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HTML Preview Quarterly Progress Report Blank Form page number 1.

PROJECT

PW PW ELIGIBLE $ AMOUNT $ AMOUNT % COMPLETED TIME DATE

ERS CAT. $ AMOUNT SPENT RECEIVED TO DATE EXTENSION COMPLETED COMMENTS

NAME: SIGNATURE: DATE

QUARTERLY REPORT

APPLICANT NAME DATE REPORT DUE

DECLARATION: FEMA- ______ -DR-KY APPLICANT ID#

LARGE PROJECT THRESHOLD FOR FEMA-______-DR-KY: $64,200

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