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CERTIFICATE OF COMPLETION <br />1. Grantee: Lee County 2. Grant Number: <br />3. Project Name: Lee County FY 11 Scattered Site Housit 4. Project Number: <br />11-C-2317 <br />C-1' <br />Program Activity Categories <br />ToBeCompleted by Recipient <br />Paid Costs Unpaid Costs Total Costs <br />(Col. b + c) <br />Approved <br />Total Costs <br />a. Acquisition <br />b. Disposition <br />c. Public facilities and improvements <br />(1) Senior and handicapped centers <br />(2) Parks, playgrounds and recreation facilities <br />(3) Neighborhood facilities <br />(4) Solid waste disposal facilities <br />(5) Fire protection facilities and equipment <br />(6) Parking facilities <br />(7) Street improvements <br />(8) Flood and drainage improvements <br />(9) Pedestrian improvements <br />(10) Other public facilities <br />(11) Sewer improvements <br />(12) Water improvements <br />d. Clearance activities <br />e. Public services <br />f. Relocation assistance <br />g. Construction, rehab. and preservation activities <br />(1) Construction or rehab. of com. & indust. bldgs. <br />(2) Rehabilitation of privately owned buildings <br />(3) Rehabilitation of publicly owned buildings <br />(4) Code enforcement <br />(5) Historic preservation <br />h. Development financing <br />(1) Working capital <br />(2) Machinery and equipment <br />i. Removal of architectural barriers <br />.. Other activities <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$362,647.48 $362,647.48 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />$0.00 $0.00 <br />L Subtotal <br />1. Planning <br />m. Administration <br />$362,647.48 $362,647.48 <br />$3,500.00 $3,500.00 <br />36,500.00 $36,500.00 <br />n. Total <br />o. Less: Program Income Applied to Program Costs <br />$402,647.48 7402,647.48 <br />$4,896.35 4,896.35 <br />p. E ual: Grant Amount Applied to Program Costs $397,751.13 $397,751.13 <br />To Be <br />Completed By <br />Description Recipient <br />(a) Amount <br />(b) <br />1 Grant Amount Applied To Program Costs(From Line $397,751.13 <br />Approved Amount <br />(c) <br />2) Estimated Amount For Unsettled Third - Party Claims <br />3 Subtotal $397751* 13 <br />(4 Grant Amount Per Grant Agreement $400,000 <br />5 Unutilized Grant To Be Canceled (Line 4 Minus Line 3) $2,248.87 <br />6 Grant Funds Received $397,751.131 <br />7 Balance of Grant Payable (Line 3 Minus Line 6)* $0.00 <br />* If Line 6 exceeds Line 3, enter the amount of the excess on Line 7 as a negative amount. This amount shall be repaid EtoED;bEyJ <br />check, unless DOC has previously approved use of these funds. <br />