HCD O-003, 8/90
CALIFORNIA HOUSING REHABILITATION PROGRAM
FOR OWNER-OCCUPIED HOUSING (CHRP-O)
REQUEST FOR FUNDS
TO: | FROM: |
Department of Housing and Community Development | (Local Entity):___________________________ |
Division of Community Affairs, CHRP-O | (Address): _____________________________ |
P. O. Box 952054 | _____________________________________ |
Sacramento, CA 94252-2054 | _____________________________________ |
ATTN: Senior Program Manager | _____________________________________ |
Loan Funds Requested | Grant Funds Requested | ||||
Contract No.: ___________________________ | $___________________________ | $___________________________ | |||
[ ] Draw #1 | [ ] Draw #2 | ||||
Borrower Name: ___________________________ | Payee Name/Address: | ||||
Borrower Loan No.: ___________________________ | _________________________________________________________ | ||||
_________________________________________________________ | |||||
_________________________________________________________ | |||||
_________________________________________________________ |
Cumulative Data:
Total Fund Commitment by HCD | Total Amount of Prior Drawdowns | Loan Funds Requested for Disbursement | Grant Funds Requested for Disbursement | Total Approved this Request for Disbursement | Balance Remaining in Funds Commitment |
_____________$______________ | ______________$_____________ | ______________$ _____________ | _____________$______________ | ______________$_____________ | ______________ $ ______________ |
I, the undersigned, do hereby certify that the above costs were/will be incurred in the performance of the above-numbered contract and, if address is not payee, do also certify that the above addressee is authorized to act as agent of the payee for the purpose of receiving and depositing the above stated sum.
SIGNED___________________________ | ___________________________TITLE | |
BY___________________________ | ___________________________DATED |
________________________________________ DO NOT WRITE BELOW THIS LINE ________________________________________
The work performed for which this billing is prepared is in accordance with all provisions of Contract # _______________ between ______________________________ and HCD and is approved for payment. Please disburse funds in the total amount of $ ____________________, payable to payee indicated above. Please phone 323-3178 when the warrant is received by HCD Accounting.
Date:___________________________ | ___________________________ | |
Senior Program Manager | ||
PCA/Index:___________________________ | Fund # ___________________________ |
Cal. Code Regs. Tit. 25, § 8058
2. New section refiled 3-26-90 as an emergency; operative 3-30-90 (Register 90, No. 16). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 7-30-90.
3. New section filed 7-26-90 as an emergency; operative 7-26-90 (Register 90, No. 38). A Certificate of Compliance must be transmitted to OAL by 11-23-90 or emergency language will be repealed by operation of law on the following day.
4. Amendment of subsection (a) filed 8-27-90 as an emergency; operative 8-27-90 (Register 90, No. 42). A Certificate of Compliance must be transmitted to OAL by 12-26-90 or emergency language will be repealed by operation of law on the following day.
5. New section refiled 11-16-90 as an emergency; operative 11-16-90 (Register 90, No. 51). A Certificate of Compliance must be transmitted to OAL by 3-18-91 or emergency language will be repealed by operation of law on the following day.
6. Readoption of 8-27-90 order filed 12-21-90 as an emergency; operative 12-21-90 (Register 91, No. 7). A Certificate of Compliance must be transmitted to OAL by 4-22-91 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 11-30-89 order, readopted and operative on 3-30-90, 7-26-90 and 11-16-90, including amendment of subsections (a), (b), (d), (e), and (f) transmitted to OAL 11-30-90 and filed 12-31-90 (Register 91, No. 7).
Note: Authority cited: Section 50668.5(g), Health and Safety Code. Reference: Sections 50661, 50662 and 50663, Health and Safety Code.
2. New section refiled 3-26-90 as an emergency; operative 3-30-90 (Register 90, No. 16). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 7-30-90.
3. New section filed 7-26-90 as an emergency; operative 7-26-90 (Register 90, No. 38). A Certificate of Compliance must be transmitted to OAL by 11-23-90 or emergency language will be repealed by operation of law on the following day.
4. Amendment of subsection (a) filed 8-27-90 as an emergency; operative 8-27-90 (Register 90, No. 42). A Certificate of Compliance must be transmitted to OAL by 12-26-90 or emergency language will be repealed by operation of law on the following day.
5. New section refiled 11-16-90 as an emergency; operative 11-16-90 (Register 90, No. 51). A Certificate of Compliance must be transmitted to OAL by 3-18-91 or emergency language will be repealed by operation of law on the following day.
6. Readoption of 8-27-90 order filed 12-21-90 as an emergency; operative 12-21-90 (Register 91, No. 7). A Certificate of Compliance must be transmitted to OAL by 4-22-91 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 11-30-89 order, readopted and operative on 3-30-90, 7-26-90 and 11-16-90, including amendment of subsections (a), (b), (d), (e), and (f) transmitted to OAL 11-30-90 and filed 12-31-90 (Register 91, No. 7).