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i.errtncate oz i,ompteuon <br />1. NameoCReci lent: Oran e Count 3. Pro'ectNumber: HD-1 4 <br />2. Grant Number: 00-C-0799 4. Pro'ectName: Richmond Hi11s <br />5. Final Statement oCCosts <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 />ro) Unpaid <br />Costs <br />(c) Total Costs <br />(Coh b + c) <br />(d) Approved <br />Total Costs <br />(e) <br />a. Ac uisition <br />b. Dis osirion <br />c. Public facilities and imorovements <br />I) Senior and handicaa ed centers <br />2) Parks. la erounds and recreation facilities <br />3 Neiehborhood facilities <br />(4 Solid waste dis osal facilities <br />(5 Fire rotection facilities and a ui ment <br />(6) Parkine facilities <br />(7 Public utilities, other than water and sewer <br />(8) Water and sewer im rovements <br />9) Street im rovements 150 ~ 186 150 ~ 18 <br />(10 Flood and drainaee improvements <br />I1) Pedestrian im rovements I <br />(12) Other ublic facilities <br />(13) Sewer im rovements ~ ~ <br />(14) Water im rovements 9 5 , 000 95 , 000 <br />d. Clearance activities I <br />e. Public services I <br />f. Relocation assistance I <br />e. Construction, rehab. and reservation activities <br />(I) Construction or rehab. of com. & induct. bides. I <br />(2) Rehabilitation of rivately owned buildines I <br />(3) Rehabilitation of ublicly owned buildines ( <br />(4) Code enforcement <br />(5) Historic reservation I I <br />h. Develo ment financins I <br />(I) Workinecaoital I I <br />(21 Machinery and eoui ment I <br />i. Removal of architectural bamers I <br />'. Other activities ( <br />It. Subtotal 250, 000 250, 000 <br />I. Plannine <br />m. Administration <br />n. Total 250,000 250, <br />o. Less; Proetam Income Ao lied to Proeram Costs 0 <br />. E ual: GrantAmountA lied to Pro .Costs 250,000 250,0 <br />6. Cora utation of Grant Balance <br /> <br /> <br />Description To Be <br />Completed By <br />Reci lent To Be <br />Completed By <br />DCA <br />(a) <br />Amoun[ <br />ro) Approved <br />Amount <br />cc) <br />I) Grant Amount A lied To Proemm Costs From Line ) $ 250 ~ 000 <br />21 Estimated Amount For Unsettled Third -Party Claims p <br />(3) Subtotai 250,000 <br />4) Gran[ Amount Per Grant Aereement 250, 000 <br />5) Unutilized Grant To Be Canceled Line 4 Minus Line 3) p <br />61 Grant Funds Received 250,000 ' <br />7 Balance of Grant Payable Line 3 Minus Line 6)* 0 <br />* [f 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 />