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<br /> <br />EXHIBIT B, ATTACHMENT 1, PAGE 2 <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 />B <br />!!! <br />E <br />0 <br />.I;: <br />~ <br />0 <br />C) <br />CII <br />~ :2 <br />CII 0 <br />.. .c <br />." GI <br />... III <br />." ;:, <br />Q. 0 <br />5: :t: <br />ì:oð UI 'g <br />.!!! ~ :¡¡ :!!i ~ <br />'g:;::¡ .r. .r. ftI <br />E."Õt:.CD <br />e:Z - :t: <br />Be: ~.~.!! <br />'e:]1 e: ." ftI <br />C )::!.!!! ~ e <br />- III .- CD <br />, J: IL <br />r <br /> <br />One Race <br /> <br />~ <br />.. <br />CD <br />.c <br />.. <br />ëii <br />.. <br />c- <br />- ;:, III <br />III 0 C <br />'goo <br />õ-!! <br />.c'gGi <br />GlGlD. <br />III ûi .. <br />;:, - 0 <br />0 III III <br />=~:2 <br />0 III 0 <br />: :c.c <br />- 0 3: <br />J!!!;:, <br />{::.~ <br />c <br /> <br />.æ <br />~ <br /> <br />:¡¡ <br />"'C <br />e: <br />ì: ì:.!!! ì:oð <br />.!!! ~ .!!!.!! .!!! ~ <br />~:¡¡¡ .~~ ~:¡¡¡ <br />e:Z m ~ e:Z <br />Be: J:a.. me: <br />'e:]1 ~... .g]1 <br />CII UI .- CII CII UI <br />E.!!! iû€ E.!!! <br /> <br />Total Monthly Benefit <br />Total Cumulative Benefit <br />Total Contract Goals <br />% to Date I #DIV/O! ~ <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 />I Housing Type I <br /> <br />'g <br />Õ <br />.c <br />GI <br />III <br />;:, <br />0 <br />:t: <br /> <br />.. <br />'2 <br />:> <br />GI <br />ëñ <br />c <br />!ã <br />t <br /> <br />C) <br />c <br />ëii <br />;:, <br />0 <br />J: <br />"'C <br />I! <br />ft <br />.c <br />!! <br />u <br />