Laserfiche WebLink
<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 /> <br />Period Covered: <br /> <br />One Race <br /> <br />Multi-Race <br /> <br /> <br /> <br />./ <br /> <br />~ <br />.. <br />Q) <br />J:: <br />.. <br />Gi <br />.. <br />c- <br />- :I III <br />III 0 C <br />'tIUO <br />õ-I!! <br />J::'tIQ) <br />GlQ)1I.. <br />g¡ i ~ <br />0 III III <br />=~:E <br />0 III 0 <br />'It:cJ:: <br />- 0 = <br />:I I!! :I <br />~:~ <br />c <br /> <br />cu <br />:t:: <br />~ <br /> <br />~ <br />"0 <br /> <br />c CÆICoð <br />,!!! ~ :~.!!! ,!!! ~ <br />-g:o:: co.g -g:o:: <br />_co ~,- _10 <br />cZ cog cZ <br />r¡c Ie.. r¡c <br />'C ~ ~.. 'C ~ <br />Q '" .- Q cu '" <br />.!!! 1V ~ e.!!! <br /> <br />I Housing Type I <br /> <br />~ <br />~ <br />E <br />g <br />~ <br />0 <br />C> <br />cu <br />1ij :E <br />Q 0 <br />.. J:: <br />co Q) <br />.. III <br />co :I <br />C. 0 <br />g¡ ::J: <br />C oð ,!!! 'tI <br />,!!! ~ ~ ,!!! -8 <br />'tI:o:: J:: .r. 1\1 <br />.E~ Õ C CD <br />c - <.> ::J: <br />r¡ c f! 'E .!!! <br />'c ~ c co III <br />~~ ~ ,~ ~ <br />:I: u. <br />r <br /> <br />'tI <br />Õ <br />s:; <br />CD <br />III <br />:I <br />0 <br />::J: <br /> <br />.. <br />C <br />:J <br />Q) <br />ÕI <br />c <br />Mi <br />t <br /> <br />en <br />c <br />Vi <br />:I <br />0 <br />::J: <br />"0 <br />2! <br />III <br />J:: <br />!12. <br />u <br /> <br />#DIV/OI <br /> <br />Note: Census Tract #1 is a previous census tract ~here 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 />