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10-31-83

Page 11-37

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U.S. DEPARTMENT OF ENERGY
FEDERAL ASSISTANCE REPORTING CHECKLIST

Onu amMOVED

OMO NO W 0199 1. Identification Number:

2. Program/Project Title: No ise Suppression Grant DE-FG-01-00CS4 567

In Wind Driven Generators 3. Recipient:

Pierce State University
1. Reporting Requirements:

Frequency No. of Copies Addresses
MOGRAMIPROJECT MANAGEMENT REPORTING

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Fine Technicat Recon

FREQUENCY CODES AND DUE DATES.

A. Nocery within 5 calendar don me moms.

Fina %0 commencer con otton me perdormance of the atton and Q. Quanmiy wenin dan one end of calendar Quero or Bonton mercot o One lime one project rms within 30 dans une mwo. x Required win DIODOSeis or with the SODICHION or win wgnificant Dianning changes. V. Yosriv. X cavs sner ine end of program non financiar Sinus Recons 90 corsi S. Seriennusly, within 30 don oher end of program fiecas net now

5. Special Instructions:

Technical Reports sent to TIC should be in the form of a reproduce ion master and one copy.

7. Roviowed by: iSignature ana Dato' ajrcis!

6. Prepared by: (Signature and Dare) 1/30/21 J. S. Anderson i

ih. s. lena.ceson

C. 1. Dixon CL. Diion

Figure 1-1
Example Federal Assistance Reporting Checklist

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10-31-83

Page 11-39

FEDERAL ASSISTANCE BUDGET INFORMATION FORM

MOND

Grant DeoI-OOCS456 ore suppression 10 Wind Driven Generators
Department of Physics

07780 Pierce State University, Piedmont, MO 69021

6/30/81

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I TOTAUS

0113,000

12.290

ACTON B · BUDGET CATEGORIES

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• 60.535

• 60,535

6,265

6,265

5,200

5,200

3,714

3,714

5,000

5.000

80, 286

80, 286

32,286

32,286 '113,000

• 113,000

.

Figure 1-3
Example Federal Assistance Budget Information Form

Page 11-40

FINANCIAL STATUS REPORT

IFollow instruction m me bact/
J Necipient Oigonilotron

(Namo md completo addron, including ZN codel
Pierce State University
Piedmont, Missouri 69201

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federal Aconey and Organisational Element to

2 Soueol Groni Orho OMO Op which Noport Submitted

donnerantember piovo. No

00 10180 Department of Energy

DE-EG-QL-OOC84562 4 Emplovo Identification Number 6. Nesprent Account Numbo o

Final Aeport

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STATUS OF FUNOS

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Figure 1-4

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god Shoe land beliet mot mig report to correct
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17. nomen Anach my necmuy suplanation on Inloomation required

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Charles Adams,

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Director

202)270-879 SIMOANO NON

12,288

10-31-83 DOE 1332.2

10-31-83

Attachment Il-1
Page 11-41

OAM DOI

UT DLAMINT OF ENERGY

NOTICE OF ENERGY RDED PROJECT
APOVED OR USI ET

mo
SMITHSCHIAN SCIRNCI MOTORKA Now OCHANGE
1. Descnou've To of work
CONCZADES: NY FOR A COMP'IZI PILOT SCALE CD/STEAM SYSTEM
Fenorming organizmon concoi number 08 ENEO

3. Contact or grum numon
Word totuS NEW

Comnuing O Terminated FG-ACO3-SOF101834
4. Maior s princon inverngnor projec, manage and sodass where wort is pertormeo
A. Nama IsFirs. MI DUNDAS, DER

8. Phone: FTS
C. Reesen organicomon
business Modu. Sorun
261 NOROE PLABODT STREET

Com..

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Carr.
ALCODONES

Sumo

COLORADO
3. A. Norme of pontorming organizmon ROX: 2012TASim

PBX310 VIA
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8. Mailing address IM different from a

C Caree onty one code tor TYPE OF ORGANIZATION PEAFORMING REO
Smo incorucdonal:
CU F IN NP $ TA US

EG
D. Locmon where one work in bang Dentormed

Zio 94 999

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6. Suodomng organismon

A. Program dinzon or othaa full normal_ASSISTANT SECRETAK FOR FOSSIL OVERST
8. Technical monitor Ilin. First, MII. UAERSALES T.

C. Mona: FTS
D. Adores i gitterom from DOE Hour)

Corn.
[ Administrativo monnor Ilan. FireMII_PERINKGAYLORD G.

202-252-5000

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i Funding in mousands of dollars Funds 'tolesome Duoga odugations or oorming mo cIonal couomone,

Lurons esmilioni
A. DOE-
B.
C.
D. for DCE drovc3. omtar duagoong and reporang cuacanceoon code
E imoraçency agreemom (Specity runding agency).
F. Agonorinnoun ottone Check it applicatio)
G. EPA buss mu" runding ICheck if applicable)
Axoro hunang section urmaonon a corona on fotora Finances komance Programe pranis. Groet sorments. 2000eranno agroomens.

con gwo mon ma omer metre progone.
9. Descnptive summary of work ILMn to 200 words. Include ODICTIvo, doprovon, reouts to ako ma ten sugrificance, ma

DOC.Od produce. Ourmity were posubiel.
HIS PROJECT IS ETEC.ED TO PROVIDE CONCEPTUAL DESIQYS BASED ON ECSTING DATA FOR AN
ETT (PILOT-SCALE) PLANT THAT IS A COMPLETE SD/STEAM STSTEA. A WOP GOAL OF THE
977 IS TO PROVIDE COMPONENT, SUBSYSTEM AND SYSTEM DATA NECESSARY FOR SCALE-UP TO
COMERCIAL, DEMONSTRATION-PLANT SIZES. THE EIT IS TO BE CNPNL OF TESTING FOR 2000
CONTINUOUS HOURS AI DESIGN CONDITIONS.

Figure 1-5
Example Notice of Energy RD&D Project

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