HomeMy WebLinkAboutPre-auth_Lower_Gates_Picnic_TablesK:\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 Department to expend
$plus est. shipping costs of $to pay for or purchase
This purchase or expenditure is being made because:
Vendor selected for this purchase:
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:
General Fund Road Use Tax Sewer Sanitation
Bonds Federal/other grants
This expenditure is to be coded to the following budget line-item:
in which the budgeted amount is $
and the current available balance is $
Respectfully submitted,
(Signature Dept. Head or Designee)Date (Signature Finance Dept. Review)Date
Other (specify)
(Project Code)(Fund - Department - Activity - Account Number)
Leisure Services
4,135.50
6 picnic tables for new shelter ant Gates Park on East 4th Street and Lester Street.
289.00
Leisure Services added an additional new shelter to our park system and need tables for them.
Kay Park Recreation, Janesville, Iowa
Kay Park Recreation matched pricing on previous pre-authorization dated 4/1/2024.
This allows Leisure Services to have matching tables at all Gates Park locations.
426-37-4105-2168 37IMP.GATEBYRN
1,658,330.00
104,008.58
Todd Derifield 4/21/25
Docusign Envelope ID: 7D7EBCA0-A6A7-4D22-9B9C-D5F92B0F6811
May 5, 2025
May 5, 2025