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1. NAME OF RECIPIENT 3. PROJECT NUMBER HD-1 <br /> Orange County <br /> 2. GRANT NUMBER 4. PROJECT NAME Chestnut Oaks <br /> 90—C-8081 <br /> 5. FINAL STATEMENT OF COST TO BE COMPLETED <br /> TO BE COMPLETED BY RECIPIENT BY FAD <br /> PAID UNPAID TOTAL COSTS APPROVED <br /> PROGRAM ACTIVITY CATEGORIES COSTS COSTS (COL. b & c) TOTAL COSTS <br /> (a) (b) (c) (d) le) <br /> Activity • <br /> a. Acquisition <br /> b. Disposition <br /> c. Public facilities & improvements <br /> (1) Senior & Handicapped centers <br /> (2) Parks, playgrounds & recreational facilities <br /> (3) Neighborhood facilities <br /> (4) Solid waste disposal facilities <br /> (5) Fire protection facilities & equipment <br /> (6) Parking facilities • <br /> (7) Public utilities, other than water and sewer <br /> (8) Water and sewer improvements $1 75,CXX).C)0 $175,CXX).00 <br /> (9) Street improvements <br /> (10) Flood & drainage improvements <br /> (11) Pedestrian improvements <br /> (12) Other public facilities <br /> d. Clearance activities <br /> e. Public services <br /> f. Relocation assistance — <br /> g. Construction, rehabilitation and preservation activities <br /> (1) Construction or rehabilitation of commercial and industrial bldgs. <br /> _ (2) Rehabilitation of privately owned dwellings _ — -- <br /> (3) Rehabilitation of publicly owned dwellings <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 /> k. SUBTOTAL $175,CX)100 $175,CXX)_OC) <br /> I. Planning <br /> m. Administration <br /> n. TOTAL ,$175,cm.CX) $17 ,CM..(1l <br /> o. Less: Program Income Applied to Program Costs <br /> p. Equal: Grant Amount Applied to Program Costs $175,(XX).00 $17 ,Crr_rn <br /> 6. COMPUTATION OF GRANT BALANCE • <br /> TO BE TO BE <br /> COMPLETED BY COMPLETED BY <br /> RECIPIENT ECD <br /> APPROVED <br /> AMOUNT AMOUNT <br /> (a) <br /> DESCRIPTION DESCR (b) (c) <br /> (1) Grant Amount Applied to Program Costs (From Line p) $175,000.00 <br /> (2) Estimated Amount for Unsettled Third-Party Claims $175,000.00 <br /> (3) Subtotal $175,000.00 <br /> (4) Grant Amount per Grant Agreement(s) 0 <br /> (5) Unutilized Grant to be Cancelled (Line 4-minus 3) $175,000.00 <br /> (6) Grant Funds Received 0 <br /> (7) Balance of Grant Payable (Line 3 - minus 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 <br /> ECD by check, unless ECD has previously approved use of these funds (describe in block 8 below). <br />