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OREGON WATERSHED ENHANCEMENT BOARD <br />REQUEST FOR RELEASE OF FUNDS <br />Grantee Name: City of Eugene <br />G rantee's Fiscal Agent: Lacey Risdal Phone: 541-682-4841 <br />Project Number: 209 -3007 <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 />g g <br />(per Grant Agreement) <br />Current <br />Budget <br />Amount <br />Total of All <br />Amounts <br />Previously Paid <br />CURRENT <br />Request <br />Amount <br />TOTAL <br />Requested <br />to Date <br />, , <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 />$15 <br />$0.00 <br />$4 <br />$400.00 <br />$1100.00 <br />Contracted Services <br />$186,710.00 <br />$0000 <br />$60,511.07 <br />$60,511.07 <br />$126,198.93 <br />Supplies/Materials <br />$841.01 <br />$0.40 <br />$841.01 <br />$841.41 <br />$0.40 <br />$0.00 <br />$0.00 <br />$0.00 <br />$4.00 <br />$0.04 <br />$0.40 <br />$0.00 <br />$0100 <br />$0.40 <br />$4.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.40 <br />$0.00 <br />$4.04 <br />$0.00 <br />$0.00 <br />$0.40 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.04 <br />$0.44 <br />$0.04 <br />$0.00 <br />$4.40 <br />$0.00 <br />$0.04 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.04 <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 />$0000 <br />TOTALS <br />S.205,209.011 <br />$0.00 <br />$65,952.08 <br />$65 <br />$139,256.93 <br />Receipts /invoices and an expense tracking spreadsheet are required to document all funds previously received from <br />GWEB 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 />Fag: 541 -682 -4882 <br />Grantee Contact E -mail Address: eric. n.wod cl .ou orlo. or, uS <br />This Request must be forwarded to the ONWB Project Manager for Signature below <br />I find this request to .be consistent with the Grant Agreement and all funding conditions hake b een m et. <br />o�B Proj ect Manager: <br />Date: <br />July 01 2009 <br />WAT£� <br />ti . <br />Project Name: Delta. Ponds Habitat Restoration <br />