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<br />EXHIBIT B, ATTACHMENT 1, PAGE 1 <br />Community Development Block Grant Program <br />Direct Benefit Monthly Activities Report <br /> <br />There are two forms on this Exhibit B - Benefits Report (one is the monthly report and the other is the cumulative totals report.) <br />Both have to be submitted each month with your billing. <br />Fill in the shaded portions only - the unshaded portions will calculate automatically. Indicate only one race per person. <br />FILL OUT MONTHLY BENEFIT BELOW SHEET 1 <br /> <br />AGENCY: <br />PROGRAM: <br /> <br /> <br />Period Covered: <br /> <br />>- <br />.a <br />.. <br />GI <br />:: <br />'i <br />.. <br />-§~ <br />en 0 0 <br />~~I!! <br />.c'CGI <br />GlGIQ, <br />g: i ~ <br />0 III en <br />=~:5! <br />0 III 0 <br />'ll:c'¡ <br />- 0 en <br />.! I!!::J <br />Tract #1 ITract #2 I ~ :. ~ <br />c <br /> <br />~ <br />GI~ o~ <br />E 0 ..J 0 <br />o'i ~Qi <br />om Glm <br />.Eoð Eoð <br />~ :>!! 1: :>!! <br />o~ )(~ <br />..J CIO W M <br />d f <br /> <br />a1' <br /> <br />a2' <br /> <br />~"i""'" <br />, , , , <br />'i ' ,', <br />, ..', ;¡ "" ,- , <br /> <br />~~... <br />0 :iF , <br />0 , " "..1: <br /> <br />0 <br /> <br />~1~"ii::;T'C¡ <br /> <br />~~'~,." <br /> <br />O'~ '" <br />0 "i' ." ' <br /> <br />0 <br />Õ <br />0 <br /> <br />, :¡ <br /> <br /> <br />" <br /> <br /> <br /> <br />"¡.,, <br /> <br /> <br />:<:I",n,';~> <br /> <br /><,,:"<1:', , ',,'I:' <br /> <br />T alai Monthly Benefit <br />Tolal Cumulative Benefit <br />Tolal Contract Goals <br />% to Date <br /> <br />#DIV/O! <br /> <br /> <br />0 <br />Õ <br /> <br />0 <br />Õ <br /> <br />I Indicate one category of race below I <br /> <br />c: <br />IV <br />U <br />:E <br />« <br />lUl <br />I ~ I h <br /> <br /> <br />r <br /> <br />I <br /> <br />ã) <br />u <br />~ <br /> <br />E <br />0 <br />. :: <br />~ <br />0 <br />en <br />Q) <br />~ :5! <br />~ ,g <br />IV GI <br />~ en <br />IV ::J <br />a. 0 <br />5! :¡: <br /><II 'C <br />,- GI <br />,!!! 'C <br />.c: III <br />t:. ~ <br />,~ GI <br />c: - <br />IV III <br />a. E <br />,!!! GI <br />I II. <br />r <br /> <br /> <br />~;":',r <br /> <br />0 0 <br />0 0 <br /> <br />Note: Census Tract #1 is a previous census tract where client resided. <br />Census Tract #2 is where transitional and permanent (after transitional) housing services are provided. <br />(See instructions for definitions.) <br />Eligible Census Tracts are 6097,6098,6099,6100,6101,6102,6103,6104,6107, 6108,6109,6110,6111,6112,6113. <br /> <br />SUBJECT TO CHANGE <br /> <br />One Race <br /> <br />Multi-Race <br /> <br />/ <br /> <br />c: <br />IV <br />U <br />'C: <br />Q) <br />~ <br /> <br />~ <br />~ <br /> <br />Qj <br />'C <br />c: <br />ì:: ì::.!!! ì::"" <br />,!!! ~ ,!!!.!!! .!!! ~ <br />-g+> ëã,g -g+> <br />- IV ~ ï3 - IV <br />c:Z IV", c:Z <br />r¡c: Ia. r¡c <br />'c:]! ~.. 'c:]! <br />Q) <II ,- Q Q) <II <br />E.!!! iií:S E.!!! <br /> <br /> <br />ì::"" <br />:6,~ Qj <br />c: - .c: <br />~~ Q <br />r! c: fj <br />'c:]! c: <br />Q <II IV <br />E.!!! ñi <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />0 0 0 <br />0 0 0 <br />I <br /> <br /> <br /> <br />(1:;:I'i: <br /> <br /> <br />õTOrO <br />õtOIO <br /> <br />M""';Y:~ <br />'d""" ' "ii" <br />0 0 0 <br />0 0 0 <br /> <br />0 <br />õ <br /> <br />- <br />:¡i:' <br /> <br />" , <br />- <br /> <br />r.':, '",', <br /> <br />~I!g Typ~ <br /> <br />.. <br />ë <br />::I <br />GI <br />"ëI <br />c <br />ëñ <br />t <br /> <br /> <br />~ <br />æ <br />:,:,'.1 <br />~ <br />'~""""i <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />',,-',""'" <br />, '.' ,~:i~';, <br /> <br /> <br />, ""ii,',,: ",,' <br /> <br /> <br />0 <br />0 <br /> <br />'C <br />Õ <br />.c <br />GI <br />III <br />::J <br />0 <br />:¡: <br />ë <br />GI <br />.. <br />III <br />Q, <br />GI <br />"ëI <br />c <br />ëñ <br />GI <br />ñi <br />:Iii <br /> <br />s <br /> <br /> <br /> <br />0 <br />0 <br /> <br />DI <br />C <br />Vi <br />::I <br />0 <br />J: <br />'C <br />GI <br />.. <br />III <br />.c <br />.!!!. <br />u <br />"i"" <br />';',,¡, <br /> <br />0 <br />õ <br />