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Home My WebLink AboutApproved Documents - 2/3/2025TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 $120,000 $80,111.00 $2,820.00 $37,069.00 01/08/2025 Copy - Department NAME(S) AND POSITION(S): Officers Harrington and Thomas DATE: 01 /06/2025 NAME OF CLASS / MEETING: ILEA Firearms Instructor Course DESTINATION: Johnston, Ia DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: May 4, 2025 RETURN DATE: May 9, 2025 DATE(S) OF MEETING: May 5-9, 2025 PURPOSE OF TRAVEL/TRAINING: Lt. Fangman is requesting to send the above listed Officers to this course. This training will allow them to become certfied as firearms instructors, which allows them to instruct our Officers. The cost of this course will not exceed $2,820.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: XX COST $ YES NO METHOD OF TRAVEL: XXX CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: $720.00 LODGING $750.00 MEALS $1 ,250.00 REGISTRATION $100.00 MILEAGE/FUEL TOTAL FOR ALL: $ 2,820.00 TAXI PARKING AIRFARE M ISC/TOLLS BUDGET LINE ITEM: GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 1,410.00 PER PERSON REQUIRED CERTIFICATION I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Lt. Greg Fangman Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 01/08/25 '&4 Mad DATE K: \Shared Goodies\Forms\Travel Request Form TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 $120,000 $82,931.00 $525.00 $36,544.00 01/08/2025 Copy - Department NAME(S) AND POSITION(S): Officers Girsch, Nichols, Wilson DATE: 01 /07/2025 NAME OF CLASS / MEETING: ILEA Rifle Instructor Re -Certification DESTINATION: Waterloo, Ia DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: June 10, 2025 RETURN DATE: June 10, 2025 DATE(S) OF MEETING: June 10, 2025 PURPOSE OF TRAVEL/TRAINING: Lt. Fangman is requesting to send the above listed Officers to this course. This training will allow them to be recertified in instructing Officers with rifles.. The cost of this course will not exceed $525.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: XX YES NO COST $ METHOD OF TRAVEL: XXX CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: LODGING MEALS $525.00 REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ 525.00 TAXI PARKING AIRFARE M ISC/TOLLS BUDGET LINE ITEM: GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 175.00 REQUIRED CERTIFICATION PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Lt. Greg Fangman DEPARTMENT HEAD 01/08/25 DATE K: \Shared Goodies\Forms\Travel Request Form Date Approved by Finance Committee: 2/3/2025 DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 $120,000 $83,637.00 $1,908.00 $34,455.00 01/08/2025 Copy - Department NAME(S) AND POSITION(S): Sgt. Sadd DATE: 01 /08/2025 NAME OF CLASS / MEETING: Level 1 Hostage Negotiator Training DESTINATION: Jopline, Mo DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: March 30, 2025 RETURN DATE: April 4, 2025 DATE(S) OF MEETING: March 30-April 4, 2025 PURPOSE OF TRAVEL/TRAINING: Lt. Fangman is requesting to send Sgt. Sadd to this course. Sgt. Sadd has recently been appointed as a supervisor for the Hostage Negotiator Unit for the Department. This course provides entry level training for an negotiator. The cost of this course will not exceed $1,883.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: XX YES NO COST $ METHOD OF TRAVEL: XXX CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: $800.00 LODGING $263.00 MEALS $595.00 REGISTRATION $250.00 MILEAGE/FUEL TOTAL FOR ALL: $ 1,908.00 TAXI PARKING AIRFARE M ISC/TOLLS BUDGET LINE ITEM: GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 1,908.00 REQUIRED CERTIFICATION PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Lt. Greg Fangman DEPARTMENT HEAD 01/08/25 DATE K: \Shared Goodies\Forms\Travel Request Form Date Approved by Finance Committee: 2/3/2025 DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1150-1512 $50,000.00 $31,244.45 $1,000.00 $32,244.45 01/16/2025 Copy - Department NAME(S) AND POSITION(S): WPD Staff DATE: 01 /16/2025 a NAME OF CLASS / MEETING: DESTINATION: Waterloo, Iowa Frontline Therapy -Neck Up Check Up Overview DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: January 15 and 29, 2025 RETURN DATE: January 15 and 29, 2025 DATE(S) OF MEETING: January 15 and 29, 2025 PURPOSE OF TRAVEL/TRAINING: The Waterloo Police Department is implementing a Neck Up, Check Up program for Officer Wellness. Sheila Russell, the owner of Frontline Therapy and a provider for this new program will be presenting at the Department's monthly training to go over the program. The cost of these two trainnings will not exceed $1,000.00. This will be paid out of WPD forfeiture funds. A course flyer is not available. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: XX COST $ YES NO METHOD OF TRAVEL: XXX CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: LODGING $1,000.00 MEALS REGISTRATION MILEAGE/FU EL TOTAL FOR ALL: $ 1,000.00 TAXI PARKING AIRFARE M ISC/TOLLS BUDGET LINE ITEM: 010-11-1150 1512 X GRANT REIMBURSABLE YES NO X REQUIRED CERTIFICATION YES NO TOTAL: $ 1,000.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Lt. Greg Fangman Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 01/16/2025 DATE K: \Shared Goodies\Forms\Travel Request Form TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 $120,000 $85,545.00 $1,595.00 $32,860.00 01/17/2025 Copy - Department NAME(S) AND POSITION(S): Sgt. Wilson and Sgt. Koontz DATE: 01 /17/2025 NAME OF CLASS / MEETING: Swat Team Leader Development DESTINATION: Marion, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: March 24, 2025 RETURN DATE: March 28, 2025 DATE(S) OF MEETING: March 24-28, 2025 PURPOSE OF TRAVEL/TRAINING: Lt. Fangman is requesting to send the above listed Sergeants to this course. This course will enhance their leadership skills as they are in a supervisory role on the Tactical Unit. The cost of this course will not exceed $1,595.