Exhibit Report 120 Days Out
1.
Museum or Organization Name
2.
Primary Contact
3.
Primary Contact Phone Number
4.
Primary contact email.
5.
Please fill out this project activity section to update the Oregon State Capitol and Oregon State Capitol Foundation on the progress of your project.
Completed
More than 50% completed
Less than 50% completed
6.
Please explain your answer to the question above. Give a brief status of your project at this time.
7.
I request reimbursement for the progress on this project, as noted above, in the amount of 50% of the total award (second half of payment of the award.) This award is coming from the Oregon State Capitol Foundation, the sponsor of this program.
Yes
No
8.
By putting my name below, I certify that the information provided above is correct and that the payment request is for legitimate expenditures and contributions associated with the approved exhibit project.
Yes
No
9.
Signature by typing name:
