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OREGON WATERSHED ENHANCEMENT BOARD <br />REQUEST FOR RELEASE OF FUNDS <br />Grantee Name: <br />City of Eugene <br />Grantee’s Fiscal Agent: Phone: <br />Lacey Risdal541-682-4841 <br />Project Number: Project Name: <br />209-3007Delta 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 clickSingle click <br />** on the table to get into it and below the table to get out of it** <br />Receipts/invoicesexpense trackingspreadsheet <br /> and an 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 /> <br />Grantee’s Authorized Signature: Date: <br />Eric Wold / Trevor Taylor (acting in capacity for Eric Wold) Nat Res Manager <br />Print Signature Name: Title: <br />541-682-4842541-682-4882 <br />Grantee Contact Phone Number for Billing Questions: Fax: <br />eric.n.wold@ci.eugene.or.us <br />Grantee Contact E-mail Address: <br />This Request must be forwarded to the OWEB Project Manager 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 v1 <br />