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<br />C'PrtifiratP of f'mm~letinn <br />1 Nam of Reci Tent: Oran Coun 3. Pro'ect Number: C-1 <br />2. Grant Num er: OS-C-14 4 4. Pro' c Name: IDA Pr ram <br />5. Final Statement of Costs <br /> To Be Completed <br />B Reci Tent To Be Completed <br />B DCA <br /> <br />Program Activity Categories <br />a Paid <br />Costs <br />b Unpaid <br />Costs <br />c Total Costs <br />(Col. b + c) <br />d Approved <br />Total Costs <br />e <br />a. Ac uisition <br />b. Dis osition <br />c. Public facilities and im rovements <br />1 Senior and handica ed centers <br />2 Parks la rounds and recreation facilities <br />3 Nei hborhood facilities <br />4 Solid waste dis osal facilities <br />5 Fire rotection facilities and a ui ment <br />6 Parkin facilities <br />7 Public utilities other than water and sewer <br />8 Water and sewer im rovements <br />9 Street im rovements <br />10 Flood and draina a im rovements <br />11 Pedestrian im rovements <br />12 Other ublic facilities <br />13 Sewer im rovements <br />14 Water im rovements <br />d. Clearance activities <br />e. Public services <br />f. Relocation assistance <br />. Construction rehab. and reservation activities <br />1 Construction or rehab. of com. & Indust. bld s. <br />2 Rehabilitation of rivatel owned buildin s <br />3 Rehabilitation of ublicl owned buildin s <br />4 Code enforcement <br />5 Historic reservation <br />h. Develo ment financin <br />1 Workin ca ital <br />2 Machine and a ui ment <br />i. Removal of architectural barriers <br />'. Other activities 24 000 24 000 <br />k. Sub otal 24 000 24 000 <br />1. Plannin <br />m. Administration 10 000 10 000 <br />n. Total 34 000 34 000 <br />o. Less: Pro am Income A lied to Pro am Costs <br />E ual: Grant Amount A lie to Pro . osts 34 000 34 000 <br />6. Com utation of Grant Balance <br /> <br /> <br />Description To Be <br />Completed By <br />Reci Tent To Be <br />Completed By <br />DCA <br />(a) <br />Amount <br />b Approved <br />Amount <br />c <br />1 Grant Amount A lied To Pro ram Costs From Line 34 000 <br />2 Estimated Amount For Unsettled Third - P Claims 0 <br />3 Subtotal 34 000 <br />4 Grant Amount Per Grant A reement 50 000 <br />5 Unutilized Grant To Be Canceled Line 4 Minus Line 3 16 000 <br />6 Grant Funds Received 34 000 <br />7 Balance of Grant Pa able Line 3 Minus Line 6 * 0 <br />* If Line 6 exceeds Line 3, enter the amount of the excess on Line 7 as a negative amount. This amount shall be <br />repaid to DCA by check, unless DCA has previously approved use of these funds. <br />