File #: _________________________________
Project Title: ____________________________
Project Representative: ___________________

According to our records, the following amounts of Expenditures are allocated currently to your project:
Total Eligible Expenditures (a=b+c) $____________________________
Total Claimed to Date (b) $_____________________________________
Remaining to be Claimed (c)$___________________________________
Apr-Jun 2007 (d) $____________________________________________
Jul - Sep 2007 (e) $ __________________________________________
Oct - Dec 2007 (f) $___________________________________________
Jan - Mar 2007 (g) $ __________________________________________
2007/08 Total (h=d+e+f+g) $____________________________________
2008/09 Total (i) $ ____________________________________________
2009/10 Total (j) $ ____________________________________________
Projected Total (k=h+i+j) $ _____________________________________
* Includes claims that have been received by us but have yet to be paid

Declaration:
I certify that the financial information contained within this report is true and accurate to the best of my knowledge. Costs related to our approved Rural Economic Development Program project will be incurred for the amount on the schedule as indicated in the chart above.

Name (Please print): ___________________________
Signature: ____________________________________
Date: ________________________________________

Please return to:
Rural Economic Development Program
1 Stone Road W., Guelph ON N1G 4Y2
Fax: (519) 826-4336