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: XX COST $ YES NO METHOD OF TRAVEL: XXX CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: LODGING $150.00 $1,448.00 MEALS REGISTRATION MILEAGE/FU EL TOTAL FOR ALL: $ 1,595.00 TAXI PARKING AIRFARE M ISC/TOLLS BUDGET LINE ITEM: GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 797.50 PER PERSON REQUIRED CERTIFICATION I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Lt. Greg Fangman Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 01/17/25 Tw+tt Za DATE K: \Shared Goodies\Forms\Travel Request Form TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 $120,000 $87,140.00 $3,189.00 $29,671.00 01/17/2025 Copy - Department NAME(S) AND POSITION(S): Officer Jasper DATE: 01 /17/2025 NAME OF CLASS / MEETING: At -Scene Traffic Crash/Traffic Homicide Investigation DESTINATION: Des Moines, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: June 2, 2025 RETURN DATE: June 13, 2025 DATE(S) OF MEETING: June 2-13, 2025 PURPOSE OF TRAVEL/TRAINING: Lt. Fangman is requesting to send Officer Jasper to this course. This course will provide instrution on how to investigate major accident scenes using physics, engineering, and mathematics. The cost of this course will not exceed $3,189.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: XX COST $ YES NO METHOD OF TRAVEL: XXX CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: $1,200.00 LODGING $644.00 MEALS $1,195.00 REGISTRATION $150.00 MILEAGE/FUEL TOTAL FOR ALL: $ 3,189.00 TAXI PARKING AIRFARE M ISC/TOLLS BUDGET LINE ITEM: GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 3,189.00 PER PERSON REQUIRED CERTIFICATION I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Lt. Greg Fangman Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 01/17/25 DATE K: \Shared Goodies\Forms\Travel Request Form 7Oc( TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 25 BUDGETED EXPENDED YTb THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-37-4120 1346 $1,00000 $90.00 $845.00 $65.00 1/28/25 Copy - Department NAME(S) AND POSITION(S): James(JB) Bolger(Assistant Park Superintentdent/Golf Manager) Bob Jorgensen, Brad VanderWerff(Golf Superintendent) DATE: 1/09/2025 NAME OF CLASS / MEETING: 2025 Turfgrass Conference DEPARTURE DATE: 2/11/2025 DESTINATION: Des Moines IA DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: 2/11-2/13/2025 RETURN DATE: 2/13/2025 PURPOSE OF TRAVEL/TRAINING: To keep up on new equipment and products. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING MEALS 845.00 REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ 845.00 TAXI PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: 010-37-4120-1346 X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 281.67 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE C _� WATER DEPARTME HEAD a5 I APPROVE THIS TRAVEL REQUEST vv Z Q XX 2/3/2025 DIGITALLY SIGNED DATE! 1 DATE K:1Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED TRAVEL REQUEST CITY OF WATERLOO FY BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Chawne Paige, Director DATE: February 11 - February 15, 2025 (4 nights, 5 days) NAME OF CLASS / MEETING: Picking up artwork DESTINATION: St. Petersburg, FL DEPARTURE POINT IF NOT WATERLOO: Cedar Rapids Airport (CID) DEPARTURE DATE: 2/11/2025 via air travel RETURN DATE: 2/15/2025 via city vehicle with Elizabeth Andrews, Associate Curator/Registrar DATE(S) OF MEETING: 2/11/2025 - 2/13/2025 PURPOSE OF TRAVEL/TRAINING: Travel to St. Petersburg, FL to document, pack, load and transport various donations of art to the Waterloo Center for the Arts permanent collection. This gift includes over 100 individual objects Haitian Art, masks and other international folk art items. This travel is supported by Cultural Leadership Partner Funds from the Iowa Arts Council, a division of the Iowa Economic Development Authority, Friends of the Art Center and Community Foundation of Northeast Iowa designated collection funds. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x YES NO COST $ METHOD OF TRAVEL: X CITY VEHICLE X AIRFARE PRIVATE VEHICLE DEPARTING FROM: CID ESTIMATE OF COST: BUDGET LINE ITEM: 4265 26GFT.FELCH2O 1000 LODGING 50 TAXI X GRANT REIMBURSABLE 280 MEALS PARKING YES NO REGISTRATION 230 AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 1560 TOTAL: $ 1560 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Chawne Paige Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 01-21-2025 DATE K: \Shared Goodies\Forms\Travel Request Form TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Elizabeth Andrews, Associate Curator/Registrar NAME OF CLASS / MEETING: Picking up artwork DEPARTURE DATE: 2/9/2025 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-26-4265 1350 FY 25 BUDGETED $7,705.00 Or EXPENDED YTD $1,764.81 THIS REQUEST $3,645.00 LEFT AFTER THIS REQUEST $2,295.19 DATE 1/28/25 Clerk/Finance Co. - be DATE:21912025 - 2/15/2025 (6 nights, 7 days) DESTINATION: St. Petersburg, FL DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: 2111/2025 - 2/13/2025 RETURN DATE: 2/15/2025 PURPOSE OF TRAVEL/TRAINING: Travel to St. Petersburg, FL to document, pack, load and transport various donations of art to the Waterloo Center for the Arts permanent collection. This gift includes over 100 individual objects Haitian Art, masks and other international folk art items. This travel is supported by Cultural Leadership Partner Funds from the Iowa Arts Council, a division of the Iowa Economic Development Authority, Friends of the Art Center and Community Foundation of Northeast Iowa designated collection funds. