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ED ActiviytReportFormNov2-2006 Sample Business Form

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ED DEPARTMENT OF COMMUNITY DEVELOPMENT Economic Development PROGRAM ACCOMPLISHMENT REPORT Date submitted: Payment Month: Agency Name: Contact Person (person completing form) Check if Final Payment Number Project Number Phone Number Matrix Code Fax Number Contract Number E-mail Address ASSISTANCE TO BUSINESSES Economic Development Technical Assistance (EDTA): Report unit accomplishments for each listed activity. Attach supporting documentation for units reported CDBG28 Of the Businesses assisted indicate the following: Existing: New: Total: Of the EXISTING Businesses assisted: Number expanding: Number relocating: Number of businesses assisted with commercial facade treatment (e.g. Storefront Renovation Program) or business building rehab: Number of businesses assisted that provide goods or services to meet the needs of a service area, neighborhood, or community: This Reporting Period Year to Date ASSISTANCE TO BUSINESSES – Part 2 Specify the DUNS number for each businesses assisted: Name of Business DUNS Number CDBG29 WEB SITE: hhtp://cd.city.cleveland.oh.us Page 1 of 2 Nov 2, 2006 ED Activity Reporting Form ED ACCOMPLISHMENTS/STATUS: Provide a concise description of the activity’s accomplishments reflecting the current amount of funds requested for reimbursement (expended). This narrative description of accomplishments should also identify any noteworthy issues that are relevant to the activity. Page 2 of 2 Nov 2, 2006 ED Activity Reporting Form

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