100.00 REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 5,100.00 BUDGET LINE ITEM: 266-19-71001346, 010-18-7950-1315/1346 X GRANT REIMBURSABLE YES NO X REQUIRED CERTIFICATION YES NO TOTAL: $ 1,275.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Date Approved by Finance Committee: Sheila Steffen 12/4/2023 DEPARTMENT HEAD DATE 12/4/2023 DATE K: \Shared Goodies\Forms\Travel Request Form City Clerk Use Only Finance Committee 12/4/2023 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 $ 2,909.81 plus est. shipping costs of $ 89.99 to pay for or purchase Sparx skate sharpener with sharpening wheels and accessories This purchase or expenditure is being made because: Arena staff must sharpen all rental skates (200+ pairs). Staff will also sharpen for customers providing a new revenue source. Vendor selected for this purchase: Sparx Hockey- Action, MA �■ Bids or written quotes were taken on this purchase, as follows: Sparx Hockey, Action, MA - $2,909.81 Bauer Hockey, Exeter, NH - $4,190.00 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: 323-37-4500-2152 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, $ 100,000 $ 62,222.96 Paul Huting 11/15/2023 eStiWyettmow 12/4/2023 (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 12/4/2023 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 $ NTE 18,000.00 plus est. shipping costs of Leisure Services Department to expend $ to pay for or purchase Equipment parts from various vendors based on price and availability of individual parts. This purchase or expenditure is being made because: To replace or repair worn out or broken parts to properly maintain the golf course mowing equipment. Vendor selected for this purchase: various �■ Bids or written quotes were taken on this purchase, as follows: R&R Products, (Arizona), P&K Midwest (Waterloo), and Van Wall (Rock Island) Turfwerks (Johnston), Some parts are proprietary and must be ordered from the original manufacturer. Other parts are ordered for the lowest bidder per part. IT Bids or quotes were not taken on this purchase because: Bids are being requested but have not yet been received. We would like to have parts received at the beginning of January. Parts will be ordered from the lowest bidder per part. To get the process moving we are submitted the preauth without the bids. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4120 1569 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, $ 23,804.00 $ 18,016.46 Paul Huting 11/27/2023 .tt Zoe 12/4/2023 (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 12/4/2023 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 $ 12,230.00 plus est. shipping costs of $ n/a to pay for or purchase renew annual subscription of Leads Online powerplus investigative pawn records system. This purchase or expenditure is being made because: this computer software is an online investigative leads system which will aid Officers on follow up on investigations, providing information to solve crime. Vendor selected for this purchase: Leads Online n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Leads Online is the proprietary vendor for this software. 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: 010-11-1160-1520 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Aaron P. McClelland, Police Captain $ 223,000.00 $ 149,628.50 11/15/2023 (Wye M`, 12/4/2023 (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 12/4/2023 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 (Cues) $ 8995.00 plus est. shipping costs of $ N/A Cues - GraniteNet Software & Services Subscription Renewal Department to expend to pay for or purchase This purchase or expenditure is being made because: Current GraniteNet Software & Services Subscription expires January 2024 Vendor selected for this purchase: Cues n Bids or written quotes were taken on this purchase, as follows: 0 Bids or quotes were not taken on this purchase because: Sole proprietor Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax n Sewer n Sanitation 0 Bonds ❑ Federal/other grants 0 Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200 1520 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 32,000.00 and the current available balance is $ 25,092.87 Respectfully submitted, Brian Bowman 11/13/23 (Nueyett Z&)00c1 12/4/2023 (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 12/4/2023 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 (Excavator) Department to expend $ 4,600.00 plus est. shipping costs of $ N/A to pay for or purchase Rental of Long Reach Excavator for one week This purchase or expenditure is being made because: For ongoing sewer project Vendor selected for this purchase: Mid Country Machinery n Bids or written quotes were taken on this purchase, as follows: 0 Bids or quotes were not taken on this purchase because: Sole provider Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax n Sewer n Sanitation 0 Bonds ❑ Federal/other grants 0 Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200 1564 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 10,000.00 and the current available balance is $ 6,084.00 Respectfully submitted, Jesse Gaherty 11/20/23 `Nlidgett � K 12/4/2023 (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 12/4/2023 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 $ 27,008.00 plus est. shipping costs of $ N/A Switchgear Repairs Sewer (Switchgear) Department to expend to pay for or purchase This purchase or expenditure is being made because: To service a leakage in the main switches Vendor selected for this purchase: Tri City Electric n Bids or written quotes were taken on this purchase, as follows: 0 Bids or quotes were not taken on this purchase because: Sole Proprietor Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax n Sewer n Sanitation 0 Bonds ❑ Federal/other grants 0 Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200 1378 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 57,000.00 and the current available balance is $ 57,000.00 Respectfully submitted, Brad Manahl 11/21/23 12/4/2023 (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 12/4/2023 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 Department to expend $ 9,310.20 plus est. shipping costs of $ 0 to pay for or purchase Camera's for San Marnan Corridor. This purchase or expenditure is being made because: Conflict monitoring equipment. Vendor selected for this purchase: �■ Bids or written quotes were taken on this purchase, as follows: RC Systems Waterloo, IA $9,310.20 Baker Group Ankeny, IA $10,980 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: 421-17-7161-2125 ($5800) / 322-17-7161-2125 ($3510.20) (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, Sheila Steffen 12/4/2023 N (Project Code) $ 22,000.00 $ 22,000.00 12/4/2023 (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 12/4/2023 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 Department to expend $ 27,753.00 plus est. shipping costs of $ 2,000.00 to pay for or purchase Paint - State Bid. This purchase or expenditure is being made because: Replenish paint supply. Vendor selected for this purchase: n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: State Bid Prior Committee Actions (Dates): Diamond Vogel 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: 266-17-7120-1581 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sheila Steffen 12/4/2023 g..: %lnf:. N( $ 55,800.00 $ 55,615.72 12/4/2023 (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. City of Waterloo Line -Item Budget Amendment Request Form FINANCE DEPT. ONLY Finance Committee approval required? YES NO 12/4/2023 If so, date approved: The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -Item budget amendment for FYE 2024 submitted by the Library 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 33 3160 3720 Revenue 33GFT.YO.UTH 58,100.00 010 33 3160 1382 Bldg Improvements 33GFT.YOUTH 58,100.00 • TOTAL $58,100.00 Additional funds received from the McElroy Trust for carpeting in the youth area for the building renovation project. TOTAL $58,100.00 Prior Committee Actions (Dates): perm r� 11,1010A5 'Writ N s� 12/4/2023 (Signature Daietairke,11 .Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) • McElroy Trust 425 Cedar Street Suite 312 Waterloo, IA 50701 Phone: 319-287-9102 Fax: 319-287-9105 www.mcelroytrust.org October 26, 2023 David Eckert Waterloo Public Library 415 Commercial Street Waterloo, IA 50701 Dear David, On behalf of the R. J. McElroy Trust, I am pleased to enclose this check for $58,100 to the Waterloo Public Library for the Children's and Teen Areas Carpet project. Please go into our online system to look for the details about the required reporting for this grant. We wish you much success with this project. Sincerely, (:+/1/4)/(A*111-1V-6 Megan McKenzie Executive Director 2-15/710 CHECK NO. 5493 PAY TO THE ORDER OF Community Bank & Trust 422 Commercial Street Waterloo IA 50701 Memo; From R J McElroy Trust Carpet For Children And Teen Areas Fifty Eight Thousand One Hundred Dollars & 00/100 Waterloo Public Library 415 Cornmertial St Waterloo IA 50701 . CHELK'V010 7f AMOUNT 0lffEAENT THAN A.OVR DATE AMOUNT 10/25/23 $58,100.00 ir'00000 549 3rr' 1;lXXXX, 1 X XX) CA NX PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: Lee. A. BrOVirl Date: cf Z 3 Address: 3 !) gl ovk1P.(5 AV £ Phone: 3/Cf`Lao �" r (FN: City/State/Zip: 'Y Gitribb iTet J 6103 Service Address: 3( ' 1�10it rs Refund Amount Requested: $ 39 • 61 **Documentation Included: V yes No ** All request for refunds required proof of payment before refunds are processed. ` Comments: 131 1M 76r G,�.irl050-e \/arc/�l asf-e.(reC(C[e Str-vi t otk,, did not h ve- Qvf carts 11.of ��, vxf Vecu.•esf +fr use Signature Sanitation Department Date Confirmed Refund Amount: $ 51' °1 Confirmed w/Water Works: V Yes No V Zug 12/4/2023 °icNio Finance Signature Date Refund Amount Paid: $ $39.07 IS o frigraz fl,e1 e€ genfri (#et �r 5�Q4vw-sAive ;l/Q/et _50703 3/9- isz4 (1 —03% Jw $rs,c- ine aid.P.si ."// ---itoe qou traileig Ote, _s2ifese iiy (e, -rn dezz A'ace / ia22 ..77/4 Ve-C. had Dr CP an:ad /901 Get#,* Orr j.P�ynl� �r�s, ��l T Ague rs et yieediv� ,ily )/nealy 609578 11476969.2 3-1033 1/1 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: Lee Brown 101694-553424 311 BLOWERS AVE Water - Water Service Excise Tax Water Works Subtotal Afttin WORKS 0 5 �'-.nu1Cria( 311 !lab 671 STATEMENT OF SERVICES 30.88 1 86 $32.74 *Mgr t;4O1 giv1L Sanitary Sewer 60.26 Storm Water Fee 15.00 Yard Waste / Recycle Curbside 42 00 Yard Waste / Recycle Site Maintenance Fee 15.00 Garbage • 35.25 City of Waterloo Subtotal $137.51 Previous Read Date Curr 7/7/2023 10/5/2023 673 Failure to pay debts listed herein by the required due date will result in a five percent penalty. A twenty-five percent collection fee will be applied to any outstanding balance not pa'.d in full within ninety days of the due date, and the account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection thrdugh the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. 1‘4,747,- Billing Frequency: Billing Date: Billing Due Date: Phone: (319)232-6280 +•ww. water!cowater. or<;; Statement 1 of 1 Quarterly 10/i8/2023 11/8/2023 Previous Balance Credits/Payments Deposit Payment Balance Forward 162.10 162.10 CR 0 00 $o.00 Water Works Subtotal 32.74 City of Waterloo Subtotal 137.51 Total Current Service Charges 170.25 Total Amount Due $170.25 Amount Due After 11/08/2023 $178.66 682 Actual 23 Now Available Online 2022 Annual Drinking Water Quaiitc, https://lovraccr.org/waterloo-waterworks 9 1 (41kyva 50957811394245.2 415301/1 WATERLOO W TI R WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.Olt; Statement 1 of 1 Customer Name: Account Number: Service Address: Lee Brown 101694-553424 311 BLOWERS AVE Billing Frequency: Billing Date: Billing Due Date: Q;`. rtcr!y v4. 7/1P/2023 8/P/2023 • •i Water Water Service Excise Tax 1 86 Water Works Subtotal $32.74 30.88 /± • ..re . ,�:.; `:. io�ry�.�.nn!iivafij,�S;c� Y`iN`.1."'. t`oa.... •^ fu K'✓n� i:y i( )y �t`ti';;IN: (. • ."'/�•�fwt. . •♦••r• L• ��t � ...Cr 2rr' �.•a fi �'1 ��» .. ... "`...G w. 1...1.F.•i.1...-.`�.v..�J�.e r...r. .n �..... ,. �... e.[I .r_w6.1w.•L.i •f•. �:i.•.\N+�+JfC�w:.:�1,.. v:, vw.:.... +I.. Sanitary Sewer 60,26 Storm Water Fee 15.00 Yard Waste / Recycle Curbside 12.00 Yard Waste / Recycle Site Maintenance Fee 15.00 Garbage 35.25 City of Waterloo Subtotal $137.51 Previous Read Date-- Cu 4/7/2023 7/7/2023 669 Previous Balance Credits/Payments Deposit Payment Balance Forward 165.04 173.19 CR 0 00 $8.15 CR Water Works Subtotal .32.74 City of Waterloo Subtotal 137.51 170 25 Total Current Service Charges Total Amount Due $182.10 Amount Due After 08/03/2023 $170.20 673 Actual 4 Failure to pay debts listed herein by the req!2:rsd -d data result in a five percent penalty. A twentyafi a percent col!AAt en fee will be applied to any outstanding balance nettpr id in frill within ninety days of the due date; and the account will be forwarded to Municipal Collections of America for further q collection efforts. Debts shall also be subject to collection~ -- c-� 6-023 through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days., i a !ii �I'A r Now Avai aoie mine 2022 A nnus! Drin.iing Water tei L-,-rtlii "s7 httpz.V/k)waczr.org/watericc-1,ht‘tfartPJF0rks 0957811226377.4 2-857 1/1 WATERLOO \I 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: -.. STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Lee Brown 101694-553424 311 BLOWERS AVE ��•ni i.. S I:n`•L. .173.Z7 j •�.l- Water 30.88 Water Service Excise Tax 1 86 Water Works Subtotal $32.74 �,' tom• .... '_ P.n.c �'iLr,7hr ,;.cl;4y}.?K'.t!r :. S;r'�'.,�:r:=y-t;.: '�b:�=�: i�b�iSbF��'•y?i��.:Y. 1i'�•y'. :.^.i.+r..Yi'r.'+yrn�i Sanitary Sewer 55.80 14.25 Yard Waste / Recycle Curbside /2.00 Yard Waste / Recycle Site Maintenance Fee 15.00 35.25 Garbage City of Waterloo Subtotal $132.30 Storm Water Fee l 10/7/2022 4 Z. .`.}4,4a " r h 1/6/2023 I 661 • i • Billing Frequency: Billing Date: Billing Due Date: Gt rt3rly 1/17/2023 2/7/7029 Previous Balance Credits/Payments Deposit Payment 175.27 175.27 CR 0 00 Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges $0.00 32.74 132.30 165,04 Total Amount Due $165.04 Amount Due After 02/07/2023 $173.19 Fackte,tc 00(i_ J 3 2 1 0 • g ( . . . i 665 Actual: 4 EFFECTIVE JAN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3 00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM vv1LL BE SCHEDULED THE FOLLOWING BUSINESS DAY r- r 0957811146957.1 5-1415 1/1 WATERLOO WtLSY10 RKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: ,4• 'AA Lee Brown 101694-553424 311 BLOWERS AVE • STATEMENT OF SERVICES rrt :4.4 .\\ r.i..i_ ', ... n(J, e4,-50S11-0 Water 30.88 Water Service Excise Tax 1 86 Water Works Subtotal $32.74 `'a'ii! .L: `r,5.;1„3,thn" Sanitary Sewer 55.80 14.25 12.00 Yard Waste / Recycle Site Maintenance Fee 15.00 5.00 Garbage 4$143.05 Storm Water Fee Yard Waste/ Recycle Curbside City of Waterloo Subtotal 1 0.8 Billing Frequency: Billing Date: Billing Due Date: Phone: (319) 232-6280 www.watetiOO Water:or9 State tent 1 of 1 C•cary rIy 10/17/2022 1117/2022 :. .=N[JY.. :'�.,... • tom. '� .. . - _ .. .. t ...-.. 1 _iDt.. 1JFa 1Previous Balance 46.78 (Credits/Payments 47.30 CR Deposit Payment 0 00 Balance Forward $0.52 CR Water Works Subtotal 32.74 City of Waterloo Subtotal 143.05 Total Current Service Charges 175.79 TotalArunf Due Amount Du® After 11/07!2n22 $175.27 $183.94 J 661 J Actua`! EFFECTIVE JAN 12023 AU. TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR S 1ME DAY SERVICE. ANY TRANSACTIONS GETS 3:00 PM WALE. BE SCHEDULED THE FOLLOWING ,��� ttki° 1609578 11068683.21-831 /1 WATERLOO W 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: • wortrs STATEMENT OF SERVICES 4._ Lee 3rown 10 1694-5534 24 311 BLOWERS AVE s'.3�.:.... Water Water Service Excise Tat 7 89 0 48 Water Works Subtotal $8.37 Sanitary Sewer bVs:ci-t 1E n.v�S t': ,G �: ..gib.... '�....... 14.26 Storm Water Fee 3,64 Garbage 13.61 Yard Waste / Recycle Curbside 3 07 Yard Waste / Recycle Site Maintenance Fee 3 83 City of Waterloo Subtotal $38.41 PretrioUs'Reid-Date= 6/16/2022 7/8/2022 656 Phone: (314232-6280 vii.Aftwateisloowater.org Statement 1 of 1 Billing Frequency: Billing Date: Billing Due Date: • Previous Balance Credits/Payments 105.00 CR Deposit Charged 105.00 Deposit Payment 0 00 Da >.:-:; ce3 Forward $0.03 000 Water Works Subtotal 8 37 City of Waterloo Subtotal 38.41 Total Current Service Charges 1_3 78 _ Total Amount Due Amount Due After 08/08/2022 • • 657 Actua� Now Available Online 2021 Annual Drinking Water Quality Report http://lowaccr.org%waterico-water works 1 • • J i PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: Jafr\V\ it/ St %1.@ Address: 313 1lti 1cit-rL K . ktie City/State/Zip: Y J �er (00 a -A1 o r o a' Service Address: 313 r�tArlaievd AN Date: Phone: Refund Amount Requested: $ 1510. 3 **Documentation Included: V Yes No **Ali request for refunds required proof of payment before refunds are processed. Comments: ee-std V\. I i( 13eGhl &Poled 4r is G{ Vk"'sie/ MIA. c Q tr b se ev c c.-S Cy,(Ac_e1L'n a yv- J ;r 3 t 17a0. Signature/Sanitation Department Confirmed Refund Amount: $ 1 ✓b' 13 N0,04° Finance Signature Date Confirmed w/Water Works: v Yes No Refund Amount Paid: $ $156.13 12/4/2023 Date Tv khfl'fl±fltitflS) ad air) avaibOafe/lL'.Ccsth. Sat ii-ALL/±ci-d LI'tia H'uw UtPLtSQ WI__ STcl75&\ th A H'LLVn CCcviuil4 c : oath 3i,aoao. 19 ,Joa3 a.)0pke- bato bp& -i-htai mita tadam ucetiA) -Lo al tfLacke unikk, (A_ Willi INO1 no; mairn .hQ act12 wule, ALI) _Lid+okel Lind) use I V�- aion illu2A LeJtVo( 0 odo __Lku hautnettel _joa_ _Lchaneiti tiot114) / OW 06-ti oi 3\3 Zisu ram( ILst,eiW 5064a, aed-'" iiiai-o3aae0 Lawn5t Th'4 \Atio.1/411ILLausai0C, iraVORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/21/2020 06/12/2020 Waterloo Water Works Services Water $35.89 Water Service Excise Tax $2.16 Water Works Subtotal $38.05 City of Waterloo Services Sanitary Sewer $54.81 Storm Water Fee $12.00 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $37.94 City of Waterloo Subtotal $131.75 'ReVtiutAA- cost s I 5104 13 CHARGE SUMMARY Previous Balance Credits/Payments $163.99 -$163.99 Water Works Subtotal $38.05 City of Waterloo Subtotal $131,75 Total Current Service Charges $169.80 Total Amount Due $169.80 Amount Due After 06/12/2020 $177.43 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/07/2020 05/07/2020 529 Actual 541 Actual 12 SPECIAL MESSAGES PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: Wat:erg.RLOO V"netivraWORKS i __ P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 111729-503226 a , ...kir, ,AY , .. .. -_, az..tri: 41.1 pz,j; w.,4 ti MtIO•maq- 1 irstRk t.: :rzz ilFsilt:FaLvtai_frif-LifiefrAli:•••r-t-irCirgi -- 1 ei.trittitirtriart ut la • vrtrFAIr-rstairra.sZ .- al! 0 Amount ' "cre(01-401iffleis Due After: 177,43 '- I. AM anaralellste -._,L., ‘ so... 71,,.. .... • 7., ,7. rd *tF-1 _ -eiriVivi:g nirne ' . geq; /sr 1;v;.- ; 5 Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 06/12/2020 • REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOOA 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: 4ccount Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/21/2020 09/14/2020 Waterloo Water Works Services Water $35.89 Water Service Excise Tax $2.16 Water Works Subtotal $38.05 City of Waterloo Services Sanitary Sewer $58.29 Storm Water Fee $12.75 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $133,29 CHARGE SUMMARY Previous Balance Credits/Payments $169.80 -$169.80 Water Works Subtotal $38.05 City of Waterloo Subtotal $133.29 Total Current Service Charges $171.34 Total Amount Due $171,34 Amount Due After 09/14/2020 $179,04 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 05/07/2020 08/0E/2020 541 Actual 553 Actual 12 SPECIAL MESSAGES IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM- PLEASE VISIT 2020CENSUS.GOV AS SOON AS POSSIBLE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERL�?C3 VV,�.TE7 1/U'ORK5 P.O. Box 27 Waterloo, Iowa 50704 Phone: 319) 232-6280 ADDRESSEE: BaysingerJoann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 %i' - -m .c i E v. rati i'F car igt Amount Due After : 179.04 ' t , t,E�t.) ,rr+.;.t, -. �., v.--'xa•ca� a°rr.fi i t e Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 09/14/2020 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WIMERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/23/2020 12/16/2020 Waterloo Water Works Services Water $37.96 Water Service Excise Tax $2.28 Water Works Subtotal $40.24 City of Waterloo Services Sanitary Sewer $60.97 Storm Water Fee $12.75 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $135.97 CHARGE SUMMARY Previous Balance Credits/Payments $171.34 -$171.34 Water Works Subtotal $40.24 City of Waterloo Subtotal $135.97 Total Current Service Charges $176.21 Total Amount Due $176.21 Amount Due After 12/16/2020 $184,91 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 08/06/2020 11/06/2020 553 Actual 566 Actual 13 SPECIAL MESSAGES LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE. CHECKS PAYABLE TO: WA'L W .W`R KS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: BaysingerJoann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 Ta d fs, i. t' la �{� t� rj' r. g .r,r i �[aY"sY i,.,y,} r a .fit y•s: F tl'IkE ..�.r` -.1-15 eit y r ,arsf'Py3t ,a' at F'C i 3. 4 1v i .�IZ�-.:nF���ni•� w .1 „Tea r •- , . Amount Due After : 184.91 Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 12/16/2020 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 'E T L ' ` '' ' WORKS K 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: 4ccount Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/23/2021 03/16/2021 Waterloo Water Works Services Water $36.96 Water Service Excise Tax $2.22 Water Works Subtotal $39.18 City of Waterloo Services Sanitary Sewer $58.29 Storm Water Fee $12.75 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $133.29 CHARGE SUMMARY Previous Balance Credits/Payments $176,21 -$176.21 Water Works Subtotal $39.18 City of Waterloo Subtotal $133.29 Total Current Service Charges $172.47 Total Amount Due $172.47 Amount Due After 03/16/2021 $180,98 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 11/06/2020 02/09/2021 566 Actual 578 Actual 12 SPECIAL MESSAGES LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 TFs a: i© hry ..=5 I. hc° 3 qttF4 22413 E t v�. .`=. 'F � L *t . s - a We9 Palm Amount Due After : 1f%80.98O Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 03/16/2021 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO k WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: 4►ccount Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/21/2021 06/14/2021 Waterloo Water Works Services Water $34.83 Water Service Excise Tax $2.09 Water Works Subtotal $36.92 City of Waterloo Services Sanitary Sewer $55.61 Storm Water Fee $12.75 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $130.61 CHARGE SUMMARY Previous Balance Credits/Payments $172.47 -$172.47 Water Works Subtotal $36.92 City of Waterloo Subtotal $130.61 Total Current Service Charges $167.53 Total Amount Due $167.53 Amount Due After 06/14/2021 $175.80 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/09/2021 05/11/2021 578 Actual 589 Actual 11 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO; WATERLC3t3 WATER YJIfQR.KS P.O. Box 27 Waterloo, Iowa 50704 Phone' (319) 232-6280 ADDRESSEE; Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 i S f.'