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COA IDENTIFICATION 'fi~i'!.~;.~- Form approved Lei t y B udget Bure au COST CONTROL STATEMENT A DDRESS L68 Mitchell Street CIT Y STA TE ZIP CODE LAtlanta, Georgia F R I NCIPAL PERSON e. TITLE L MODEL .CITY PLANNING GRANT 30303 AsOf r MP - 10 - 001 CONTRACT N O . COST ACT Ill IT Y CLASS IF !CAT IO N A CCT.NO. 1402 1402 A 1403 From12/1/6 7 AMOU NT PER LATEST APPROVED B UDGET BUDGET Salaries Salaries-Non-Cash Contributions TOTAL SALAlU'.ES April 30, 1 969 Co ntract Period 7 PROJECT OR PROGRAM NUMB ER CONTRO L 1401 1401 A No. 63-Rl 170 of Atlanta, Geo rgi a To 4/30 /69 COS TS INCU RRED CURRENT MONTH CUMULATIVE TO DATE $123.952.00 $ -0:i142 . 381 . 88 55 , 825.00 10,820.67cr 61. 408 00 179,777.00 10,820.67cr 203 . 789 88 Employee Benefits Employee Benefits - Non Cash TOTAL EMPLOYEE BENEFITS J7 ,819 00 -0- 10,023.68 5,583.00 23,402,00 -0- 10.023 68 Consultants ana Contract Services 39,315.00 - 0- 33,419 . 41 1404 1405 Auto Allowance Travel TOTAL TRAVEL 1406 Eauipment Renta l or Pur chase 10,088 . 00 24 . 93c r 10,900.45 Space Alterations ana other Space Costs Space - Utilities TOTAL SPACE COST 9,425 . 00 6,056 00 15. 481.. 00 -0-0- 0- 1 0. 443 . 60 6 840 . 67 17 . 284 . 27 1407 1407 A 1408 1409 2,945 00 4!450. 00 7 ,3 95 . 00 Office Supplies Special projects-Citizen~ Participation Expensef TOTAL ALL COSTS -064.05 64 . 05 3.039.78 3.621.34 6. 661. 12 11,450.00 1,648.66 12.633.35 20,000 . 00 4,632.22 12.195.84 $306,90 8 . 00 $ 4 . 500. 67cr :~306. 908 . 00 Certified Correct : ' t:---- () ,,,.;;:~ w. .l. () ..... l ._..) ~ _j)~.>---------·· ··· r_ .,,, \._'\. c:_143.215.248.55 15:40, 29 December 2017 (EST)u~:~::. Program Di rector (Title) May 12, 1969 (Dat o S u bmitt ed) U . S . DEPARTMENT OF HOUSING ANO URBAN D E VELOPMEN T COST CONTR OL STATEMENT 223406-P ti> MOOEL CI T IE S PROGRAM HUD-Wash., D. C . HUD -701 l (l l-67 ) �Form op proved Budgot Bureau No. 63-Rl 168 C OA IOENY'l* F IC "-"ff O N ~.0 d'J~~$~'LCity of Atlanta, Geor gia 400Pt:SS L68 Mitchell Street C; TY LAtlanta, Georgia ST Al. £ Z I P •COCE PRfNC, IP AL "'~ E P. 5 Ot.t PJ. r, TL E L STATEMENT OF FINANCIAL CONDITlON MODEL CITY PLANNING GRANT AsO f April 30. 30303 196~ Co nLract P eriod 'MP - 01 - 001 7 F'rom PRCUEC TO R P!'lOGRAM NVMe F. P CO•aT nACT NO, 12/1/67 To4L_30/69 ASSETS Cas h: 91 834 .._7_l. $ Cu.sh Petty Cash 150.00 9,984 ...21 $ Tot.al Cash Accounts Receivable : 24,550.00 Planning Grant CDA Cont rihuliun -0- _ ___;8""-L, . 2.4.. Other

24,558 . 24 306.908.00 341,450.95 Tota.I Accounts Receivable Cost Control TOT4L ASSETS LIABILITIES AND CAPITAL ~urrent Liabilities : - 034,542.95 Acr.ounts Payab !P Accrued Liabilities _ 34 . 542 95 Total C urrenl Litthilitic-tDeferred Cred its : -0- UnearnC!d Planning Granl unearn ed CDA Contribution Total Di,fer red CrPrl its -0-034. 5·4 2 95 T014L L.IABIL I TIES Capital: 61 . 408 . 00 CDA Contributinn 245 ' SQ_Q__{)_Q 306. 908 00 Planning Grant Total Capital 341.450.95 TOTA.L L.IAl11LlilfS AMD CAPITAL

The first $8 . 24 check was lost and a second has been submitted

u . s. DE'.F',11,RTME:N T OF HOU,tNG ANO URAAN O EVEl.OP•~EN T 9MODF.: L. c.• TtES 223388-P PROC~AM HU 0- 701 :: STATEMENT OF FINANCIAL CONDITION HUl)-Wash. , O. C. (11 , 671 �Certified Correct : Program Director

( T:l t 1 e) May 12, 1969 ·- -~..- -- - - --- --·----- --- -- ------ (Date Submitt1::-d) - - -- ---- - ---------------·-·-··--· J �