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Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE t4e�V 0a CIL 3 Name: l �nJ Date: z q 2G r�C Address: 51 . Rivcrstd, e) �K• Phone: ✓1 I ��J r ' v,`t�� City/State/Zip:II�Gc f�r�coo , T� 51W-3 service Address: Sl 5 Wl ccs C o, D(� Refund Amount Requested: $ao•QO "Documentation Included: Yes No **All request for refunds required proof of payment before refunds are processed. (( ��,` Comments: R-e-sidthfas b&tn +f a e4t c,//��ark -(f AS U y\-N-r4tuh�q kad one Signature/Sanitation Department Date Confirmed Refund Amount: $ oZ�O•0� Confirmed w/Water Works: Yes No Signed by: "6trw°°d 4/21/2025 D88E184F ,i5F48A... Finance Ignature Date Refund Amount Paid:$ $240. 00 Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 According to Waste Management, on 3/23/2020, 1 called to request a second recycling bin, it was supposed to be delivered on 3/31/2020. The bin never arrived at my home, however, the billing for this second bin started with the Waterloo Water Works bill due on 6/2/2020. This missing second recycling bin increase line item Yard Waste Curbside from$12.00 to$24.00 and line item Yard Waste/Recycle Site Maintenance Fee from $6.00 to$15.00,effectively raising my bill by$21.00 per quarter. I have attached my last normal billing (due date 3/3/2020 and included all of the subsequent incorrect billings. There have been 20 bills issued since this error occurred. I am requesting a refund of$420.00 be issued immediately and sent to: Katy Hackett C01— � 515 Riverside Drive Waterloo, IA 50703 If you need to reach me regarding any concerns,my phone number is 319-939-9445. Sin erely, l Katy Hackett Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO t�IAT_En_WORKS phone:(319)232-6290 www.waterloowater.org 325 Sycamore.Street pace 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES 'ACCbbNT ustomer Name: Hackett Katy Bliling Frequency: Quarterly %ccount dumber: 107149-520832 0111ing Date: 02/11/2020 ervice Address: 515 RIVERSIDE DR Billing Due Date: 03/03/2020 Waterloo Water Warks ServicesSUMMARY: Water...................................... $97.99 Previous Balance............................... $257.05 Water Service Excise Tax....................... $5,88 Credits/Payments.............,................ -$269.fi1 Late penalty................................. $12.56 Balance Forward............................... -$12.56 Water Works Subtotal......................... $116.43 Water Works Subtotal........................... $116.43 City of Waterloo Services City of Waterloo Subtotal........................ $7.57,94 Sanitary Sewer............. ................>, $102.69 'Total Current Service charges...........,......... $284.37 Storm Water Fee................. $12.00 Gariaaga................... ................. $35.25 TntalAmountbue.......................,...... $277..81 Amount Due After 03/03/2020.................... $284.80 Yard Wast'Curbside................... ....... $12.00 Yard Waste/Recycle Site Maintenance Fes.,...,, $6.00 City of Waterloo Subtotal...................... $167.94 10/28/2019 01/30/2020 679 Actual 721 Actual 42 ! co --- CEO Yard Waste/Recytling rate Increased$3/mo to$4/moi#Mandatory Yard a Waste/Recycling Site Malnt Fee$5/trio prorated effective 7/1/20 on this a +o bill"Questions-call Garbage-Sanitation @291-4455 a please detach and return the bottom portion with your payment.See reverse side for additional Information Account Number: 107149-520832 WATERLOO w WORKS Amount Due After, 284.80 P.O.Box 27 Waterloo,Iowa 50704 Phone; 319)232-6280 Amount Enclosed: 1'11U 0 Hackett Katy 515 Riverside far • Waterloo,IA507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box it contact information requites WATERLOO,qq.IpWA 50704 updating and indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO V11 1/11U RSCS Phone:(319)232-6280 * www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES • ustomer Name: Hackett Katy . Billing Frequency: quarterly ccount Number: 107149.520832 Billing Date: 05/11/2020 erulce Address: 515 RIVERSIDE DR Billing Due Date; 05/02/2020 Waterloo Water Works Services Water..................... ................. $95.92 Previous Balance............................... $271.81 Credits/Payments.............................. -$462.50 Water Service Excise lax............. ........ .. $5.76 Late Penalty....... .......................... $9.24 Balance Forward............................... -$190,69 Water Works Subtotal. ...... .................. $110.92 Water Works Subtotal.,......................... $1.10.92 City of Waterloo Services City of Waterloo Subtotal........................ $233.71 Sanitary Sewer.... .. . ................... ..... $127.89 Total Current Service Charges......,.....,...,.... $344.63 Storm Water Fee..... .. ....... .......... ... .. $12.00 ` Yard Waste Curbside.. ........................ $24.00 Total Amount Due...............,.............. $153.94 Amount Due After 06/02/2020.................... $160.60 ( Yard Waste/Recycle Site Maintenance Fee.. ..... $1.5.00 Garbage................... .. ............. .. $54.82 City of Waterloo Subtotal....... ..... ..... ..... $233.71 a nj J 00 01/30/2020 04/29/2020 721- Actual 762 Actual 41 os PLEASE CONTACT CITY SANITATION(31.9)291-4455 WITH QUESTIONS IN REGARDSTO THE YARD WASTE/RECYCLE SITE MAINTENANCE FF A �o a c 'p, a ;� o� a Please detach and return the bottom portion with your payment.See reverse side for additional Information Account Number.' 107149-520832 WATERLOO WATER WORKSF __ � `; A= of triarsN-A — .¢- _ -` -.V- -- _ Amount Due After, 160.60 P,O.Box 27 BiE[t 0 „ r $ Waterloo,Iowa 50704 - � • �_ Phone:(319)232.6280 Amount Enclosed: Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Information requires WATERLOO,IOWA 50704 updating and Incifeatethe change(s)on reverseside Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO W T_ WU RKS Phone:(319)232-6280 w VrWW.Waterloowater.org 325 Sycamore Street Page 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ustomer Name: Hackett Katy , Billing Frequency: quarterly %ccount Number: 107149-520832 Billing Date: 08/11/2020 erviceAddress: 515 RIVERSIDE DR Billing Due Date: 09/01/2020 Waterloo Water Works Services Water.............. ..... ................ ... $87.64 Previous Balance...........................,,.. $153.94 Credits/Payments.............................. -$285.00 Water Service Excise Tax....................... $5.25 [3aiance#•orvrard..,,........................... -$131,Ofi Late Penalty. ........ ..... ................... $3,66 Water Works Subtotal...................... ... $96.56 Water Works Subtotal........................... $96.56 City of Waterloo Services City of Waterloo Subtotal........................ $230.29 Sanitary Sewer.... ... ........................ $125,29 Total Current Service charges..................... $326.85 Storm Water Fee.. ... ....... ................. $12.75 Total Amount Due.............................. $185.79 Yard Waste Curbside.. ....... ................. $24.00 Amount Due After 09/01/2020.................... $204.57 Yard Waste/Recycle Site Maintenance Fee...,... $15.00 Garbage.......... .. ........................ $53.25 City of Waterloo Subtotal. , ......., ..... $230,29 �. 04/29/2020 07/24/2020 762 Actual 799 Actual 37 4.1 4kIAL ME 40 IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM-PLEASE VISIT t"JM 2020CENSUS.GOV AS SOON AS POSSIBLE r 10 a d� 4° cp- 11P 4P M Please detach and return the bottom portion with your payment.See reverse side for addltionaf Informavon Account Number: 107149-520832 WATERLOO WATER W0RICS �� ► _ Amount flue After; 204.57 P.O.pox 27 Waterloo,Iowa S0704 Phone:(319)232.6280 lAmount Enclosed: Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Information requires WATERLOO,IOWA 50704 updating and Indlcate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO W ARKS Phone:(319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O,Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ustorner Name, Hackett Katy Billing Frequency: Quarterly ccount Number: 107149-520832 Billing Date: 11/10/2020 ervlce Address: 515 RIVERSIDE DR Billing Due Date: 12/04/2020 Waterloo Water Works Services CHARiSESUMMMY Water.. .... ........ .......... .............. $100.06 Previous Balance............................... $195.79 Credits/Payments.,......................I..... -$313,54 Water Service Excise Tax.................... ... $6.01 Balance Forward........... ,....... -$117.75 Late Penalty. ........ ............. ........... $5.25 Water Works Subtotal. ........................ $111.32 Water Works Subtotal...........,.,............. $111.32 City of Waterloo Services City of Waterloo Subtotal........................ $243.69 Sanitary Sewer. ...... ........................ $138.69 Total Current Service Charges $355.01 Storm Water Fee....... ........ .............. $12,75 Total Amount Due. $237.26 a f Yard Waste Curbside.. .......... ....... ....... $24.00 Amount Due After 12/04/2020..,...............,. $248,82 Yard Waste/Recycle Site Maintenance fee...,... $15.00 Garbage.... ........ ....... ........ ......... $53.25 City of Waterloo Subtotal... .. ...... ........ ... $243.69 / P rK��� tA, � 1. 07/24/2020 10/27/2020 799 Actual 842 Actual 43 u �u TO—GAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT a — 13ILL5 0 Ipp.til ';Plo 4PI-P IPA, 41.t� 01A 1;ip Please detach and return the bottom portion with your payment.See reverse side for additional Information Account Number: 107149-520832 WATERLOO WA WORKS T° '-- = �:s` � _ Amount Due After: 248,82 P.O.Box 27 11 $'t) - 1t4- � Waterloo,Iowa 50704 [t 1 1'- - Phone:(319)232.6280 Amount Enclosed: 01• Hackett Katy 515 Riverside Or Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Information requires WATERLOO,IOWA 50704 updating and Indicate the changes)on reverses Ide Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATER OO VIlA WQ R 105 Phone:(319)232-6280 www.waterfoowater.org 325 Sycamore Street Pake 1 of 1 P.C1,Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES -ACC UNTSUMMARY E ame, Hackett Katy , Billing Frequency: Quarterly mber: 107149,520832 Billing Date: 02/10/2021 ress: 515 RIVERSIDE DR [filling Due Date: 03/03/2021 Waterloo Water Works Services Previous Balance............................... $237.26 Water........ .... ................ ...... .... $105,12 � Credits Payments.............................. -$420.00 Water Service Excise Tax............. ...... .. .. $b,31 Balance Forward............................... -$182,74 Late Penalty......... ......... .......... ..... $7.81 Water Works Subtotal............... .. ... ..... $119.24 Water Works Subtotal........................... $119.24 City of Waterloo Services City of Waterloo Subtotal........................ $249.05 Sanitary Sewer............................... $144.05 Total Current Service Charges............,........ $368.29 Storm Water Fee...... ................ .. .. .. $12.75 Total Amount Due...............,.............. $185.55 Yard Waste Curbside,,,,, ,,,,,, ,,,,,,, ,,,, ,,,, $24.00 Amount Due After 03/03/2021..,..,.............. $192,01 Yard Waste/Recycle Site Maintenance Fee.. ..... $15.00 Garbage.. ....................... ........... $53.25 City of Waterloo Subtotal.................. .... $249,05 CID 10/27/2020 02/01/2021 847. Actual 886 Actual 44 b LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT m BILLS U f6 f4 7 0 �o'41 '19 �n' 11 ll hyo' o Rq � M1� M1� T' ti� Please detach and return the bottom portion with your payment.see reverse side for additional Worrnat€on Account Number: 107149 520832 WATERLOO WA- 1/VQ K5x � � '1' r' - �: - _. ss - ~-�- _ Amount Due After: 192.01 P.O.Box 27 Waterloo,Iowa 50704 --- `� Phone;(913)232.6280 Amount Enclosed: Hackett Katy 515 Riverside or Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Piease check box if contact Information requires WATERLOO,IOWA 50704 updating and Inkate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WAT WORKS Phone:(319)232-6280 - www.waterloowater.org 325 Sycamore Street Paae 1 of 1 P,O,Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES CbUr4TSdM AR ustamer Name: Hackett Katy Billing Frequency: Quarterly ccount Number: 107149-520832 Billing Date: 05/11/2021 ervice Address; 515 RIVERSIDE DR Billing Due Date: 06/02/2021 Waterloo Water Works Services Previous Balance............................... $185.55 WaterWater Service Excise Tax...... ......... .... $6,18 .............. .... ......,.......... $102.95 Credits/Payr»ants.........,...,.,.,,,,,.,...... $350.00 Late Penalty....... .. ........................ $3.96 Balance Forward........................I...... -$164,45 Water Works Subtotal. .. ...................... $113.13 Waterworks Subtotal........................... $113.13 City of Waterloo Services City of Waterloo Subtotal........................ $246,37 Sanitary Sewer....... ..... ....... .......... .. $141,37 Total Current Service Charges..,......,....,.,.... $359,50 Storm Water Fee..... .. ..... .... ............. $1.2.75 Total Amount Due.............................. $195.05 v Yard Waste Curbside.. ..... ...... . ......... . .. $24.00 Amount Due After 06/02/2021...........,....,... $204.49 Yard Waste/Recycle Site Maintenance Fee....... $15.00 1 n/ 4 Garbage. ...... ....... ..... ............ ..... $53.25 � .[�` lt✓' j' City of Waterloo Subtotal..................... $246.37 �a L 02/01/2021 04/29/2021 886 Actual 929 Actual 43 4s 4] U�3as Nnvl Available Online 2020 Annual Drinking Water Quality Report s http,//towaccr.org/viaterloo-waterworks Cqa 10s c dt Ck 11 '° oh ct Please detach and return the bottom portion with your payment.See reverse side for additional Information Account Number: 107149-520832 WATERLOO WATTR WORKS ? 0 0 a _ Amount Due After: 204.49 P.O.Box 27 i' _ tj eye ' Waterloo,Iowa 50704 - y -- Phone:(319)232.6280 Amount Enclosed: Hackett Katy 515 Riverside Or Waterloo,IA507035547 WATERLOO WATERWORKS P.O.BOX 27 ©Please check box if contact Information requires WATERLOO,IOWA 50704 updating and Indfcate the change(s)an reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO V1fA WORKS Phone:(319)232-6280 - www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY ust❑mer Name; Hackett Katy Bllling Frequency: Quarterly ccount Number, 107149-520832 ellling Date: 08/12/2021 ervice Address: 515 RIVERSIDE DR BIIIIng Due bate: 09/02/2021 Waterloo Water Works Services Water............... ........ ...... ......... $109.38 Previous Balance............................... $195.05 Water Service Excise Tax............ ..... ... ... $6.57 Credits/Payments.............................. -$350.00 Late Penalty......... ............... ......... $4.45 BatancoFonward......................,........ -$154.95 Water Works Subtotal. .. ....... ............... $120.40 Water Works Subtotal........................... $1.20,40 City of Waterloo Services City of Waterloo Subtotal....................... $258.40 SanitarySewer. ...... ........................ $152.65 Total Current Service Charges..................... $378.80 Storm Water Fee.............. ...... ......... $13.50 Total Amount Due—.,.>......................... $223.85 Yard Waste Curbside.. ................. . ...... $24.00 Amount Due After 09/02/2021.................... $234.72 and Waste/Recycle Site Maintenance Fee..... .. $15.00 Garbage $53.25 V City of Waterloo Subtotal....... ............... $258.40 ....................... 04/29/1021 07/28/2021 929 Actual 975 Actual 46 so U Now Available Online 2020 Annual Drinking Water Quallty Report a as http://Iowaccr.org/waterloo-waterviorks B is a o Please detach and return the bottom portion vrith your payment.See reverse side for additional information + Account Number: 107149 520832 WATERLOO 1111 V11i0R1<SNNW © �. Amount Due After: 234.72 P.O.Box 27 B I ifI bili€ Waterloo,Iowa50704 - . . Phone:(319)232-6280 Amount Enclosed: �Mjpjilllwl Hackett Katy 525 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.13OX 27 ❑Please check box If contact Information requires WATERLOO,IOWA 50704 updating and Indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WA WORKS Phone:(319)232-6280 Www.waterloowater.org 325 Sycamore Street Pape 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SEROCES ACCOUNT ustamer Name; Hackett Katy Billing Frequency: Quarterly %ccount Number: 107149-520832 Billing Date: 11/10/2021 ervice Address: 515 RIVERSIDE OR Billing due bate: 12/06/2021 Waterloo Water Works Services Water.............. ...... ... ..... .......... $126.42 Previous Balante............................... $223,85 Water Service Excise Tax... .......... ....... .. . $7.59 Credits/Payments.............................. -$300.00 Balance Forward............................... -$76.15 Late Penalty................... ............. . $8,37 Water Works Subtotal....... ........ .......... $142.38 Water Works Subtotal........................... $1.42.38 City of Waterloo Services City of Waterloo Subtotal........................ $258.40 Sanitary Sewer,... ... ................. ....... $152.65 Total Current Service charges,......,............. $400.78 Storm Water Fee....... ........ ....... ..... .. $13.50 Total Amount Due.............................. $324.63 Yard Waste Curbside.......................... $24.00 Amount Due After 12/06/2021 ...,.........., $340.48 Yard Waste/Recycle Site Maintenance Fee. ,...,. $15.00 Garbage.................. .................. $53.25 C/` City of Waterloo Subtotal................... ... $258,40 04L '� v� � I J Uv D7/28/2021 10/27/2021 975 Actual 1,029 Actual 54 w Now Available Online 2020 Annual Drinking Water Quality Report as a� http;//iowaccr,org/waterioo-5vatenvorks a 10 � n X19• Ile le tie 1P 1p •C�' '�, - Please detach and return the bottom portion with your payment.See reverse side for additional information r Account Number: 107149-520832 WATERLOO WA WORKS 0— Amount Due After: 340,48 P.O.Box 27 Waterloo,Iowa 50704 Phone;(919)232-6280 Amount Enclosed: Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.Q.BOX 27 ❑Please check box If contact information requires WATERLOO,IOWA 50704 updating and indfcate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WA 1NORKS Phon8:(319)232.6280 _ www.waterioowater.org 325 Sycamore Street Pave 1 of I P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCO Nt-SUM E ame: Hackett Katy Billing Frequency: Quarterly rnben 107149-520832 Billing Date: 02/10/2022 ress: 515 RIVERSIDE:DR Billing Due Date: 03/03/2022 'E SUPAMA Waterloo Water Works Services Previous Balance............................... 324.63 Water...... ............................... . $114.73 CredltsJPayments...................,.......... -$435,48 Water Service Excise Tax....................... $6.89 Balance Forward.....,..,..,.............,..... -$110.85 Late Penalty. .. .............................. $10.85 Water Warks Subtotal......................... $132.47 Water Works Subtotal...,....................... $132.47 City of Waterloo Services City of Waterloo subtotal........................ $269.76 Sanitary Sewer. ... .................... ....... $164.01 Total Current Service Charges..........,....,.,... $402.23 Storm Water Fee.. . ............. .. ........... $1.3.50 Total Amount Due...........,................., $291.38 Yard Waste Curbslde.. ............. . .... ... .. $24.00 Amount Due After 03/03/2022.................... $304.87 Ward Waste/Recycle Site Maintenance Fee....... $15.00 Garbage........ .... ....... ................. $53.25 ! q� City of Waterloo Subtotal...................... $269.76 )�/, � I 4-j CIO CIO 10/27/2021 03/26/2022 1,029 Actual 1,077 Actual 48 EO ',S ECIALMESS 'z u 40 Now Available Online 2020 Annual Drinking Water Quality Report `..s, a2a http,//iowactr.or waterloo-waterworks +o 0 Please detach and return the bottom portion with your payment,see reverse side for additional Information -MAKt Account Number: 107149-520832 WATERLOO Amount Due After: 304.87 P.O.Box 27 -fit � Waterloo,lokvaS0704 -` Phone;{319}232-6280 Amount Enclosed: err Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATERWORKS P.O.BOX 27 Please check box If contact Information requires WATERLOO,IOWA 50704 updating and Indicate the changeis)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO I/1/A WORKS Phone:(319)232-6280 _ www,waterlaowater.arg 325 Sycamore Street Passe 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES F ame; Hackett Katy Billing Frequency; Quarterly mber; 107149-520832 8111Ing Date; 05/10/2022 ress; 515 RIVERSIDE DR 811IIng Due Date. 06/01/2022 Waterloo Water Works Services Water........ . ...... .... ............. .. .... $119.03 Previous Balance......................,.,,,,.., $291.38 Water Service Excise Tax................. ...... $7,15 Credits/Payments.............................. -$376.45 Service Charge....... ...... ........ ......... $28.Ofl Balance Forward............................... -$85,07 . Late Penalty .. ...... .......... .............. $7.07 Water Works subtotal...,....................... $161,25 Water Works Subtotal. ............... .... ..... $161,25 City of Waterloo Subtotal........................ $254,76 City of Waterloo Services Total Current Service Charges..................... $431.01 Sanitary Sewer. ...... ........................ $16U1 Total Amount Due.............................. $345.94 Storm Water Fee........ ..................... $13.50 Amount Oue After 06 01/2022,,... .....,..., $362,88 Yard Waste Curbside.. ........................ $24.00 f and Waste/Recycle Site Maintenance Fee....... $15.00 e Garbage.... ......... ....................... $53.25 C� City of Waterloo Subtotal.. ... .. ............... $269.76 01/26/2022 04/27/2022 1,077 Actual IJ27 Actual 5fl a Now Available Onllne 2021 Annual Drinking Water Quality Report http://lowaccr.orghvaterlowwaterworks a 0 6O Please detach and return the bottom portion with your payment.See reverse side for additional Information s Account Number; 107149-520832 WATERLOO WATERMORKS _ Amount Nuc After, u 3.662,88 P.O.Box 27 ( 'ipn> sl�i ` Waterloo,Iawa50704 } Phone;(319)232-6280 Amount Enclosed; ori• Hackett Katy 515 Riverside Dr r Waterloo,1A 507035547 WATERLOO WATER WORKS P.O,sax 27 (]Please check box If contact information requires WATERLOO.IOWA 50704 updating and Indicate the changes)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO _WORKS Phone,(319)237-6280 www,waterloowater.org 325 Sycamore Street PaEe i of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES • Customer Name: Hackett Katy Billing Frequency: Quarterly ccount Number: 107149-520832 Billing Date: 08/10/2022 ervlceAddress- 515 RIVERSIDE DR Billing Due bate: 08/31/2022 Waterloo Water Works Services Water...... ................................ $116.88 Previous Balance............................... $345.94 Water Service Excise Tax................ ..... .. $7.02 Credits/Payments.............................. -$926,36 Late Penalty.................... ., ......... $14.74 Balance Forward............................... -$580,42 Water Works Subtotal......................... $138.64 Water Works Subtotal.........,.,............... $138.64 City of Waterloo Services City of Waterloo Subtotal........................ $278,52 Sanitary Sewer....... .......... ........ .... .. $172.02 Total Current Service Charges.....,............... $417.16 Storm Water Fee..... ....... ......... ...... .. $14.25 Yard Waste Curbside.. ..... .. ........... ...... $24.00 Total Amount Due.......... $163.26 and Waste/Recycle Site Maintenance Fee. .... .. $15,00 � �! ✓l�j Garbage... . .. . ..... ........................ $53.25 L_1 City of Waterloo Subtotal....... .. .... .. ....... $278,52 (� I. Wil. �L 04/27/2022 07/29/2022 1,127 Actuat 1,176 Actual 49 ECIALMESSA ES: u as Effective 1/2/2025-New office hours Monday-Friday 8AM-4PM. N Available Online 2023 Annual Drinking Water Quallly Report o https://lowaccr.org/waterloo-waterworks 0o ti ti ti �' d 6ti . o o} o W 10, 40h"T Please detach and retum the bottom portion v4th your payment.See reverse s€de for additional Atformatlon Account Number; 107149-520832 WATERLOO WAW t# 5 a _�guh _ '' Amount Due After; - -163.26 P.O.Box 27 ! liri r i ia`te. - -�--=" Waterloo,lowa 50704 — ___v _ . Phone:(319)2W-6280 Amount Enclosed: .r �, Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box If contact Information requires WATERLOO,IOWA 50704 updating and Indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WATIERMORKS Phone:(319)232-6280 - — www.waterloowater.org 325 Sycamore Street Pat=.e 1 of 1 P.O. Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNT ustomer Name: Hackett Katy Billing Frequency: Quarterly %ccount Number: 107149-520832 Billing Date: 11/10/2022 ervlce Address: 515 RIVERSIDE DR Billing Due Date, 12/06/2022 Waterloo Water Works Services Water..... .. .... ........................... $114.73 Previous Balance............................... -$163.26 Credits/Payments.............................• -$60.00 Water Service Excise Tax.•.••.•................ $6.89 Balance Forward.... ...... .....•.......... -$223.26 Water Works Subtotal......... ................ $121.62 .. City of Waterloo Services Water Works Subtotal........................... $121,62 Sanitary Sewer............................ ... $172.02 City of Waterloo Subtotal...•.•.................. $278.52 Storm Water Fee..... ........................ $14.25 Total Current Service Charges..................... $400.14 Yard Waste Curbside.......................... $24.00 Total Amount Due...................•.•.•.....• $176.88 Yard Waste/Recycle Site Maintenance Fee. ...... $15.00 Amount Due After 12/06/2022..•................. $185.37 Garbage....... ............................. $53.25 City of Waterloo Subtotal.................. .... $278,52 (e �] .J 1 �1 Utrd Tj LV 2) 07/29/2022 10/27/2022 1,176 Actual 1,224 Actual 48 SPECIAL MESSAGES' 0 b EFFECTIVE JAN 12023 ALL TRANSACTIONS To INITIATE OR REINSTATE 930 o� SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. w ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULEDTHE ° ^o a •a o° d o FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment.see reverse side for additional Information Account Number: 107149-520832 WATERLOO WATERWORKS rbct 'oNri[ - +- _ , Amount Due After: (�[[1��85.377 P.O.Box 27 I)I A' '.[! etr+r ,ir,' tl: i11''. �.. -']i'i G 0V '59 Waterloo,Iowa 50704 -- - Amount Enclosed: Phone:(319 232-6280 DD Hackett Katy 515 Riverside Dr 111111111HUrill Ellin Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box 1t contact information requires WATERLOO,IOWA 50704 updating and indicate the changes)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WATER WORKS Phone.(319)232-6280 www.waterloowater.org 325 Sycamore Street Page 1 of 1 P,O, Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ustomer Name; Hackett Katy Billing Frequency. Quarterly ccount Number: 107149-520832 Billing Date: 02/10/2023 ervice Address: 515 RIVERSIDE DR Billing Due Date; 03/03/2023 Waterloo Water Works ServicesCHARGE SUMMARY Water............. ......................... .19 Previous Balance. $176,88 Water Service Excise Tax....................... $66.15 $1$ Credits/Payments.............................. -$360.00 Balance Forward.,....,..,.,................... $183. Late Penalty................................. $1.78 12 Water Works Subtotal......... ................ $110.42 Water Works Subtotal........................... $110.42 City of Waterloo Services City of Waterloo Subtotal........................ $260,64 Sanitary Sewer............................... $154,14 Total Current Service Charges..................... $371.06 Storm Water Fee............................. $14.25 Total Amount Due.............................. $187.94 Yard Waste Curbside. . ............ ............ $24.00 Amount Due After o3/03/2023.................... $1,97,02 Yard Waste/Recycle Site Maintenance Fee..,,,., $15,00 Garbage. ...... ..... .................. ...... $53.25 City of Waterloo Subtotal...................... $260,64 If e-ji , + q. , Cuf 0!nt Read Current Read Type Usage JCCF) 10/27/2022 01/24/2023 1,224 Actual 1,266 Actual 42 61 -SPECIAL m9ssA6ES w EFFECTIVE)AN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE ' SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. a� a 19 ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE 0 l 0 W IT" %0 � FOLLOWING BUSINESS DAY �p 0 I Please detach and return the bottom portion vwlth your payment.See reverse side for additional information PAYABLEMAKE;CHECKS TO; Account Number; 107149-520832 WATERLOO, WATER WORKS T9Y;i 140044 Amount Due After: 197.02 P.O.Bax 27 Rof fi� _ ' Waterloo,Iowa 50704 Phone:(319)232.6280 Amount Enclosed: DD Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Information requires WATERLOO,IOWA 50704 updating and Indlcate the change{s}on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WORKS Phone:(319)232-6280 www,waterloowater.org 325 Sycamore Street Pase 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES AtCOUNT�LIMMAIRY ustomer Name: Hackett Katy Billing Frequency, quarterly ccount Number: 107149-520832 Billing Date: 05/10/2023 ervice Address: 515 RIVERSIDE DR Billing Due Date: 06/01/2023 Waterloo Water Works Services CHARGE SUMMARY Water............................ ...... .... $137.21 Previous Balance............................... $187.94 Credlts/Payments.............................. -$420.00 Water Service Excise Tax.............. ......... $8.24 Balance Forward............................... -$232.06 Late Penalty...... ................... ........ $0.09 Water Works Subtotal..... ........... ......... $145.54 Water Works subtotal........................... $145.54 City of Waterloo Services City of Waterloo Subtotal........................ $260.64 Sanitary Sewer..... . ............. ..... ....... $154.14 Total Current Service Charges..................... $406.18 Storm Water Fee.. .. ................. .. ...... $14.25 Total Amount Out!.............................. $174.12 Yard Waste Curbside. . ............ .. .......... $24.00 Amount Due After 06/01/2023. ................ $182.41 Yard Waste/Recycle Site Maintenance Fee....... $15.00 Garbage....... ................... .......... $53.25 City of Waterloo Subtotal...................... $260.64 WfuPd i LU I IL 01/24/2023 04/26/2023 1,266 Actual 1,324 Actual 58 SPECIAL MESSAGES EFFECTIVE)AN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. a ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE U $ d 1P o` d o'N -P o, FOLLOWING BUSINESS DAY I M1 M1 M1 M1 I I 1 I Please detach and return the bottom portion vrith your payment.See reverse side for additional Information MAYE CHECKS PAYABLE Account Number: 107149-520832 WATERLOOWA WOR�CS 1ArY1 '1t h � �: : -. I_ -11, T�t�7._'- ff!l hr �eR+�m+ 7�a.Y erlM ^i Y°a '<,'� 1. )`�-�I,�i�� _ Amount Due After: 182.41 I P.O.Box 27 w s >~ Waterloo,Iowa 50704 pl� igF)y ,Dii ': ;rc: -Jb� Oz3 Phone:(319)232-6280 Amount Enclosed: Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATERWORKS P.O.BOX 27 Ll Please check box If contact Information requires WATERLOO,IOWA 50704 I updating and Indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOG? VkJ66LWORKS Phone:(319)232-6280 www,waterloowater.org 325 Sycamore Street PaRe 1 of 1 P.O.Sox 27 Waterloo,Iowa 50704 STATEMENT OFSERVICES. ACCOukTsummAR9 i ustomer Name: Hackett Katy Billing Frequency. Quarterly ccount Number: 107149-520832 Billing Date: 08/10/2023 ervlce Address: 515 RIVERSIDE DR Billing Due Date: 08/31/2023 Waterloo Water Warks Services Water............. ....................... .. $178,44 Previous Balance.............................. $174,12 Credits/Payments.............................. -$504.12 Water Service Excise Tax... .................... $10.71 Balance Forward....,.,....,................... -$330.00 Water Works Subtotal......................... $189,15 City of Waterloo Services Water Works Subtotal........................... $189,15 Sanitary Sewer............................ ... $166,52 City of Waledoo Subtotal........................ $273.77 Storm Water Fee................ .......... . .. $15.00 Total Current Service Charges......,..,........... $462.92 Yard Waste Curbside........ ............. .... $24.00 Total Amount Due.............................. $132,92 Yard Waste/Recycle Site Maintenance Fee....... $15.10 Amount Due After 08/31/2023.................... $139,56 Garbage................ .................. .. $53.25 City of Waterloo Subtotal...................... $273.77 ^1 i �a. 6U r 04/26/2023 07/24/2023 1,324 Actual 1,401 Actual 77 iSIco N J Now Available Online 2022 Annual Drinking Water Quality Report &.V — https.//ioviaccr.org/waterfoo-waterworks 7 19 0 s ,0 4' rye,. M1�`. ,►�. ry y�. 1 . Please detach and return the bottom portion with your payment.See reverse side For additional information 'MARE OJECKS _ • Account Number. 107149-520832 WATERLOO W WORT<S Tp�taiAmouii :o;Ert -: _ Amount Due After: 139,56 Waterloo,Iowa 50704 :;i;-,i: p$ (20 3 Phone:(3191232-6280 Amount Enclosed: D Hackett Katy 515 Riverside Or • Waterloo,?A 507035547 WATERLOO WATERWORKS P.O.BOX 27 ❑Please check box If contact Information requires WATERLOO,IOWA 50704 updating and Indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATE RLOO WATER.WO R I<S phone:(319)232-6280 www.waterionwater.org 325 Sycamore Street Page 1 of 1 P.O.Bax 27 Waterloo.Iowa 50704 STATEMENT OF SERVICES ACCOUNT ustomer Name: Hackett Katy Billing Frequency: Quarterly %ccount Number: 107149-520832 Billing pate: 11/09/2023 ervice Address: 515 RIVERSIDE DR Billing Due Date: 12/05/2023 Waterloo Water Works Services Water.............. .................. ...... $135.04 Previous Balance............................... $132.92 Credits/Payments.............................. -$450.00 Water Service Excise Tax....................... $8.11 Balance Forward,..,.,.....,.,...,.,...,....... -$317.08 Late Penalty.... ............... .............. $1.93 Water Works Subtotal................. ........ $145,08 Water Works Subtotal........................... $145.08 City of Waterloo Services City of Waterloo Subtotal.,..,....., ...... $337.67 Sanitary Sewer...... ............... .. ........ $166.52 Storm Water Fee............................. $15 p0 Total Current service Charges.................,.,. $482.75 Total Amount Due.............................. $165.67 Yard Waste Curbside.................... ...... $24.00 Amount Due After 12/05/2023..................., $173,96 Yard Waste/Recvcle Site Maintenance Fee....... $15.00 Garbage.. .................... ... ........... $117.15 City of Waterloo Subtotal................... ... $337.67 (eWdr r J U0U Pate'. 