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7 <br /> Attachment E <br /> SNOHOMISH COUNTY <br /> HOUSING AND URBAN DEVELOPMENT PROGRAMS <br /> ESTIMATED EXPENDITURE/ADVANCE REQUEST <br /> Date: <br /> Project Title: COMMUNITY HOUSING IMPROVEMENT PROGRAM HOME 2003#2 Object#0350 <br /> Contracting Organization/Agency: CITY OF EVERETT <br /> Report Period: <br /> Amount of Request <br /> Amount of Request: <br /> Certifications: <br /> I, the undersigned, do hereby certify under penalty of perjury: <br /> 1. That I am duly authorized to submit this request for advance on behalf of the Contracting <br /> Organization/Agency; <br /> 2. That the Estimated Expenditures Report accurately reflects materials to be furnished, <br /> services to be rendered, and/or labor to be performed in furtherance of the above project; <br /> 3. That payment is currently due or obligated for such materials, services and/or labor; <br /> 4. That such current obligations constitute allowable costs under the principles contained in <br /> applicable Office of Management and Budget Circulars and conform to the approved Project <br /> Budget; and <br /> 5. That the materials, services, and/or labor for which advance of HUD funds is requested by <br /> this document have not been and will not be paid for or reimbursed by any other agency, <br /> corporation, partnership, firm or individual, OTHER THAN THE Contracting <br /> Organization/Agency, its officers, agents and/or employees. <br /> (Signature) <br /> (Typed Name) <br /> (Position) <br /> 60 <br />