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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 02 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 elicit 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 />Previousl Paid <br />CURRENT <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 />$4,600.00 <br />$10,867.50 <br />$15,467.50 <br />$732.50 <br />Contracted Services <br />$185,869.00 <br />$60,511.07 <br />$34,508.95 <br />$95,020.02 <br />$90,848.98 <br />Su lies/Materials <br />$841.01 <br />$841,01 <br />$0.00 <br />$841.01 <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 />$0.00 <br />, <br />0 <br />$o.oo <br />$0.00 <br />$0.00 <br />$0.00 <br />15 <br />5 <br />1 <br />$0.00 <br />$o.ao <br />$0.001 <br />$0.1 <br />$0.00 <br />$0.00 <br />$o.oo <br />$0.00 <br />$0.1 <br />TOTALS <br />$204,368.01 <br />$65952.08 <br />$45,376.45 <br />$111,328.53 <br />$93,039.48 <br />Receipts/invoices and an expense tracking spreadsheet are required to document all funds previously received from <br />OWED 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: ! l L'occ - L, 1, I Date: <br />Print Signature Name: Eric Wold / Trevor Taylor (acting in capacity for Eric Wold) Title: Nat Res Manager <br />Grantee Contact Phone Number for Billing Questions: 541-6824842 Fax: 541-6824882 <br />Grantee Contact E-mail Address: eric.r1 wolclaci.euAerle.Or us <br />This Request must be forwarded to the OWEB Project Manager for Signature below <br />I Ind this request to be consistent with the Grant Agreement and all funding conditions have been met. <br />OWEB Project Manager: Date: <br />July 01, 2003 vt <br />