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OREGON WATERSHED ENHANCEMENT BOARD <br />REQUEST FOR RELEASE OF FUNDS <br />Grantee Name: City of Eugene <br />Grantee's Fiscal Agent: Lacey Risdal Phone: 541- 682 -4841 <br />Project Number: 209 -3007 <br />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 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 />Previously 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 />Supplies/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 />$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 />TOTALS <br />1 $204,368.011 <br />$65,952.081 <br />$45,376.451 <br />$111,328.531 <br />$93,039.48 <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 / (' " ?"� T IC. - Cz, - �� �'��o� Date: � �Z Q <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- 682 -4842 <br />Grantee Contact E -mail Address: eric.n.wold @ci.eugene.or.us <br />Thi R equest m b f 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 />�G�N riATf,gS <br />o fo <br />J// C <br />• <br />Fax: 541- 682 -4882 <br />