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Home My WebLink AboutRR_233_Byrnes_DriveDocusign Envelope ID: F91144FC-DF45-47F2-9904-3FF4079EB469 PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: l24juc ( A. Johln.54vi Address: 233 5yrAt 5 �irz , f City/State/Zip: f'V �i I06400 , J.TA 5-7 0 Service Address: � 33 eyries Ov- Refund Amount Requested: $ 3(e';.-7 **Documentation Included: V Yes No Date: Phone: /n1231 z5 ** All request for refunds required proof of payment before refunds are processed. Comments: Q ti xcd 4- irb si Gdt Se(V(cts dt.. hot ((IAA) e_ reel ck Cart. Signature/Sanitation Department Confirmed Refund Amount: $ 3(49' a i —Signed by: 731.41./at Wood Date Confirmed w/Water Works: V Yes No 11/17/2025 �D88E184F6AbI-48A... Finance Signature Refund Amount Paid: $ $36.27 Date Docusign Envelope ID: F91144FC-DF45-47F2-9904-3FF4079EB469 Daniel M. and Michelle L. Johnson 233 Byrnes Drive Waterloo, Iowa 50701 September 03 2025 Sanitation Secretary City of Waterloo Public Works 625 Glenwood Street Waterloo, Iowa 50703 Dear Secretary This letter is requesting reimbursement for Recycling Curbside charges made in error. As your records show, we have never signed up for, received the blue container, or ever used this service, but just recently noticed the extra fee on our bill. The charges began showing on our Waterloo Water Works statements (copies enclosed) beginning with the billing date 08/20/2024 and continued through billing date 05/21/2025. Accordingly, we are requesting repayment in the amount of $36.27. Per discussion with you September 31d 2025, this is the information necessary for presentation to the Waterloo City Council for review and approval. Thank you for your help in this matter. Sincerely, Daniel M. Johnson Enclosures: 11 4 Docusign Envelope ID: F91144FC-DF45-47F2-9904-3FF4079EB469 Wf 1 RLUU WATEIKVORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 ustomer Name: 4ccount Number: ervice Address: Johnson Daniel M 110527-504636 233 BYRNES DR STATEMENT OF SERVICES Waterloo Water Works Services Water $40.00 Water Service Excise Tax $2.40 Water Works Subtotal $42.40 City of Waterloo Services Sanitary Sewer $70,03 Storm Water Fee $15.00 Garbage $35.25 Yard Waste / Recycle Site Maintenance Fee $15.00 Recycling Curbside $0,27 City of Waterloo Subtotal $135.55 Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/20/2024 09/11/2024 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Previous Balance $171.94 Credits/Payments -$171.94 Water Works Subtotal $42.40 City of Waterloo Subtotal $135.55 Total Current Service Charges $177.95 Total Amount Due $177.95 Amount Due After 09/11/2024 $186.72 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 WATERLOO WAT P.O. Box 27 Waterloo, Iowa 50704 Phone: {319} 232-6280 WORKS Johnson Daniel M 233 Byrnes Dr Waterloo, IA 507013905 0 Please check box if contact information requires updating and Indicate the change(s) on reverse side Account Number: 110527-504636 Total Amount Due: 17795 Amount Due After : 186.72 Billing Due Date, 09/11/2024 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: F91144FC-DF45-47F2-9904-3FF4079EB469 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paae 1 of 1 2ustomer Name: ikccount Number: Service Address: Johnson Daniel M 110527-504636 233 BYRNES DR Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/20/2024 12/13/2024 Waterloo Water Works Services Water $92.44 Water Service Excise Tax $5,55 Water Works Subtotal $97.99 City of Waterloo Services Sanitary Sewer $70.03 Storm Water Fee $15.00 Garbage $35.25 Yard Waste / Recycle Site Maintenance Fee $15.00 Recycling Curbside $12.00 City of Waterloo Subtotal $147.28 Previous Balance Credits/Payments $177.95 -$177.95 Water Works Subtotal $97,99 City of Waterloo Subtotal $147.28 Total Current Service Charges $245,27 Total Amount Due $245.27 Amount Due After 12/13/2024 $257.25 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 44, WATERLOO WAT WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 Johnson Daniel M 233 Byrnes Dr Waterloo, IA 507013905 0 Please check box if contact information requires updating and indicate the changeis) on reverse side Account Number; 110527-504636 Total Amount Due: 245.27: Amount Due After : 257.25 Billing Due Date: 12/13/2024. Amount Enclosed: WATERLOO WATER WORKS P.O, BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: F91144FC-DF45-47F2-9904-3FF4079EB469 WATERLOO W I WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 :ustomer Name: 4ccount Number: ervice Address: Johnson Daniel M 110527-504636 233 BYRNES DR STATEMENT OF SERVICES AlAyawsw- Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste / Recycle Site Maintenance Fee Recycling Curbside City of Waterloo Subtotal $41.60 $2,50 $44.10 $76.79 $15.00 $35.25 $15.00 $12.00 $154.04 p`ti ``olti ry�� e e ti'i ORh DEG Otih pryb ti ti Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/21/2025 03/14/2025 Phone: (319) 232-6280 www.waterloowater,org Page 1 of 1 IfittattientilL Previous Balance Credits/Payments $245,27 -$245.27 Water Works Subtotal $44.10 City of Waterloo Subtotal $154.04 Total Current Service Charges $198.14 Total Amount Due $198.14 Amount Due After 03/14/2025 $207.92 Effective 1/2/2025- New office hours Monday- Friday 8AM- 4PIVl. 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 WATERLOO WAT R WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 Johnson Daniel M 233 Byrnes Dr Waterloo, IA 507013905 0 Please check box if contact information requires updating and indicate the change(sl on reverse side Account Number: 110527-504636 Total Amount Due: 198.14 Amount Due After : 207.92 Billing Due Date 03/14/202.5. Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Docusign Envelope ID: F91144FC-DF45-47F2-9904-3FF4079EB469 WA I b KLOO WA T R WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 ustomer Name: bccount Number: service Address: Johnson Daniel M 110527-504636 233 BYRNES DR STATEMENT OF SERVICES Waterloo Water Works Services Water $39.23 Water Service Excise Tax $2.36 Water Works Subtotal $41.59 City of Waterloo Services Sanitary Sewer $73,41 Storm Water Fee $15.00 Garbage $35.25 Yard Waste / Recycle Site Maintenance Fee $15.00 Recycling Curbside $12.00 City of Waterloo Subtotal $150.66 Ater oti `4 h ti ti ti 4 ti Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/21/2025 06/12/2025 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Previous Balance Credits/Payments $198.14 -$198.14 Water Works Subtotal $41.59 City of Waterloo Subtotal $150.66 Total Current Service Charges $192.25 Total Amount Due $192.25 Amount Due After 06/12/2025 $201,74 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 WATERLOO WAT P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS Johnson Daniel M 233 Byrnes Dr Waterloo, IA 507013905 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 110527-504636 Total Amount Due: 192.25 Amount Due After : 201.74 Billing Due Date,. - 06/12/2025 Amount Enclosed: —127 WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704