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: METHOD OF TRAVEL: X CITY VEHICLE AIRFARE X ESTIMATE OF COST: 1400 LODGING 440 1700 MEALS REGISTRATION MILEAGE/FUEL YES X NO COST $ DEPARTING FROM: CID 105 TOTAL FOR ALL: $ 3645 PRIVATE VEHICLE BUDGET LINE ITEM: 4265 26GFT.FELCH2O TAXI X GRANT REIMBURSABLE PARKING YES NO AIRFARE X REQUIRED CERTIFICATION MISC/TOLLS YES NO BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Chawne Paige DEPARTMENT HEAD 01-21-2025 DATE K:\Shared Goodies\Forms\Travel Request Form TOTAL: $ 3645 PER PERSON Date Approved by Finance Committee: DATE Tv, Noctd DIGITALLY SIGNED TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED see below FY BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Waste Mgmt Staff - 7; Street Dept Staff - 5; Traffic Dept Staff - 3 DATE: 2.3.2025 NAME OF CLASS / MEETING: Work Zone Safety Workshop DESTINATION: Cedar Falls, IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: March 11, 2025 RETURN DATE: March 11, 2025 DATE(S) OF MEETING: March 11, 2025 PURPOSE OF TRAVEL/TRAINING: Workshop to cover the Manual on Uniform Control Devices (MUTCD), particularly part 6. MUTCD recommends all Workers whose duties place them near the traveled portion of roadways complete work zone safety training every 3 years. 520-14-5200-1315 $770 ($12,000/$6,852.3/$4,377.70); 266-19-7100-1315 $550 ($3,000/$0/$2,450); 266-17-7120-1315 $330 ($18,400/$9,271.05/$8,798.95). WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PW Building PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI MEALS PARKING 1,650.00 REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 1,650.00 BUDGET LINE ITEM: See line items above X GRANT REIMBURSABLE YES NO X REQUIRED CERTIFICATION YES NO TOTAL: $ 110.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Sheila Steffen DEPARTMENT HEAD 2.3.2025 DATE Date Approved by Finance Committee: 2/3/2025 DATE T ,,ete NacW K: \Shared Goodies\Forms\Travel Request Form FINANCE DEPT. STAFF ONLY LINE ITEM USED 205-07-7830 1346 TRAVEL REQUEST CITY OF WATERLOO FY 25 BUDGETED 1,500.00 EXPENDED YTD 0.00 THIS REQUEST 556.00 LEFT AFTER THIS REQUEST 944.00 DATE 1/29/25 Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Tom Eighmey, Engineering Technician DATE: 01/24/2025 NAME OF CLASS / MEETING: Aggregate Technician Certification DESTINATION: Cedar Rapids, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: 02/03/2025 RETURN DATE: 02/06/2025 DATE(S) OF MEETING: 02/03/2025-02/06/2025 PURPOSE OF TRAVEL/TRAINING: Attend aggregate technician training. This is a required class to become PCC and HMA certified. Certification is needed in order to do testing on road projects for local, state and federal funded projects. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI 76.00 MEALS PARKING 480.00 REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 556.00 BUDGET LINE ITEM: 205-07-7830-1346 X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 556.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Jamie Knutson Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 1/24/2025 DATE K: \Shared Goodies\Forms\Travel Request Form T+te ZOc( FINANCE DEPT. STAFF ONLY LINE ITEM USED 205-07-7830 1346 TRAVEL REQUEST CITY OF WATERLOO FY 25 BUDGETED 1,500.00 EXPENDED YTD 0.00 THIS REQUEST 357.00 LEFT AFTER THIS REQUEST 587.00 DATE 1/29/25 Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Tom Eighmey, Engineering Technician DATE: 01/27/2025 NAME OF CLASS / MEETING: Portland Cement Concrete PCC I DESTINATION: Cedar Rapids, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: 02/10/2025 RETURN DATE: 02/12/2025 DATE(S) OF MEETING: 02/10/2025-02/12/2025 PURPOSE OF TRAVEL/TRAINING: Portland Cement Concrete PCC 1 Technician training. Certification is needed in order to do testing on road projects for local, state and federal funded projects. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI 57.00 MEALS PARKING 300.00 REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 357.00 BUDGET LINE ITEM: 205-07-7830-1346 X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 357.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO Jamie Knutson Date Approved by Finance Committee: 2/3/2025 DEPARTMENT HEAD DATE 01/27/2025 DATE K: \Shared Goodies\Forms\Travel Request Form City Clerk Use Only Finance CommitQe�/2O25 Approval Date L/ J City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Airport Department to expend $ 4,589.70 plus est. shipping costs of $ to pay for or purchase thirty (30) seminar tables for former restaurant area being converted to classroom space. This purchase or expenditure is being made because: the Airport Board has directed staff to proceed with converting the unused restaurant area of the Terminal into classroom space to be used by Civil Air Patrol, EAA and other aviation groups. Vendor selected for this purchase: Webstaurant Store n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Webstaurant Store has the desired type of table for $152.99 vs. $300 for a similar table from Amazon and other online vendors. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-29-7700-1371 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Steven Kjergaard $ 1,234,901.00 $ 1,070,987.27 1/22/2025 No.cW SIG if 2/3/2025 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) Date City Clerk Use Only Finance Commit4ep3/2025 Approval Date LL 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 Central Garage $ 24,346.01 plus est. shipping costs of $ 600.00 Tire machine with adapters. Department to expend to pay for or purchase This purchase or expenditure is being made because: Replacing failing tire machine in Central Garage. Vendor selected for this purchase: Hunter Engineering - Merrill Corp 0 Bids or written quotes were taken on this purchase, as follows: Merrill Corp - Cedar Rapids, IA - $24,346.01 Parts Authority - Tipton, IA - $24,767.47 IT Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: . General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-7950-2153 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sheila Steffen $ 24,947.00 $ 24,947.00 2.32025 yja M2/3/2025 SIRED (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 2/03/2025 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 Central Garage Department to expend $ 22,998.00 plus est. shipping costs of $ to pay for or purchase 2025 Chevy Trax This purchase or expenditure is being made because: Replacing #990702, 2007 Impala for Motor Pool. Vendor selected for this purchase: Kari Chevrolet (Ankeny, IA) n Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: State Bid Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ElGeneral Fund n Road Use Tax n Sewer n Sanitation • Bonds I I Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 324-18-7950 2117 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sheila Steffen 2/3125 $ 40,000.00 $ 25,723.81 II 4C= 2/3/2025 icr.ED (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:lshared goodieslformslExpenditure Pre-Authorization.xls (Mar 2010) 1101 S.E. ORALAI3OR ROAD ANKENY, IOWA 50021 www.karichevrolet.com ttElt.. GOVERNMENT DEAL S LLE S .tl!. WW1 Ft;51 CITY OF WATERLOO 1 LAST LOets,tf Ilttdl r•n LA St PHONE (515) 964-4255 TOLL FREE 1.800.622.8264 FAX (515) 964-0845 GATE 01/07/2025 STPECT t;C'1CSS 625 GLENWOOD ST Cut I, WATERLOO •iE.R r,Cie LISE0 crAnit BLACKHAWK „l kE 2025 NEW CHEVROLET TRUCK `;wtn KL77LGEP7SC146866 torn VA'_LE Fru=E TRAX tn N . 