HomeMy WebLinkAboutFire_(Ambulance_Repairs)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)
Fire
13,964.44
to replace transmission in ambulance 334
0.00
This is a 2020 front line ambulance needing a new transmission but is otherwise is good condition
Dick Witham
This ambulance is not in drivable condition and was taken to the nearest certified ford
repair shop to avoid additional tow expenses
010-12-1411 1571
38,000.00
24,873.55
Bill Beck 09/23/2026
Docusign Envelope ID: 9AE04D1C-71CB-8FF3-80F2-97C7E76B2C98
10/05/2026
10/05/2026