'Prieviotis(tead, �..-'Plreyloqs Read Ty�(!� Cur(entRead c4jrfehtAeadTypv Usage(CCF).' , 07/24/2023 10/26/2023 1,401 Actual 1,458 Actual 57 Ed 70 cu°, Now Available Online 2022 Annual Drinking Water Quality Report 40 https;//iowaccr.org/waterio4-waterworks ro 0 101 41 I'll le 161 Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO:. Account Number: 107149.520832 WATERLOOWATER WORKS —'�--r - Amount Due After: 173,96 P.O.Box 27 Waterloo,Iowa S0704 ,rl'=air_,,.; as Phone:(319)232.6280 Amount Enclosed: Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box If contact Information requires WATERLOO,IOWA 50704 updating and Indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WAT�WO RI« Phone:(319)232-6280 .� Y wvnv.+vaterloowater.org 325 Sycamore Street Page 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY. ustomer Name: Hackett Katy Billing Frequency: Quarterly Account Number: 107149-520832 Billing Date: 02/09/2024 ervice Address: S15 RIVERSIDE DR Billing Due Date: 03/01/2024 Waterloo Water Works Services CHARGE SUMMARY Previous Balance............................... 165.67 Water.. ............ ........................ $115.24 Credits/Payments.............,......,.,....... -$525,00 Water Service Excise lax....................... $6.92 Balance Forward............,.,....,........... -$359.33 Late Penalty. ....... .......... ....... ........ $0.78 Water Works Subtotal............... .. ........ $122.94 Water Works Subtotal........................... $122,94 City of Waterloo Services City of Waterloo Subtotal........................ $339.90 Sanitary Sewer...... ............... .......... $179.40 Total Current Service Charges...................,. $462.84 Storm Water Fee. .... ........................ $15.00 Total Amount Due.............................. $103.51 Yard Waste Curbside. . ..... ....... .... ........ $24.00 Amount Due After 03/01/2024.................... $108.69 Yard Waste/Recycle Site Maintenance Fee....... $15.00 Garbage............ ........................ $106.50 „1 t City of Waterloo Subtotal...................... $339.90 L� A / t L/--" 'C PrOlous Read + r. 10/26/2023 01/29/2024 1,4511 Actual 1,504 Actual 46 to SOECIAIL MESSAGES3 TO trq° Now Available Online 2022 Annual Drinking Water Quality Report g o https://fowaccr,org/waterloo-waterworks ! 0 Please detach and return the bottom portion with your payment.See reverse side for additional Information MAKE CHECKS r + Account Number: 107149-520832 WATERLOO WA W O RIGS _ ;;..-:;1 Totkl,gmo;� :UUs ' _ . Amount Due After: 108.69 P,O.Box 27 9tli{1( :p e` atgu' �'_F 'ffii?:= Fd3.oi2P2A Waterl no,Iowa 50704 Phone:(3191232-5280 Amount Enclosed: Hackett Katy 515 Riverside Dr + Waterloo,IA 507035547 WATERLOO WATERWORKS P.O.BOX 27 ❑Please check box I€contact Information requires WATERLOO,IOWA 50704 updating and indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WATERWORKS Phone;(319)232-6280 - vrww.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O.sox 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNT,SUMMARY ustomer Name: Hackett Katy Billing Frequency: Quarterly ccount Number: 107149-520832 Eill[ing Date; 05/08/2024 ervice Address: 515 RIVERSIDE DR BIlling Due Date: 05/30/2024 Waterloo Water Works Services Water...................................... $112.96 Previous Balance............................... $103.51 Water Service Excise Tax............. .......... $6.78 Credits/Payments.............................. -$450.00 Balance Forward............................... -$346.49 Late Penalty......... ... ..................... $1.43 Water Works Subtotal......................... $121.17 Water Works Subtotal........................... $121.17 City of Waterloo Services City of Waterloo Subtotal.......... $336.68 Sanitary Sewer.. ............................. $176.18 Total Current Service Charges..................... $457,85 Storm Water Fee.. ........................... $15.00 Total Amount Due.............................. $111.36 Yard Waste Curbside....... ................ ... $24.00 Amount Due After 05/30/2024......,............. $116.93 Yard Waste/Recycle Site Maintenance Fee....... $15.00 Garbage.... .. ..... ........................ $106.50 r �c-'�` y City of Waterloo Subtotal................... ... $336.68 a 0 � w r. bate PreiijotIsR&6(IType! CurfejjtRead Cuuunt:.Read Type Usage(Coll 01/29/2024 04/24/2024 1,504 Actual 1,549 Actual 45 -SPECIAL MESSAGES w Now Avallable Online 2024 Annual Drinking Water Quality Report n ao https:Hiowaccr.org/waterloo-waterworks +o a Please detach and return the bottom portion with your payment.See reverse slde for additional Information MAKE CNECI(S PAYA13LE td. Account Number: 107149-520832 WATERLOG) W WORDS Tptal' =��h�,R�e, _ -_ ;:> �`���.���� _� �f��g _ Amount Due After: - 116.93 P.O.Box 27 _ ._- Waterloo,Iowa 50704 Billin6°.d tr Datet om iii:'= tr:��' f r;;QSMz4 Phone:(319)232-6280 Amount Enclosed: . 'a Hackett Katy 515 Riverside Dr • Waterloo,IA 507035547 WATERLOO WATERWORKS P.O.BOX 27 ❑Please check box If contact information requires WATERLOO,IOWA 50704 updating and Indicate the changels)on reverse side Docusign Envelope ID:90428526-99EC-41AO-B6F5-043423AOD889 WATERLOO W WORKS Phone:(319)232-6280 www.waterloowater.org 325 Sycamore Street Pa Pe 1 of 1 P.D. Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES I liit I ustomer Name: Hackett Katy Billing Frequency: Quarterly% ! t ccount Number: 107149-520832 Billing Date: 08/08/2024 ervice Address: 515 RIVERSIDE DR Billing Due Date: 08/29/2024 Waterloo Water Works Services Water... Previous Balance............................... 