372100 SLATE IA 411' (319) 215-8080 1c, (319) 215-8080 n?c«e 3-4063 CuS1 t±R12. 50703494 WHITE SUMM 12 28635 I richard.sirrange@WATERLOO-IA.ORG 22998.00 Iowa law requires us to give you the following notice: You understand that liability insurance coverage which would protect you under the Iowa Motor Vehicle and Safety Responsibility Act IS NOT INCLUDED in your purchase of this motor vehicle It is customer's responsibility to notify their insurance company of any changes. CxTCa,OR COlCti9 t'.t CM,C STCC<IA DOCUMENTARY FEE. A DOCUMENTARY FEE IS NOT AN OFFICIAL FEE. A DOCUMENTARY FEE IS NOT REQUIRED BY LAW, BUT MAY BE CHARGED TO A BUYER FOR THE PREPARATION OF DOCUMENTS AND THE PERFORMANCE OF RELATED SERVICES. THE MAXIMUM AMOUNT THAT MAY BE CHARGED FOR A DOCUMENTARY FEE IS DETERMINED BY IOWA CODE SECTION 322.19A. THIS NOTICE IS REQUIRED BY LAW. CASH SALE FRCS Gf ttfv_tE 22998.00 USEOVEEYCLE ALLOWANCE 1.11)E Cr T P.5DC 1'1 YEa9 110:1•Et Si kI RL . TRADE 1 USEDVEIRC'LE ALLO.%U.CE t'."E Cf Tf'DE YEiq Minn StV.tl TRADE 2 USEOVERFELE ALLEM*NCE 1." • E Cf TIME 114 iFAR !'O ;Et 541-RI. • TRADE 3 t'=til':.CTLPCNs PLE-IE PAYMENT DUE WITHIN-30 N/A $ N/A s N/A N/A ,DAYS -OF-ROC S BEING -SIGNED r-1nWa3 Taft( Etr(Crrr.CE 22998.00 BALANCE OWED ON TRAOE31S 3 N/A STATE 6 LCCAt LANES N/A N/A PCGStauiCv FCC $ N/A TITIE EEE I fls',SF ER FEE N/A N/A The vehicle is not being purchased for export or resale and allows a refund from the customer of any GM moneys paid should that customer resell or export a GM vehicle without the dealer's knowledge. Government Sales / Comm Fleet We agree that: (1) transactions where multiple cars are purchased by a single purchaser and payment is delayed (-Bulk Deferred Transactons") are not ordinary course transactions; (2) the Dealership's lender, Ally Bank (along with its affiliates, (-Lender')), has not authorized the Dealership to sell or otherwise dispose of (and has not consented to the sale or other disposition of) vehicles in Bulk Deferred Transactions free of its security interest in the vehicles; (3) the purchase of vehicles in Bulk Deferred Transactions free of the security interest of Lender would violate the terms of the Dealership's financing documents with Lender and the rights of Lender would violate the terms of the Dealership's financing documents with Lender and the rights of Lender in the vehicles; (4) the !, Purchaser is not a `buyer in ordinary course of business" as defined in the Uniform Commercial Code; and (5) accordingly, the sale of vehicles by the Dealership to the Purchaser in Bulk Deferred Transactions will not extinguish Lender's security interest in the vehicles. Lender's security interest in a vehicle will automactically extinguish when payment is made for that vehicle. This provision may only be changed by written notice from Lender. You understand That this agreement (including the terms on the back) is an offer to purchase the vehicle described which will become a binding contract once the dealer has signed it. This document represents the complete agreement between you and the dealer regardless of any other oral, written or prior agreements or representations. However. if you are buying a used vehicle, the information you see on the window form for this vehicle is part of the contract and the information on the window form overrides any contrary provisions in this contract. By signing this contract, you are certifying that you are at least 18 years old (if there are two buyers, that at least one of you is 18 years old), that you have read this contract front and back, and agree to its terms, and that you have received a copy of it. ' •.••A ItE4 F (lYUt•F N tATLY FEE N/A TOTAL DELNCRED PA)C 22998.00 C ASH 0E Pcs11 N/A CA910.11 CEtIdER/ s Corrpdnj .IIBYr• OF_ WATERLOO x_ K OtarP &traN O',R3't AAIFA-9R243C rn WAIX Pre -Authorization Request Item Description: X»V6/t'rn 4* Intended Use (replacement for X, new unit for X purpose, etc.): AA-dr feer l� P 20D\--7 I ra 7009\a, Sourcewell /cstatp Riri2 / HGAC / Demo Unit Quotes: 1. $15g 19 66 Vendor: 2. $ Vendor: 3. $ Vendor: 14- kl:e77d41--- Account (GL code): 3/*/- 7476-16 eh/ 7 1-12v ro )13 MI5 • City Clerk Use Only Finance Comrr Ltye,/2025 Approval Date J City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Fire Department to expend $ 6,761.70 plus est. shipping costs of $ 0.00 to pay for or purchase GIS software that will be integrated with our current ESO records software This purchase or expenditure is being made because: To further our accreditation process and improve IT needs within the department Vendor selected for this purchase: ProWest Associates n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: we are utilizing the software which can be integrated into our existing 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: 324-12-1400 1520 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 20,000.00 and the current available balance is $ 7,115.45 Respectfully submitted, Bill Beck 01/17/2025 s_ 2/3/2025 (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 Commie/2025 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 Housing Authority $ 36,750 plus est. shipping costs of $ 0.00 A full organizational assessment for WHA. Department to expend to pay for or purchase This purchase or expenditure is being made because: AMA Consulting Inc will complete an organizational assessment and they will develop Standard Operating Procedures & Compliance Manual for Section 8 Housing. Vendor selected for this purchase: AMA Consulting Inc n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: AMA Consulting Inc will complete an organizational assessment and they will develop standard operating procedures templates for Housing Choice Voucher and create a compliance manual for HCV program. No other business offered both services together. 