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CERTIFICATE OF COMPLETION 5 <br /> 1. Grantee: Orange County 2. Grant Number: #13-E-2606 <br /> 3. Project Name: 131 West Margaret Lane,Hillsborough,NC 2727 4. Project Number: E-1 <br /> 5. Final Statement of Costs <br /> To Be Completed by <br /> To Be Completed by Recipient RD <br /> Paid Costs Unpaid Costs Total Costs Approved <br /> Program Activity Categories (Col.b+c) Total Costs <br /> (a) (b) (c) (d) (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) Public utilities,other than water and sewer <br /> (8) Water and sewer improvements <br /> (9) Street improvements <br /> (10) Flood and drainage improvements <br /> (11) Pedestrian improvements <br /> (12) Other public facilities <br /> (13) Sewer improvements 277532.14 277532.14 <br /> (14) Water improvements 439370.94 439370.94 <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 /> k. Subtotal $ 716,903.08 716903.08 <br /> 1. Planning <br /> m. Administration <br /> n. Total $ 716,903.08 716903.08 <br /> o. Less: Program Income Applied to Program Costs <br /> p. Equal: Grant Amount Applied to Program Costs $ 716,903.08 716903.08 <br /> 6. Computation of Grant Balance <br /> To Be To Be <br /> Completed By Completed By <br /> Description Recipient RD <br /> (a) Amount Approved Amount <br /> (b) (c) <br /> (1) Grant Amount Applied To Program Costs(From Line p) $ 716,903.08 <br /> (2) Estimated Amount For Unsettled Third-Party Claims $ - <br /> (3) Subtotal $ 716,903.08 <br /> (4) Grant Amount Per Grant Agreement $ 750,000.00 <br /> (5) Unutilized Grant To Be Canceled(Line 4 Minus Line 3) $ 33,096.92 <br /> (6) Grant Funds Received $ 716,903.08 <br /> (7) Balance of Grant Payable(Line 3 Minus Line 6)* zero <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 check, <br /> unless DOC has previously approved use of these funds. <br /> 7. Program Income <br /> a) Amount of existing program income: zero <br />