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Home My WebLink AboutRR_3732_Butternut_LaneDocusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: G„f thtv,. 1 el,it i ( _ Date: S I t + I 2-S- Address: '7 32 ttf t,ry t LV� City/State/Zip: "ea !eQ 1 U 10 3 Service Address: J� 3f3tAitaratAt Lvk Refund Amount Requested: $ f 4-4 ' **Documentation Included: Yes No ** All request for refunds required proof of payment before refunds are processed. Phone: Comments: V `' t(c..inOvad ycn'4 ivG.s'[e rem j Je C a-r+s 6-1-1 7//5[.a-- t-)L -Ott_ C v e s did 60- rooved kohl Key .t>`Ict,fri Jo rks hi II, Va Signature/Sanitation Department Confirmed Refund Amount: $ 144. ).-1 PSigned by: '4,11par1Oood Final cue$ iktriafbre Refund Amount Paid: $ $144.27 Date Confirmed w/Water Works: V Yes No 9/15/2025 Date Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO war TORKs 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: 4ccount Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0,00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee Garbage Yard Waste Curbside Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $15.00 $77,25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/08/2025 04/29/2025 Previous Balance $77.25 Credits/Payments -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77.25 Amount Due After 04/29/2025 $81.11 • "ad Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable SPECIAllylEISAGES Effective 1/2/2025- New office hours Monday- Friday 8AM- 4PM. Available Online 2023 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 MARE CHECKS WYABLE TO: WATERLOO WAT WORT<5 P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81.11 Billing Due Date: 04/29/2025 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: 4ccount Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN STATEMENT OF SERVICES ACCOUNT SUMMARY Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $15.00 Garbage $35.25 Yard Waste Curbside $12.0 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $77.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/07/2025 01/28/2025 Phone: (319) 232-6280 www,waterloowater,org Pai=_e 1 of 1 CHARGE SUMMARY Previous Balance Credits/Payments $77.25 -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77.25 Amount Due After 01/28/2025 $81.11 • revious. lead Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable 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 PAYABLE TO: WATERLOO WATWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81.11 Billing Due Date: 01/28/2025 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WAS WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www, Ovate r loowate r, o rg Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: ervice Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $15.00 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $77.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/07/2024 10/28/2024 Previous Balance $77.25 Credits/Payments -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77.25 Amount Due After 10/28/2024 $81.11 ''fie 'IOUS Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable 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: 1 WATERLOO WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81,11 Billing Due Date: 10/8/2024 Amount Enclosed: WATERLOO WATER WORKS P.D. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WATEE4VORI<S 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $15.00 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $77.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/09/2024 07/30/2024 Previous Balance $77.25 Credits/Payments -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77,25 Amount Due After 07/30/2024 $81.11 Previous' +sail Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable 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 ll�f/.`.Slj:.{ii=1'€<ili.:i:i:�`l.:�". t!I •�.F�d�' WATERLOO W6W. WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81.11 Billing Due Date: 07/30/2024 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Pare 1 of 1 ACCOUNT StJM MARY Customer Name: Account Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0,00 City of Waterloo Services Storm Water Fee $15.00 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $77.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/08/2024 04/29/2024 CHARGE SUMMARY Previous Balance Credits/Payments $77,25 -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77.25 Amount Due After 04/29/2024 $81.11 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCI=) Not Applicable - 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 WATERLOO WATfLWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 • %s s1;1,1 •i.f i McKinley Gretchen 3732 Butternut In Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81.11 Billing Due Date: 04/29/2024 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WA WORI<5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Customer Name: Account Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/08/2024 01/29/2024 Waterloo Water Works Services Water Service Excise Tax Water Works Subtotal City of Waterloo Services Storm Water Fee Garbage Yard Waste Curbside Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal $0.00 $0.00 $15.00 $35,25 $12.00 $15.00 $77.25 CHARGE SUMMARY Previous Balance Credits/Payments $77.25 -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges Total Amount Due Amount Due After 01/29/2024 $77.25 $77.25 $77.25 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable 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 PAYABLE TO: WATERLOO WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 .111111111111.1rADDRESSEE: McKinley Gretchen 3732 Butternut In Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 77.25 Billing Due Date: 01/29/2024 Amount Enclosed: L WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WATER WORI<5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: 4ccount Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN STATEMENT OF SERVICES ACCOUNT SUMMARY Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $15.00 Garbage $35,25 Yard Waste Curbside $12,00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $77.