ARRA JOBS REPORT
Sponsor's Name: Project Number: Please email to: SRF_Reporting@dep.state.fl.us
Reporting Number of Individuals Total Job Hours Created Total Payroll of Job Hours A narrative description of the employment impact. The
Date due employed from project start or Sustained by Recovery created or Sustained by narrative should include a brief description of the types of
Month
paid by Recovery Act Funds Act Funds Recovery Act Funds jobs created or retained
Jan-10 2/10/10
Feb-10 3/10/10
Mar-10 4/10/10
Apr-10 5/10/10
May-10 6/10/10
Jun-10 7/10/10
I certify to the best of my knowledge and belief that jobs data represented in the attached report is correct. I also understand that
falsifying information on this certification may be grounds for termination of the ARRA loan.
Signature of the Sponsor’s Authorized Representative Date
Typed Name and Title of the Sponsor’s Authorized Representative
ARRA JOBS REPORT
Janice.L.Simmons@dep.state.fl.us.