| Annual Statement /Performance and Evaluation Report |
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| Capital
Fund Program and Capital Fund Program Replacement Housing Factor (CFP/CFPRHF) |
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| Part
II: Supporting Pages |
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| PHA Name: |
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Grant Type and Number |
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Federal FY of
Grant: 2007 |
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| Community Development Authority
of the City of Madison |
Capital
Fund Program Grant No: WI39-P003-501-07 |
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| Replacement
Housing Factor Grant No: |
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| Development Number/Name |
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Development |
tity |
Total Estimated Cost |
Total Estimated Cost |
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| HA -
Wide
Activities |
General Description of Major
Work Categories |
Account Number |
Quan |
Original |
Revised |
Funds
Obligated |
Funds Expended |
Status of Proposed Work |
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1 |
1450 |
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| Truax Park |
2 |
1450 |
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| Apts. |
3 |
1450 |
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1450 tot |
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0.00 |
0.00 |
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4. Foundation insulate & Repair |
1460 |
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5. Bath
Remodel |
1460 |
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6. Flooring Replacement |
1460 |
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4,800.00 |
4,800.00 |
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1460 tot |
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4,800.00 |
4,800.00 |
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7. appliance replacement |
1465 |
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1,400.00 |
1,400.00 |
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8. furnace replacement |
1465 |
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9. water heater replacement |
1465 |
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10. water softener replacement |
1465 |
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1465 tot |
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1,400.00 |
1,400.00 |
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6,200.00 |
6,200.00 |
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| (1) To Be completed for Performance and Evaluation Report or a Revised Annual
Statement. (2) To be completed for
the Performance and Evaluation Report. |
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| Signature of Executive Director and
Date |
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Signature of Public
Housing Director/Office of Native American
Programs Administrator and Date |
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