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CERTIFICATE OF COMPLETION <br />1. Grantee: Orange County 2. Grant Number: 11 -C -2278 <br />3. Project Name: NC Tomorrow 4. Project Number: C -1 <br />5. Final Statement of Costs <br />Program Activity Categories <br />(a) <br />To Be Completed by Recipient <br />• <br />Paid Costs <br />(b) <br />Unpaid Costs <br />(c) <br />Total Costs <br />(Col. b + c) <br />(d) <br />Approved <br />Total Costs <br />(e) <br />a. Acquisition <br />b. Disposition <br />c. Public facilities and improvements <br />(1) Senior and handicapped centers <br />(2) Parks, playgrounds and recreation facilities <br />(3) Neighborhood facilities <br />(4) Solid waste disposal facilities <br />(5) Fire protection facilities and equipment <br />(6) Parking facilities <br />(7) Street improvements <br />(8) Flood and drainage improvements <br />(9) Pedestrian improvements <br />(10) Other public facilities <br />(11) Sewer improvements <br />(12) Water improvements <br />d. Clearance activities <br />e. Public services <br />f. Relocation assistance <br />g. Construction, rehab. and preservation activities <br />(1) Construction or rehab. of com. & indust. bldgs. <br />(2) Rehabilitation of privately owned buildings <br />(3) Rehabilitation of publicly owned buildings <br />(4) Code enforcement <br />(5) Historic preservation <br />h. Development financing <br />(1) Working capital <br />(2) Machinery and equipment <br />i. Removal of architectural barriers <br />J. Other activities <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />k. Subtotal <br />1. Planning <br />m. Administration <br />$0.00 <br />$45,000.00 <br />$45,000.00 <br />$5,000.00 <br />5,000.00 <br />n. Total <br />o. Less: Program Income Applied to Program Costs <br />$50,000.00 <br />$50,000.00 <br />$0.00 <br />p. Equal: Grant Amount Applied to Program Costs <br />1 $50,000.00 <br />$50,000.00 <br />6. Computation of Grant Balance <br />Description <br />(a) <br />To Be <br />Completed By <br />Recipient <br />Amount <br />(b) <br />b1i <br />Approved Amount <br />(c) <br />(1) Grant Amount Applied To Program Costs (From Line p) <br />$50,000.00 <br />(2) Estimated Amount For Unsettled Third - Party Claims <br />(3) Subtotal <br />$50,000.00 <br />(4) Grant Amount Per Grant Agreement <br />$ - <br />(5) Unutilized Grant To Be Canceled (Line 4 Minus Line 3) <br />(6) Grant Funds Received <br />$ 50,000.00 <br />(7) Balance of Grant Payable (Line 3 Minus Line 6)* <br />* If Line 6 exceeds Line 3, enter the amount of the excess on Line 7 as a negative amount. This amount shall be repaid to DOC by <br />check, unless DOC has previously approved use of these funds. <br />