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Exhibit D <br /> Draw Request Form <br /> NEIGHBORHOOD REDEVELOPMENT DIVISION <br /> REQUEST FOR DRAW <br /> HPRP <br /> FY 2009/2010 <br /> SECTION 1. REQUEST FOR DRAW <br /> Subrecipient Name: <br /> Subrecipient Name Address: <br /> Dollar Amount Request: $ <br /> SECTION II. STATUS OF FUNDS <br /> Grant Amount Awarded $ 622,144 <br /> Less Previous Expenditures <br /> Requested but Not Yet Received $ <br /> Current Balance Available for Request $ <br /> Less Amount of This Request $ <br /> Total Grant Balance Less <br /> this Request $ <br /> Attach invoices/spreadsheets for this request. <br /> Request due to Neighborhood Redevelopment Division <br /> I certify that this request for payment has been drawn in accordance with the terms and <br /> conditions of the Agreement between the City of Decatur and ourselves as the <br /> SUB RECIPIENT. I also certify that the amount of the Request for Payment is <br /> not in excess of current needs. I certify the required match documentation for expenditures <br /> has been attached. <br /> S i gnature Date ' <br /> Title I <br /> Please mark if the monthly/quarterly report is attached I <br /> „oN�s,.,,,��,..,�.n„u„�„ Page 26 of 28 <br />