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Request for Disbursement of Contributions <br />Platte River Recovery Implementation Program <br />` General Fund <br />To: Nebraska Community Foundation <br />From: The Governance Committee through the Executive Director <br />Subject: Disbursement of Contributions, Cooperative Agreement No. 99- FC- 60- 11870, <br />Technical and Administrative Support to the Governance Committee and Executive <br />Director for the Platte River Recovery Implementation Program <br />Request No. #164 Date: June 17, 2010 <br />Please disburse contributions held for the Platte River Recovery Implementation Program, Platte <br />River General Fund in the amount(s) shown below to the indicated parties: <br />Payee <br />1. Terry L. Broadfoot* <br />Amount <br />$37,500.00 <br />For the following purpose(s)/reason(s): <br />1. Total payment for lease agreement for Tract 0818 as approved by the Governance <br />Committee on June 9, 2010 for Program Item Land Plan Implementation, Task LP -3, <br />Land Acquisition. <br />*Payment to he made =in form of check made out to Terry L. Broadfoot mailed to the following <br />address: <br />716 2nd Ave. South <br />Kearney, NE 68847 <br />Approval(s): d, F—, 06' 0 f 1 <br />Executive Airector Date <br />Gra s and Cooperative gree ents Officer's Date <br />Technical Representative <br />cc: The Governance Committee <br />Grants and Cooperative Agreements Officer <br />