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<br />EXHIBIT A <br />REPORT FORM C <br />SCATTERED SITE HOUSING ACTIVITY - <br />(Tenant Based Rental Assistance, Emergency HousinglUtility Assistance) <br />Activity Name: <br />Activity Location: <br />Payments Began: <br />Number of Units Assisted by Payment Tvne <br />SRO 0 Bdrm 1 Bdmt 2 Bdnns 3 Bdrms 4 Bdrms 5+ Bdrms <br />Tenant-Based Rent <br />Rent, Mortgage, Utilities <br />Expenditures By Type: Tenant-Based Rent:# Rent, Mortgage, Utilities: <br />Total Families Assisted with Housing Assistance: <br />Program Departure Counts <br />Number of Months <3 <br />Vdunlary: <br />Nonpayment of rent: <br />Supportive Service noncompliance: _ <br />Unknown: <br />Criminal: <br />Death: <br />HOPWA EXPENDITURES (in ddlars) <br />Allocated HOPWA Funds: <br />Allocated HOPWA Program Income: + <br />Total HOPWA funds for Project: _ <br />Total HOPWA Expended to date: - <br />Balance HOPWA Funds to date: _ <br />Source of Non-HOPWA Funds Total Available <br />S <br />3.6 <br />7-12 <br />>12 <br />S <br />Total Non-HOPWA Funds: <br />Expended To Date <br />E <br />E <br />HOPWAr^veport FormC 4 Of 7 11/12/04 <br />L. <br />