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E};HIBIT A <br />REPORT FORM D <br />(Housing Info, Resource ID, Admin) <br />Activity Name: <br />Activity Location: <br />Total Family Units Assisted With Housing Assistance: <br />Estimated Persons Receiving Housing Information: <br />HOPWA EXPENDITURE DETAIL <br />Enter the amount of HOPWA expended during the report period for one or more of the activities listed below: <br />Housing Information Services: $ <br />ResourcelD: $ <br />Sub-Grantee Administrative Costs: $ <br />Grantee (City of SA) Administrative Costs: $ <br />Total HOPWA Expenditures: ~ $ <br />HOPWA EXPENDITURES (M doAars) <br />Allocated HOPWA Funds: E <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 Expended To Date <br />Total Non-HOPWA Funds: <br />S of 7 <br />FYJPWA Report Fom D ~ »~~ <br />