. T�4����J��a�iS." _..:1.5 jf.}i# G``S7 hiV M $* �Ag!-'L. 4 l < MUM +... .L-i-,::).t{1`..1_,. t�f{r a-tri -ATI— 7 •i'LdV ti Y.s C� s Y a��Zli T•L+ pY -�� _,�.�.-.���vr;�a sruw� � rti �4t7� s. Amount Due After : 175.80 i�rt;fyy��Qp�]u ... QpfR°� 'TO S"��. �..� _...4 (_.. � �u.�g-r� �yr4M{ = A ,�� t 3t 7'�iG:�Hr7``.� `; �-�q 3_iK-�'a4%. i•.,x a .��7a�; < l * tee. �l- F �{+�()y.�),2, +-p�•`ttt�F? Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 06/14/2021 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO W ..__;1--__.Y. 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 WORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater,org Page 1 of 1 ACCOUNT SUMMARY 2ustomer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/23/2021 09/14/2021 Waterloo Water Works Services Water $36.96 Water Service Excise Tax $2.22 Water Works Subtotal $39.18 City of Waterloo Services Sanitary Sewer $61.77 Storm Water Fee $13.50 Yard Waste / Recycle Curbside $12,00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $137.52 CHARGE SUMMARY Previous Balance Credits/Payments $167.53 -$167,53 Water Works Subtotal $39.18 City of Waterloo Subtotal $137.52 Total Current Service Charges $176.70 Total Amount Due $176.70 Amount Due After 09/14/2021 $185.43 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 05/11/2021 08/05/2021 589 Actual 601 Actual • 12 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Bayslnger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact information requires updating and indicate the change(s) on reverse side Account Number: 111729-503226 IIYq Total Y •.� � Z�J +m n I' ite yy �R4%��K' f ��l tj f' �f-� ..�.��r ���[� ' er).� ` [I11 4.) � 7 Amount Due After : .185.43 s+ �>>,,�. `a5 YL{' 3 , 1 i..� ,.:.44÷mp4-zlL. ''v £'.its-s...;: f�.�ei s a��.-... � .. }:,44 svenf fhi� r"a �,)J a�r•.- .ai.�T V7r Ya' Amount Enclosed: Totai Amount Due will be withdrawn from your bank account on 09/14/2021 REMIT TO:. WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Vi ATE L O A. 325 Sycamore Street P.O. Box 27 • Waterloo, Iowa 50704 WORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1of1 ACCOUNT SUMMARY Customer Name: 4ccount Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/22/2021 12/15/2021 Waterloo Water Works Services Water $34.83 Water Service Excise Tax $2.09 Water Works Subtotal $36.92 City of Waterloo Services Sanitary Sewer $58,93 Storm Water Fee $13.50 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $134.68 CHARGE SUMMARY Previous Balance Credits/Payments $176.70 -$176.70 Water Works Subtotal $36.92 City of Waterloo Subtotal $134.68 Total Current Service Charges $171.60 Total Amount Due $171.60 Amount Due After 12/15/2021 $180.08 Previous Read Date Current Read Date Previous Read Previous Reac Type Current Read Current Read Type Usage (CCF) 08/05/2021 11/10/2021 601 Actual 612 Actual . 11 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 it < c'3` �0.1 s{ ;is,, �v Amount Due After : 180.08 Blur-t [�$a a2Tr. N t'eYr �n ... ��,��.L....:.• C....S ++..�1�.4 tint �?'}.d.z =� Y c .^/ ,c t s.,-,. . l r:P .,..k_,5; .yy,,,.�,yj�, y. �s ��4 ,• Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 12/15/2021 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO M' V ,1,_ O IDS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/22/2022 03/15/2022 Waterloo Water Works Services Water $39.48 Water Service Excise Tax $2.37 Water Works Subtotal $41.85 City of Waterloo Services Sanitary Sewer $64,61 Storm Water Fee $13.50 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $140.36 CHARGE SUMMARY Previous Balance Credits/Payments $171.60 -$171.60 Water Works Subtotal $41.85 City of Waterloo Subtotal $140.36 Total Current Service Charges $182.21 Total Amount Due $182.21 Amount Due After 03/15/2022 $191.20 Previous Read Date Current Read Date Previous Read Previous Read Type 11/10/2021 02/08/2022 612 Actual Current Read Current Read Type 625 Actual Usage (CCF) 13 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://fowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: T E R LO 0 V,.....a\usagIA ;40 R KS e P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: BaysingerJoann 313 Bourland Ave Waterloo, IA 50702 0 Please check box if contact Information requires updating and indicate the change(s) on reverse side Account Number: 111729-503226 J t 3 55j {�, LLi sh)tas. �y+;.g 'oiled totals To als ti '�i,11 t�T_�4�0 lily r _ 'L. j5.� , r_. t .4, p ti. t Rz:r: r 3 �y t. r a- 7WpH�t�xui z, f. fY 96Y T::....f= . .n.1. u..aa. Amount Due After : 191,20 ��� (�l^"A.11:1/4��rn�.F-. tMS��, TauV4.���] °Dl3i/O; Zs aii`t��!1,1��I?ic3,t!��rL'.„_•(tf'iF��..a tS ,. Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 03/15/2022 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO ' tl _ _ `-.:. , .WO KS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/20/2022 06/13/2022 Waterloo Water Works Services Water $37.33 Water Service Excise Tax $2.24 Water Works Subtotal $39.57 City of Waterloo Services Sanitary Sewer $61.77 Storm Water Fee $13.50 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $137.52 CHARGE SUMMARY Previous Balance Credits/Payments $182.21 -$182.21 Water Works Subtotal $39.57 City of Waterloo Subtotal $137,52 Total Current Service Charges $177.09 Total Amount Due $177.09 Amount Due After 06/13/2022 $185.84 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/08/2022 05/06/2022 625 Actual 637 Actual 12 SPECIAL MESSAGES Now Available Online 2021 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box if contact information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 {1{1}}}} <'. .�_Fe* :�'F ff+ rse;i. 3i gi-L- . `jam( ' _ ` T1Jt �j -itMQ_ �ttr'".�'_.....�L. i. 'IhY ma TL-..:wr-6^L'.:41i�3 / Amount Due After : 185 84 Bi'ltit* 1/446 Date: ' ;; ` s - /13f202_21 Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 06/13/2022 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Pave 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/22/2022 09/13/2022 Waterloo Water Works Services Water $37.33 Water Service Excise Tax $2.24 Water Works Subtotal . $39.57 City of Waterloo Services Sanitary Sewer $64.74 Storm Water Fee $14.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $141.24 • CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $177.09 - $359.50 - $182.41 Water Works Subtotal $39.57 City of Waterloo Subtotal $141.24 Total Current Service Charges $180.81 Total Amount Due -$1.60 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Reacl Type Usage (CCP) 05/06/2022 08/09/2022 637 Actual 649 Actual 12 SPECIAL MESSAGES EFFECTIVE JAN 1, 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment, See reverse side for additional information MAKE CHECKS PAYABLE TO: W?tTERL9+0 WATE13 WaRM P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 :friN. G^+� n 1. �1'^i`�'F�'et•.-°i.F f-.."'o� q 6SC3,w .FSF`.A I!1l[r3=4Lt ytia>jr?'_..S.i_.�rX7t4i#:Acstic°.h o �s. 01 Amount Due After : -1.60 Billing Dpte• ;'"...VIA 204 Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 09/13/2022 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 WORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/21/2022 12/14/2022 Waterloo Water Works Services Water $33.03 Water Service Excise Tax $1.99 Water Works Subtotal $35.02 City of Waterloo Services Sanitary Sewer $58.78 Storm Water Fee $14.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $135.28 CHARGE SUMMARY Previous Balance Balance Forward - $1,60 - $1,60 Water Works Subtotal $35.02 City of Waterloo Subtotal $135,28 Total Current Service Charges $170.30 Total Amount Due $168,70 Amount Due After 12/14/2022 $177.03 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 08/09/2022 11/10/2022 649 Actual 659 Actual 10 SPECIAL MESSAGES EFFECTIVE JAN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3.00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 Tdtall Arnourii R ;> ; , . ; , _ Amount Due After : 177.03 Billing Due Date. ,. 