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OMB <strong>No</strong>.1810-0036 Exp.06/30!2008<br />
ED 4019 Revised 05/31/2005<br />
Table 9. Military installation housing units undergoing renovation or rebuilding (Version <strong>No</strong>. 1)<br />
Applicant Name: Oakland Unified School District Impact Aid Number: School Year: 2007-2008<br />
14-CA-2009-0430<br />
<strong>In</strong>clude the housing units undergoing renovation or rebuilding on impact aid survey date shown on the cover page of this application. For<br />
each unit, list the specific address or quarters number, the number of school aged children expected to reside in housing unit, the date the<br />
housing unit was vacated or demolished, and, if applicable, the date funds became available for rebuilding the demolished housing.<br />
Documentation of the availability of funding must be provided for housing being rebuilt.<br />
(Col. I) (Col. 2) (Col. 3) (Col. 4)<br />
Specific Addresses or Quarters Numbers for the <strong>No</strong>. of School-aged Date Unit Vacated or If Unit Demolished, Date<br />
Housing Undergoing Renovation or Rebuilding Children Expected to Demolished Funds Became Available<br />
Reside in This Housing for Rebuilding (provide<br />
When Renovation or Documentation)<br />
Rebuilding is Complete<br />
Name of Military <strong>In</strong>stallation Base Housing Occupancy Rate: %<br />
I hereby certify that the above information is accurate and complete to the best of knowledge and the total number of children reported<br />
would have resided in the on-base housing listed above except that the housing was undergoing renovation or rebuilding on the Impact<br />
Aid survey date.<br />
SIGNATURE'5k DATE !NAME AND TITLE OF AUTHORIZED trELEPHONE NUMBER<br />
--;;/ ./.$ r / ~2° ., !REPRESENTATIVE<br />
C7 - °c<br />
Chief Financial Officer 510 879-8200<br />
"<br />
Impact Aid # 140430 e13
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