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OREGON WATERSHED ENHANCEMENT BOARD <br />REQUEST FOR RELEASE OF FUNDS <br />Grantee Name: Ci1y of Eugene <br />Grantee's Fiscal Agent: Lacey Risdal Phone: 541- 682 -4841 <br />Project Number: 209 -3007 <br />Payment Request Number <br />N <br />Project Name: Delta Ponds Habitat Restoration <br />OR Final Request F <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 />Previous) Paid <br />CURRENT <br />Request <br />Amount <br />TOTAL <br />Requested <br />to Date <br />Remaining <br />Budget <br />Pre - Implementation <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />In -House Personnel <br />$12,200.00 <br />$10,325.41 <br />$1,873.87 <br />$12,199.28 <br />$0.72 <br />Contracted Services <br />$178,868.99 <br />$158,596.87 <br />$20,272.84 <br />$178,869.71 <br />-$0.72 <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 />Fiscal Administration <br />$12,458.00 <br />$12,122.99 <br />$335.01 <br />$12,458.00 <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 1 <br />$204,368.001 <br />$181,886.281 <br />$22,481.721 <br />$204,368.001 <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 Wold <br />Grantee Contact Phone Number for Billing Questions: 541- 682 -4842 <br />Title: Nat Res Manager <br />Fax: 541- 682 -4882 <br />Grantee Contact E -mail Address eric.n.wold(aD_ci.eugene.or.us <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 />