HomeMy WebLinkAboutFire_(Bonded_Vehicle_Title)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
2,667.00
Bonded Certificate of Vehicle Title
0
An ambulance purchased in 2011 was never originally titled. Since original necessary documents
are no longer available, it is necessary to obtain a bonded title as required by the IDOT.
Merchants Bonding Company (Mutual)
010-18-7950 1571
70,000.00
69,596.10
Bill Beck 10/12/26
Docusign Envelope ID: 1120C211-862E-83B4-8212-E6F1E08CD5AD
10/19/2026
10/19/2026