Orange County NC Website
Browse       Search
_• t <br /> RETURN THIS COPY TO THE CLERK'S OFFICE <br /> FOR THE PERMANENT AGENDA FILE lc 5 -77 <br /> Certificate of Corn ictRUAR <br /> 1. Name of Reci ieil.—orange Count 3. Project Number: HD-1 <br /> 2. Grant Number: c)l--r-8174 1 4. Project Name: Whitted Forest <br /> 5. Final Statement of Costs <br /> To Be Completed To Be Completed <br /> By Recipient B DCA <br /> Paid Unpaid Total Costs Approved <br /> Program Activity Categories Costs Costs (Col. b I c) Total Costs <br /> a c d e) <br /> a. Acquisition <br /> b. Disposition <br /> c. Public facilities and improvements <br /> (D 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 Parkinp,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 /> I 1 Pedestrian im rovements <br /> 12 Other public facilities <br /> 13 Sewer improvements <br /> 14 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. bld s. <br /> 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 /> ] Working capital <br /> 2 Machine ry and equipment <br /> i. Removal of architectural barriers <br /> j. Other activities 250,000 250,000 250 , 000 <br /> IL Subtotal 250,000 250,000 25n , nnn <br /> 1. Planning <br /> m. Administration <br /> n. Total 250,000 250,000 1 <br /> o. Less Program Income Applied to Program Costs <br /> P. Equal: Grant Amount Applied to Prop—Costs 250,000 250,000 250 , 000 <br /> 6. Computation of Grant Balance <br /> To Be To Be <br /> Completed By Completed By <br /> Description o Recipient DCA <br /> (a) � C �p Approved <br /> y Y•• �'l Amount Amount <br /> b c <br /> 1 Grant Amount AppliedTo Pro am Costs From Line ! 25Q,QQQ 250 , 000 <br /> Z Estimated Amount For Unsettled Third-Party Claims <br /> 3 Subtotal ACOCE —250,000 250 Ono <br /> 4 Grant Amount Per Grant Azreernent <br /> 5 Unulilized Grant To Be Canceled(Line 4 Minus Line INITY <br /> 6 Grant Funds Received 250,000 <br /> 7 Balance of Grant Payable Line 3 Minus Line 6)* 0 <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 />