HomeMy WebLinkAboutFire_Ambulance_(AAA_Membership_Dues)Docusign Envelope ID: DC93182E-EFC3-468E-9821-2C5F19E6OADB
City Clerk Use Only
Finance Committee
Approval Date 10/6/2025
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
$ 2,590.00
plus est. shipping costs of
Fire/Ambulance
$ 0.00
Department to expend
to pay for or purchase
American Ambulance Association Annual Membership dues for government provider through December 2026
This purchase or expenditure is being made because:
This is a membership we obtain every year.
Vendor selected for this purchase:
American Ambulance Association
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Non -applicable
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:
010-12-1410 1391
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
2a4490. �.22/1. 4-
$ 2,800.00
$ 2,800.00
PiAipar100001
igned by:
9/12/2025
Date (Signature finance Dept. Review)
10/6/2025
(Signature Dept. Head or Designee)
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
Date