Cal. Code Regs. tit. 25, § 7691
(b) Text of form HCD 780, “California Housing Rehabilitation Program--Rental Component, Request for Funds,” dated 12/89:
HCD 780, 12/89
CALIFORNIA HOUSING REHABILITATION PROGRAM RENTAL COMPONENT REQUEST FOR FUNDS
3. CONTRACT NUMBER: _________________________ 4. DATE:
5.
Approved Loan Amount
Amount Per This Request
Total Amount Previously Approved
Balance
$
$
$
$
a. Acquisition/Refinance costs
$
b. Rehabilitation (Construction) costs
$
c. Non-Construction Development costs
$
8. SEND CHECK TO:
Department of Housing and
Community Development
Accounting Office
P.O. Box 952050
Sacramento, CA 94252-2050
9. CERTIFICATION: I, the undersigned, do hereby certify that (1) the funds requested above were or will be used in performance of the above numbered State Contract.
Signed: ____________________________________________________
Title: _______________________________________________________
DO NOT WRITE BELOW THIS LINE
The work performed for which this request for disbursement is presented is in accordance with all provisions of Contract Number __________ between _______________ and the Department of Housing and Community Development, and is hereby approved for payment.
Program Manager: ________________________________________ Date:
Note: Authority cited: Section 50668.5, Health and Safety Code. Reference: Section 50668.5, Health and Safety Code.
1. New section filed 6-12-89 as an emergency pursuant to Health and Safety Code section 50668.5(g); operative 6-12-89 (Register 89, No. 24). A Certificate of Compliance must be transmitted to OAL within 120 days or the regulation will be repealed on 10-10-89. For history of former subchapter 8 (sections 7700-7714.5, not consecutive), see Register 85, No. 33.
2. New section refiled 10-6-89 as an emergency pursuant to Health and Safety Code section 50668.5(g) and Government Code section 11346.1(h); operative 10-10-89 (Register 89, No. 42). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-7-90.
3. New section refiled 2-5-90 as an emergency pursuant to Health and Safety Code section 50668.5(g) and Government Code section 11346.1(h); operative 2-7-90 (Register 90, No. 6). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-7-90.
4. Amendment of subsections (a)-(c) filed 3-5-90 as an emergency pursuant to Health and Safety Code section 50668.5(g); operative 3-5-90 (Register 90, No. 12). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-3-90.
5. Certificate of Compliance as to 2-5-90 and 3-5-90 orders including amendment of subsections (a), (b), and (e) transmitted to OAL 5-22-90 and filed 5-29-90 (Register 90, No. 29).