HomeMy WebLinkAboutCOM 0010.001 2006-2008 Lrc'- CS'
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Darryl J. Oliveira
H8Ify Kim Fire Chief
Moyar ,
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~'r~ Desmond K. Wery
Deputy Fire Chief
County of Hawaii
FIRE DEPARTMENT
25 Aupuni Stree[ • Suite 103 • Hilo, Hawaii 96720 r+.~
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(808)961-8297 Fax (808)961-8296 rn
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DATE: December 8, 2006 - ~
TO: Peter Hoffman, Council Chairman and - ~ r"
Council Members - e~
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FROM: Hawaii Fire Department
RE: FINAL REPORT
Name of Grant Program: Safe Community Highway Safety Program
Federal or State Grantor: U.S. Dept. of Transportation
County Grantee Department or Agency: Hawaii Fire Department
Grant No. (IF KNOWN): EM-06-04 (Ol-H-O1)
Amount of Grant: 36,000
Amount of County Match: 0
County Revenue Account Number: 3303
Grant Period (Commencement & Completion): 10/Ol/OS - 09/30/06
Goals: Promote Highway Safety
Objectives: Purchase replacement "lifting bag" systems for 6 fire companies.
Outcomes or Results: Funds were expended for qualified purpose.
Comm. No. ~0.
Ref. To: CPU oooi
Ref. Date = <
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Hawai9 County is an Equal Opporttwty Provider and Employer Ft)ttll
' Dece-OT-2006 03:02am Fron-SAFE COl,~1UNITY OFFICE +5816303 T-310 P.002/003 F-204
1EIIGHWAY SAFETY PROJECT EXPENDITURE REPORT
AND REIMBURSEMENT' REQUEST
Contact Person: Qy (tJ C E r'~A= !J ~ Phoae: ~C$ glc t 8355
Agency: l-IA,,~t~ C~>u~ }tie ~ i~n~ . Project Number: ~ M Oto -o~} ~ot - H -01
Address: 1-t W r~ o t, ~t-+htA- itNE
City/State/Lip Code: ~ t t-~ ~ ~C7 ~
Report Period: [ ]Monthly [ ]Quarterly ('Final
Prom (date): OL'r ,~S To (date): ~ C G ~ ~ et9 ~
A. EXPENDITURES BY CATEGORY
I. Approved II. Previously III. Report N. Total to
Project Re orted Period Date
I. Personal Services
2. Consultant Services
3. Commodities cu 2 674
4.Other DirecU
Indirect Costs
TOTAL
B. EXPENDITURES BY SOURCE OF FUNDS
1. Federal
2. A licant A enc
3. Other
TOTAL
C. CERTIFICATION
l cemfy that, in accotdance with the laws of the State and under the terms of the approved highway safety
project idend$ed ve, actual costs shown have been incurred and have not previously been presented for
reirnbursement.
Signature Date 1?•; s~Se
Name (type) ~yt?Jf F 'r ?'lE".N'fu Title t~SStSZp.ral "FtQF CI-!~{E 1`
For Safe Communfties Office Use Only
Remarks: Amour[ Claimed S _
Retainage $
Net Claim $
SCO Control No. ~
Date Received HSC No. Couunl No.
Date Approved Dated
Approved By By
SPX Tc APPN OBJ CC• PROr PHACT+W/O• DOC RFFw AMOUNT+ R"
Ot 244 T00200 9520 ~ x 1561 ,
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02 244 T00200 9520 `X 2551 .
03 270 S_203 D369 ~ _ X ~ ,
VHNiXJR* SFX" VEND REF NO` OPT RFMIT'" AST)}
03 only
13-3 Form 79-Ot Rev. 1D/03
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