12/14/2022. Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 12/14/2022 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ATERLOO W WORKS WI!WAIJ..gO 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: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/23/2023 03/16/2023 Waterloo Water Works Services Water $30.88 Water Service Excise Tax $1.86 Water Works Subtotal $32.74 City of Waterloo Services Sanitary Sewer $55.80 Storm Water Fee $14.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $132,30 CHARGE SUMMARY Previous Balance Credits/Payments $168.70 -$168,70 Water Works Subtotal $32.74 City of Waterloo Subtotal $132.30 Total Current Service Charges $165.04 Total Amount Due $165.04 Amount Due After 03/16/2023 $173.19 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 11/10/2022 02/10/2023 659 Actual 668 Actual 9 SPECIAL MESSAGES EFFECTIVE JAN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: woa wtar6VRKs P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 Total 4 u y �S`j + R VT F +•-.i ^.� ZL , • , „IlAmount Due After : 173.19 l >!i{it gpu :p'a ;, �' z 1rti} ;r `. e23. • Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 03/16/2023 REMIT TO: WATERLOO WATERWORKS 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: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/22/2023 06/13/2023 Waterloo Water Works Services Water $30.88 Water Service Excise Tax $1.86 Water Works Subtotal $32.74 City of Waterloo Services Sanitary Sewer $55.80 Storm Water Fee $14.25 Yard Waste / Recycle Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $132.30 CHARGE SUMMARY Previous Balance Credits/Payments $165.04 -$165.04 Water Works Subtotal $32.74 City of Waterloo Subtotal $132,30 Total Current Service Charges $165.04 Total Amount Due $165.04 Amount Due After 06/13/2023 $173.19 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/10/2023 05/10/2023 668 Actual 673 Actual 5 14 E.12 U 10 Ci a c 6 m 4 nia 2 a Osi' Oh OO rPrts ryOry1/4. ry�� & 00 t, l 5, r , ryory(1, rl• ry0 SPECIAL MESSAGES Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks ■ Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: WATERL22XMa9RKS P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 111729-503226 e.+y+.c •ti i 7 ... •_ �+Zry vwER ToIs�T;it )r r blitz i- a iA: �� y�y(�.ja,,t4 �F'�1.�'3°Yy'-r�yi 1, ,ry�,1'i'�ti+i?i� L+s`F Y�M4� Amount Due After : 173.19 7 i! r .. 4.•l, ti ¢-C+ `.. Ya ilitri g,D4tTDe,n �.ess•/ fit( ti r "' . t; 1 ` t Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 06/13/2023 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA :... WORKS :xa 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Baysinger Joann 111729-503226 313 BOURLAND AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/21/2023 09/12/2023 Waterloo Water Works Services Water $30.88 Water Service Excise Tax $1.86 Water Works Subtotal $32.74 City of Waterloo Services Sanitary Sewer $60.26 Storm Water Fee $15.00 Yard Waste / Recycle Curbside $0.13 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $35.25 City of Waterloo Subtotal $125.64 ai[a 'i'Jt:t'.4 .!'. - --et-. . -v;. • At • CHARGE SUMMARY Previous Balance Credits/Payments $165.04 -$165.04 Water Works Subtotal $32.74 City of Waterloo Subtotal $125.64 Total Current Service Charges $158.38 Total Amount Due $158,38 Amount Due After 09/12/2023 $166.20 Previous Read Date Current Read Date Previous Read Previous Reac Type Current Read Current Read Type Usage (CCF) 05/10/2023 08/09/2023 673 Actual 677 Actual 4 SPECIAL MESSAGES Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WA2LRI2rioltPaiiiiig2 P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ADDRESSEE: Baysinger Joann 313 Bourland Ave Waterloo, IA 50702 ❑ Please check box If contact information requires updating and indicate the change(s) on reverse side Account Number: 111729-503226 t.M4..!a_.. TIP ljL��; Of+,�" Yg, vm.ta i. • .W_ J w-x W r 1 rtistit irie. ,,,, A. t- _s4R Amount Due After : 166.20 • Ri ;r } T1ll �y ail} ,Trlvi.,sz.n .\z T K 4 �w.. 093 tr,,tlit s.,, ! ,> .,_,:si ,15i, Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 09/12/2023 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Name: PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Address: Ro• 2OO City/State/Zip: Uv akn1(Th .14 S-07 t4-- Service Address: 13b CjaCte&M. Sf , Date: l Phone: 30`43 [--(16r Refund Amount Requested: $ 33 Oq **Documentation Included: V Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: CIE v rled + �4004-14. �(v 1 �s Gate- t `-}�.( kJ/we_ Cu ptvct'ki ',01,(„ ,P_W Signature/Sanitation Department Date Confirmed Refund Amount: $ 3 34, 69 1O °irrvio Finance Signature Confirmed w/Water Works: 1/ Yes No Refund Amount Paid: $ $334.09 12/4/2023 Date -svr-c?°:-:\rt(7 Phone: (319) 232-6280 i WA E RLO WAUJ WC RKS y ��k 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST STATEMENT OF SERVICES Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/22/2021 04/12/2021 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $30.57 $1.84 Water Works Subtotal $32.41 City of Waterloo Services Sanitary Sewer $50.25 Storm Water Fee $51.00 Garbage $16.84 Sales Tax $8.27 City of Waterloo Subtotal $126.36 Water Service Excise Tax CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 04/12/2021 $140.10 -$147.00 -$6.90 $32.41 $126.36 $158.77 $151.87 $158.11 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 12/11/2020 03/12/2021 232 Actual �y 0.8 00.6 WOA y 0.2 0 € rThiiii ttt ry0^9. ^t 00 `L0t\0' L0,L0 0C3 Otb Os `9 Oct' R0 311 rt. 232 Actual 0 SPECIAL_ MESSAGES LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT BILLS Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WAT RLOO WA . �'.�1 VORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Account Number: 105492-502426 Total Amount Due: 151.87 Amount Due After : 158.11 Billing Due Date: 04/12/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side WA►TERLtd9 WAT 1l1/ORIDS 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: Union Baptist Church 105492-502426 130 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 06/22/2021 07/14/2021 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 $30.57 $1.84 $32.41 $50.25 $51.00 $35.25 $9.56 $146.06 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 07/14/2021 $151.87 -$151.87 $32.41 $146.06 $178.47 $178.47 $186.82 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 03/12/2021 06/14/2021 232 Actual 233 Actual 1 SPECIALMESSAGES 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 alla MAKE CHECKS PAYABLE TO: ATERLOO WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Account Number: 105492-502426 Total Amount Due: 178.47 Amount Due After : 186.82 Billing Due Date: 07/14/2021 Amount Enclosed: l:fiiYlli1 (0); WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 0 Please check box if contact information requires updating and indicate the change(s) on reverse side WATERLOO WaNO RI<S 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: Union Baptist Church 105492-502426 130 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 09/22/2021 10/13/2021 Waterloo Water Works Services Water $30.57 Water Service Excise Tax $1.84 Late Penalty $8.35 Water Works Subtotal $40.76 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $54.00 Garbage $35.25 Sales Tax $9.98 City of Waterloo Subtotal $152.48 Previous Balance Credits/Payments Balance Forward $178.47 -$186.82 -$8.35 Water Works Subtotal $40.76 City of Waterloo Subtotal $152.48 Total Current Service Charges $193.24 Total Amount Due $184.89 Amount Due After 10/13/2021 $193.54 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 06/14/2021 09/10/2021 233 Actual 233 Actual 0 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 ATERLOO WAI WORDS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 