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<br />, .r-.'\L .,tf-\)~p <br />!;YES <br />ON" <br /> <br />TEAAS TRAFfiC SAFETY Pi-10GRA~' <br />PROJECT CLAIM AND PERIODIC REPORT <br /> <br />.. <br /> <br />i'rocc.dure PR-l <br />Enrlosure 1 <br />fc::J)::O .::::r::l ..0 c: <br /> <br />PROJECT TITLE - " '-' <br /> :..J THISISAMONTHLYREPORTFOR lH~ Mut<lfIOF~ 19/__. <br /> :J THISISAOUARTERlY REPORT FOR JIM AMJ '1 JAS ,ONll 1~'/ _ <br /> L EXPENDITURES FOA REPORTING PERIOD (OET,AILS ATTAOIEDI CUIIIULATlVEEXPENDITUAES II() OAll) <br /> PERSONAL SERVfCES 5 Pl ANNI [) ,- <br /> CONTRACT SERVICES ACtUAL , - <br />I COMMODIT!ES <br /> OTHER DIRECT COSTS <br />I INDIRECT COST (IF IN CONTRACT) CUMULA liVE CLALMED ITO DA T t I <br />I PLANNED ,_ <br /> TOTAL , ACTUAL 5 <br /> tOT AL CLAIMED FOR REIMBURSEMENT 5 <br /> II, ACCOUNTABLE ASSETS LIST ;"J HAS CHANGED (A tTACH) :-: HAS NOT CHANGED <br />\'"' SCHEDULE STATUS lMILESTONES SCHEDULED TO DATE BUT NOT PREVIOUSL y COMPLETED> <br />~ MILESTONE NAME ~ ~ <br /> <br />IV. NARRATIVE REPORT <br />A. ACC0IIPUSHIIENT8 (USE "OOlTIONAl SHEETS, IF NECESSARY) <br /> <br />i <br />I <br />OTSFORMPR.l REV 11115 <br /> <br />paqe 11 of 17 <br /> <br />\ <br />I <br />Coni'"'*!! ot'l6Ac. <br /> <br />- <br /> <br />IV. NARRATIVE REPORT lCON,lNUi Ol <br />8, PROBLEMS ENCOUNTERED llNCLUO[ DfSCUSSfONOF MISSEOMILfSTOM~ ANOC0i114lClIV. ACIf(,t.1 <br /> <br />C, ASSISTANCE REQUIRED AND/OR RECOMIIEHDAnoNS HO OTSI <br /> <br />v. PROJECT ORGANIZATION CHART <br /> <br />o HASCHANGEDIATTACH) <br /> <br />I Cef1L!y !"1al all 'nlo,m.IIQn preser>led here,"'$ complete ;tf\O accurale In .elleCllng 'M)/k "","O.med ut'l"l!llhe P'Ow, <br />','on\ Qf lnlS prOlect and no clallTl ha$ been p.e$f't\led 10. or paymenl made by, IfIe U,.,ll/d Slale$ 01 AmerICa or ~ <br />Slale Q! T~u$ tor the CO$I$ clall'l'llld \01 ,,,,,mbur$ement <br /> <br />CLAiMANT <br /> <br />AUTHORIZED SIGNAtuRE <br /> <br />! J.1-'~"OVAlS <br />I <br />j-,,;','BC::'lOF ATlACHl'.4ENTS <br /> <br />lTob('u$ed.ureQu"eObVClilllT\.JnU <br />I <br />Page 12 of 17 <br /> <br />o ~~ CHANGED <br />rOROTSuSE <br />Revl~aI'CIK <br />cepleGby'MOO"$" <br />tlIemanager/Cla'- <br />