GENERAL46337

• Permit No: C1981031
• IBM Index Class Name: General Documents
• Doc Date: 2/4/1992
• Doc Name: FINANCIAL STATUS REPORT
• Permit Index Doc Type: RECLAMATION PROJECTS
• Media Type: D
• Archive: No

III IIIIIIIIIIIII III ~. ~~~-
FINANCIAL STATUS REPORT
(Short Form)
(follow instructions on the beck)
t. Federal Agency and Orgenizst ions! Element 2. Federal Grant or Other Identifying Number Assigned OMB Approval Page i of
to which Report is Submitted By Federal Agency No.
DEPARTMENT OF INTERIOR,OSM GR090081 0348-0039 1 Page
3. Recipient Organization (Memo and complete address, including 2IP code)
Department of Natural Rnourees
Division of Mined Lard
1373 Sheimen Street, Roan 225
Denver, Colorado 80203
4. Erigloyer Identifieet ion Number 5. Recipient Aecormt Number or Identifying Number 6. Final Report 7. Besia
84-064-6739 PXA 462 NPNP NO Accrual
8. Fading/Grant Period (See instructions) 9. Period Covered by this Report
Frain: (Month, Day, Yeer) To: (Month, Day, Yeer) From; (Month, Day, Yeer) To: (Month, Dey, Yeer)
05/15/90 05/15/93 09/30/97 12/37/91
10. Trensactians: t 11 1It
Previously This Cumulative
Reported Period
a. Total Outlays 65,903.80 1,469.69 67,37!.49
b. Recipient share of out lsys 0.00 0.00 0.00
e. Federal share of outlays 65,903.80 7,469.69 67,373.49
d. Total unliquideted obligeiiorre 0.00
e.-Recfpfenrsherc-of-unl iquidetedbb(-i gatians 0_00 _ ___
f. Federal share of unliquideted obligations 0.00
g. Total Federal share (Sum of lines c and f) 67,373.49
h. Total Federal funds authorized for this funding period 80,000.00
i. Unobligsted balance of Federal funds (Line h minus line g) 12,626.51
e. Type of Rate (Piece "X" in eppropristt box)
Provisional Predetermined Final Fixed %
77. Irdireat b, pate c. Base d. Total enommt e. FedereL share
Expense 0.06
12. Remarks: Attach any explanations deemed necessary or information required by Federal sponsoring agency in compliance with
governing legislet ion.
13. Certif itetion: I certify to the best of nh knowledge and belief that this report is correct and complete and that elL outlays
end unliqui dated obligations ere for the purposes set forth in the awartl documents.
Typed or Printed Neme and Title Telephone (Area cotle, number end extension)
Richard J. Adamich, Controller [phone]
signatureHof Authorized Certifying Official- Dete Report Submitted:
Prevnous Editions not~Usable ,~ r Standard Form 269A (REV 4-88)
Prescribed by OMB Circulars A-102 end A-170