Approval of State Revolving Fund (SRF) Planning and Design Reimbursement #1 – Water Treatment Plant — E-7

DES MOINES OFFICE 515-283-1000 (Tax Identification No. 41-0223337) STATEMENT OF ACCOUNT FOR PROFESSIONAL SERVICES City of Tiffin, Iowa Doug Boldt, City Administrator PO Box 259 300 Railroad Street Tiffin, IA 52340-0259 January 11, 2024 Invoice Number 3940884 Client-Matter No.: 436989-00042 G-2023-2026 SRF Water System Improvement Project For Legal Services Rendered Through December 31, 2023 INVOICE TOTAL Total For Current Legal Fees $4,500.00 Total Due This Invoice $4,500.00 For your convenience, please remit payment to the address below or we offer the option of remitting payment electronically by wire transfer. If you have any questions regarding this information, please contact the lawyer you are working with on this project or Dorsey’s Accounts Receivable Department at 1-800-861-0760. Thank you. Mailing Instructions: Dorsey & Whitney LLP P.O. Box 1680 Minneapolis, MN 55480-1680 Wire Instructions: U.S. Bank National Association 800 Nicollet Mall Minneapolis, MN 55402 (This account is only for Wire/ACH payments) ABA Routing Number: 091000022 Account Number: 1047-8339-8282 Swift Code: USBKUS44IMT Please make reference to the invoice number Service charges are based on rates established by Dorsey & Whitney. A schedule of those rates has been provided and is available upon request. Disbursements and service charges, which either have not been received or processed, will appear on a later statement. ALL INVOICES ARE DUE 30 DAYS FROM DATE OF INVOICE UNLESS OTHERWISE EXPRESSLY AGREED BY DORSEY & WHITNEY