Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Tab 22 Loan Disbursement Report
MAY. ? 3. 2014 4.05PMay(� ,DNRC CARVolving Fund ("WPCSRF") ProgNoN1306 P. 2 's ild 1.JLVaa4 1JrAa4V ,a�V Loan Disbursement Report for Special Improvement Districts and Rural Special Improvement Districts For St Ac, use *Y Bond Pr000w&.Oml 1, Borrtwor; 5. DisbursementNumbort 1 Namot City ofKauspelt. 6. Period covered hq this Disbursement Report: Address: - „ Wisneli UT 5990I - First Avenue But Employer 1D: 814001281 From: ti z �73(7� To: 5!2 4 �p1b71Y r o y r 2. ProjeerNamt: Waatowatersyah f�,gprovements 7. Paymentloe4tactioos: SRFProject Number, MV-14352 Borrower's Project Number, P9'pVire T er.3 t A Bank _. srAm. 1;,..AQ- AAAi 3. Committed Amowttr S 242.000 ` Aecount : do O I. &3rS8'.3 (From the Minding Commitment Agmuicnt) 2!; Chock if t4ly is the Tina[ disbursement request, Beak Phone Number. 756� "- Li ZOO 4. Total Loan Amount: S 2az 00o Bank Contact Person: (From Cover of Bond R", oluion) 8. Uso of Funds Classification Amount This Petiod . e to Data A. Admigigntive Cbargn S S B. Land and Rights of Way C, Architectural & Lngineeriag S S D. Equipment E. Construction Improvements 5 206,800.00 S 206,800.00 F. Miscellaneous/Fees S 22,172.33 S W72.33 C. Total Construction Costs S 228, 972.33 8 228,97233 Add Lints A tbM H. Administrative Foc-For Initial Disbursement Only (Multiply NIA NIA Committed Amount by.00575 L Origination Fee - For Iattlal Disbursement Only (Multiply NIA NIA Committed Amount b .01) J. Ca itatirsd hterest° $ 927.67 S 927.67 IG Sub•Total (Add Amounts on Lines fr, S 229,900.00 S 229,900.00 1 and L. Revolving Fund Deposit (Multiply 8 12,100.00 S 12,100.00 Amount on Line K by .05263 M. Total Disbursement (Add. Amounts on S 242,000.00 S 242,000.00 :Line K and L)�{r N. $late Share ofl3isbursement Qdv Z47, (For State Use Only)77 O. Percentage of Ph sioal Com lotion 100� © ° !� 9. Cortifleation ih Borrower(s) INote: s Ce g Official Date Sigaea; _ _ (J f ;� L two borrower �n 1, tt/�•�'•' signatures arc Typed °rfthted Nye and This TDleDbvac (Area CeaG li`J-It�� required on when Douglas Russell, City Mg NuraW&Tmeaeron) 5 r r- Ci i 1 two parties (f.e. a and a District) 406-758-770-1 I certify that to the host of my knowledge borrowborrow $RF funds 9 attrrt or "Aatharkeii Certifying phial" Hate Signed: and belief the billed costs or. through an iuterloaal disbursements are ht accordance with the aSMern-C] kpod oL&trted Name slid ii Teltphoac (Area Code, terms of the project, that the l N ber & 1 xtenaba b. Engineer or other 8%natmc of "Anthoriaed Ceimft Offiow Date 8igutd: `✓� f disbursrments represent amounts which have not been previously requested, that or Prlated Name and Tine Telephoaa (Area Code, an inspection has beep porformed and that all work is In accordance with the terms of Roprosentative certilyinil tP line 8.0. the project as described in the usie ',Turner? ' Nambcr&B+standea) Commitment A meat: Works DirectorPubl 406-758-7852 n ne 10. Approval (For State Use Only) D sigoatmn Date D C Sign Dato me�S -- *To be completed with only the January I and July I paym that Dear prior to the iaw Iovy of anessmentt. Borrowers will be notified of the amount to be disbursed for capitaltzed taterest by the Trustee for the bonds tm days prior to such paymcat data.