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Ohio Cultural Facilities Commission

INVOICE PAYMENTS

Project Name: National Underground Railroad Freedom Center

H.B. 699 CAP-919

Project Manager: Anthony Capaci


Project Analyst: Bernard Cason

Status of Documents:

Date Initials

11/29/07 _______ Commission resolution passed R-07-44, dated 11/29/07

7/28/08 _______ Commission resolution requirements completed (attach memo addressed


to the Executive Director with an explanation for each condition of the
resolution)

4/14/08 _______ Controlling Board Request AFC0100026 approved by OBM

7/28/08 _______ Purchase Order 0000000176 executed April 18, 2008

3/12/07 _______ DMA received

Documents signed:

Date Initials N/A

7/28/08 _______ 2nd Amendment to Base Lease

_______ Management Agreement

7/28/08 _______ 1st Amendment to Construction Administration and Funding


Agreement

_______ Escrow Agreement

_______ General Revenue Fund Agreement

7/28/08 _______ Supplemental Agreement

7/28/08 _______ Cooperative Use Agreement

7/28/08 _______ Other: Memorandum of Lease

Project Manager’s comments, questions or concerns: We ascertained $2 million of hard cost not previously
paid.

Invoices may be paid may not be paid

Project Manager’s Signature _____________ Date

Executive Director’s Concurrence ___________________________________ Date ______________

I:\nurfc request pdfs\files from PS NURFC Doc Library\Invoice Payments Form.docx 3/14/2011

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