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/06/2023 10/27/2023 Phone: (319) 232-6280 www,waterloowater.org Paae 1 of 1 CHARGE SUMMARY Previous Balance Credits/Payments $77.25 -$77.25 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77.25 Amount Due After 10/27/2023 $81.11 f Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage(CCF) Not Appl'cable 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: WATE RLOO WA WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: {319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81.11 Billing Due Date: 10/27/2023 Amount Enclosed: ) WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater,org Pane 1 of 1 ACCOUNT SUMMARY :ustomer Name: Account Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $15.00 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $77.25 Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/06/2023 07/27/2023 Previous Balance $76.50 Credits/Payments -$76.50 City of Waterloo Subtotal $77.25 Total Current Service Charges $77.25 Total Amount Due $77,25 Amount Due After 07/27/2023 $81.11 evious Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage(CCF) Not Appl'cable Now Available Online 2022 Annual Drinking Water Quality Report https://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion tvith your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO W WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 77.25 Amount Due After : 81,11 Billing Due Date: 07/27/2023 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WATERWORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: kccount Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN STATEMENT OF SERVICES ACCOUNT SUMMARY Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $14.25 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $76.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/06/2023 04/27/2023 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 CHARGE SUMMARY Previous Balance Credits/Payments $76.50 -$76.50 City of Waterloo Subtotal $76.50 Total Current Service Charges $76.50 Total Amount Due $76.50 Amount Due After 04/27/2023 $80.32 Previous Read Date Current Read Date Previous. Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable SPECIAL MESSAGES EFFECTIVE JAN 12023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional information E CHECKS PAYABLE TO: WATERLOO W WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 76.50 Amount Due After : 80.32 Billing Due Date: 04/27/2023 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO _WA �R�wORI<5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY ustomer Name: 4ccount Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $14.25 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $76.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 01/09/2023 01/30/2023 1 CHARGE SUMMARY Previous Balance Credits/Payments $76.50 -$76.50 City of Waterloo Subtotal $76.50 Total Current Service Charges $76.50 Total Amount Due $76.50 Amount Due After 01/30/2023 $80.32 tevious`Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable 01.7 Gigs EFFECTIVE JAN 1 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 76.50 Amount Due After : $0.32 Billing Due Date: 01/30/2023 Amount Enclosed: WATERLOO WATER WORKS P.O, BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WATER WORI<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 ACCOUNT SUMMARY �ustomer Name: etccount Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $14,25 Garbage $35.25 Yard Waste Curbside $12.00 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $76.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/06/2022 10/27/2022 Previous Balance $76.77 Credits/Payments -$76.77 City of Waterloo Subtotal $76.50 Total Current Service Charges $76.50 Total Amount Due $76.50 Amount Due After 10/27/2022 $80.32 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Applicable EFFECTIVE JAN 1, 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE. ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE FOLLOWING BUSINESS DAY Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: WATERLOO WATALII4VORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 76.50 Amount Due After : 80.32 Billing Due Date: 10/27/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO I_Aii.1144VVORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $14.25 Garbage $35.25 Yard Waste Curbside $12.27 Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $76.77 Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/06/2022 07/27/2022 Previous Balance $35.35 Credits/Payments -$35.35 City of Waterloo Subtotal $76.77 Total Current Service Charges $76.77 Total Amount Due $76.77 Amount Due After 07/27/2022 $80.60 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) Not Appl'cable Now Available Online 2021 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA R WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 127307-507028 Total Amount Due: 76,77 Amount Due After : 80,60 Billing Due Date: 07/27/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.watertoowater.org Pelee 1 of 1 Customer Name: Account Number: Service Address: McKinley Gretchen 127307-507028 3732 BUTTERNUT LN Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/06/2022 04/27/2022 Waterloo Water Works Services Water Service Excise Tax $0.00 Water Works Subtotal $0.00 City of Waterloo Services Storm Water Fee $6.30 Garbage $16.45 Yard Waste Curbside $5.60 Yard Waste / Recycle Site Maintenance Fee $7.00 City of Waterloo Subtotal $35,35 0105-- At- tAPI--F ALfrvurv-L. %-LL Cal/3 ern.. Vt5/ -. City of Waterloo Subtotal $35.35 Total Current Service Charges $35.35 Total Amount Due $35.35 Amount Due After 04/27/2022 $36,30 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 WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS McKinley Gretchen 3732 Butternut Ln Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the changefs) on reverse side Account Number: 127307-507028 Total Amount Due: 35,35 Amount Due After: 36.30 Billing Due Date, 04/27/2022 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704