Orange County NC Website
Browse       Search
2 <br /> Certificate of Completion <br /> 1. Name of Recipient: 3. Proiect Number: <br /> 2. Grant Number: 4. Proiect Name: <br /> 5. Final Statement of Costs <br /> To Be Completed To Be Completed <br /> By Recipient By DCA <br /> Paid Unpaid Total Costs Approved <br /> Program Activity Categories Costs Costs (Col.b+c) Total Costs <br /> a c d e <br /> a. Acquisition <br /> b. Disposition <br /> c. Public facilities and improvements <br /> 1 Senior and handicapped centers <br /> 2 Parks,pIRgrounds 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 Public utilities other than water and sewer <br /> 8 Water and sewer improvements <br /> 9 Street improvements 63,500 <br /> 10 Flood and drainage improvements <br /> I 1 Pedestrian improvements <br /> 12 Other public facilities 22,750 N22,750 <br /> 13 Sewer im rovements 800 <br /> 14 Water improvements 9;1 Wo 51,000 <br /> d. Clearance activities <br /> e. Public services <br /> f. Relocation assistance <br /> p. Construction rehab.and preservation activities <br /> 1 Construction or rehab.of com.&indust.bld s. <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 ca ital <br /> 2 Machinery and equipment <br /> i. Removal of architectural barriers <br /> '. Other activities <br /> k. Subtotal 247,050 4 <br /> 1. Planning- <br /> m. Administration <br /> n. Total <br /> o. Less: Program Income Applied to Prozram.Costs <br /> . Equal; Grant Amount Applied to Pro g.Costs 250 000 <br /> 6. Computation of Grant Balance <br /> To Be To Be <br /> Completed By Completed By <br /> Description Recipient DCA <br /> (a) Approved <br /> Amount Amount <br /> C) <br /> 1 Grant Amount Applied To Program Costs From Line <br /> 2 Estimated Amount For Unsettled Third-Party Claims <br /> 3 Subtotal <br /> 4 Grant Amount Per Grant Agreement <br /> 5 Unutilized Grant To Be Canceled Line 4 Minus Line 3 0 <br /> 6 Grant Funds Received 250 000 <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 <br /> repaid to DCA by check,unless DCA has previously approved use of these funds. <br />