HomeMy WebLinkAboutPA_-_Fire_(EMS_Open_House Docusign Envelope ID:9A76F043-E240-435E-B791-8B6696940485
City Clerk Use Only
Finance Committee
4/7/2025
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 Fire Department to expend
$ NTE $1,000 plus est. shipping costs of $ 0.00 to pay for or purchase
Consumables for the EMS open house to be held on 05/22/25
This purchase or expenditure is being made because:
in celebration of EMS week an open house will be held for both city employees as well as the
public
Vendor selected for this purchase: Various local grocery stores
0■ Bids or written quotes were taken on this purchase, as follows:
❑ 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:
F■ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation
EIBonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-12-1412 1315 12GRT.OUTREACH
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $
and the current available balance is $ 5,041.26
Respectfully submitted, Signed by:
B,�d��X'Zllood
Bill Beck 03/19/2025 D90DA858F75C40E_ 4/7/2025
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)