105492-502426 Total Amount Due: 184.89 Amount Due After : 193.54 Billing Due Date: 10/13/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATTRL .0 WATER.1tV'C RKK5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Customer Name: Account Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 12/22/2021 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 Sales Tax City of Waterloo Subtotal $30.57 $1.84 $32.41 $53.25 $54.00 $35.25 $9.98 $152.48 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 01/17/2022 $184.89 -$193.54 -$8.65 $32.41 $152.48 $184.89 $176.24 $184.46 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 09/10/2021 12/14/2021 233 Actual u,0.8 U 0.6 rn 0.4 H 0.2 00 O`O 1/1/ ,.y Oc) `10r0. `CC'. OHO O°� LO�� 234 Actual 1 ket NECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: j WA`rE RLOO WA aR WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Account Number: 105492-502426 Total Amount Due: 176.24 Amount Due After : 184.46 Billing Due Date: 01/17/2022 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side WATLRLOB WATE OR1<5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST STATEMENT OF SERVICES ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/22/2022 04/12/2022 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $30.88 Water Service Excise Tax $1.86 Water Works Subtotal $32.74 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $54.00 Garbage $35.25 Sales Tax $9.98 City of Waterloo Subtotal $152.48 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $176.24 -$184.46 -$8.22 Water Works Subtotal $32.74 City of Waterloo Subtotal $152.48 Total Current Service Charges $185.22 Total Amount Due $177.00 Amount Due After 04/12/2022 $185.25 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 12/14/2021 03/11/2022 234 Actual 234 Actual 0 rc 0.8 cjj 0.6 0 0.4 y6j 0.2 0 Or' OHO O° �Ory0. �Or0. �On' Ng' On, `LOryO tiOry^ Ofie O°' rt. Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: —1111 • WAIT RL92 iV'� .WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 105492-502426 Total Amount Due: 177.00 Amount Due After : 185.25 Billing Due Date: 04/12/2022 Amount Enclosed: ia]kcilltro-off' WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 V' 'AT E R LO O WtT..W ( R 1<S 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST STATEMENT OF SERVICES ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 06/22/2022 07/14/2022 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $30.88 Water Service Excise Tax $1.86 Late Penalty $8.25 Water Works Subtotal $40.99 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $54.00 Garbage $35.25 Sales Tax $9.98 City of Waterloo Subtotal $152.48 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 07/14/2022 $177.00 -$185.25 -$8.25 $40.99 $152.48 $193.47 $185.22 $193.88 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 03/11/2022 06/13/2022 234 Actual 235 Actual 1 SPECIAL MESSAGES Now Available Online 2021 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLC>O WA�ER,WORI<5 P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Account Number: 105492-502426 Total Amount Due: 185.22 Amount Due After : 193.88 Billing Due Date: 07/14/2022 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ■ Please check box if contact information requires updating and indicate the change(s) on reverse side WATERL 1 SAT 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 Customer Name: Account Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 09/22/2022 10/13/2022 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 $30.88 $1.86 $32.74 $55.80 $57.00 $35.25 $10.37 $158.42 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 10/13/2022 $185.22 -$193.88 -$8.66 $32.74 $158.42 $191.16 $182.50 $191.01 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 06/13/2022 09/12/2022 235 Actual 0 OC3Cot '.R On) 161. 235 Actual 0 S.P.MESSAGES , �. Now Available Online 2021 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks ■ Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA`ERWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Account Number: 105492-502426 Total Amount Due:. 182.50 Amount Due After : 191.01 Billing Due Date: 10/13/2022 Amount Enclosed: WATERLOO WATER WORKS P.0 BOX 27 WATERLOO, IOWA 50704 Please check box if contact information requires updating and indicate the change(s) on reverse side WA-1J vo R KS -- -�----..■..per. . _ _ �� -., 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 ustomer Name: ccount Number: ervice Address: Union Baptist Church 105492-502426 130 JACKSON ST STATEMENT OF SERVICES y �. Billing Frequency: Billing Date: Billing Due Date: Quarterly 12/22/2022 01/17/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $30.88 Water Service Excise Tax $1.86 Water Works Subtotal $32.74 City of Waterloo Services Sanitary Sewer $55.80 Storm Water Fee $57.00 Garbage $35.25 Sales Tax $10.37 City of Waterloo Subtotal $158.42 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 01/17/2023 $182.50 -$191.01 -$8.51 $32.74 $158.42 $191.16 $182.65 $191.17 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 09/12/2022 12/14/2022 235 Actual 236 Actual 1 EFFECTIVE JAN 1 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WA-11,11,1,1722SAT P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 105492-502426 Total Amount Due: 182.65 Amount Due After : 191.17 Billing Due Date: 01/17/2023 Amount Enclosed: i,4<i ��liir i t WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATF RLOO 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 ACCOUNTSUMMAitV Customer Name: 4ccount Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/23/2023 04/13/2023 Waterloo Water Works Services Water $473.14 Water Service Excise Tax $28.39 Late Penalty $8.52 Water Works Subtotal $510.05 City of Waterloo Services Sanitary Sewer $717.36 Storm Water Fee $57.00 Garbage $35.25 Sales Tax $56.68 City of Waterloo Subtotal $866.29 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 04/13/2023 $182.65 -$191.17 -$8.52 $510.05 $866.29 $1,376.34 $1,367.82 $1,431.96 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 12/14/2022 03/13/2023 236 Actual 467 Actual 231 SPEQLAJ, IE SAGES EFFECTIVE JAN 1 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY ■ Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA1i WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 105492-502426 Total Amount Due: 1,367.82 Amount Due After : 1,431.96 Billing Due Date: 04/13/2023 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO_ O._. r WATgr,WC RI S ..__ 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 ( Customer Name: Account Number: Service Address: Union Baptist Church 105492-502426 130 JACKSON ST STATEMENT OF SERVICES ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 06/22/2023 07/14/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Sales Tax City of Waterloo Subtotal $30.88 $1.86 $32.74 $55.80 $57.00 $35.25 $10.37 $158.42 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 07/14/2023 $1,367.82 -$1,367.82 $32.74 $158.42 $191.16 $191.16 $200.10 1 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 03/13/2023 06/14/2023 467 Actual 473 Actual 6 240 .