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: 283-13-5452-1390 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, LeKeisha Veasley $ 41,290.00 $ 41,290.00 z 2/3/2025 1/27 SICNEO (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 CommL/iite3/2025 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 MIS $ 18,280.72 plus est. shipping costs of $ 5.00 HPE Aruba 6200M Network Switches for Sportsplex Department to expend to pay for or purchase This purchase or expenditure is being made because: These switches will replace aging switches at the SportsPlex. Vendor selected for this purchase: �■ Bids or written quotes were taken on this purchase, as follows: Aercor: 18,285.72 CDW-G: $32,378.24 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: 324-01-8225-2106 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 224,000.00 and the current available balance is $ 172,563.22 Respectfully submitted, Chris Youngblut 1/29/2023 N 2/3/2025 (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 Commjtre�,L/3/2025 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 (Seal Rebuild) Department to expend $ 5,916.96 plus est. shipping costs of $ 50.00 to pay for or purchase Seal Rebuild This purchase or expenditure is being made because: Seal Rebuild needed for Muffin Monster Grinder Vendor selected for this purchase: Electric Pump 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 1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Brad Manahl $ 600,000.00 $ 311,166.94 01/14/25 SGaED 2/3/2025 (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 Commyt�eg.,L�3/2025 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 (Grinders) $ 23,600.00 plus est. shipping costs of $ 1,125.00 Vogelsang Grinders (2 units) Department to expend to pay for or purchase This purchase or expenditure is being made because: New grinders needed Vendor selected for this purchase: Iowa Pump Works 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 1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 600,000.00 and the current available balance is $ 311,166.94 Respectfully submitted, Brad Manahl 01/14/25 4+1 No sc 2/3/2025 (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 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/ Airport Department to expend $ 2,720.00 plus est. shipping costs of $ 0 to pay for or purchase Sign Blanks This purchase or expenditure is being made because: 160 Sign Blanks for Airport Vendor selected for this purchase: Newman Signs, Inc. n Bids or written quotes were taken on this purchase, as follows: Newman Signs, Inc. $2,720.00 Jamestown, ND IPS- Iowa Prison Industries $3,056.00 Anamosa, IA 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 . 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: 010-29-7700 1371 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 35,000.00 and the current available balance is $ 16,131.88 Respectfully submitted, Tina Schellhorn ,edge,tt N p 2/3/2025 (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 Commie/2025 Approval Date City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the $ 4,048.98 Traffic Department to expend plus est. shipping costs of $ to pay for or purchase Yearly Stock for Sign Blanks This purchase or expenditure is being made because: Misc. size Sign Blanks for yearly stock Vendor selected for this purchase: Newman Signs, Inc. n Bids or written quotes were taken on this purchase, as follows: Newman Signs, Inc. $4,048.98 Jamestown, ND Iowa Prison Industries $4,970.60 Anamosa, IA 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 0 Road Use Tax ❑ Sewer n Sanitation 0 Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-7120 1577 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 35,000.00 and the current available balance is $ 16,131.88 Respectfully submitted, Tina Schellhorn N 10 2/3/2025 (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 Committg7L/3/2025 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 $ 5,936.85 plus est. shipping costs of $ 0 to pay for or purchase This purchase or expenditure is being made because: Yearly Stock for Railroad Crossings Vendor selected for this purchase: GEVEKO Markings n Bids or written quotes were taken on this purchase, as follows: GEVEKO Markings $5,936.85 Gainesville, GA PPG Ennis -Flint, Inc. $7,662.20 Greensboro, NC 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 . 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: 266-17-7120 1577 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 35,000.00 and the current available balance is $ 16,131.88 Respectfully submitted, Tina Schellhorn Nam SUED 2/3/2025 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES IN NO —2/3/2025 If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2025 submitted by the Fire Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 010 12 1400 3722 Refunds _ 48,695.00 010 12 1400 2106 Computer Equipment 48,695.00 TOTAL This amendment is being requested because: 48,695.00 TOTAL 48,695.00 To purchase laptops and mounting equipment for fire apparatuses in preparation for Central Square dispatch system. Prior Committee Actions (Dates): Bill Beck 1/17/25 N 2/3/2025 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES ® NO 2/3/2025 If so, dale approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2025 submitted by the Leisure Service 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 Pro Code Amount 010 37 4105 3720 Restricted Donations 37gft.park 170,312.87 010 37 4105 2168 Park Improvements - 37gft.park 170,312.87 