HomeMy WebLinkAboutPublic_Works_(Ice_Dispenser)K:\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)
Public Works
8,532.21
Ice dispenser.
175
Replacement of ice dispenser.
Wilson Restaurant Supply
Wilson Restaurant Supply $8707.21 Cedar Falls, IA
Katom Restaurant Supply $9185.83 Kodak, TN
324-18-7950-2152
50,000
11,757.34
Sheila Steffen 9.21.2026
Docusign Envelope ID: 62A720CC-7767-8F24-8295-2A3F5CFD7D51
9/21/26
9/21/26