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~ ~ <br /> OREGON WATERSHED ENHANCEMENT BOARD <br /> '~~~f~ REQUEST FOR RELEASE OF FUNDS <br /> Grantee Name: City of Eugene <br /> <br /> jl. <br /> Grantee's Fiscal Agent: Peggy Hamlin, Financial Analyst, City of Eugene <br /> Project Number: 206-312 Project Name: Dragonfly Bend Habitat Enhancement Project <br /> In accordance with the terms of the Grant Agreement, I request funds as follows: <br /> <br /> r <br /> Payment Request Number OR Final Request $29,500 <br /> I understand that I will need to send receipts/invoices and an expense tracking spreadsheet to document all <br /> funds previously received from OWEB for this project within 120 days of the date of the check. <br /> Failure to comply may delay new grants from being issued and may delay other grant payment requests. <br /> Note: All checks will be made payable to Grantee's Fiscal Agent. Grantee and Fiscal Agent are responsible for <br /> paying vendors directly with funds received for this project. <br /> TOTAL of All Amounts <br /> Budget Category per Grant Agreement Previously Paid Current Reauest Amount <br /> 1. Contracted Services- planting, <br /> herbicide appl., soil compost $ 0 $24,000 <br /> 2. Supplies/materials -seed $ 0 $ 5,500 <br /> Totals $ 0 $ 29,500 <br /> I declare that this statement is, to the best of my knowledge, true, correct and complete. <br /> Grantee's Authorized Signature: ~ ~ Date: 2/26/08 <br /> Grantee Contact Phone Number for Billing Questions: (541) 682-4888 Fax: (541) 682-4882 <br /> Grantee Contact E-mail Address: trevor.h.taylor@ci.eugene.or.us <br /> Forward This Re uest to OWEB's Re final Pro ram Re resentative R for Si nature Below <br /> I find this request to be consistent with the. Grant Agreement and all funding conditions have been met. <br /> OWEB RPR: Date: <br /> F:/user/oweb/forms/request_for release2007.doc <br /> <br />