TOTAL 170,312.87 TOTAL This amendment is being requested because: To budget funds received by the Donna Bartley Reed Trust for park improvements. Prior Committee Actions (Dates): 170, 312.87 (Signature Dept. jifad or Designee) Z 2/3/2025 Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) Kausers\shared goodies\forms\Copy of Budget Amendment Request Farm (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES ® NO-2/3/2025 If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE FY25 submitted by the Culture and Arts 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 26 4265 1300 CASH ON HAND 26GFT.FLECH2O 5,205.00 010 26 4265 1350 Exhibition Expenses 26GFT.FLECH2O 5,205.00 TOTAL This amendment is being requested because: 5,205.00 TOTAL 5,205.00 Using existing donor restricted funds from cash on hand, to support travel expenses related to expanding the permanent collection in line with fund restrictions. Prior Committee Actions (Dates): Chawne Paige 1/28/25 u 2/3/2025 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Fina Committee approval required? YES NO-2/3/2025 If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2025 submitted by the Housing Authority 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 283 13 5452 3614 Interest Savings 41,290.00 283' 13 5452 1390 Contractual Services 41,290.00 TOTAL This amendment is being requested because: 41,290.00 TOTAL 41,290.00 The amount of interest received was more than budgeted. The additional revenue will be used to cover AMA Consulting organizational assessment. Prior Committee Actions (Dates): LeKeisha Veasley 1/29/25 t Z SIGNEDL) 2/3/2025 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003) Name: PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Roy,r-, th,4src,[L Address: 71gq ?rz City/State/Zip: W er[0O Service Address: t s V1 _I^ Drz Date: I fi (0 Ja-S Phone: 31 - (aq - ? LI 3 Refund Amount Requested: $ / Jr! . 00 **Documentation Included: V Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: eSI1484/ V11 s 5+r(I kern 9�halc1-1 -f a Cu►-bsrd& 'pickups f Pr we r� v Ve 1 aA Me_ 3 . 916, Signature/Sanitation Department Date Confirmed Refund Amount: $ 15(0.OJ Confirmed w/Water Works: Yes No Toe N 2/3/2025 Finance Signature Date Refund Amount Paid: $ 156.00 C' (et ora cJA-arrd 0=-6 OLL.Le . Oa_i L��c_ .�-i�V-n-r.y r.vk U WcE�Ma._v.rt nikd. Cuit 176 *ty-v 4LcQ) i�r e- k �u R_ocr bUc Bsi Li LO 14stik.l' Of . LO eje-( I or) ) 0/04-7 C 3,t S� c.)-(o C - Out (e)c (p1K nnO)Th m (SY\--1y vJ 0 et aJ3 L}tir 10-E t- co.°) crbi 6)( t-�d:16 law) charm- WATERLOO WA WORT<S 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: 4ccount Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES Waterloo Water Works Services Water $94.47 Water Service Excise Tax $5.67 Late Penalty $10.76 Water Works Subtotal $110.90 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $13.50 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $25.33 City of Waterloo Subtotal $213.58 +12.01 patvlevt+ ujeuc becEyc-4, Billing Frequency: Billing late: Billing Due Date: Quarterly 07/02/2021 07/26/2021 Phone: (319) 232-6280 www.waterloowater.org Paee 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 07/26/2021 urkelkita-e,d,CiA („uestec( cfb reM-6vt ttte44W4 i . $216.91 -$227.67 -$10.76 $110.90 $213.58 $324,48 $313.72 $329,13 Previous ReadDate Current Read Date Previous Read 03/23/2021 06/25/2021 3,110 Previous Read Type Actual Current Read Current Read Type 3,149 Actual Usage (CCF) 39 6 LL 4 V 2 U 0 0 2 N 3 3 6 Op O� 1000. ,000. ,NO ON Ci" 01 �O W % W 90. �0 0 10 ■ Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information WATERLOO WAVER WORT<S P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 313.72 Amount Due After : 329.13 Billing Due Date: 07/26/2021 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES .1 Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/01/2021 10/22/2021 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $227.15 Water Service Excise Tax $13.63 Water Works Subtotal $240.78 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $13.50 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $212.25 p-.0D Previous Balance Credits/Payments $313.72 -$313.72 Water Works Subtotal $240.78 City of Waterloo Subtotal $212.25 Total Current Service Charges $453.03 Total Amount Due $453.03 Amount Due After 10/22/2021 $475.01 Preyo. s e 06/25/2021 ate urgent Read Date Previous Read 09/23/2021 3,149 Previous Read Type Current Rea Actual 3,252 1 Current Read Type • Actual Usage (CCF) 103 - 4 U 2 U 0 0 o 2 Ot. N \s' ■ Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information WATERLOO WNT WORKS err ' P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ,ADDRESSEE; Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 453.03 Amount Due After : 475.01 Billing Due Date: 10/22/2021 Amount Enclosed: 1;146111i WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES Waterloo Water Works Services Water $50.23 Water Service Excise Tax $3.02 Water Works Subtotal $53.25 City of Waterloo Services Sanitary Sewer $53.25 Storm Water Fee $13.50 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $212.25 06 Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/04/2022 01/25/2022 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Previous Balance $453.03 Credits/Payments -$453.03 Water Works Subtotal $53.25 City of Waterloo Subtotal $212.25 Total Current Service Charges $265.50 Total Amount Due $265.50 Amount Due After 01/25/2022 $278,63 ev :Its `'-ad Date '`Current Read Date Previous Read 09/23/2021 12/22/2021 3,252 Previous Read Type Current Read Current Read Type Actual 3,270 Actual Usage (CCF) 18 LL 4 U 2 U 0 o2 Gl D 6 ot. "1 ,000 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 II7KE NECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSE ; Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 265.50 Amount Due After : 278.63 Billing Due Date: 01/25/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER W_P 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: Latusick Roger L 122601-507174 794 WISNER