HomeMy WebLinkAboutExhibit 20Office of Capital Improvements
Reimbursement Request - GOB Funding
Grantee:
GOB project Name & GOB project Ftumher:
EXHIBIT !<
Bond Series ! Other:
Request Number:
t]ate:
$cries 2005 608
Milestones
(A)
Series 2005
Allocation
P 1M$UPSEMENT 1NFORM)1 TION (opt;'s)
(8) ((B*O)=O)
T01a1 Prior
Requests
Current Pequest
(A-O)
Series 2005
Total PeQuests Allocation Balance
4
(DIA)
"/ of Series 2005
Allocation Spent
RETAIIVAGI
GI ANO TOVAL
SIGNATURE & TITLE
mote: ►t more detailed version of this
form may be used
04TE
Building Better Communities
Page 1 of 2
Office of Capital Improvements
Peimlif,rsnment Request - Total Project
Grantee:
Gt B Projerl Name 8 GOB Prni.M.
Numher:
EXHIBIT E
Bonrf Series i Other:
Rennes! Number:
°ate:
Milestones
SCHEDULE
(A}
Slarl Date
Finish Date
(c }
Ditratio
n In
Days
Time
Lapsed
Cost (000's)
(E}
Total Project
fudge)
(9
Actual Spent
Percentage of Work, Funds, and Time
Completed
(G} ((FFE} -1-rj ((Dfc}=G1
% of Work
Completed
eased on
11cfriaf
Progress
% of Total
Project
eudget
Spent
of Time
Lapsed
GRAND TOTAL
Project Statkis Description
SIGNATUPE R TITLE
Cofamn G is an es tirrrate of fhe work comp a ed arrd is s+rhjecive.
Note_ A more rlPtg40rf vercihh of this
form may hr! useri
DATE
f31:nlding getter Cnmmliniles
Page 2 Or 2.
Office -of Capital Improvements
Grantee Direct Labor Costs Report
EXH18IT f
Grantee:
GOB Project Name 8 GOB
Project Number:
Bond Series / Other:
Request Number:
Billing Period:
Budget Line item
Employee Name
Job Classification
of flours
#lourly Rate j Total Labor Cost
Planning
Total Planning Request
Design
rTotal Design Request
Administration
Total Administration Request
ConstructionrOther
Total Construction r 0 her Request
Grand Totals
AUTHORIZED SIGNATURE
DATE
Funding Be'ter Communities