^200 U 160 V'120 01 80 10 = 40 0 00 OHO O°' ,1• 0�� 101^ 10`1� ,yOv ,10nc 1/4ti Otte ti Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks ■ Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERL WORT<S P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Baptist Church PO BOX 2092 Waterloo, IA 507042092 Please check box if contact information requires updating and indicate the change(s) on reverse side 1 Account Number: 105492-502426 Total Amount Due: 191.16 Amount Due After : 200.10 Billing Due Date: 07/14/2023 Amount Enclosed: REMIT TQ:; WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: tAiri.i mil6',ISSosr vf'V�'li Date: 1 `'2/3 1 � Address: F. 0 4 J�`! i c�-' Phone: `�ct 3 1-441 I City/State/Zip: vV &+CI tyv `TA 5D- o 4 Service Address: D-09 J G ck.SOY\. Refund Amount Requested: $ 334. ` **Documentation included: V Yes No ** All request for refunds required proof of payment before refunds are processed.jn�,, �p Comments: Li L4r `U'� �j,��G� se"AitCeS Wr` tK ll.JWe cabk Signature/Sanitation Department Confirmed Refund Amount: $ (Wye& Zc( Finance Signature 1 Date Confirmed w/Water Works: e s No Refund Amount Paid: $ $334.09 12/4/2023 Date 0 V9-nr- 4( )04 \ikr 7 (3 3 -syL-oricArucQc-7 WALE �LOO WAI O R KS 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: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST /:.tl i3f��(f'` i .11YdlYl':�Ay( Waterloo Water Works Services Water Fire Lines Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Sales Tax City of Waterloo Subtotal $63.14 $13.50 $4,60 $81.24 $50,25 $89.25 $16.84 $10.95 $167.29 Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/22/2021 04/12/2021 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $228.56 -$239.00 -$10.44 Water Works Subtotal $81.24 City of Waterloo Subtotal $167.29 Total Current Service Charges $248.53 Total Amount Due $238.09 Amount Due After 04/12/2021 $247.70 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 12/11/2020 03/12/2021 2,785 Actual 2,790 Actual 5 100 jr. 80 60 40 a 20 0 Ng, ri sm. III SIM 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 f.E. RKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 Account Number: 124391-516971 Total Amount Due: 238.09 Amount Due After : 247.70 Billing Due Date: 04/12/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side WATERLO0 WATE ORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1of1 Customer Name: Account Number: Service Address: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST • pjjY .�y.�r g'Y Billing Frequency: Billing Date: Billing Due Date: Quarterly 06/22/2021 07/14/2021 Waterloo Water Works Services Water $63.14 Fire Lines $13.50 Water Service Excise Tax $4.60 Water Works Subtotal $81.24 City of Waterloo Services Sanitary Sewer $50.25 Storm Water Fee $89.25 Garbage $35.25 Sales Tax $12.24 City of Waterloo Subtotal $186.99 CHARGE SUMMARY Previous Balance Credits/Payments $238.09 -$238.09 Water Works Subtotal $81.24 City of Waterloo Subtotal $186.99 Total Current Service Charges $268.23 Total Amount Due $268.23 Amount Due After 07/14/2021 $280.12 Previous Read Date Current Read Date' Previous Read 03/12/2021 06/14/2021 2,790 Previous Read Type Actual 100 80 V 60 ,ao N 20 7 0 00 ,y0 1771 Nr O^0 ti MOE Current Read Current Read Type 2,795 Actual Usage (CCF) 5 SPECIAL MESSAGES, Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WA71.1...02.ya WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 124391-516971 Total Amount Due: 268.23 Amount Due After : 280.12 Billing Due Date: 07/14/2021 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WET ERLOO LR WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1' Customer Name: Account Number: Service Address: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: - Quarterly 09/22/2021 10/13/2021 Waterloo Water Works Services Water $63.14 Fire Lines $13.50 Water Service Excise Tax $4.60 Late Penalty $11.89 Water Works Subtotal $93.13 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $94.50 Garbage $35.25 Sales Tax $12.82 City of Waterloo Subtotal $195.82 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 10/13/2021 $268.23 -$280.12 -$11.89 $93.13 $195.82 $288.95 $277.06 $289.37 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 06/14/2021 09/10/2021 2,795 Actual 20 a • OHO tion' IPERMOI -w el, LO,t.. 10,1.. 2,802 Actual 7 SL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 WORKS ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 124391-516971 Total Amount Due: 277.06 Amount Due After : 289.37 Billing Due Date: 10/13/2021 Amount Enclosed: a REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATE-R.WOR1<S 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: Union Missionary Baptist Churc 124391-516971 209 JACI<SON ST Waterloo Water Works Services Water $82.31 Fire Lines $13.50 Water Service Excise Tax $5.75 Water Works Subtotal $101.56 City of Waterloo Services Sanitary Sewer $78.81 Storm Water Fee $94.50 Garbage $35.25 Sales Tax $14.61 City of Waterloo Subtotal $223.17 Billing Frequency: Billing Date: Billing Due Date: Quarterly 12/22/2021 01/17/2022 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $277.06 -$289.37 -$12.31 Water Works Subtotal $101.56 City of Waterloo Subtotal $223.17 Total Current Service Charges $324.73 Total Amount Due $312.42 Amount Due After 01/17/2022 $326.35 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 09/10/2021 12/14/2021 2,802 Actual 3 i i I, ■ ■ ■ -4- 2,820 Actual 18 SPECIAL MESSAGES. Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information WATE R L 7O WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 ink ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 Account Number: 124391-516971 Total Amount Due: 312.42 Amount Due After : 326.35 Billing Due Date: 01/17/2022 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side WATERL�C WAS _WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: STATEMENT OF SERVICES Union Missionary Baptist Churc 124391-516971 209 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/22/2022 04/12/2022 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $63.77 Fire Lines $13.50 Water Service Excise Tax $4.64 Water Works Subtotal $81.91 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $94.50 Garbage $35.25 Sales Tax $12.82 City of Waterloo Subtotal $195.82 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $312.42 -$326.35 -$13.93 Water Works Subtotal $81.91 City of Waterloo Subtotal $195.82 Total Current Service Charges $277.73 Total Amount Due $263.80 Amount Due After 04/12/2022 $275.44 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 12/14/2021 03/11/2022 2,820 Actual 28 ,-. 24 o 20 o 16 y 12 <V ti O�' OrO (fob 0. �OryO, ry0tti 0. r e 05 �OyO 159' ris OHO Og 2,828 Actual 8 SPECIAL MESSAGES Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATE RLC)? V1fA�TE O R KS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 124391-516971 Total Amount Due: 263.80 Amount Due After : 275.44 Billing Due Date: 04/12/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATE V`VA ' E . 0 R K5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST STATEMENT OF SERVICES ACCOUNT SUMMARY Waterloo Water Works Services Water $68.07 Fire Lines $13.50 Water Service Excise Tax $4.90 Late Penalty $11.64 Water Works Subtotal $98.11 City of Waterloo Services Sanitary Sewer $58.93 Storm Water Fee $94.50 Garbage $35.25 Sales Tax $13.22 City of Waterloo Subtotal $201.90 Billing Frequency: Billing Date: Billing Due Date: Quarterly 06/22/2022 07/14/2022 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 07/14/2022 $263.80 -$275.44 -$11.64 $98.11 $201.90 $300.01 $288.37 $301.21 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 03/11/2022 06/13/2022 2,828 Actual 28 24 o 20 o 16 y 12 :r8 R m 4 0 r 1 rie 00 (4OC) • 2,839 Actual 11 SPECIAL MESSAGES Now Available Online 2021 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 Account Number: 124391-516971 Total Amount Due: 288.37 Amount Due After : 301.21 Billing Due Date: 07/14/2022 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side WATERLOO W'T tV t R i<5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1of1 Customer Name: Account Number: Service Address: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 09/22/2022 10/13/2022 Waterloo Water Works Services Water $65.92 Fire Lines $13.50 Water Service Excise Tax $4.77 Water Works Subtotal $84.19 City of Waterloo Services Sanitary Sewer $58.78 Storm Water Fee $99.75 Garbage $35.25 Sales Tax $13.58 City of Waterloo Subtotal $207.36 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $288.37 -$301.21 -$12.84 Water Works Subtotal $84.19 City of Waterloo Subtotal $207.36 Total Current Service Charges $291.55 Total Amount Due $278.71 Amount Due After 10/13/2022 $291.05 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 06/13/2022 09/12/2022 2,839 Actual 28 .