DR Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/04/2022 04/25/2022 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 $13.50 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $212.25 Previous Balance Credits/Payments $265.50 -$265.50 Water Works Subtotal $32.74 City of Waterloo Subtotal $212.25 Total Current Service Charges $244.99 Total Amount Due $244.99 Amount Due After 04/25/2022 $257.15 Previous Read Type 6 tL 4 0 2 U 0 -6 0'` Scb bC 0 OA o • • 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 RL.00 WAFER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 244.99 Amount Due After : 257.15 Billing Due Date: 04/25/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WA-1-LRLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES Waterloo Water Works Services Water $69.58 Water Service Excise Tax $4.18 Water Works Subtotal $73.76 City of Waterloo Services Sanitary Sewer $55.80 Storm Water Fee $14.25 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $215.55 la_s CO Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/05/2022 07/26/2022 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 CHARGESU ARY Previous Balance $244.99 Credits/Payments-$535.90 Balance Forward -$290.91 Water Works Subtotal $73.76 City of Waterloo Subtotal $215.55 Total Current Service Charges $289.31 Total Amount Due -$1.60 rei laus ' eadf bate Current Read Date Previous Read 03/22/2022 06/22/2022 3,278 Previous Read Type Actual Current Read Current Read Type 3,305 Actual Usa:e. 27 6 LL 4 U 2 9 0 o` es 0' o'0 00 000 Effective 1/2/2025- New office hours Monday- Friday 8AM- 4PM. Available Online 2024 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 PAYABytalla WATERLOO WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: -1.60 Amount Due After : -1.60 Billing Due Date: 07/26/2022 Amount Enclosed: l:1 I�'ilk3"uoj: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WAIL RLOO WATER WORKS ,.- 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: 4ccount Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Yard Waste / Recycle Site Maintenance Fee Garbage Yard Waste Curbside City of Waterloo Subtotal $116.88 $7.02 $123.90 $55.80 $14.25 $15.00 $106.50 $24.00 $215.55 op Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/03/2022 10/24/2022 CHARGE SUMM RY Previous Balance Balance Forward -$1.60 -$1.60 Water Works Subtotal $123.90 City of Waterloo Subtotal $215.55 Total Current Service Charges $339.45 Total Amount Due $337.85 Amount Due After 10/24/2022 $354.39 P revioirs' ` adf r ate `Current Read Date Previous Read 06/22/2022 09/22/2022 3,305 Previous Read Type Current Read Actual 3,354 Current Read Type Usage (CCF) Actual 49 6 LL - 4 U 2 U 0 O al 2 6 eck Ntbc5% ■ SPECIAL MESS 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 WATERLOO V CA_; .E. WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 337.85 Amount Due After : 354.39 Billing Due Date: 10/24/2022 Amount Enclosed: I,l li,Iki"s(0)<' WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA�� WORKS 325 Sycamore Street P.O, Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Customer Name: Account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Yard Waste / Recycle Site Maintenance Fee Garbage Yard Waste Curbside City of Waterloo Subtotal $48.24 $2.90 $51.14 $55.80 $14.25 $15.00 $106.50 $24.00 $215.55 let• " Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/09/2023 01/30/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Previous Balance $337.85 Credits/Payments -$337.85 Water Works Subtotal $51.14 City of Waterloo Subtotal $215.55 Total Current Service Charges $266.69 Total Amount Due $266.69 Amount Due After 01/30/2023 $279,88 • Previous ea R ateCurrent Read Date Previous Read 09/22/2022 12/22/2022 3,354 Previous Read Type Current Read Current Read, Type Usage (CCF) Actual 3,371 Actual 17 6 LL 4 0 2 U 0 rn 2 6 csiL es ,000 ° o° 01 NC 5 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 Pagnailli WATERLOO WAY. RW O R KS - P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 ADDRESSEE: 11111.1.1 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 266.69 Amount Due After : 279.88 Billing Due Date: 01/30/2023 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATE REOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Yard Waste / Recycle Site Maintenance Fee Garbage Yard Waste Curbside City of Waterloo Subtotal $30.88 $1.86 $32.74 $55.80 $14.25 $15.00 $106.50 $24.00 $215.55 Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/04/2023 04/25/2023 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 CHARGE SUMMARY Previous Balance Credits/Payments $266.69 -$266.69 Water Works Subtotal $32.74 City of Waterloo Subtotal $215.55 Total Current Service Charges $248.29 Total Amount Due $248.29 Amount Due After 04/25/2023 $260.61 "rev ous ' ea i P a` a Current Read Date Previous Read • 12/22/2022 03/22/2023 3,371 Previous Read Type Current ReadY.. Current Read Type Usage (CCF) Actual 3,379 Actual 8 6 — 4 U 2 U 0 c 2 N 4 6 15 Scs ■ EFFECTIVE JAN 1 2023ALL 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 MISIIIWAKE CHECKS PAYABLE TO:Allnall WATERLOO Wes- WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 248.29 Amount Due After : 260.61 Billing Due Date: 04/25/2023 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATERWORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Customer Name: Account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/05/2023 07/26/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $102.49 Water Service Excise Tax $6.15 Water Works Subtotal $108.64 City of Waterloo Services Sanitary Sewer $60.26 Storm Water Fee $15.