111.36 $108,40 Credits/Payments. $525.00 Water Service Excise Tax........... ............. $6.57 Fate Penalty....................... .......... $1.56 Balance Forward............................... -$413.64 Water Works Subtotal......... ................ $116.47 Water Works Subtotal............,.............. $116.47 City of Waterloo Services City of Waterloo Subtotal........................ $338.69 Sanitary Sewer............................... $178.19 Total Current Service Charges..................... $455.16 1 Storni Water Fee................... .......... $15.00 Total Amount Due.....,........................ $41.52 s Yard Waste Curbside.......................... $24.00 ! Amount Due After 08/29/2024.................... $43.02 Yard Waste/Recycle Slte Maintenance Fee....... $15.00 j Garbage....... ..... ............. ........... $106.50 y i City of Waterloo Subtotal...... .... .. ....... ... $338.69 Y' 60 I D. b. , i 04/24/2024 07/29/2029 1,549 Actual 1,592 Actual 43 b] , N A A I SNow Avallahla Online 2024 Annual Drinking Water Quality Report a v https://Iowaccr.org/%Yaterloo-waterworks tAF 6 O a 10 0 1 'Gf'Y 1 Please detach and return the bottom portion with your payment.See reverse side for additional Information fi 3Account Number: 107149-520832 WATERLOO WA_ W O R I<S _ Amount Due After 43,02 P.O.Box 27 Waterloo,lowa50704 Bil�iriglDtte pati ,i ;,' , — '- f(Q$ 23f2Qx4 Phone:(319)232-6280 Amount Enclosed: # ADDRESSEE-' Hackett Katy 515 Riverside Dr I Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box If contact Information requfres WATERLOO,IOWA 50704 I updating and Indicate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WI-6Q-WORKS Phone:(319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O, Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY ustomer Name: Hackett Katy Billing Frequency: Quarterly ccount Number. 107149-520832 Billing Date: 11/08/2024 ervice Address: 515 RIVERSIDE DR Billing Due Date: 12/04/2024 Waterloo Water Works ServicesCHARGE SUMMARY. Water. .......... ....................... .... $99.28 Previous Balance............................... $41,52 Water Service Excise Tax....... ........... ..... $5.96 Cred€ts/Payments.............................. -$600.00 Water Works Subtotal....... .............. .... $105,24 Balance Forward.,.,....,.............,...,.... -$558.48 City of Waterloo Services Water Works Subtotal........................... $105.24 Sanitary Sewer...... ......................... $164.67 City of Waterloo Subtotal.,.,..,..,.......,.,.... $325.17 Storm Water Fee............................. $15.00 Total Current Service Charges..................... $430.41 Yard Waste Curbside.......................... $24.00 Total Amount Due....... ...................... -$128.07 Yard Waste/Recycle Site Maintenance Fee.,..... $15.00 Garbage................................ .... $106.50 n/J City of Waterloo Subtotal...................... $325,17 10. CA-9I � Date Date :.PteylousAbad Previous Read jvpe, .10�(64R'�d Current Ri�"]((Type Usage 07/29/2024 10/28/2024 1,592 Actual 1,631 Actual 39 SPECIAt MESSAGES ,,,sv' Now Available Online 2024 Annual Drinking Water Quality Report https.//€owaccr.org/waterloo-waterworks � ro 0 44 S� 40 O, CT G� ti0 Please detach and return the bottom portion with your payment.See reverse side for additional Information MAKE r Account Number: 107149 520832 WATERLOO )Z"Q WORTS ! Tt�fi0 �.?f - - Amount Due After:. -128,07 P.O.Box 27 .- Waterloo,Iowa 50704 Phone:(319 232-6280 Amount Enclosed: ,ill Hackett Katy 515 Riverside Dr � Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Information requires WATERLOO,IOWA 50704 updating and lndlcate the change(s)on reverse side Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889 WATERLOO WA WORKS Phone:(319)232-6280 www.waterioowater.org 325 Sycamore Street Page 1 of 1 P.O.Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNT ustomer Name, Hackett Katy Billing Frequency: Quarterly ccount Number: 1071.49-520832 Billing Date: 02/07/2025 ervlce Address: 515 RIVERSIDE DR Billing Due Date: 02/28/2025 Waterloo Water Warks ServicesCHARGESUMMARY Water...................................... $105.59 Previous Balance,.............................. - 128.07 Water Service Excise Tax............... ...... .. $6.34 Credits/Payments.............................. -$700,00 Water Warks Subtotal................. ........ $111.93 Balance Forward............................... -$828.07 City of Waterloo Services Water Works Subtotal........................... $111.93 Sanitary Sewer...... ...... ................... $168.05 City of Waterloo Subtotal........................ $328.55 Storm Water Fee..... ........................ $15.00 Total Current Service Charges..................... $440.48 Yard Waste Curbside. . ......... ............... $24.00 Total Amount Due.............................. -$387.59 Yard Waste/Recycle Site Maintenance Fee....... $15.00 Garbage............ ................ ........ $106.50 City of Waterloo Subtotal....... ............... $328.55 rw PreviousRoad r l) , Ctif rent Rea d Toe U�jge(CCF) 10/28/2024 01/24/2025 1,631 Actual 1,671 Actual 40 79- SPECIAL MESSAGES f0 tEffective]/2/2025-New office hours Monday-Friday 8AM-4PfvL 40 p Available Online 2024 Annual Drinking Water Quality Report Z'10https,//Iowaccr.org/viaterloo-waterworks 6 i O, tT I Please detach and return the bottom portion with your payment,See reverse side for additional information A KS PA�AOLE TO. Account Number., 107149-520832 WATERLOG? WATER WORKS _ �.. Amount Due After: -387.59 P.O.Box 27 1!!ng_D a DatOt.i_i f-i; :-- _•` -'' - 'a'-.0 28/ 05 Waterloo,Iowa 50704 _".','' Phone:(319)232-6280 Amount Enclosed: Hackett Katy 515 Riverside Dr Waterloo,IA 507035547 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Infurrnation requires WATERLOO,IOWA 50704 updating and Indicate the change(s)on reverse side