HomeMy WebLinkAboutItem__21Docusign Envelope ID: B3E16C05-0011-4026-AEB8-13C4677FC4E1
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO —12/15/2025
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2026 submitted by the Leisure Services Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4105 3000
Cash on Hand
37RST.MISCINS
_
1,834.54
010 37 4105 1371
Building end Grounds Maintenance
37RST.MISCINS
1,834.54
TOTAL
This amendment is being requested because:
1,834.54
To purchase light poles due to the previous poles being damaged
Prior Committee Actions (Dates):
TOTAL
1,834.54
Todd Derfield 11/26/25
Signed by:
B,�d��X' Zllood
12/15/2025
ra n.
(Signature Dept. Head or Designee) Date Igna ure Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)