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lam' <br />OREGON WATERSHED ENHANCEMENT BOARD <br />REQUEST FOR RELEASE OF FUNDS <br />Grantee Name: City of Eugene OWEB <br />Grantee's Fiscal Agent: Lacey Risdal Phone: 541- 682 -4841 <br />Project Number: 209 -3007 Project Name: Delta Ponds Habitat Restoration <br />Payment Request Number 01 OR Final Request <br />In accordance with the terms of the Grant Agreement, I request funds as follows: <br />** Double click on the table to get into it and Single click below the table to get out of it ** <br />Budget Category <br />(per Grant Agreement) <br />Current <br />Budget <br />Amount <br />Total of All <br />Amounts <br />Previous) Paid <br />CURRENT <br />- <br />Request <br />Amount <br />TOTAL <br />Requested <br />to Date <br />Remaining <br />Budget <br />Pre-Implementation <br />$1,458.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$1,458.00 <br />In -House Personnel <br />$16,200.00 <br />$0.00 <br />$4,600.00 <br />$4,600.00 <br />$11,600.00 <br />Contracted Services <br />$186,710.00 <br />$0.00 <br />$61,352.08 <br />$61,352.08 <br />$125.357.92 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.001 <br />0.00 <br />$0.001 <br />$0.001 <br />$0.00 <br />$0.001 <br />$0.00 <br />$0.001 <br />$0.001 <br />$0.00 <br />$0.001 <br />$0.00 <br />$0.001 <br />$0.001 <br />$0.00 <br />$0.001 <br />$0.00 <br />TOTALS <br />1 $204,368.001 <br />$0.001 <br />$65,952.081 <br />$65,952.081 <br />$138,415.92 <br />Receipts /invoices and an expense tracldng spreadsheet are required to document all funds previously received from <br />OWEB for this project within 120 days of the date of the check. <br />Signature on this form replaces the requirement of submitting letterhead as a receipt for (a) Fiscal Administration <br />and (b) Post - Implementation Status Reporting. All other OWEB receipt requirements remain in effect. <br />By signing this request, I declare that expenses for this project are to the best of my knowledge true, correct, and <br />complete. <br />Grantee's Authorized Signature Date: <br />Print Signature Name: Eric N. Wold <br />Grantee Contact Phone Number for Billing Questions: 541- 682 -4842 <br />Title: Nat Res Manager <br />Fax: 541- 6824882 <br />Grantee Contact E -mail Address: eric. n.woldd_cl.eugene.Or.uS <br />This Request must be forwarded to the OWEB Project Manager for Signature below <br />3 find this'requesi to be conststent.with the Grant Agreement and all ,funding conditions have been met <br />OWEB Erolect Manager Dateµ <br />,JUIyt01, 2009. <br />