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $220.76 6 cat cbcS 1 tri f:i:(c1::,.ialNhyri'' ;fii - Previbus Balance $248.29 Credits/Payments -$248.29 Water Works Subtotal $108.64 City of Waterloo Subtotal $220.76 Total Current Service Charges $329.40 Total Amount Due $329.40 Amount Due After 07/26/2023 $345.56 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 l WATE RLOO WTI&\VPRI<S P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 329.40 Amount Due After : 345.56 Billing Due Date: 07/26/2023 Amount Enclosed: i;l'lt'il f>�i; WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WAIT RLOO WAYS&_WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 2 Customer Name: +account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/05/2023 10/26/2023 Waterloo Water Works Services Water $235.00 Water Service Excise Tax $14.10 Water Works Subtotal $249.10 City of Waterloo Services Sanitary Sewer $60.26 Storm Water Fee $15.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $220.76 CHARGE SUMMARY Previous Balance $329.40 Credits/Payments -$329.40 Water Works Subtotal $249.10 City of Waterloo Subtotal $220.76 Total Current Service Charges $469.86 Total Amount Due $469.86 Amount Due After 10/26/2023 $492.65 Previous - d Da e Current Rea. Date"" 'revious Read Prev ous Read Type ` Current Read Current Read Type Usage (CCU)` 06/22/2023 07/25/2023 07/27/2023 07/27/2023 07/27/2023 09/22/2023 3,421 0 0 Actual Actual 3,458 0 Actual 68 Your meter was replaced on 07/26/2023 Actual Actual Actual 37 0 68 cbc rs . 0 Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks WATERLOO WA7. t WORI<5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES 1:kv.c'^lgll`i Waterloo Water Works Services Water $46.84 Water Service Excise Tax $2.82 Water Works Subtotal $49.66 City of Waterloo Services Garbage Return Visit Fee 9-5-23 $20.00 Sanitary Sewer $60.26 Storm Water Fee $15.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $240.76 lab ot Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/05/2024 01/26/2024 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 01/26/2024 $469.86 -$469.86 $49.66 $240.76 $290.42 $290.42 $303.80 .Previous Read Date Current Read Date Previous Read 09/22/2023 12/21/2023 68 Previous_Read Type Actual Current Read"- S Current Read Type 84 Actual Usage (CCF) 16 70 LL 60 U 40 0 30 a-0 0I 10 0 ■ :l:tcil , 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:. WATERLOO WAT I WoRKs P.O. Box 27 Waterloo, Iowa 50704 Phone (319) 232-6280 lz1,i i:iti; Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 290.42 Amount Due After : 303.80 Billing Due Date: 01/26/2024 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO w/NIFVoRi<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: Latusick Roger L 122601-507174 794 WISNER DR ACCOUNT SUMMARY BillingFrequency: Billing Date: Billing Due Date: Quarterly 04/04/2024 04/25/2024 Waterloo Water Works Services Water $35.44 Water Service Excise Tax $2.13 Water Works Subtotal $37.57 City of Waterloo Services Sanitary Sewer $66.70 Storm Water Fee $15.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $227.20 4 tato° t°i�Iiglli'f,! Previous Balance $290.42 Credits/Payments -$290.42 Water Works Subtotal $37.57 City of Waterloo Subtotal $227.20 Total Current Service Charges $264.77 Total Amount Due $264.77 Amount Due After 04/25/2024 $277.91 'revious Read Date. C ;rent lead Date Previous Read Previous Read Type • Current Read Cu ent Read Type. - Usage (CCF) 12/21/2023 03/28/2024 84 Actual 95 Actual 11 70 cc: E0 U 50 • so O Z0 r, 20 • 10 0 0 ,y0��. �On0- Ng, 00 OHO no�� Old Ory'/ it�ll��f�ht41 ,• �- - , _ 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 .r WATERLOO WA WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 410�l�i ti l Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 264.77 Amount Due After : 277.91 Billing Due Date: 04/25/2024 Amount Enclosed: l ii:161 b r"r it)t: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATERWORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: 4ccount Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR STATEMENT OF SERVICES • '_x£r-it'i ';e .igi1111,%TAI;Vf Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/05/2024 07/26/2024 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Waterloo Water Works Services Water $58.24 Water Service Excise Tax $3.50 Water Works Subtotal $61.74 City of Waterloo Services Sanitary Sewer $66.70 Storm Water Fee $15.00 Yard Waste / Recycle Site Maintenance Fee $15.00 Garbage $106.50 Yard Waste Curbside $24.00 City of Waterloo Subtotal $227.20 Previous Balance Credits/Payments $2.64.77 -$264.77 Water Works Subtotal $61.74 City of Waterloo Subtotal $227.20 Total Current Service Charges $288.94 Total Amount Due $288.94 Amount Due After 07/26/2024 $303.22 Previous Read Date_ Current Read Date Previous. Re . d . Previous:.' ead Type Curr• t.' • •d Current Read Type Usage (CCF) 03/28/2024 06/21/2024 95 Actual 116 Actual 21 70 eo LL U SO U 40 • :0 q 20 7 10 0 4-5 ? i 1 Now Available Online 2024 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: , WATERLOO LAZE WOR!<S P.O. Box 27 Waterloo, Iowa 50704 Phone. (319) 232-6280 Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 288.94 Amount Due After : 303.22 Billing Due Date: 07/26/2024 Amount Enclosed: I;{.l;(il it":): WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: 4ccount Number: Service Address: Latusick Roger L 122601-507174 794 WISNER DR Billing Frequency: Quarterly Billing Date: 10/04/2024 Billing Due Date: 10/25/2024 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Yard Waste / Recycle Site Maintenance Fee Garbage Yard Waste Curbside City of Waterloo Subtotal $163.12 $9.79 $172.91 $70.03 $15.00 $15.00 $106.50 $24.00 $230.53 CHARGE SUMMARY Previous Balance Credits/Payments $288.94 -$288.94 Water Works Subtotal $172.91 City of Waterloo Subtotal $230.53 Total Current Service Charges $403.44 Total Amount Due $403.44 Amount Due After 10/25/2024 $423.13 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 06/21/2024 09/20/2024 116 Actual 183 Actual 67 Now Available Online 2024 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 WATE RLOO . Z. WORKS ti P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 1,101ti:i :g:l,i:, Latusick Roger L 794 Wisner Dr Waterloo, IA 507024130 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 122601-507174 Total Amount Due: 403.44 Amount Due After : 423.13 Billing Due Date: 10/25/2024 Amount Enclosed: 1;4;livil}ir !'°1: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704