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Community Colleges and Workforce Development
<br /> 255 Capitol Street NE Salem, OR 97310
<br /> Oregon Youth Employment Initiative
<br /> Reimbursement Request
<br /> Grant Period: July 1, 2009 - September 25, 2009
<br /> Billing Period: July 1, 2009 - September 25, 2009
<br /> Grant Name: City of Eugene Summer OYEI Project Number: GRNT0323
<br /> Grantee Name: City of Eugene
<br /> Address: 1820 Roosevelt Blvd. Eugene, OR 97402
<br /> Program Director: John Clark Director's Phone: 541 - 682 -4826 Email: john.t.clark @ci.eugene.or.us
<br /> Prepared By: Jn Clark
<br /> Preparer's Signature:
<br /> Authorized Agency Official: oh Lacey Risdal Preparer's Phone: 541 - 682 -4826 Email: john.t.clark @ci.eugene.or.us
<br /> Final Invoice: Yes
<br /> COST CATEGORY Current Budget YTD Expenditures Previous Period YTD Current Period Balance Available
<br /> Expenditures Expenditures
<br /> Crew Leader Wages $ 12,480.00 $ 11,290.86 $ - $ 11,290.86 $ 1,189.14
<br /> Corpsmembers Wages $ 44,600.00 $ 43,974.00 $ - $ 43,974.00 $ 626.00
<br /> Transportation $ 2,000.00 $ 1,826.04 $ - $ 1,826.04 $ 173.96
<br /> Tools Costs $ 1,850.00 $ 1,478.52 $ - $ 1,478.52 $ 371.48
<br /> Portable toilets $ 640.00 $ 509.58 $ - $ 509.58 $ 130.42
<br /> City Staff $ 8,379.56 $ 8,194.69 $ - $ 8,194.69 $ 184.87
<br /> Physical & Drug Test $ 1,500.00 $ 1,350.00 $ - $ 1,350.00 $ 150.00
<br /> TOTAL GRANT $ 71,449.56 $ 68,623.69 $ - $ 68,623.69 $ 2,825.87
<br /> I I Authorized Signatures:
<br /> r 1
<br /> I I
<br /> I CCWD CCWD I
<br /> Program Director Signature /Date OYEI State Director Signature /Date Fiscal Signature /Date
<br /> Budget - Initial and Supplemental
<br /> COST CATEGORY Proposed Budget Add'I Grant Budget Current Budget
<br /> Crew Leader Wages $ 12,480.00 $ - $ 12,480.00
<br /> Corpsmembers Wages $ 41,600.00 $ 3,000.00 $ 44,600.00
<br /> Transportation $ 1,000.00 $ 1,000.00 $ 2,000.00
<br /> Tools Costs $ 1,350.00 $ 500.00 $ 1,850.00
<br /> Portable toilets $ 640.00 $ - $ 640.00
<br /> City Staff $ 6,379.56 $ 2,000.00 $ 8,379.56
<br /> Physical & Drug Test $ - $ 1,500.00 $ 1,500.00
<br /> TOTAL GRANT $ 63,449.56 $ 8,000.00 $ 71,449.56
<br /> 2009 -2010
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