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I°. <br />OREGON WATERSHED ENHANCEMENT BOARD' <br />REQUEST FOR RELEASE OF FUNDS <br />Grantee Name: Citv of Eugene E <br />Grantee's Fiscal Agent: Lacey Risdal Phone: 541- 682 -4841 <br />Project Number: 208 - 921 -6819 Project Name: Will. River Side - Channel Habitat Enh. Project Delta Pon <br />Payment Request Number OR Final Request X <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 SinBie'click below the table t, o ge t 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 />Request <br />Amount <br />TOTAL <br />Requested <br />to Date <br />Remaining <br />Budget <br />Pre-Implementation <br />0145'800 <br />$1,458.00 <br />$0.00 <br />$1,458.00 <br />$0.00 <br />In -House Personnel <br />$8,100.00 <br />$6,387.50 <br />$0.00 <br />$6,387.50 <br />$1,712.50 <br />Contracted Services <br />$77,000.00 <br />$70,056.70 <br />$6,943.30 <br />$77,000.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Corrections due to budget adjustments <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Pre-Implementation Correction <br />$0.00 <br />$0.00 <br />- $750.42 <br />- $750.42 <br />$750.42 <br />In -House Personnel Correction <br />$0.00 <br />$0.00 <br />- $1,782.04 <br />- $1,782.04 <br />$1,782.04 <br />Financial Administration <br />$0.00 <br />$0.00 <br />$4,244.96 <br />$4,244.96 <br />- $4,244.96 <br />$0.00 <br />$0.00 <br />:$0.00 <br />$0.00 <br />$0.00 <br />$0.001 <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 />$0.001 <br />$0.001 <br />$0.00 <br />$0.00 <br />TOTALS <br />1 $86,558.001 <br />$77,902.201 <br />$8,655.801 <br />$86,558.00 <br />$0.00 <br />Receipts /invoices and an expense tracking 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. Weld Title: Nat Res Manager <br />Grantee Contact Phone Number for Billing Questions: 541- 682 -4842 Fax: 541- 682 -4882 <br />Grantee Contact E -mail Address: eric.n.wold(Cilci.eugene.or.us <br />This Request must be forwarded to the OWEB Project M for Signature below <br />I find this request to be consistent with the Grant Agreement and all funding conditions have been met. <br />OWEB Project Manager: Date: <br />July 01, 2009 vi <br />