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OMB No. 0607-0171: Approval Expires
<br />FORM G-~OO~SLj U.S. DEPARTMENT OF CqMM~RCE,; ~~~ -~,p~r re
<br />te•~~•sst euaeau oF rHe cErv~us pp~ ~o the Gensus Bureau is confidsntial by law (title 13, U.S. Code). It may be
<br />se~ri pniy by sworn Ggnsus employees and msy be used oniy for statistical purposes. The law aiso
<br />~ ~ , ~ ,~ ~rat ~~~aie~~~e~~ti~aed i~~y+~a~ ~Il4s.~ ~~mune from legai process.
<br />~~w~~~~r ,~t~QR' s In any correspondence pertaining to this report,
<br />~i~ ~ ~~f refer to the control number shown below.
<br />PROJECT REPt)RT ~"~~ ~v ~~~~ Tc r~~~are s~r ~~~nA srarus
<br />°', ~~~~~~ 1b62`7 ~s1~5 ~~ ~2~~ +~~ 1 ~
<br />' $'r'ATE AI11D' Lt?CAL GOVERI~lM~i~"~"$'„`
<br />~ ~ ~ ;A ~
<br />~-1~19~~ 9
<br />r~~-oaran-r co~~rx ~f »~a~~~~-~a~ r~~h~r
<br />si~.~ ~ at s~a
<br />~Piease~~e~fer ta~~-the ~ep~rting~Xnatruct~~ ~ ~~3~ H I Sa~! S'i N~ 5 T E ~ 2 T p~
<br />on#hebackofthaform.. MARI[3Ai CtIU~i~'~' ~tt~UR'THtiUSE
<br />DUE DATE: ~~~"~~ ~~ 9T3ti1
<br />SEP 15• 1999
<br />~ Bureaw a# the Census I
<br />~.,~... ~__~ ...~._ .,_
<br />. . .~.~ . ~~.tw.nrwRa~ri+evr~4;•:+!!°!~y'l.•'~7fiV°I ~"~Jk ~~ ~
<br />' 1-800-845-8245 " P~# t~N ~ C 5 p 3 3 ~ 8 8- 32 5?
<br />(P/ease correct any error in name and address including Z1P Code, te%phone and fax number/
<br />' ~ ' = P~p,1EGT,IDENT~~CA'~'~4~N;: ' ~ .~~ : -. , • ~ ~~~t~UAREFEET ~~'
<br />The +c~rt;~ruct~on project descri~rd ~r #s ~i~rC+a~d wttl~ ~!~our
<br />~
<br />~1'9RIf~i~~~~D!l~SCe-ritlina ~n eurf~l[..~.d .:..,~~., r~.4~....~ y~ ~ _ ~ 81RAtI QA Alttakinr e1i~a..~@....i L_4. ,..r_,~_ _ _ _
<br />1. PROJECT DESCRIPTION
<br />SAL~EM Ct~URTHt1U5E Si~UARE ltIXED-~tS~
<br />~3EYflt#PMENT
<br />3~7'IOF{FS ""~~••Sr...~~vs~wssyT;n~a~Pf~I94rLf
<br />Ex+cku~e nank~uiiding projects
<br />° .w srtd ~xi~ting #Eoor apac~ ~quare f~t
<br />'tl~at i~ being rer~odeled,
<br />!f nocte, enter "0.~ ~ S~_~ n ~
<br />Z. PROJECT LOCATION
<br />S~NATtlit SI.tICiC -~NU~~H'.TD t~I~~i AND CT TD
<br />GHfHEK~~'A STS SE
<br />SAIEM ~tt
<br />,• ••. .~,.r. +5...•.Fa. ~ vR ^ c ~
<br />3. T1fPE O~ C11N~11ERSHlP - Mark (X1 o~t~ bc~t ~:_
<br />Is this project ^ State Government or Agency
<br />^ Privately-owned OR Owned by: ^ Federal Government or Agency
<br />~Local Government or Agency
<br />4. START DA'f~ OF C
<br />~~~ Wh~3n' d~d sclkt~~1 co~
<br />~~ s~l9 stA!'l.~or=~nrh~n e
<br />lNCtUi?E . Site prep~ratin~t and oui~td~°Con~
<br />and ro~dways
<br />* Ntech~nical arttf e't~rica# it~st~tl~t~c~
<br />.~ ~ bf''~Fie structure, such ~is ePev~r~, ~t~~~ `~~~
<br />'~~ E,aC~~U~ • l.a~d and pre-existing stru~t~res ~~~
<br />• At~hit~ctural, angin~ering; ~ttcf `cswi~t~~ ~
<br />m#~cellaneaus cnsts - S~e Ft~tm 6 ~~ °~
<br />+- ~urn~CUre, furnishings, and tst~t~P ri~~ ~~
<br />• Gontfingency funds ' ~'°~'
<br />~~ fOR fdEAV'Y RfQNIBU~L~~tE~1 P~i~ ~ `~
<br />SEE SPECIAL tNS'fRUG'#'It~I41S ~~~
<br />~.
<br />IYdTE: If project'is an a"cost plus" basis, er~er yq~r ~st ~
<br />Sa: CdNTriACT COMS"~RUC?ION Ct?:~"F . ~M r.~
<br />iAmounts to be paid to contractors and '
<br />subcantractars? ,
<br />... ~w . . ~ ~; _ ~ ,, , . . ~'= $
<br />Sb.t1WNER SUPPLIED MATERIALS
<br />AND' LABdR
<br />(Construction materiais supplied by owner and the
<br />~ V81uP nf wnrk rl.nnc hv n.n~a..r ........,.... ....._ . ..
<br />~....~... a E~~.-R vv~Mr7 ~. ~fYV i 14J1Y
<br />PROGRESS REPURT
<br />• Contl~rr~ with item 8 if projecC has s#arted; otherw~se,
<br />si€i~ ~ ~+~etic~n F. :
<br />~ Rep~iri th~ v~tue of co~struC#fon put in ptace eaeh month.
<br />irtctu~ "~~y those constructic~~ costs d~fined in item 5c.
<br />Ct~~l~3'~ ii~eiuc~e ~`osts report~d irr item 8. ~~~~' ~~~ ~
<br />~- Ftspot;t~osts ir~ the,month in which work was dane
<br />(in~tud~r~g any mor~thly retairi~ge being wFthhald "
<br />frprrfE~pntractars? ratihertkian i~'tHe mvnth`in which
<br />psyrn~rrt was made. '
<br />+ 1l~/hen p~j~ct is corri~l~ied.,ent~ar mt~r~th aR~ Ye~r in it~r~r 9~
<br />$~~A~I~Ai~,l~'W~t1.UE €~~ CA(~T~U4"C1i#~f P't~T IN , ~
<br />F'I:A~~ t'~N PROJECT DE3CRfSED IN ITEM 1
<br />r~"F~ ar-S~.year o~~aCUai~~, ~~
<br />~~~I@'~;~d ~tart~date ' , ~ ~~ ~ Valtr~:trf construc#ion put` ~
<br />~Mv~ih and year irr plaee durin~~tnonth ~~~~
<br />lIRR 29~39 ~ report~period ~~ as deYrneci"~in ~tem~5c ~~
<br />(i'housands af do!lars)
<br />~ $ b?
<br />~~~iewaiks
<br />~ ~ °'° ~~~ ~~ ~ : $ ,000.00
<br />~~~ ~t?~9+-at P~rts
<br />p ~rr~+~~t, e~Ec. ~~
<br />~` rt
<br />` ~ ~
<br />$ ,000.00
<br />~~ ~tl
<br />r ~t : ,a~ d~ 19~A $ ,000.00
<br />~~t~terif ~ ~ ~~ ~
<br />~,i1~" ~,9'99
<br />$ Zp~,000.00
<br /> J!~'R 19'99 $ Ii?0,000.00
<br />~,
<br />rr~a~ csf the ~inat cost
<br />"~~Rk 19r9 J
<br />$ i 2 t?,000.00
<br />.
<br />~ti~ti~n ~psts
<br />
<br />h~tu~~zls of d9/larsl
<br />~_ ~
<br />~ ~
<br />~ $ ,000.00
<br />~ ~ ~ ~~ ~ ,000.00 ` $ ,000.00
<br /> $ ,000.00 ~'
<br />
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