| 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: 2008 |
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| Community Development Authority
of the City of Madison |
Capital Fund Program Grant No: WI39-P003-501-08 |
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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 Actual 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 Work |
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1. Site Lighting |
1450 |
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0.00 |
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| A,B,C,D |
2. Utility Refurbish - Baird/Fisher |
1450 |
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0.00 |
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| Sites |
1450 tot |
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0.00 |
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3. Bath Remodel ABC |
1460 |
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0.00 |
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4. Flooring Replacment |
1460 |
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7,960.00 |
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1460 tot |
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7,960.00 |
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5. Appliance replacement |
1465 |
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5,700.00 |
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6. Furnace replacement |
1465 |
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6,000.00 |
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7. Water Heater Replacement |
1465 |
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15,000.00 |
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8. Water softener replacement |
1465 |
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10,200.00 |
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1465 tot |
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36,900.00 |
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44,860.00 |
0.00 |
0.00 |
0.00 |
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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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