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8D Consent 2007 0319
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8D Consent 2007 0319
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Last modified
5/4/2007 12:40:56 PM
Creation date
3/14/2007 3:34:07 PM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Staff Report
Document Date (6)
3/19/2007
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PERM
Document Relationships
_CC Agenda 2007 0319
(Reference)
Path:
\City Clerk\City Council\Agenda Packets\2007\Packet 2007 0319
RDA Reso 2007-004
(Reference)
Path:
\City Clerk\City Council\Resolutions\2007
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<br />EXHIBIT F <br /> <br />Form of Requisition <br /> <br />Requisition No. <br /> <br />Reference is made to that certain Reimbursement Agreement, dated as of <br />, 2007 (the "Agreement"), between the Redevelopment Agency of the <br />City of San Leandro, a public body, corporate and politic ("Agency") and White House <br />Events, LLC, a California limited liability corporation ("Owner"). Capitalized terms used <br />herein and not otherwise defined shall have the meanings set forth in the Agreement. <br /> <br />The Owner requests a disbursement of funds in the amount of $ for <br />payment of reimbursement costs for the Project in accordance with the provisions of the <br />Agreement. The supporting documents (invoices, receipts, billing statements) attached <br />to this requisition are true and correct. <br /> <br />The disbursement of the amount specified above, when added to all previous <br />disbursements of funds, will result in not more than $ of funds from the <br />Agency used to payor reimburse Owner for reimbursement costs incurred by Owner in <br />connection to the Project. The balance of funds after disbursement of funds requested <br />pursuant to this requisition is $ <br /> <br />The disbursement of funds requested by this Requisition No. <br />with the requirements of the Agreement. <br /> <br />is in conformity <br /> <br />DATE: <br /> <br />[Authorized Officer of the Owner] <br /> <br />Approved: <br /> <br />Authorized Representative of Agency <br /> <br />919797'11 <br /> <br />F-1 Owner Participation Agreement <br />City of San Leandro Redevelopment Agency <br />599 MacArthur Boulevard <br />Form of Requisition <br />
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