-. 24 U. 20 o 16 m 12 °1 8 N 4 0 0c5 Net' On) .IOry0 `LOryO LOB^ On) OC3 4191'�' LO�ti 190 2,849 Actual 10 SPECIAL MESSAGES Now Available Online 2021 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PABLE TO: W AT E R L O WA�C`.E_R WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 Account Number: 124391-516971 Total Amount Due: 278,71 Amount Due After : 291.05 Billing Due Date: 10/13/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ■ Please check box if contact information requires updating and indicate the change(s) on reverse side WATERLOO WATER R 'O R KS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Customer Name: Account Number: Service Address: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST �Y:r>;llili �1►`�iIivitilz Billing Frequency: Billing Date: Billing Due Date: Waterloo Water Works Services Water Fire Lines Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Sales Tax City of Waterloo Subtotal $65.92 $13.50 $4.77 $84.19 $58.78 $99.75 $35.25 $13.58 $207,36 Quarterly 12/22/2022 01/17/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $278.71 -$291.05 -$12.34 Water Works Subtotal $84.19 City of Waterloo Subtotal $207.36 Total Current Service Charges $291.55 Total Amount Due $279.21 Amount Due After 01/17/2023 $291.58 Previous Read Date Current Read Date Previous Read 09/12/2022 12/14/2022 2,849 Previous Read Type Actual 28 24 o 20 U 16 a, 12 0)ca 8 a 4 0 Current Read Current Read Type 2,859 Actual Usage (C 10 ass _ SPECIAL MESSAGES. '111.11. EFFECTIVE JAN 1 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PALE TQ WATERLOO \ ,EWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 Account Number: 124391-516971 Total Amount Due: 279.21 Amount Due After : 291.58 Billing Due Date: 01/17/2023 Amount Enclosed: l ; wvillti"�K°) 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 WA .° E RLO WAT R. Wt R1 S 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Customer Name: Account Number: Service Address: Union Missionary Baptist Churc 124391-516971 209 JACKSON ST ACCO N SUM A Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/23/2023 04/13/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $63.77 Fire Lines $13.50 Water Service Excise Tax $4.64 Water Works Subtotal $81.91 City of Waterloo Services Sanitary Sewer $55.80 Storm Water Fee $99.75 Garbage $35.25 Sales Tax $13.37 City of Waterloo Subtotal $204.17 CHARGE SUMMARY Previous Balance Credits/Payments $279.21 -$279.21 Water Works Subtotal $81.91 City of Waterloo Subtotal $204.17 Total Current Service Charges $286.08 Total Amount Due $286.08 Amount Due After 04/13/2023 $298.81 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 12/14/2022 03/13/2023 2,859 Actual 20 LL 16 U 12 0) 8 N 4 In 0 o� o`O o0 1 �ti HE!! 00 09 Lory,L `LO�ti 2,868 Actual 9 SPECIAL MESSAGES;; EFFECTIVE JAN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional information WATE11L2P SJ. R 1<5 P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 124391-516971 Total Amount Due: 286.08 Amount Due After : 298.81 Billing Due Date: 04/13/2023 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATE !kW() 1NA` . _. W t R KS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1of1! kim°!.M5riNT SUMMARY Customer Name: Union Missionary Baptist Churc Account Number: 124391-516971 Service Address: 209 JACKSON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 06/22/2023 07/14/2023 Waterloo Water Works Services Water $72.45 Fire Lines $13.50 Water Service Excise Tax $5.16 Late Penalty $12.73 Water Works Subtotal $103.84 City of Waterloo Services Sanitary Sewer $67.72 Storm Water Fee $99.75 Garbage $35.25 Sales Tax $14.21 City of Waterloo Subtotal $216.93 • CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $286.08 -$298.81 -$12.73 Water Works Subtotal $103.84 City of Waterloo Subtotal $216.93 Total Current Service Charges $320.77 Total Amount Due $308.04 Amount Due After 07/14/2023 $321.80 Previous Read Date Current Read Date Previous Read 03/13/2023 06/14/2023 2,868 Previous Read Type Actual Current Read Current Read Type 2,881 Actual Usage (CCF) 13 iAt MESSAGES Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information Magg CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Union Missionary Baptist Churc PO BOX 2092 Waterloo, IA 507042092 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 124391-516971 Total Amount Due: 308.04 Amount Due After : 321.80 Billing Due Date: 07/14/2023 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: Address: 14.34- l.c ed f L o'e �� • City/State/Zip: v I `N (00 1 551 Service Address: L.134, 5a,(4-1.vvusre S T Date: l Phone: 31q- (934--1 5-37 Refund Amount Requested: $ 597. v/ **Documentation Included: Yes No ** All request for refunds required proof of payment before refunds are processed.j�' Comments: OV LArIe ' � N "1'�� wit I Y�ui ! ltQ.� l� �, bQ Utk-3 Signature/Sanitation Department Date Confirmed Refund Amount: $ 5a{ D/ Confirmed w/Water Works: VYes No 'Writ 7)3 ( 12/4/2023 Finance Signature Date Refund Amount Paid: $ $52.09 FIRST BAPTIST CHURCH 434 Baltimore Street Waterloo, Iowa 50701 (319) 234-1537 July 13, 2023 To: Waterloo Water Works Could we exempt our garbage fees for the remainder of the year? Thank you, Steve Harty First Baptist Church 434 Baltimore Street Waterloo, IA 50701 re cufropf ‘- et, W&ERLOO WAWORDS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1of1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: First Baptist Church 118129-507851 434 BALTIMORE ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/23/2023 04/13/2023 Waterloo Water Works Services Water $85.13 Water Service Excise Tax $5,11 Water Works Subtotal $90.24 City of Waterloo Services Sanitary Sewer $130.30 Storm Water Fee $128.25 Garbage $16.84 Sales Tax $19.29 City of Waterloo Subtotal $294.68 CHARGE SUMMARY Previous Balance $262,48 Credits/Payments -$262.48 Water Works Subtotal $90.24 City of Waterloo Subtotal $294,68 Total Current Service Charges $384.92 Total Amount Due $384.92 Amount Due After 04/13/2023 $402.11 Previous Read Date Current Read Date Previous Read Previous Reac Type Current Read Current Read Type Usage (CCF) 12/14/2022 03/13/2023 1,431 Actual 1,465 Actual 34 SPECIAL MESSAGES EFFECTIVE JAN 12023ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: WATERLOO ' f. W R S P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: First Baptist Church 434 Baltimore St Waterloo, IA 507012628 ❑ Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 118129-507851 TiSt4IF Fell • t: ) 4 1.-: ---} ! .t ATF 4tr47 Amount Due After : 402.11 Miitil _-. ;� e? Ltat b -,i�rks Tc�•k -• ...».E--•.2w;..3 ! �t , i..re+�-._i.1 ..� e_ r,tS1t^ ., LO':IAT_,.�;�}�tit-yz: <.<::a fi-7+RF. -� Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 ,.2 14-2683 1/1 t\TERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: First Baptist Church 118129-507851 434 BALTIMORE ST Waterloo Water Works Services STATEMENT OF SERVICES sxci se Tax 61.26 Water Works Subtotal 3 68 $64.94 City of Waterloo Services _ 1' 97.52 128.25 Sales Tax :5.25 City of Waterloo Subtotal $18.28 $279.30 25 LJ ' — -L N a u u 0 F N N .a N if— . c O. 5 b N el Billing Frequency: Billing Date: Billing Due Date: Quarterly 6/22/2023 7/14/2023 Phone: (319) 232-6; www.waterloowater. Statement 1 o Previous Balance Credits/Payments Deposit Payment Balance Forward 384.92 384.92 CR 0 00 $0.00 Water Works Subtotal City of Waterloo Subtotal..,•,• 64.94 Total Current Service Charges " " " 2•2 3444.24 Total Amount Due Amount Due After 07/14/2023...$344.24 $360.35 • Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks