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DURA binder

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Title:
DURA binder
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Denver Urban Renewal Authority
Place of Publication:
Denver, CO
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Denver Urban Renewal Authority

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Auraria Library
Holding Location:
Auraria Library
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All applicable rights reserved by the source institution and holding location.

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Auraria Library
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PAGE 1

.. a: 0 .. t,.. .... t"'"WL. 0 ... -, .... 0 ,,, A-1 Auto lOth,_ .l..l_j;:) ...... (\1 OV.!;[O o .. G,.Henry & Ester Lot Pkg. Wolff P.L ... o::.i:OJo.. ... CEASED OPERATION ,,, .. lo. .. N N '-----1"" TYP[ or ESTAe CllfCLE Cl 1 Z l S 6 Q 8 8.SALES b .. LEASE laCK .:. i{, 0 ... 0 a: "'" ., "' :IE "'8 "':;; z .. 0 z -5 TRADE AREA -Ct.CL( (i) l 3 5 I. 110. Of EMPLOYEES PUM. df;';,. TEMP. ) .... ,..,. l)ao .. ,. l) r,. d) 1&.19 7. YEARS IN DENVER 1. YEUS AT THIS LOCATIOh D6,fE OF .JPCAL APPIIOVAL .;s-.,.) YES .,.,.. 100---I. AT THIS ADDRESS PRIOR TO 10. GROSS INCO"E OF ESTABLISHMENT __________ (_) 11 NET INCOME OF ESTABUSH"ENT lt/H/f(J MQ. (_l 12 ELIGIBLE FOR SBD YES----100 ----B. PRESENT PHYSICAL INFORMATION: z b) LEASE BACK r) LEASE d) RENT A) AMOUI\"T MO AV.0Ut<1 MO RE P ll I PARK.t'IIG SPACES a) 0' SITE NO --'jiY.Loi:O..L-----b)oFF SITE NO _______ I. a, PU.CHASE PIC b.-TGt.IOE C.MO. PAYWEIITS ____ !: $_....,. ___ --:>. 8. N U.A. .... : .... ": ... -. C.PARKING SPACES 1) ON ..... ..._.,..:.._ Z) Off sm_._ .. -..,. ... =-'-'"""" d. LOADING SPACES---------'-:.. .. ...... 1. STREff ____ ....;._;__:;;_ ;.: ---Off STREfT-,----..;.;.;.:.._;.'..:;'.;;--:;:;':;.' :.:-..... -..... -,. ...... -3. Aun ______ 6. LPA. REHRRAL YES ll(f_-__ ....,:. BUSINESS YES-.--'.;.::. ___ O.U.R.A FINANCIAL ASSISTAru IO"RANTEO: MOVIfiiG EXPENSES CIRCLE a) UNDER Ss;oG f) s 2!100 52999 .... "' i; -----+-10 i 53ooo SJ.t99 h50C1. 53999 z a b) 55GC 5999 g) h) r) Soooo S1499 ____ B. DOCK A. STRET LOADING 0 1. ... C. OFF STEEET ___ D. ALEY------[. NO or SFACES ------RELOCATION TRANSACTIONS DTE or ACOUISITION /..2 DATl MOI"E COMPLETED __ OF MONTHLY RENT PAID TO 0 U R.A S ------l[NGTM OF TIME TO AFtER DATE OF ACOUISIT!Oh -------------------53::0Vd5 53:lYdS !lNIOY01 .. :.,.. ". n d) .51500. 51999 j) S.ooo+ AMT. $_._. ___ ..;....; _.. \:1 r I Szooo j) s.oH+AMT: s. ____ ACTUAL MOViNG tOXPcEfiS:f::5-= -;:;,:..,-::......,._ "' ':"""" 1"1-...... : ..... 2. SMALl BUSINESS DISPUic:.E!'ENT PAYo!_tjjJ.,5.-. -: '.. H-+--;_ __ : w oi .-. ASSISTANCE 5 ..... .. F. OTHER MATION: ;-::;!----... :. RE A : b) OfF ADDRE"S"S,.. ......... ....;::i'.'. '!!' 11: =:---...,....=---2. COMMENTS. AN0/0R REMARKS .. ... : .: !I 5 -_;-..,_ ........... ..Jiio. :.. .... ............. .LN31i'U Vd !10 .LI'i3ti_ : .. .. ...... ., .... ....... ., l L ., "1-'\ r '' 0 ..>.-()" 0 B :> a I I :> a! l w z l I v s II l P I z I v a c: r i. I I I I I J '' (.:.0 t-IN DENVER TEMP EMPL PERM. EMPL TYPE X31D.40X lPHA .. CiEIDEi -I. '..-. 1 .. I Z P "II. J s _;. .. A PRESENT ESlABLISHMEN:nCO Af_ '-DL!'ERMANENT '-, f!:I}.JII J71AI. -1 OF ..L \,;., I 11 -. --ft .ri;,; ;..., NA"'E o OWNER OR "'GR fl...._.-. CITY STATE .. ... TYP< Of ESTE CIRCLE 0 1 6 7 8 Z. &.SALES S b. LEASE ... ..... ..:....TRADE AREA. CIRCl-\ z6) 5 .6i) 3 &.PURCHASE PRICE i .. ........ ; ; t I I -.. .. "' > I .I -,._ ._: .,.; a: .. 0 .,u "' ... ., 0 a: "'" "' "' :l "'8 6. NO. OF EMPLOYEES PERM. &)11-4 ) 5 1 ,-C) 11).14 b. MORTGAGE S c ........ ;;;.,'..JwJ d) 15-19 e) 211-Z' f) Z5+ C,MO. PAYMENTS a) 11-4 b) 5-9 r) 111-14 4. LEASE/LEASE &Ac!!d:Uii) .: ...;;. .. ,. () "() d) 1s.19 zo.u f) n+ .... o RENT .... ..,. _,:...;., 7. YEARS IN DENVER (. b. LENGTH OF LUS .s-... .. .:.. : ll!:.::,r"'-> YEARS AT THIS LOCATION C. NO. RENT INC: REASE S.....:----.. 1:.. lit DAT Of LOCAL APPIIOVAL 5 8 N U .... .. Z !: ,;.) j ) b: 'I::.;-: .. ".;.o. :',: i .. j.'\) C. PARKING SPACES 1) ON SIT[ .-:.. :......:: ..... i ; .._._ .. z) OFF SitE ... .;_ ... .. J d. LOADING SPACES !.. l:i, s 1. STREET Ul .... TEMP AT THIS. ADDRESS PRIOR TO Y-N0--10. GROSS INCOME Of ESTABLISH ... ENt __________ .(_) 11 NET INCOME OF' ESlABUSHMlNl (_) 12. ELIGIBLE FOR SBD YES----NO-----! .. ... "' z B PRESENT PHYSICAL INFORMATION: Z. OFF STREEi ....... --- .. ... .. a:;; b) LEASE BACK C) LEASE d) I NT Z. Al.u.A 8) 3. AMOUNT MO. RENT S---------------- AMOUNT RENT P.l T.l PARKING SPACES a)Oh SITE NO--------b)OH SITE NO-------LOt.DtNG A. STREET B. DOCK C .. OFF STEEET ___ D. Ai.UY-----3. DOCK "' ; ALLEY .:..--: -:: .: _... a a""' &. LPA. REFERRAL YES ;. .. .,. ...... E 7. DISCONTINUE BUSINESS .. rt1 .,. E. O.U.R.A. f'INANCit.L ASSISTANCE i 1. MOVING EXPENSES CIIICLE n s .zsoo g),_.,,., r I 51ooo 51099 b) SJ51!12 < !:: ::::-. B :,_ ; s" I UNDER S!IOCI b) Sseo 5999 .. .. E. NO OF SPACES-----c. RELOCATION TRANSACTIONS.,-/#f)1. DAT Of ... 2. DATE MOVE COMPUTED a--!iii S. AMOUNT Of MONTHLY RENT PAID TO D.U.R.A. S -------ACTUAL ,: ,. J. SMALL BUSINESS DISPLACWEIIT f -'.":.. J. SEnLEMENT COSTS $ .. .. :: ..o:. OTHER .... S .. LENGTH OF TIME TO RELOCATE AFTER DATE OF _,_. _. ., ACOUISITIOh --------------------5. TOTAl FINANCIAL ASSISTANCE 5 _._._, 7 ;. ----------------------------F. OTHER INFORMATION: ;, !i 1. T[MPC)IIUt RLOCA,._ 8) ON S1TE-----AIDDIS----------b) OFr SITE ADDRESS ________ ,;;.:... __ _,_.....,

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.. !---_-+-1 r. r ; 0 .u .. .. .. ... :E .. e ....... "' z .. B. DATE OF LOCAL APPIIOVAL 9. AT THIS ADDRESS PRIOR TO .S f 1A I YES_X __ N0--10. GROSS INCOME OF ESTABLISHMENT--...,.-,.-..,...:r.::;----(-) 11. N[T INCOME OF ESTABLISHMENT .. 1Z. ELIGIBLE FOR SBD ES------NO----PRESENT PHYSICAL INFORMATION: c) LEASE d) RENT 18-09 o; ,. ----------b.l fASl '.LEASE d. RENT 8.f'URCHA!tl PRICL --------------S------------------C.MO. PAYMENTS 5-----------------------. U:ASEILEAU aACK/RENT a.MO. RENT 5 ________________ b.LNGTH OF LEASE ns. LE--------C,MO. RENT INCREASE 5-------DECIIUSE.S-----5. a. N.U.A. _______________________ b. GROUNO-------------------C:,pARKING SPACES 1) ON SIT-------------l) OFF SITE------------d. LOADING SPACES------------------STREET-----------------------------l. OFF STREET _______________ l DOCK----------------------AUEY----------------------1. b) LEASE BACK z A) u 6 LPA. REFERRAL YES-----,rr::c:--NO------B) LAND__________________ o1sco.r1NUE BUSINEss __ ... s.._ _________ AMOUN: MO R[., S---------------AWIOUNT MO RE..-T PARKIN(, SPACES 5 ________________ __ a) o sm o ---------E D.U.R.A. FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES CIRCLE f) 5 z 5z999 z b)OrF S'TE NO ________ 6 LOADING A. STREE1 ____ B. DOCK C.. 0" STEEEl-1::-.-. ______ a) UNDER bl Ssoo 5999 51000 Sugg g) SJooo Slol99 h) SJSOO 53999 ... N e C RELOCATION TRANSACTION5 'I a 1 DATE Of ACOUISITION ___ ;;t Z DATE MOVE COMPLETEO ___ _.,L..'L/.!'-7";!"'-------.... z It 0. 3 AMOUNT OF" hCONTHl._, RENT PA.!D TO D U.A A S ------4 OF' TIME TO AELOCAT Af'TR OAH OF ACOUISITIO' -------------------AURAR lA S3:ldS S3:lVdS !lNICWOl 0 d) 51500 51999 i) Sooo + AMT. $ ________ __ e) Szooo Sa99 j) Szs.ooo+ AMT 5-----ACTUAL MOVING EXPENSE 5 ___ Z. SMALL BUSINESS DISPLACEMENT PAYMENT 5----------l. SETTLE ... ENT COSTS 5.::--"llll-:"-------;o;-"Tr.IO.In''J""--4 OTHER 1N L "' 5/JJ..DIIJ. Do S TOTAL rlNANCIAL ASSISTANCE s .. F. OTHER 1 TEMPORAR) a) ON SIH Al!l!I!'.!'!IO .... _=,..---------b) OFF SIT1 -----ADDRESS ______ Z COMMENTS AND/OR REMARKS--------............ _..;:::=--_.-1:1/S/1 lN3WAWd t!O lN3tl :> 0 1 r IL ... I -0 %. .. ... lD "' .. !'") .. ,_ "' 1: S1-0 z ""' n ... z "' .., ., .. f I w8 Ill 11 z I L z I v B I t l L I i z v I B I l L tt. i l. -c. n I I 1 I I r I l I n I[_ -lL -! : Hf '4"1 'lSIG .l,___ __ ..__,4 1 NO 1 1 F E o 1 F E o 1 6 5 4 ,9 -s -, -6 -5 'n-r ---r A PRESEo.;T ESTABU5HMENT COMPOSITION D. PERMANENr RELOCATION II u c -' vi ir ACF D 1 Servce 12-02 ...-NAME or vecy ... ADDREss tsl:l-' walnu 1 4250 Oneida l NAME oF owNER oR MG 1Ta ck Grnnwa 1 d ciTv Denver sTATE Colo ZIP 8021 I ---------1"-' TYPE. OF E. STAB CIRCLE. C1 1 (!)3 4 5 t 7 8 Z. &.SALES b. LEASE BACK C. LASE d. RENT "' .,.; It ... .. 0 .,u ... ::: 0 It .,., ., "' :E "'e "t:; 2 .. u;; .. < <>!;; 5 TriAD[ AREA CIRCLE 0 3 4 5 6 NO. OF EMPLOYEES PERM. &j 0-4 c:::&l.s-9 c:) 10 0 zs+ d) 1!>-19 e) ZO-Z4 TEMP d) 1!>-19 e) zo-z f) zs+ 7. YEARS IN DENVER ------ojli-tl3!-------------8. YEARS AT THIS LOCATION ___ ...... 1...,2.._ ____________ 9. AT THIS ADDRESS PRIOO TO YES-ll____N0---10 GROSS INCOME OF ESTABLISHMENT--o::;-'7'0.,....-----(--) 11. NET INCOME OF ESTABLISHMENT ---'N:LI-/;...a.DL.. ______ ( __ l 1Z. ELIGIBLE FOR SBD NO----B. PRESENT PHYSICAL INFORMATION: 3. 8.PURCHA.SE PRICE b. MORTGAGE C.MO. PAYMENTS i s ly owned place LEASEILEASE lACK/RENT 8,MO. RENT 5-------------------------b.UNGTH OF LEASE YRS. Lt ______ C:, MO. RENT INCREASE 5-------DECREASE 5 ___ .;_,_ S. a.II.U.A. ____________________ __ b. GROUND----------------..;;_--C:.PARKING SPACES 1) ON SIT--------------Z) OFF SITE-----------d. LOADING SPACES---------------------1. STREET _________________ Z. OFF STREET __________________ 1 a) OWNER b) lEASE BACK G,..EASE d) RENT l. DOC:O<---------------3 4 81 4 AUEY-----------.::------.-z. A 1 h u.A _____ ,_ LPA REFERRAL YEs------NO---=x:.=.... ___ 8) LANO ____ -:;----,;;-:;::-::.-------------7. DISCONTINUE l. AMOUNT MO. RENT 5 J t 3 6 7 E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED AMOUNT MO. RENT P.I.T.I. s __________________ ___ 1. MOVING EXPENSES CIRCLE -5. PARKING SPACES 8)0 SITE NO. _______ 0 5 zsoo. s:; b)OFF SITE N0-----------------"'"'1,':1 6. LOADING A. STREET B. DOCK ; c .. oFF srEEn ____ o. Aun _________ a) UNDER hoo bl hoo. S999 c:l 51000 51499 gl b) 53000 53419 S350C!. S1111e -..._: E. NO OF SPACES-------C. RELOCATION TRANSACTIONS .... z,.. ... II: 1. DATE OF ACOUISITION ____ ____ Z. DATE MOVE COWPLTED ______ .;;.9_L.._,._....&_...a:--LA-'"------------3. AMOUNT OF WONTHLY RENT PAID TO D.U.R.A. S ------------ LENGTH OF TIWE TO RELOCATE AFTER DATE Of ACOUISITIO ----.----....,---------------------prior to d) e) .51500. 51919 Szooo SZ41!1 j) 5._ + AMT. 5------j) Szs.ooo+ AMT. 5----=--........,ACTUAL MOVING EXPENSE S Same Z. SMALL IUSIIISS DISPUCEMENT PAYMENT 5---------------3. STTLMENT COSTS 5--------------------------- OTHER ----------.,....,,......-. 5. TDIAL FINANCIAL ASSISTANCE $ ...... 2.....,8;1..,j, .. .... l._ __ F. OTHER INFORMATION: 1 TEMPORARY RELOCATION l ON SITE-----ADDRESS-----------b) OFF Snt _____ ADDRESS-------------l. COMMENTS AMDIOit w .. 1: z ""' .., .. ;lie> z "' ...... w .. .. .. 0 n-, .. .. .._.-.._} J-

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v A .. .... .. Jte I ... L :-.r,;;; r "'---:-.; I "'"c;!;'"l .r Wajler ,.,DenvPr 80204 ,.. it ""'""'! 0' ;:; .. ,.,-: .... ,,.,, colo I ZoF r.. ,, o ":::P.:..t J ; 8.!.AL[ b .. l-19 l .. lA C) n+ C. MO. I' A niNT5 s ..... ";.,,..... .. : -"'! TEM. a) ... b)w c) .. 'LEAS/LUS( aACK/1NT .. n.("'l 0 d) 1!!.-11 f"'e) IIWC f) zs+ a.NO. IEIIT S .. .,u 7. YEARS IN DfYn L b. LIIIGTI< Of LEAS YIS. LUSI lD .. f"\-r"'l z I!'" jlo .. .. YUS AT THIS LDCATION C. MO. lENT IIICRUS 5 DECIA5( S ... .. ,,...\ ... :--, ., DATE Of LDCAL AI'.IOVAL s. a.11.u.a. -'" 0 Z:;l 0: AT THIS ADDRESS PIIOR TO ( .. n. ) b. GROUND ... .. .. u .. Z'" -, .. C. PARKING SPACES l) ON SITE z ., 10. GlOSS INCOME or ESTABLISHMENT -(_) 2) orr SITE ,.... .... .. ..., ... n ::E 11. NET INCOME or ESTABUSHWENT -(_) d. LOADING SACH 1110 "' .. 0 .. -u 12. ELIGIBLE FOR SBD YES NO /!( 1 STREET "'"' ... .. B. PRESENT PHYSICAl INFORMATION: 2 OF'F' STREEl ., .. -" z-ca t; <};.usE l DOCK n!; z a) OWNEP b) lEASE BACK d) RENT .. .. 1. .. AUEY w" t. "' 0 2. A) u A 6. LPA REfERRAL YES NO .:s: .. I Z'"fl> -N' ,. z B) LAND 7. DISCONTIN\JE BUSINESS ... z tJ.OCt. .co "' l AMOUNT MO RE" S E. D.U.R.A. FltotANCIAl ASSISTANCE GRAto! TEO 0"" -.. v .. :::> J: AMOUNT MO AEP\T P.l T I s 1 MOVING EXPENSES CIAC.LE -< K Q PARI\ING SPACES a) o sm o -a) f) s 2!>00 "' "' UNDER 5soo 52999 b)Off SIT NO g) 3:: z b) Ssoo 5999 5Jooc 5J 0-" Q 6 LOAOI'-C. .... STREE't" H. DOCK < c. 0" ____ [l. r) 51000. S1C99 b) S399!1 z "" AL.LEY C'l:z: ::< n Q: E. NC or scrs d) SISOO 51999 il 54000 + AMT s "' "" .. 0 RElOCATION TRANSACTIONS 'f':zq.1f. Szooo 52499 j) AMT. s .. ... c s/1 ''fH z 1. DATE OF ACOU!SITIO"'i ACTUAL MOVING EXPENSE "' .. .... IJ.'Z../'1. 7,. ..... "" l DATE MOVE COMPLETED 2. SMALl. BUSINESS DISPLACEMENT PAYMENT 5 u r -03. AMOUNT OF MONTHLY RENT PAID TO O.U R.A 3. SETILEMENT COSTS S "":Z: LENGTH OF TIME TO RELOCATE AFTER DATE OF .. OTHER s O:o. .. t...' :5 s TOTAL riNAfiiCIAL ASSISTANCE s z B CQK.;;.( :;; F. OTHER INFORMATION: I ... t.Ji'd1. TEMPORARY REL.OCATIOt-i 0: -e-;; .. .. a) ON SITE ADDRESS 1JA:ZtK:' AI:IRARIA b) OFF SITE ADDRESS ,.. 2. COMMENTS ANDIOR REMARKS -- N 53)Yd5 !lNICYOl !1/5/1 lN31"UYd !10 lt-;3!1 ., :J a :J a ,, a .. sna ., r I y I z I z y s I z t L I z v B I z L I z L I z ,. .. lSIO .. n l l n I l H .. 1 3 oj I F E o L r E 0 6 5 I 9 8 7 e 5 I I 9 YEARS IN 0to;VER TEMP EMPL PERM. EMPl AREA TYPE X31CO:OX AlPHA CODE 1- J A. PRESENT ESTABLISHMENT COMPOSITION D. PEI!MANENT RElOCATIOIII 20-01 .. .. u 1. "'AME or st-n-4EJo.iT ACME SILVER PLATING 0 1100 Simms .. .... l DDREss 1114 Lt;r1mer 1. ,_DORESS St. ,. .. .,; Kenneay GQIQ:en C:c] Q o21P 80401 ... l hAMl OF OWE OP .. G.eorge CI"!Y STATE -0: z (!)" .. TYPE. OF ESTAB CIRCLE 0 1 s 6 7 8 2. a.SALES b. LEAH BACK C. LEAS d. RENT 0 oi. 3 -19 e) zo-zc f) Z5+ s .... ,,. -C.MO. PAYMENTS '.,A.V\.k: "' ... TEMP. a)o- b) S.9 c) 1o-u .. LEASEILEASE lACK/RENT !' "''---'"':...; ::E d) 1S.19 e) 2G-Z4 f) Z5+ a.MQ. RENT S 0 0: .. "' u 7. YEARS IN DENVER b. LENGTH OF UASE YRS. LSSIE :a .. ---J YEARS AT THIS LDCATION '' jlo 8. C. MO. RENT INCREASE s DECREASE S "' .., =..._"\J "' DATE OF APrVAL 5. a. N.U.A. z 0 0: ( 3- 7 ) b. GROUND ;:! .. .. 9. AT THIS ADDRESS .RIOR TO z .. ... J YEi:.., NO---Q C. PARKING SACES 1) ON SITE :!;., ., z) OFF ,.... N ... 10. GROSS INCOME OF ESTABLISH1rro41ENT ....... (_) SITE n -::E NET INCOME OF" ESTABUSHMENT ,. (_) d, LOADING SPACES .,o 0 !!! .. -u 12 ELIGIBLE o SBD YES 110 1. STREET "'"' ... B. PRESENT PHYSICAl INFORMATION: Z. OFF STREET ., z .. .. ... n .. -"" E3' l. DOC '" rz a) OWNER b) lEASE BACK C) LEASE .. 1. .. AU.EY !; .. .. -?, 'S'$"b ... lD V' 2 A) u A. 6. LPA REFERRAL YES NO J: .. 0 z 301 .. ,. z B) LAND 7. DISCONTINUE BUSINESS ... -m "' l. AMOUNT MO RENT S E. D.U.R.A. FINANCIAl ASSISTANCE GRANTED 0 .. v :::> J: .. AMOUNT MO. lENT P.I.T.I s 1 MOVING EXPENSES CIRCLE -"" .. s. PARKING SPACES a)o SITE NO a) 0 S ZSOO Sz99!1 .... "' UNDER 5soo b)orr SITE NO g) J: bl 5500 -5tM 53000 hc99 0-0 6. LOADING A. STREET B. DOCK < -C .. D. c) S1ooo-51099. b) 53!100. 53999 z OFF STEEET Au.EY C'l:z: .... E. NO OF SPACES d) .Suoo. 511199 i) S.ooo + AMT s '" .. c. RELOCATION TRANSACTIONS e) 5zooo j) SZ5.ooo+ AMT. $ "'" ...; "' -s.at, ,a9,.4r z 1. DATE OF ACOU"ITIOI< ACTUAL MOVING EXPENSE "' .. "' ... .....J.....J Z. DATE MOVl COMI'LlTED z. SMALL IUSINESS DISPLACEMENT I'AYMENT $ --... 3. AMOUNT OF MONTHLY IE:NT PAID TO D.U.R.A. s I. SEnLEMENT COSTS 5 :.._; ...; z S8A Ce,ftl Alt. ap ... .. OTHER 5 "' .. LENGTH OF TIME TO RLOCATE AFTER DATE OF ACOUISITION 5. _:!_AL FIIIAIICIAL ASSISTAIICE 5 II v u F. D RMATION: v i.J ._., "-1. AU lAllA '-' .. a) ON SITE \.....; u b) OU SITE ADDRESS ............. u "-.) z. COMMENTS AND/011 REMARKS ........... v

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...... :-Street Ceased op_erat __ i __ o __ :r _._ ,-a c;,, ________ ... l ______ .... -----------i"" T'Pl or &.S,A:.[S. d. RN1 -., .. .. ., .. ., .i "' ::E TltADl JR[Io. 0; : .: t NO Of EMPLOYEES PERM @ 0-t 0 bl S-9 f) 10-14 d)IS-19 r)1D-U f) !!I+ TEMP. 1)11-4 it) H e) 1 .. 1. d) 111-11 e) z..u f) ,,. 7. ''YEAitS IK DEIIYU 1. TURS AT 1HIS UICATIOII DATE OF UICAL t. AT 1HI5 ADDRESS TO 8 ll. ELIGIBLE FOR SBD 10. GROSS INCOME Of ESTABLISHMENT (1..!_) 11 NET INCOME OF ESTABUSH.,ENT (J'd) YES----NO-----"' t; B. PRESENT PHYSICAL INFORMATION: z 1. c:; OWNER b) LEASE BACK .. z C) LEASE d) RENT A)N.U.A __ ________ B)LANO ________ MOUNT MC RENT S ____ _,@=.._, __________ AMOUNT MO PENT P.l T.i PARKING SPACES s ______________________ a 1 o soTE c ______ "'""' _______ __ b)OfF SITE NC ___ l PrtoC.l S --------------S----------------C,MO. $-----------------._ LEASl/LUiE LIIO. 5 __________________________ II. Llii&TH OF LlUE" :YR. LliSI[ ----...:.--C. IIIlO. lENT IIICIUSE S--------IHC:IEASE $ ____ s. K.u.----------------------------C:, PUKING SPACES 1) 011 SIT --------------------1) orr SITE _____________________ d. LOADING SPACES--------------------------------1. STREET _______________ 1. Off STREET-----------------------------3 DOCK-------------AUEY-------------------------------1. LPA. REFERRAL YES-------:-r-::--::--N0-------------7. DISCONTINUE BUSINESS E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPENSES CIRCLE I) UNO EO S SOQ 0 E ----+-IE; A. STREEI _______ B. DOCK C.. OFF ALLEY------E. NO o sPAcEs---------b) Ssoo 5999 c) $1000S1 fJ s 2500 SZ999 g l 53000 53499 b) S3SOO S3999 i d) $1500 51999 e 1 Szooo Sz N "' a: 0 .... 1. c Z. DAlE Or ACQUISITION --------=j;;--'J""iirr-i'7iori3r------------RELOCATIOO>; TRANSACTIONS DATE MOVE COMPl.ETEP ____ .. ... -z .. 3 AMOUNT Or MONTHLY RENT PAlO TO D.U R.A $---------"'"' C::A. ... z 4 LENGTH TIME TO RELOCATE DATE OF ACC:Ji --------------------------------------j) Sooe + AMT S -----------jl Szs.ooo+ AMT. S _________ ACTUAL MOVING EXPENSE S ___ __ Z. SMAU BUSINESS DISPLACEMENT PAYMENT$ ______________ 3. sEnLEMENT cosTs S:-----------------..--=:-..,.-------- OTHER '"'JUJ oF s J .mo S TOTAL FINANCIAL ASSISTAN'E S :s ,fd(! "' "' "' a: -------------------------F. OTHER INFORMATION: 1. TEMPORARY RELOCATION A. B AURA RIA S3::>YdS !)NI)(I:IYd 0 l 8 S3::>YciS !lNIOY01 n l a) ON SITE-------ADDRESS-----------b) OF F SIT ADORES S --,..,....,.,.,..,......-----------z COMMENTS ANOIOR REMARKS ___ _.e...,e:ooA...,SE;_._.D..__ ____ y 8 n lN3WAYd 1:10 lN31:1 I L L JS snt l l ,. H, T. :J ---'-'----.4 D 5 I 9 8 I 7 6 5 I I $ YEARS IN DENVER TEMP EMFL. PERM EMPL AREA TYPE X3i011(.oJ ALPHA CODE ... u A. PRESENT ESTABLISHMENT CO)f'}Jj'}'JI>; D. RELOCATION g 1 NAME OF ESTABLISHMENT t'f@_1'1/ce {g z ADDRESS 1 ADDRu._s..,:: t:JC7/" \....// ::i 3 MAME OF OWNER OR MGR::a;J;L)', cit STATE ZIP p;;t/1 4 TYPE OF ESTAB CIRClE 0 1 l 4 (9 6 7 8 z. &.$ALES b. LEA$[ BACK V') 5. TPADE AREio CIACL[ 1 6)3 4 5 3 &.PURCHASE PR1CE 5-------------------------------('.LEASE d. RENT r -... ... "' ... > .. ... '-' .. 6 NO OF EMPLOYErS PERM a)D-t b) S-9 b ... ORTGAGE 5-------------------------------., ... 0 ... ::: 0 a: "'" "' "' d) 15-19 e) ZD-Z f) zs+ C:,.,O. PAYMENTS 5----------------TEMP a) 11-4 b) 5-9 C:) 111-U LEASE/LEASE lACK/RENT // d) 15-19 r) 111-1 f) 1s+ l.loiO. RENT$ ___________________________ 7. YEARS IN DENVER-...!.F;,.t b. LENGTH OF LEAS -------------YRS. LESSIE ________ 8. YEARS AT THIS LOCATIOH---...:Cilflii!::lo---------------C:.MO. RENT INCREASE $ DECREASE$ ____ DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) 10. CROSS INCOME OF ESTABLISHMENT S. a.N.U.A---------------------C. PARKING SPACES I) ON SITE---------------------------z) OFF SITE ______________ 11 NET INCOME OF ESTABUSHMENT "' 8 IZ ELIGIBLE FOR SBD d. LOADING SPACES---------------------------------YES-----NO-----1. STREET-------------------------------! .., t; B. PRESENT PHYSICAL INFORMATION: C)LEASE l. OH STREET _____________________ 3. DOC"-------------------------z .. ... c c:;; .. z "' II: T a) OWNER b) LEASE BACK AUEY------------------------------Z. A l u A______________________________ 6. LPA. REFERRAL YES------------NO----------...-B) LANO ---------------------------------7. DISCONTINUE BUSINESS-------------------------------3. AMOUNT MO. RENT S E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED AMOUNT MO. RENT P.I.T.I. 5-------------------------S. PARKING SPACES a) ON SITE NO.---------------6. LOADING b)OFF SITE NO--------A. STREET ______ B. DOCK C .. OFF STEEET..,.----Du. AU.EY--------[ I NO OF SPACES--------c. RELOCATION TRANSACTIONS I / 8 -7 1-/ 1. DATE OF ACOUISITION -Z. DATE MOY COMPUTED //J: ?V I. AMOUNT OF MONTHLY RENT TO D.U.R.A. S -------. LENGTH OF TIME TO RELOCATE AnU DATE OF AC:OUISinON -----------------------------1. MOVING EXPENSES CIRCLE a) UNDER $500 b) Ssoo 5199 c) S1ooo-51419 d) .$15410 5119!1 e 1 S1ooo 51 f) 5 l'50C -5zt9!1 g) 51000-5,.19 h) hsoo. 51191 j) S4toe + A.,T $--------j) Szs.ooo+ AMT. s __ .,..,,....,..-....... ACTUAL MOVING EXPENSE V_,JIJ:#/ I. SMAU uSINUS PAYMENT 5--------I. SEnLIMENT OTHEI .,-,....n:::.4 S. 10TAL FINANCIAL ASSISTANCE 5 .. ...... ---------------------------------------F. OTHERINFORMAnON: ttMPOaARY aELOCATION 1) OK SITE DDUSS -------------" b) OFF SITE ADDRESS-------------------'--__ __ _.._ ........... 1. CIIMM[.TS am/,._ KMAitKS ---------------i 1-1-01-----;; .. .. ... :a ... ... J: 0c z "'"' ::l z "' ...... .. .. -... n .. .. I .. N ol----;t .. ... :a 11'1 .... -....I W ,.) JU Jv uv vU

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I cl .,. i% -----l"' -., -' .., ... It ... .. ll 0 .., "' .. "' 0 a: ... "' ... ::t: .. 8 ,.. B .. ... z z -----Hg .. "' ::t: 0: 0 c :!! -' "' u .... z ... "' ... c: c:.. o,.:. ""' -' i -,:. ;._ ,_ .. :1:. r= "'"l Co\o ,., :.to$' ,,,., C' OM'' 0' ""' A. 1"'-............. .: o: i ( ; .:0 UAOl APEA CIRCLi Q.: 6 Jrt0 OF UJIPLOHES PE.fi:M TEMP. a) o.o d) b\5 el zz bj.., .. ,. f) Z!l+ c),._,. 0 zs+ 7 YEARS IN DENVER----,-------------8. YEARS AT THIS LDCATION -.... ------------DATE OF LDCAL AI'I'ROV AL 9. AT THIS ADDRESS PRIOR TO ) YES ______ NO----TO GROSS INCOME or ESTABLISHMENT __________ (_) 11 N[T INCOME OF ESTABLISHMENT l_) ELIGIBLE roR SBD YES----NO-----PRESENT PHYSICAL INFORMATION: &)OWNER b) LEASE BACK d) RENT u ----------------B) LAND _____ ...... ._....,.....---------A ... OUNT MO ._, 5 2.\51. 50 4 AMOUN,. RENT FIT: S-------------b .EI.SE &AC' d.rl!:"-! l 8,PUJC"ASl PRCE S --------------b.IIOOIItGAGE 5-------------C.IIO. PAYMENTS 5----------------C. UAU/LIASE UCK/UIIl LillO HlrT $ ______________ _........._ b.LIIIGTH Of LEASE US. LISSIE _____ C.MO. IIEIIliiiCEASE 5-------DEC.USE $ ___ s a.II.U.A .. ____________________ b. C.PARKIIIG SPACES I) ON SITE-------------Z) OFF SITE-------------d. LOADING SPACES---------------1 STREEl---------------2 OFF STREEl---------------3 DOCK------------- AU.H-----------------6 LPA. REFERRAL YES------NO--------7 DISCONTINUE BUSINESS--------------E D.U.R.A. fiNANCIAL ASSISTANCE GRANTED l MOVIJ,iG EXPENSES CIRCLE PARK;NG SPACES 8)0"' SIH NC ---------a) Ssoc. b)OFF S!H NO l S Szm 6 LOADING A. stREiiol l!. DOCK )( 5999 c.. o" srrrn ____ v. HLEY...J.!:!L_ _____ c) stooc 51499 g) 53000 5,.99 h) 53999 TRANSACTIONS E. NO OF SPACES d) 5!500. 51999 5zooc 5Z<99 i) S a W l n P L I 'l! r Y II l n P L ,. I YEARS lt... DENVE'R TEMP [MPL PERM. E'MPL AREA TYPE ALPHA CODE PRESENT ESTABLISHMENT COMPOSITIOr. D. PERMANENT RELOCATION .. ... u 0 ..J .,; ... a: ------l .. N N ., v' It ... .. "' ::t: 0 ..,u "' ... ., 0 a: .,., .. N A ; of 645 CEAs6l 3 NAME or OWNER OR .. G. a 1 j ve r r.ah r mLakewooa; STAT Colo; ZIPB 0 215 ( TYPE OF ESTAB CIRCLE -C 1 2 3 (!) S Eo 7 8 S TRADE AREA CIRCLE 1 0 3 4 5 6 NO. OF EMPLOYEES PERM. Bl c) 10" d) r) f) zs+ TEMP 8) 0-4 b) S.9 c) d) rl zo.z f) zs+ 7. YEARS IN DENVER-....::!:,:3:;_=------------8. YEARS AT lHIS b) 5-9 DATE OF LOCA"' APPROVAL 9. AT THIS ADDRESS PRIOR TO ( 'J.W, ) YES NO---TO. GROSS INCOME OF ESTABLISHMENT t.:..OO (_} IT. NET INCOME OF ESTABLISHMENT (_} 12 ELIGIBLE FOR SBD YES NO-----Z. &.SALES b. LEASE BACK C. LEASE d.RENT 3. &.PURCHASE PRICE 5 --------------5--------------C.MO. 5--------------------------------C. LASE/LUSE BACK/RENT a.wa. IEIIl s ________________ b.uMGTM OF LEASE YRS. LESSIE ______ C. MO. tlrT INCREASE S-------DECIEASE $ ___ 5. &.II.U.A .. ___________________ C.PARKING SPACES I) ON SITE------------z) OFF SITE------------d. LOADING SPACES------------------1. STREET _______________ "' ... ::t: .. 8 1!' .. ,_ ... z B. PRESENT PHYSICAL INFORMATION: Z. OFF STREET-------------- .. ; .. = .. ... U ,_ c a:;; (-----t-1-=1 I l I I I .. ,_ z "' a: 1 8) OWNER BACK c) LEASE b) LEASE A)N.U.A. !9! 0 B\LAND __ 3. AMOUNT MO. RENT Z. .t. AMOUNT MO RENT P.l.T.I 5. PARKING SPACES s __________________ ___ 6 LOADING 8) ON SITE NO __ .J14I!Io.---b)orr SITE NO-------A. STREET ,( 8. DOCK ------C .. oFF snEn ____ o. Aunr ______ E. NO or sAcEs ------I. DAlE OF ACOUISITION_....,,....,_.JJL.Jff-:"...f-/.:5!.7-.J._III-il!lli-------c. RELOCATION TRANSACTIONS 2. DATE UtfF 5 ... J>O JD I 3. AMOUNT OF MONTHLY lENT I'AID TO D U.R.A. $-------C. LENGTH OF TIME TO RELOCATE AfTER DATE OF ACOUISITION-------------------3. DOCK:-------------. AU.EY---------------r--6. LPA. UFURAL YES--...... ..,---N0-------7. DISCONTINUE BUSINEss_Y.u,E-..;S;L...---------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING UPENSES CIKLE a) UGER S!ioo b) Ssoo Stt9 c) S1ooo S d) .Snoo S1W1 e) Sz f) S Z500 SZWI g) S30oo S:w!l!l b) S35ao. S-' j) S.000 + AWl $------j) Sz5.000+ ANT.$ ______ ACTUAL MOVING EXPENSE S ___ Z. SMALl. MISIIIESS DtSPLACENEIIl I'AYWEIIT $ -------- S. 5EnLIMENl COSTS C. S. 'IOfAL '*"IICIAL ASSISTANCE 5 .... J."'illlla=&-. ____ F. fTH INFORMATION: I .. :l !:r:"E ____ ,.::=.,_,.A ... DD .. .. ---... ... N N o+---... :t'" "' lD ., .... 1: 0< i Cl:z: "' .. ;l:e> z "' ...... '" ....J -"J -.J :''"'J ..)

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f Vt:Ltl.d;;::, J:.; = l'r'or:::.1ro3 Stout st. Der. 0.,,,. oo Duncan ;;;, LU,t.t: discontinued j ... ________ ... ______ ) .. -----j_ ,., Ql I S'Af-'6.? ': t: b .. fASf BA.:" d ,. o+:-----, .. ... ..... .,v ... a:: .. .. HA.Dl AREA CIRCl 6 NO OF EMPLOYEES PERM a '' bl S-9 I I zz TIEMP. 8) o.t b) r) 10-1C f) zs+ c:) ..... f) Zs+ Q. I 8' 1'1-11 e) 211-u YEA IS IN DENVER 1. YEA IS AT THIS LOCATION _:l(:z_ ____________ DATE OF LOCAL APPROVAL I. AT THIS ADDRESS PRIOR TO ) a. F-PR,Cl b. MORTC.IC.f s ____________________ __ C:.MO PAYMEhTS 5-------------------------------t. LUSEILUSE BACot/IENT a.MO. lENT 5------------------------------------b. LENGTH 0' LEASE ________ .. s. LESSIE ____ ....__ C:.MO lENT INCREASE 5 DECUASE $ ___ __ 5. 8.N.U ----------------------b. GIOUND------------------C:.PARkiNG SPACES 1) ON SIT------------10. GROSS INCOME OF ";fz4]) ; 11. NET INCOME' OF' ESTABUSHMENT (_) 10 s 12. ELIGIBLE FOR SBD YES NO-----2) OFF SITE-------------d. LOADING SPACES-----------------STREET------------------------------,._ B. PRESENT PHYSICAL INFORMATION: w-rEASE orr STREET---------------DOCk--------------------------.. Z 1. a) OWNER b) LEASE BACK d) RENT ALLEY-----------------u 0;;; z Q "" :!: a: 0 ... c. _, c v >-iii a:ii: "' 6. LPA. REFERRAL YES--Y.eii>'!Sit---NO--------BI LAD ... )' DISCONTINUE BUSINESS AMOUN' MO. RENT s,P17za{Yc.l ... D.U.R A. FINANCIAL ASSISTANCE GRAIITED AMOUNT MO RENT PIT I MOVING EXPE.NSES CIRCL NO t;'YuNDER S!.oc NO bl 55Dc. S999 PARKING SPACES n s me 52999 g) S;ooo -53499 b I 53500 -SJ999 A. STRtET B. DOC ------c1 S1ooo-51699 C.. orr sTEEET ____ D. ALLEY ______ 6 LOADING E. NO o SPACES d) 51SGo 51999 i) Sooc AMT RELOCATION TRANSACTIONS 1. DATE or ACOUISITIOh----------------2. OAT MOVE COMPLETED---------------AMOUNT OF MONTHLY RENT PAID TO D.U R A OF' TIME TO RELOCATE AFTER Dl.i OF ACOUISITION -------------------53:JVd5 l S2 DOD -52499 jl A"T ACTUAL MOVING EXPENSE 2. SMALL BUSINESS DISPLACEMENT PAYMENT 5---------3 SETTLEMENT COSTS 0THER7J,'trr.t/1'N '? v" .. !/ g, 5 TOTA.i. FINAirrfCIAi. ASSISTANCE 5-------.Siljy.. .J._;_,j_'--.U.-= F. OTHER INFORMATION: TEMPORAR'' RELOCATIOr.. a) ON SITE------ADDRESS------------b) OH SITE ADCRESS-------------COMMENTS AND/OR REMARM.S--------------" 1s sn& r; l l v 8 ,I l t L I l v 8 l z \' ,.,, ")SIC H .... 31: 0c < z r )< a: z "' "' .., ,.. .. 1-I I I_ u 0 .,; "' a: A PRESENT ESTABLISHMENT CO "/1{) "' "' N N 1.. H P Or ESTA6 2 a. SALES b. LEAS BAC ____ _,.._ 1. "' > r .. .. -. --... -.. ---" a: ,.. ., "' :1! 0 .. v ... ::: 0 a: .. ., ., "' :1! .. s 8 .. "' z u"' ::> .. c Q ... "' C. LEASE d. RENT AREA CIRCLE NO OF' EMPLO'IEES PERM bl S-9 1'1 2G-2 b) e) ZG-2 a, PURCHASE PRICE 5 ---------------e) 10-14 b. MORTGG C.MO. PAYMENTS TEMP a) o..o d) 1S-19 r) 1G-1t LEASEILUSE BACK/RENT f) zs+ 7 YEARS IN DENVER-----..------------8. YEARS AT THIS LOCATION_.....:;z;:::l..::.....----------DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) YEs _______ No ___ 10. GROSS INCOME or ESTABLISHMENT __________ ( __ ) 11 NET INCOME OF ESTABLISHMENT (_) 12. ELIGIBLE roo SBD YES-----NO-------a.MO. RENT 5--------------------------------------b. LENGTH OF LEASE _________ YIS. LESSIE _____ C:. MO. RENT INCREASE S DECREASE S ----5. a. N.U.A--------------------b. GROUND-------------------1:. PARKING SPACES 1) ON SITE-------------2) OFF SITE-------------d. LOADING SPACES--------------------PRESENT PHYSICAl INFORMATION: ,......-) 1. &) OWNER b) LEAS BACK c) LEASE 1. STREET------------------2. OFF STREET----------------3. DOCK--------------' ALLEY-----------------AI .__ __ B)LANc ______________ AMOUNT MO RENT 5, _____ ....... a.._ ... ... z._ ... o .... _.o..._ ___ 2. AMOUNT MO RENT P.l T.l 5. PARKING SPACES a) ON SITE NO.-------b)OFF SIT N0-----------6. LOADING A. STREET B. OOCI< C .. OFF STHET ____ D. ALLEY------E. NO OF SPACES-------6 LPA REFERRAL Y N0--------7 DISCONTINUE BUSINESS _______________ _.:, __ E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER 5soo b) Ssoo -5999 I) S Z!IOO S2999 g) SJoao hH b) SJSGO-5:1199 c:) 51oooS1t99 d) .$1500-511119 Szooo Szl9 i) s._ + AMT -------j) Szs.-AMT. $ __ "7'::::wo!lrr",., ACTUAL MOVING EXPENSE s/t!i'l 9 Z. SMALL BUSINESS DISPLACUIEIIT PAYMENTS---------3. AMOUNT OF MONTHLY lENT PAID TO D.U.R.A. $ -------J. SEnLEMEIIT COSTS $----------------C. RELOCATION TRANSACTIONS / DATE Or ACOUISITION ___ ;if 2. DATE MOVE COMPLTED __ ...... LENGTH or TIM TO RELOCATE AFTER DATE or OTHER ------------/-:ry?' -AI AC:OUISITION ---------------------5. TOTAL FINANCIAL ASSISTANCE $ .... -.-.-.-.-.---.-.---.-.-.-.-.-.-.-.-.---.---.-.-. F. OTHER INFORMAnON: 1. TEMPOitARY a) ON SITl-----ADDIESS--.--------------b) OFF SITE ADDilSS---------.-.-Z. COMMENTS AIID/01 IEMAIKS--------------c i::: g+-----:t"' .. "' "' "'"" "' :a Ul. 1-1--1-"'---''-:;.;'-i :E 0< z Cl:z: .. N "' -. n "' .._: .. C') z ._) "' .., ,.. .... ..r > ...._j

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.; "' ---1'" I .-..... -... "' ,. 0 .u ... ::: 0 a: .. .. 5o 1.;.:.r 1o lol .c. r 1 :. } 1. t Nt OJ [MPLOYlES PI: 51.,. (a) C-.C dl TEMP {a) 0.0 b) e) zc.-2 b) Jot e) zc..z ct--'o u. f) u+ e) ,.._" f) n+ !' tJ. 11) 7. YEARS IN DENVER 1. YlUS AT THIS LOCATI0h __ __________ DA:Jf Or LOCAL APPROVAL ( 3 .,. 7:1 ) I AT THIS ADDRESS PRIOFl 10 YES---N0---10. GROSS INCOME Or ESTABLISHMENT /, 4,2(1 (_) 11. h INCOME or ESTABLISHMENT-----------(-) 12 roo SBD YES----NO---B. PRESENT PHYSICAL INFORMATION: > OWNER b) LEASE BAC c) LEASE d) RENT Al.u. _..6),...1'-'r..,. ----------BJcND ________________________________ ___ 3 MO RE'i'r 5----------------4 MO RE"-T PIT I 5-------------SFACES 6.)0"' SIH "'0 --------z b)orr Slli c ________ -----H2 o LOADI'G :\. STOEYdS !l"'ll-=r I :!0' I :; ... t 1 1 z n l 1 z 1 v B I' : z r l l 1 z I a 1 z n l 1 z -\ l 1 z H1 '"' ""1 t A PRESENT ESTABLISHMENT COMPOSITION D. PERMANENT RELOCATION 19-01 A N u 0 .J "' "' a: -------lA. N N ... .. "' .. ,.. rr .. ... .. vi a: ,.. 0 IOU "' ... ., 0 a: .. ., "' l! 10 e z ,._ ,_ B "' z .... c NAME or ESTABCISHI.UNhpex Auto Body ADDRESS 12 4 5 1 Q th 5 t 0 3 NAME or owEP o MGR Bob Venzke .c TYPE Or ESTAB CIRCLE. 0 1 z(J)t. S t 7 8 !: TRADE AREA CIRCLE 0.: 3 .t 6 NO or EMPLOYEES PERM. (!l 0' b) S-9 f) 2s+ dl 1S-19 rlzc..z TEMP a) o-o b) S-9 c) 1c..u d) 15-19 r) zc.-2 f) zs+ 7. YEARS IN DENYER ________ .;;S:u,OL,,....-----8. YEARS AI THIS LOCATION -------..t$1L.------DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO J.'f.TL l 10. GROSS INCOME or ESTABLISHMENT $0J" (_) &. 'rpD ( __ l 11 NET INCOME OF ESTABLISHMENT 12 ELIGIBLE FOR SBD NO-----PRESENT PHYSICAL INFORMATION. 1. a) OWNER b) LEASE BACK C) LEASE Gl!ENT 2. AJ.u .. ____ B)LAND __________ 3. AMOUNT MO RENT $ ___ <1. AMOUNT MO. RENT P.I.T I s __________________ ___ PARKING SPACES &)ON SIT NO--------6. LOADING b)orr SITE NO _______ A. STREET B. DOCK ----C.. orr STEEET....,.JII.....D. ALllYI-------E. NO or VACES -------c. RELOCATION TRANSACTIONS I. DATE OF ACQUISITION 8 /,1 2. DATE MOVE COMPLETED /, 7 S 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A. 5 LENGTH Or TIME YO RELOCATE ArTER DATE OF ACOUISITION--------------------,A. ORAliA CITY uenyer STATEZIF 80204 2 &.SALES G..a.PURCHASE PRICE b. MORTGAGE C.MO. PAYMENTS b,LEASE BAC s s I s ______________________ __ LEASE/LEASE BACK/RENT &.MO. RENT 5------------------------------------b.LENGTH OF LEASE US. LlSSIE------C.WO. RENT INCREASE 5-------DECREASE $ ___ 5. a.N.U.A.-------------------b. GROUND------------------C. PARKING SPACES 1) ON SITE-------------Z) Off SITE------------d. lOADING SPACES-----------------STREET----------------2. OFF STREE1 ______________ 3. DOCK:-------------- ALLEY------------;::.,---6 LPA REFERRAL YES-------NO----KIIt-' .... 7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCLE a) UNDER 5soo bl 5soo 5999 f) 5 zsoo S2999 g) 53000 53019 b) 53500-531!1!1 il s..oo ----j) S.zs.ooo+ AMT. ACTUAL MOVING EXPENSE S4 9 4 0 0 l. SMALL BUSINESS DISPLACEMENT PAYMENT J. SETTLEMENT COSTS C) 51000 SUM d) 11500 51199 r 1 Szooo 52 OTHER ----------S--..,..,..,...., ...... ... 5. TOTAL JINANCIAL ASSISTANCE 5 _______ .. s.,s,. ... 2.._9 ......... s .. 3J F. OTHER INFORMATION: I. TEMPORARY I[ lOCATION a) ON SITE------ADDRESS-----------b) OFF SITE _____ ADORESS ___________ l. COMMENTS Alii> fOR REMARKS--------------... -----:z:OI .. '" 21 "'" .. c: "' ... ...... \..: Ul ,_ ..... t--="=-...;'-:..'_ J: S!z ""' '" .. ;lie> z "' ... ... .. '" n ,,. u l

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----_---!i.r -.. .. -, .. ... .... .. ::: 0 12: ., "' .. .., ,. t'-........ -.... u \,J.L "" 3 Yia J nut _.... """' c .. c. Anthony Walyer l 0 IS ,;. E-C .:; : { .; to ,_Pi' (.P.. (;.,: : l. f NO Of Eh4PLOYfE.S PERt.! 81 Q...t: bl C) 1G-U f) n r) U..lJ .,... Ill !H TUIP. d) 1!>-11 lWA 7. YAR5 IN DlNYER I. YEARS At tHIS LOCAtiO!< ----------L-.L---------------DATE OF LOCAL APnOYAL I. At tHIS ADDRESS PRIOR tO 1 YES ______ N0------10. GROSS INCOME OF ESTABLISH"ENT __________ (_) f.?O It; c;" Denver -: .. >lo so:;w4 d ..... J 8.J.vP:"'I.S PI a --------------5-----------------C.WC S ________________ LEASEILUS IIACil!llNI 11010 '-----------------b.UIIGTH Of LIAS YRS. LESSIE _____ C, WC. RENT IIICIUS S------------DECRUS S ------5. LN.U.A-------------------C. PARKING SPACES I) ON SITE---------------l) OFf SITE-----------------------lE 11 NET INCOME OF ESTABLISHMENT---------------------(--) d.LDADING SPACES-------------------------N ID 8 12. B l. STREn _______________ ELIGIBLE FOR SBD YES----NO----... II\ .. .. .. .. z z -----1--ig .. .. N -.. lE It 0 ... c :! : J s PRESENT PHYSICAL INFORMATION: z_ OfF stREn ______________ Z. B)OWN!R b)UAS BACK d)tENT l. DOC"---------------- ALLEY----------------:\) N U A _______ _.,..,., _2,,.._,C!ouQoL.------6. LPA REFERRAL YlS-------N0--------8) ... 7. DISCONtiNUE BUSINESS----------------A .. OUNI MO R!" 5 Q. () 0 0 Q E O.U.R.A. FINANCIAL ASSISTANCE GRANTED Al\o40UNTM0 Jf[,_':P.I.TI $ __________________ ___ PARKING 8)0 SITE NO-------------b) orr s11 c c -------------LOACit-.G :\. STR!ET B. DOCK C.. OFF SJEEn _____ l). AuEY---------}:;. NO OF S .. C!S -------RELOCATION TRANSACTIONS DAl [ OF ACOUI SITIO' DA H "OV COMP cE 1 AMOUNT OF MONTHlY PAID TO D.U R A S __ MOVING EXPENSES CIRCLE a) uNDER Ssoo b) 5soc S999 c) 51000. 51099 d) 51SOO 5199S PI 5zooo 51499 0 5 zsoc SZ999 g) 5Jooc 53499 h) Sm' 53999 i) 5ooo A"T. S -----------j) 5;1.co('+ ... T ACTUAL MOVING EXPENSE 2.1'7 2. SMAU BUSINESS DISPLACE .. ENT PAY .. ENT S--------------3. SETTLEMENT S---r-------------,..,...,.-:-:------4 OTHER 5 "t9i.fG, S. TOTAL FINANCIAL ASSISTANCE 5 V J 9f ?: .4. LENGTH OF TIME TO rtEL.OCAT AFTER DATE OF ACOUI ----------------------------------F OTHER INFORMATIOt;: _,::, 1 TEMPORAP'f t_jnvLi!' 2 J .4 z &.SALES b.L!AS BACK C.LEASE d. lENT .. ... .. ... .,; 12: .. .... lE 0 .. u "' .... ., 0 12: ..... NO OF EMPLOYEES PERM 9-.4 b) S d)T!>-19 rlzo-z c) ,. f) zs tEMP a) 0-t b) r>-9 r) 1o-u !' d) rr.-r9 r) zo-1 f) 2s+ 7. YEARS IN DENY E R __ _.,, ,iZ,uO"""!!r.l"'''---------------------8. YEARS AT tHIS LOCATION DAtE OF LOCAL AOPROYAL 9. AT THIS ADDRESS PRIOR tO I 3. 8, PURCHAS PRICE S ---------------------------b. MORTGAGE 5----------------C.MO. $ ______________________ __ LEASE/LEAS BACK/RENT a.MO. RENT $ __________________________________ __ b. LENGtH OF LEASE YIS. LESS IE _____ C. MO. RENT INCIEASE $ -----------DECREAS[ S -----5. a.N.U.A--------------------b.GtOuND--------------------------------------_liD C. PARKING SPACES T) ON SITE--------------------., .., 10 GROSS INCOME or ESTABLISH"NT "rrFO -u l) OFF SITE ____________ lE 11 NET INCO" or ESTABLISHMENT ( __ ) d.LDADING SPACES--------------------------------"'0 u 12 EliGIBLE FOR SBD YES r>. ;"\ 1 STREET _______________ ,... B. PRESENT PHYSICAL INFORMATIO""a.5dU.vyllt/{)/ 2. OfF StREET ______________ .. Z 1. 8 WN!R b)LEASEBACK C)LEAS d)tENT 4 AUEY-----------------------------@ 3. DOC"--------------------------2. A)N.U A _z,"')aQ .:;, lit 6. LOA_ REFERRAL TU NO_,.-.,....,:--_._ __ >Z 8) LAND ________ ....;;___________ 7. DISCONTINUE BUSINESS {.1 e s ,. u :g 3 AMOUNT MO RENT 5--------------------------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 7 a: .. .. I AMOUNT MO. RENT P.I.T.I. 5 ________ Q:;:; S. PARKING SPACES &)ON SIT[ NO -----1.;3iE--------6. LOADING A. STREET b)OFF SITE N0-----------------8. DOCK C .. OFF STEEET ____ D. AUEY-----------[ NO OF SPACES--------C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION ________________ 2. DAtE MOVE COMPLETED-------------------------------3. OF MONTHLY lENt PAID TO D.U.I.A. $-----------LENGTH OF TIME TO RELOCATE AFtER DATE Of ACQUISitiON--------------------------------------1. MOVING EXPENSlS CIRCLE a) UNDU Ss011 b) Ssoo 5999 c) Srooo $1199 d) .$15011 51119 f) S noo SH!I!I g) b) S3DOO S:..11 hSOC).$3119. j) S.DOO + AMt. $------r) Szooo. Su11 j) Sn.ooo+ AMT. $ _________ /rt AglJAL MOVING EXPENSE z ...... "-"-Sif"-' il QQ J_ COSTS$ __________________ OTHU S:r-::-=-----5. TOtAL FINANCIAL ASSIStANCE s ,, (,Jj!_ DO ----------------------------------------------F. OTHER 1. TlMOOIART ULOCAT-a) 01< SITE-----ADDRESS----------b) OFF 51tE ________ ADDIESS __________ Z. COMMUTS aJIJl/M UMAitltS--------------------------"' N .. or---:;! .. "' "'"' 1: 0-c i ""' "' .. .. N "' 0 ; C\ ._ ._.. Ill "' .. ..,;J vJ

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I I .... ,. I I ... : :. .. : c i:l .,.. .. -. .. .. ... .. a: .,r 0 .,u ... ::: 0 a: .. "' u; .... .. c .... ,. z 9. AT THIS ADDRESS PRIOR TO DATE Of !.QCAL APPROVAL ( 3-T-7') YES ___ NO---10 GROSS INCOM Of ESTABLISHMENT .:J ;sa poa. <_> JSCaao <-> 1l NET INCOME OF' S1'ABL.ISHM(NT ELIGIBLE FOR SBD Y S-----NO ------PRESENT PHYSICAL INFORMATION: 1. B) OWN< b) LEASE BACK d) RENt 2 Alu L 'oa S!t B)LANC 7.' 2DC ...., nmL 3 AMOUM IJIO REI\T ; .. ___ Atr.40iJ"T MO RE"'T SrAC!:S s---------=---------a l o sm c __,,._ _____ b)OFF Sill hv ________ -----Hg E. A. STR((T < (. OFF STElET ____ J). A..i.E'----------t..::::::... B. DOC. E. NC o soc S2999 g) 53499 h l Sm: 53999 i) Sooo "'" S -------j) S2soo .. AMT S _____ __ ACTUAL MOVING EXPENSE S ___ 2 SMALl BUSINSS DISPLACEMENT PAYMENtS--------3 SETlLEMENT.CCSTS S.---:--;:--------:-:---:-:---1 otHER fA/ I.!EU DE s /t:, QC?C.op ASSISTANCE S te' QQC 0p ; F PMJTION: 1 TEMPORARY 'j;"'fl.Oe.WrMi.. ,..,.,.._ B) Oh Sll------ADDRE:SS-----------b) OH SITE ADDRESS ____ ,;,--,------AND/OD REMARKS ________ !J/SJ1 t!O lN3tl J 0 ,. i.. x r,--. "' ... n .. n f"Nf"'! c iD .. "'"'1-..... 1-H-------3: o_ < z C'l::t "' >< z "' ... .., .,_ .. "' n .. ,. B lS sna I. .. .. ... u 0 -' vi "" a: A -------1"' "' .. .. .. "' "' .. < .; a: ., ... :::E 0 .,u "' .... ., 0 a: ., on "' :::E 8 :!: B ....... ., "" z ... ,_ c:;; z l V L I z I Z 8 n l NU I I 6 5 4 I 9 z n 8 7 6 I L L Z V 5 I L z H I YEARS IN TEMF E"PL PERM. EMPL AREA TYPE XJlO:O:k. ALPHA CODE PRESE>;T COMPOSITION D PERMANENT RELOCATION 19-11/12 .. ME o ... B & Products 2 ADDREss .LL':iL -Iltn Street 1 1623 12t.h Aye 2 NA"E Of-'llC!U.O MGO Stewart R. Couper em Denver, SlAtE Colo;21P 80204 t TYPE OF' [STAB CIRCi...E 0 lc 3 4 li 7 8 C. LEASE d.RENT S. tRADE AREA CIRCLE 1 i 3 (4)d) 3. &.PURCHASE PRICE 5 6. NO OF EMPLOYEES PERM. 816-4 e) 10 b,MORTGAGE 5 __ .... dJ 1s.19 rl 20.2 f) zs+ e.Mo. PAYMEII'Is s---44'.JuDw1..,D..,o_. _________ TEMP 8) 0-4 b) >9 C) 16-11 LEASEILEASE 8ACK/RENl 1>19 e) zo.z l) 25+ a. MO. RENt S 7. YEARS IN DENVER .2,. b. LENGtH Or LEASE YRS. LESSIE _____ 8. YEARS Al THIS LOCATION -I c. MO. RENt INCREASE 5--...,....----DECREASE s ----DAlE Or LOCAL APPROVAL 5. B. N.U.A. (.10, f'p "t Mr-t f.M.I L ( .3-' -7 L) b. GROUND---'-------------9. AT THIS ADDRESS PRIOR YO NO ____ __ 10. GROSS INCOME 0" ESTABLISHMENT .Zoo poo <_> 1'<5. tl (_) 11 NET INCOME OF' ESTABLISHMENT 12 ELIGIBLE FOR SBD YES----NO-----PRESENT PHYSICAL INFORMATION: B) OWNER b) LEAS BACK e) LEASE A) u A. ----8)LAND _______________________________ ___ 1. 3. AMOUNT MO. RENT 4. AMOUNt MO. RENt P.l.l.l. $-------::-------' PARKING SPACES &)ON SitE NO _..z.. ______ b) OFF SITE N0-------6. LOADING A. STREET B. DOCK C.. OFF SlEEEl ____ D. All"------E. NO or SPACES------e. PARKING SPACES I) ON Sll -------------21 OFF SITE-------------d. LOADING SPACES-----------------T STREEt _______________ 2. OFF StREEt ______________ 3. DOC"-----------------' 6 LPA REFERRAL YES N0--1.......-11!::;;-----7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPENSES CIRCLE a) UNDER Ssoo b) Ssoo St99 c) $1000. 51199 f) 5 2soo 52!1!1!1 g l s. s .. b) $3500 5:t!l!l!l i) Sooo + AMY. S ------0 i::: .. "' "' "' "' ol-----.. :r "' 21 "'" ... ... :a Ul .1: 0c z "" .... .. ... .. "' lc --c. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION V-2'.3. d) .S1soo 5all9 e I Szooo S2 j) Szs._. AMT. s ---.o:-T-:--ACTUAL MOVING EXPENSE ;:;u}:I,OO.$/ 2. SMALl aUSINESS DISPLACEMEII'I PAYMENt 5 .. Z. DATE MOVE COMPL[TED 1-:SJi :Z3 .. N 3. SETlLEMEII'I COSTS 5::.. LENGTH Or TIME TO RELOCATE AFtER DAlE or OTHER 56H,t.MtAJ6 -__ s .il., zap {J i? ._,., .. #; 3 AMOUNT OF MONTHLY lENt PAID YO D.U.R A $------u v ----------------------------------

PAGE 10

: I ;::' ;, : I __ ___.,,._ ,.. .. .-, --. "'I; 0 cu "' ... ., 0 It .. "' "' ::E ... 0 u ... ... "' z .. B z -----+-1 .. i "' :IE ll: z o.: .. t1r..:.1 c :0 r u..J h.;lAH ev .. l dASl UdL (IR, .. f f:}t J 8.f'UiiC."tA5ol PIII,C 5---------------l NO 01 [MO,OYlE> HM BJ bJ > C) 10 U 5---------------tl zo.z } 25+ C.MO. PAYMENT$ 5 TIOOP C) 111-1 C. LLASE/LLAU BACK/lENT _, f) n+ a.MO. lENT 5----------------....,.7. YEAR$ IN DENVU _-b,LI:MGTH or LU$E -------YRS. LESSIE------1 YEARS AT THIS LOCATION A'V C.IIIO lENT INCIUU S---5. a. N.U.A.!. DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO I ns ___ No __ 10 GROSS INCOME OF ESUBLISHhiENT __________ (_) n NET INCOME Of (_) 1Z ELIGIBlE FOR SBD ----C) LEASE d)RENT PRESENT INFORMATION. 1 b) LEASE z AI u A HI LANL 7 J} ti1D 3 AMCn..J ... l MO R[f'f! 4 MO RNT PIll SP,'\C[S aiOfl. S:'![ "oO --------biOfF '(--------- LOACihG !\. STOE H_ DOCK (. 0" ; TE EE 7 :o:x!J. ALLE>---.,...---b.GIOUND------------------C. PARKING $PACES I) o SIT-------------Z) OH SITE------------d. LOADING SPACES-----------------1. STREET---------------2 orr STREET--------------3 DOCK--------------' ALLEY----------------6 LPA. REFERRAL YES-------NO-------7 DISCONTI'-Uf. BUSNESS---------------E D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1 EXPENSES CIRCLE. al UNDER S;oo b) S;oc 599 c) 51000 5u99 f) <50< 52999 It) SJOO( 53499 h) Smc 53999 3: o_ < z C>:z: L. NO Of S'ACE5 _.4'.. __ d) S>oo. i) Sooo AMT S ------::i TRANSACTIOf\15 Ll 1 DATE. or 1 DATE MOVL C0"PLTEC f- 7:3 3 A"-'0LiN1' OF" MONTHLY RNT PAID TO C.lJ R A S ------: LE Cr TIME TO H. LOCATE ArTER OAT Or -------------------t 1 5zooc 52 j) Sz!.ooo+ A"T ;l\" ACTUAL MOVING EXPENSE S J;YY/,; .., l SMALL BUSINESS DISPLACEMENT PAYMENT 5-------- 3 SEnLEMENT COSTS 5---------------' OTHEO 5 TOTAC FI .. .CIAl ASSISTANCE S F OTHER INFORMATIOo; 1 T ._,POfi'ARY REL.OCATIOh 8) 0' SITE------ADDRESS-----------b) SIH ADDRESS------------Z COMMENTS AND/OR REMARKS-------------Ji n "' 1 l f 1 'zr.t 1 z1t v e!1 I z l 8 z l z ,,n J,o H n ,. 31 '01 I F E D I F [ [; f> 5 4 I 9 B 7 6 5 I I -' "' "' lit PRESE,.;T ESTABLISHMENT COMPOSITIO" 0 PERMANEp,;T RELOCATION 2 3-10 N ... o' ES1ABclsH"'"1 Bandime:u= Auto Parts .,. 803 Ch:mp': 1 ADDREss 2525 Federal :Slm;L 3 NAMEOFOWNE,OOMGR ,J:oh:::t. :Eia:::t.dimere em Denver SlATE Colo.ziP S0:2ll ____ .,c.. t TYPE. OF ESTA6. CIRCL C 1 2 3 4 TFAOE CIRCLE 1 zQ4 5 Z &.SALES b.LEASE BACK C.LEASE d.RE_, "' .. -0 "'u ... ::: 0 It "'" "' "' ::E .. 0 u ,... B i: z "' 6 NO OF EMPLOYEES PERt.-9 r) zo.z b) 5-9 P) zo.2 7. YEARS IN DENVER 8 YEARS AT THIS LOCATIOh D!TE Of LQCAL APPROVAL ( J.f.7'') 9. AT THIS ADDRESS PRIOR TO YES __ )( __ N0---10 GROSS INCOME OF ESTABLISHMENT __________ (_) flln INCOME or ESTABLISHMENT-----------<-) 12 ELIGia.r roR SBD YES----NO----PRESENT PHYSICAL INrORMATION: GOWNER b) LEASE BACK C) LEASE d) RENT ">. u A ____ ..... o...._ _____ B)LANo ______ AMOUNT MO RENT 5---------------------------------AMOUNT MO RENT P.I.T.I a)o SITE NO. ____ ;:;.. ___ S. PARKING SPACES blorr SITE NO _______ 6 LOADING A. STREET B. DOCK l &.PURCHASE PRICE S ----------------b. MORTGAGE 5--------------C.MO. 5--------------------------------' lEASE/LEASE BACK/RENT 8.MO. RENT 5-------------------------------------b,LENG!H OF LEASE YRS. LE$SIE _____ C. MO. RENT INCREASE $ _______ DECR[A$[ S ----5. 8. N.U.A-------------------b.GIOUND-----------------------------------C. PARKING SPACES I) ON SITE------------z) OFF SITE------------d. LOADING SPACES-----------------1 STREE--------------z OFF STREET---------------3. DOC"--------------' ALLEY---------------------------------6 LPA. IEFURAL YES-------NO------.;. __ 7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAl ASSISTANCE GRANTED MOVING EXPENSE$ CIRCLE a) UNDER Ssoo b) Ssoo Stl9 C.. OFF STEEET--JL,lJ. ALLEY---;----1< E NO or SPACts --..IWIIIL---c:) $1000 s .... d) 51500 51999 rj Szooo. SzM fl S zsoo Szm g) SJooc S:ul9 b I Slsoo SJ91!W il S.aoo ANT s _____ C I. RELDCATIOI; TRANSACTIONS : DATE OF .....,.,.,,....---z. DATE MOVE j) Szuoo ANT. s _____ ACTUAL MOVING EXPENSE s ___ ... z .. "' a: Z. SMALL BUSINESS DISPLACEMENT PAYMENTS---------AMOUNT OF MONTHLY RENT PAID TO D.U R.A s ____ 3. SETTLEMENT COSTS 5----------------.e. LU.GTH Of' TIME TO RELOCATE ArTER DA1 Of OlHEI -----------$._..,,.,,..., ______ A=:_ +, "RA D I As. s l.l -tVClALJilbi4U CifUcs'/, .... v _If'\,++ TEMPO ... Y IELCICATION i/ 8) ON SITE------ADDIESS------------e.le.f'/01 IVi# --. ..., n u .. __________ --------"' N ot---... :z:CO "' 21 "'"' .. "' J...; _;

PAGE 11

1-' '" ,, .. ar:.r:1er Cr'l\'l" v .. .,r_t..__..x ... : .. ...... ( -' -----'" ----------j .,, t ; 8 '>t..lt ,, ___ r. ... "' "' ,. J "' ,.. .. 0 .u .. ::: 0 D: .. ... "' "'8 ... 1-... z .. B z t.Ht. t. N(.. (Jr (lrrloiP!.OY l E S Df J. ... TEMP biH rl b) !;-1 e) ,.,. C:) 1C,-U f) 2>+ c) 11>-1 n zs+ 7. YEARS IN 1. YEARS Al THIS LOCATION---_'l_. __________ DAU OF LOCAL APPROVAL I. AT THIS ADDRESS PRIOR TO ) ns ___ N0--1o. GROSS INCOME or ______________ (_) 11. NET INCOME OF ESTABLISHMENT (_) 1Z. ELIGIBLE FOR SBD YES----NO-----PRESENT PHYSICAL INFORMATION: 1. 8) OWNER b) LEASE BACK e d)RENT 2 A) u ------------------B)LAND ________________________________ J AMOUNT MO. MO RENT F I 1.1 PAJ(II..iNG SPACES 5 ________________ __ &lo SIH NC --------b) or; SIH '0----------8.f.:JR:HA!.E PftCl S --------------5--------------------t,MO PAYMENTS 5----------------------------. LUU!LUSE IACK/IIEN1 &.MO. IIENT 5---------------------b. LENGTH OF LEASE YIIS. USSIE--------C, MO. RlHT INC RUSE 5------------DECRUSE 5-------5. a. N.U.A .. ______________________ __ b. GIOUND-----------------------t, PARKING SPAC 1) ON SITE-------------------11 OFF SITE------------------d. LOADING SPACES----------------------------1. S TRE ___________________________ 2 OFF STRE[T---------------3 4. AUEY-----------------6. LPA REFERRAL YES N0-------7. DISCONTINUE BUSINESS--------------E. D.U.R.A. fi"'A"'CIAL ASSISTA"'CE GRANTED 1 EXPENSES CIRCLE .. N -----HS' .-\_ STRF1 __ X.,.__B. DOCK C.. OFF SlEEET ____ lJ. Ai.HY-------. 8) UNDfR S.oc b) 5soo S99s c) 5100G' 51490 f) 5 2SOG 52999 !_!:) 5Jooo b) 53999 D z .. .. .. N .., < u o-;;; z,. "':Z: a:._ 1-z "' "' ... a: 0. 6 NO OF SPACES--------RELOCATION TRAo;SACTIONS .. DATE OF 2. DATE MOVE AMOUhT OF" RENT PAlO TO D.U A A 5---------4 LENGTH or TIME TO JtELOCATE AFTEri DAlE OF ACQUISITION-----------------------,.,. -.-r-_ S3)VdS S3:lYdS !>NIOVO, d) .5!500 51999 P) 5zooo 52499 i) Soo + AMT S j) Szs.ooo+ AMT 5------ACTUAL MOVING EXPENSE S ___ Z. SMALL BUSINESS DISPLACEMENT PAYMENTS-----------3. SETTLEMENT COSTS 5------------------' OTHE ------------5----------5 TOTAL FINANCIAL ASSISTANCE 5-------------f. OTHER INFORMATION: 1 TEMPOP."'qy RELOCATIOh B) ON SITE------ADDRESS-----------b) OFF SITE ADDRESS-----------2 COMMEN'!S ANO/OR REMARKS--------------!N3yjAVd 1:10 !N31:1 'J (] :> a 811 Z"' lIZ Y B I 'l' l(l ,. n 1 z L ... c:> :z: n .., "' !:') z "' .., .., .. -, ,4 "' 1 1 F E o 1 F E o B s 11 r -,--r-: u 3 .,; "' a: A PRESENT ESTABLISHMENT COMPOSITION 0. PERMANENT RELOCATION 18-0 2 J;l' 1 NAME or Bazaar Imports .. 2 ADDRESS 1245 9tb St ,_ ADDR-14 n Z! 7. YEARS IN DENVER -----"F'--;=--;:;-;;:r--------1. YEARS AT THIS LOCATION __ 5L.o._sol..o._7.L..2"----------9. AT THIS ADDRESS PRIOR TO ( APPRD,AL YES ___ NO......x__ ... "' 10 GROSS INCOME OF ESTABLISHMENT ___________ (_) 11 NET INCOME OF ------------<-) "' 8 12. ELIGIBLE FOR SBD NO------! ,_ B. PRESENT PHYSICAL INFORMATION: .. lZ! 1 B) OWNER b) LEASE BACK Gl LEASE d) RENT 1-< C>:ft .. z,. "' Ill: L A) '-U.A __ B) ______ AMOUNT MC RENT $. ___ _.3....,0t;0w...,eL.>o0'-'0"---------4. AMOU"'T ,_.0 RENT P.l T.i S. PARKING SPACES S __________ a) ON SITE NO. __ b)OFF SITE NO __________ 6 A. STREET B. DOCK C .. OH STEEET ___ D. AUU __ .,.X..._ __ ENO OF SPACU ------C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION ______ 2. DATE MOVE COMPLETED ____ ,::S:.,.::e'-2:.;b:::..;e=--'f:,.::3:.,_ ____ 3. AMOUNT OF MONTHLY lENT PAID TO D.U.R.A. $-------LENGTH OF TIME TO RELOCATE AFTER DATE or ACOUISITION prlQr to AURAR lA 3 &.PURCHASE PRICE b. MORTGAGE C. MO. PAYMENTS 5 $72,500 s same s 625.00 LUSEILEASE BACK/RENT a.MO RENT $ __________________________________ __ b. LENGTH OF LEASE __________ YRS. LESSIE ______ t, MO. RENT INCREASE 5.-;::--::--::--=----DECRUSE 5----S. a. N.U.A. _____ b.GROUND-------------------------------------C, PARKING SPACES 1) ON SITE------------21 OFF SITE--------------d. LOADING SPACES---------------------1. STREET _________________ 2. OFF STREEt _______________ 3. AUEY--------------------------------6. LPA REFERRAL ___ -:t:-7. DISCONTINUE BUSINESS-----------------E. D.U .R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE f) 5 zsoo 5Z99!1 a) UNDER Ssoo bl Ssoo-5!199 g) Slooo 53q9 :;! .. "' :0 "'"" :t:: 0< ... t) 5noo-51199 b) Slsoo SJM :z: d) .51!00-51!199 j) S..0 + t'l e) 5zooo5z j) Szs.-AMT. s________ ; "'-.. ._) ACTUAL MOVING .I ::: .., : ,. _; Z. SMALL BUSINESS DISPLACEMENT PAYMENT 5 t-Hr---'----3. SfnUMEN1 t;QSTS 5 4 Q 8 0 1l t' ,_ oTHu :;,earcn 5 __ 5. TOTAL FINANCIAL ASSISTANCE $ 2 p 5] 3 9 .1 f_ OTHER INFOIIMAnON: 1. TEMPOIIARY RELOCATION a) ON SITE ADDIESS------------b) OrF SITE ADDUSS-----------1. COOIMEIITS AN0/011 IIEMAIKS----------------..,) J ',.,)...) U'-..J uu -.Jv

PAGE 12

i I !.,. Better inq Products w ,.. -,,._, azec Denver 10200 W. ------"'1f)F'Irol"'''lT"I _,..L:-. Smith o-r" M-IJi ":' .:_,;.. ::.'" Ci,.. z.. .. /c TRADE I.R[A CIRC.. 1 Z I.. 1. hPi. 0' {_ t l. z !,,,(AS! (',L(ASl d.RE.: .. v. It ... 0 0 a: .... 6 NO OF EMPLOYEES! PERM. O.tl I n-It TEMP bl tl M-ZO e) awo r) o-o f) It+ e) o.o f) 1,. 7. UUS Ill DENVU ----.------.... ...,------1. YEAs AT THIS LOCATIOfiii-....IICfi'-I\'J,e.'e-.-11 .... ____ DIITf Of LOCAL APPROVAL I. AT THIS ADDRESS PRIOR TO ( ) YES ____ NO----"' 10. GROSS INCOME OF ESTABLIS"MENT ___________ (_) :1 11 NET INCOME OF ESTABLIS"MENT -----------(-) 8 12. ELIGIBLE fOR SBD YES-------NO -------,.. t;j B. PRESENT PHYSICAL INFORMATION; z .. 8) OWNER b) LEASE BACK t)LEASE 1, 3 8.PURCHAS. P'IIC[ b,MORHoAGl e.IID. PAYMEIITS s ___________________ __ $ ____________________ $ ____________________ o. LIASl/LIASl ocK/REIIT &.MD. REliT 5 _______________________________ b.UNGT" Of LEASE YRS. LISSIE _____ e. MO. REliT IIICRUSE S-------DECRlASf $ ____ 5. a. II.U A. _____________________________________ __ b. GROUND-----------------------------------C. PARKING SPACES 1) ON SITE--------------1) Off SITE------------d. LOADING SPACES-----------------1 STREET----------------1. OH STREET---------------3. DOCK----------------------------0 ALLEl-----------------2 6 LPA. REFERRAL YES--------N0---------8) 7 DISCONTINUE BUSINESS---------------3 A"0U" "0 Rl'T S ,_50, ()0 E D.U.R.A FINANCIAL ASSISTANCE GRANTED I. Alo40U"T MC RE,..-T F l 1 I 5 1 MOYifiriG C.IRCLE PAOKtG SFACES a jON SITE NO--------a) UNDEO Sm f) S 2SOO. Sz999 z b) or; SllE NO _________ aP 0 B -Ssoo -S999 g) S3ooo S3499 -----1--ol;::: 6. DOCK ; C.. OF' STEEEl ____ l). AU..EY c) 5100C 5U99 h) 53999 E. NO or SPACEs------d) Ssoo -S1999 j) Soooo + A .. T. S ------RELOCATION L.J S2000. 52'99 j) AMT. S __ "7'1=-:-....,1 DArE OF ACOUISmO-.J./...I_i.:-,..-:L...,.;7;.....,-:!:-f----------ACTUAL MOVING EXPENSE S 'l5"/J2 ,) !{ 5 2 DATE M0\1 COMPLET .; It' 7 'i Z SMAU BUSINESS D!SPLACEMENT PAYMENT 5-------J AMOUNT OF MONTHLY RENT PAID TO D.U R.A. S-------;, SETTLE .. ENT COSTS 5---------------"':r IZ' A.. LENGTH or TIME TO RELOCATE AFTE"R OAH OF' 4. OTHER ------------------S ___________ ACOUIS!TIOh -------------------S TOTAL FINANCIAL. ASSISTANCE 5-------------F OTHER INFORMATION; 1 TEMPORA''I' aj ON b) (Iff SITE ADDRESS-----------< r !1; l :_:::"' ...-.. 2 CO .. MENTS ANDIOR REMARKS--------------53JYdS t! /5/1 lN3WAYd !10 lN3!1 I :l a I I :l a I sl I I I .. ?:,lv 81 I l I v B I l z ..,, :...' ----=1-.4 I 31 NO I 5 I 4 I 9 I 8 II f H I I I 0 I F I 0 ( 6 7 5 '' YEARS DENVER TEMP EMPL PER"' EMPL TYPE XJlO!U. ALPHA CODE A. PRESENT EsTABLISHMENT COMPOSITION 1 t;--:6:'-------..(----L hJ_,./.-_ .:5, g 1 NA"E OF .. fNT / 0 ADDRESS _/..._-9_'iij'./ ...... __ ..._ ____ ::i ; NA"'E OF OW'E F o "GR L_ t:/' .--" STATE 2:SfM-:;IP JlriZD5 TYPE STAB CIRCLE. 0 1 z(JJ 4 5 E i 8 b. LEAS BAC..; C. LEASE d. RENT !FADE PEA CIRCLE 1 Z o:L 3 &.PURCHASE PRICE S 0<' ... .... ... "' ,.. r .. .. ..... ...... .... .-.... ..... 'V ., ... ::E 0 .u ... ::: 0 It .,., ., "" ::E "'8 8 ... ... ... z .. ... z "' a: 6 NC OF EMPLOYEES PER... b) !>-9 C) 10-14 b. MORTGAGE d)15 el ZO.Z4 f) 25+ C.MO. PAYMENTS S :IIi<"' ,. TEMP a) D-4 b) !>-9 C) 10.14 4. LEASEILUSE BACK/RENT d) IS-19 t) Z0 f) zs+ B.MO. RENT 5 _________________________________ 7. YEARS IN DENVER-----.,..r-::'7!"---------8. YEARS AT THIS LOCATION __:fl!!lii .... ei[;... _________ DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS. PRIOR TO ) YES-------N0------10. GROSS INCOME OF ESTABLISHMENT ___________ (_) 11. NET INCOME or (_) 12. EliGIBLE fOR SBD YE PRESENT PHYSICAL INFORMATION; 8) OWNER b) LEASE BACK C) LEASE A' '-U A ....... --.&.. ----AMOUNT MO. RENT AMOUNT MO RENT P.I.T.I. 5--------------S. PARKING SPACES B) ON SITE NO-------b) Off SITE NO---------------i LOADING A. STREET B. DOCK c .. off sTHn _____ o. AllET----------E. NO OF SPACES------c. RELOCATION TRANSACTIONS 1, DATE Of ACOUISITION ___ z. DATE MOVE COMPLETED 0-" u-3. AMOUNT Of MONT"LY REliT PAID TO D.U.R A 5 -------0. LENGTH Of TIME TO RELOCATE AFTER DATE Of ACQUISITION-------------------r. b. LENGTH OF LEASE ________ __;YRs. LESSIE _______ __ C. MO. RENT INC::. O ._, U;:CRUS S ----S. a. b. C. PARKING SPACES 1) ON SITE-------------z) Off SITE------------d. LOADING SPACES------------------1. STREET _______________ __ 2. Off STREEt ______________ 3. DOC""------------------------4 ALLEY---,....--------------6. LPA. REFERRAL YEs--"-illo.----110--------7. DISCONTINUE BUSINESS--------------E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER Ssoo f) 5 zsoo Szwt b) Ssoo 5!119 g) 53000 r) Sooo 5h) 5Jsoo SJII!I. d) .S!!OO 51199 j) S.000 + AMT. S -----------e) Szooo Sz j) Szs.-AMT. $ _______ ACTUAL MOVING EXPENSE S _____ Z. SMALL .USIN DISPLACEMENT PAYMENT 5--------J. SEmfMEIIT COSTS S----------------4. OTIIU 5. 10TAL fiNANCIAL ASSISTANCE SA tJZ/7 F. OTHER INFORMATION: /A, o-J!!f!t" 1. RELDCATtON a) ON sill ftDRESs--------------b) Off SITE--------ADDUSS------------' COM .. ENTS AIID/Ot REMUKS--------------01------% CID r -.--"' Ill ...... (')..(\ 3: c z Cl :r (" "' "' C'l a: z "' "'"" :.. I .. ... ... of----"' :tl "'"' ... ...._; '-' n. ... _J .. -v "' ....... .....) ..

PAGE 13

..,---:- i i[ l-----+-1 r ... .. .. "' > -; 0 .. 0 a: .. ., ... :E .. :;; z .. B. 2 -------'H :!: 0: ,, ... ___ ... Bl0or:-. Rentals ,,,.,,, ,, J J 0 0-1 4 \\a 1 nut St ..,,..,: .;or o.-t I Q::. B j aorn 'Fi 01 l;'.t.b CP:.l .() E I" TPAO AR[lo (IR':....l a. .t. !: E NO Of EMP&.OHf$ PERM (!) () d)1 .. 19 TEMP. ., .... r) "" f) n+ r) .. ,. f) ,,. ='"'" 7. YEARS IN 8. YEARS AT THIS LOCATION Atd /ft/IIJ 9 AT THIS ADDRESS PRIOR TO DAU OF liCAL A.I:PIOVAL ( 3. ,. 7;t. ) YES 110 ra;n3F .... 10 GlOSS INCOME OF' ESTABLISHMENT n. NET INCOM OF' ESTABLISHMENT 12 ELIGIBLE FOR SBD YES----NO-----PRESENT PHYSICAL INFORMATION I 9 b)LEASE BACK c) LEASE d)RENT 2 A) u A __ 8) LA hO 3 AM0Uhi MO R: "iT S ----------------( MO Jlf,._T PIT I 5-------------P&.Jl'Kh.(, &JO"i SirE h(. -------bjo" srn :---------6. lOADING A. STREE.J B. DOCIC. C. o ___ ll. EY-------E. NC or sc;A::t.s ______ 2 c RELOCATION TRANS::TIO"-S I. L' lfl2 i OAT OF .. ::.....:;;#..;l;:;:::---'------u 0 "' ... a: ..,.; a: ,.. N .. N ., ... :E 0 ... ... ::: 0 a: ., Ill "' :E .. e z "' "' "' a: .. 8 2 DATE MOVE COMPLE TEO ---l.!.' ... :. ..lf.t.;:!J;z_ _______ 3 AMOUNT OF MONTHLY REN'l' PAIC TOt U.R A 5------.: TIM TO rtE ... OCATE AFTER DA"[ 0" --------------------' TYPE OF E.S.TAS 0 Q) 3 .tl TRAC't AREio CIRCI.. (i) 2 3 ..: 5 6 NO OF EMPLOYEES PERM 8) 0-4 A dl'"'" TEMP. a) G-4 b) .. 9 el 211-2 b) .. 9 e) 211-2 r) 10-,. ) 2s+ c) 111-,. f) 2s I "' d) IS-19 7. YEARS IN 8. YEARS AT THIS LOCATION __ .11/;tflllljlt...l!lrr.---------9. AT THIS ADDRESS PRIOR TO DATI Ol.aPCAL APJtROVAL ( ,., ..,.. l YES..JL._, NO--"i;tfl st 10 GROSS INCOt.tE OF ESTABLIS"4MEN" 11 NET INCOME OF ESTAB:..JSHMENT 12 ELIGIBLE FOR SBD YES---NO----PRESENT PHYSICAL INFORMATION. ,,_, .... ___ ________ s,.c.l ______ :: ----a.s:.. b.llASI sa: f'. d 3 a ... URCI1ASl PRICl S --------------b.MOIHoAGE 5-------------C:.MO. PAYMENTS 5---------------C. LIASlfLEASE lACK/tENT 8.MO. lENT 5-----------------------------------la.LUGTH OF LEASE YIS. LESSIE------C,MO. RENT INCREASE 5-------DECIEASE $ ___ 5. I.N.U.l. ___________________ C.PARKING SPACES 1) ON SITE------------2) OFF SITE------------d. LOADING SPACES------------------1 STREE'------------------2 OFF STREET---------------3 DOCK---------------. ALLEY-----------------E LPA REFERRAL YES-------NO-------7 DISCONTrhU BUS"ESS--------------E. D.U R.A FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPEfi.SES CIRCLE a) uNDER 5soc hi Ssoo 5999 cl 5ooo 51499 d) 51SOO. 51999 t) Szooo -5<499 f) s :soc 52999 g I 5w. 5:u99 h) -53999 il Sooc + AMT 5 ------j l AMT 5------ACTUAL MOVING EXPENSE S ___ Z SMAU BUSINESS DISPLACEMENT PA\'MUiT S---------3 SETTLEMENT CO!j,TS .... 'X'l...-......... -a OTHER %N #.II.U OE oo S TOTAL FINANCIAL ASSISTANCE 5_..:a.,,...s&.:o:...:rr.'-''.Jjlf,._.,fJ.._ ____ F. OTHER INFORMATION: l. TEMPORARY AELOCATIOP\1 11) b) COMMENTS a.oiOR REMARKS-------=--=---------ADDms Ceased operations CITY--------STATE------21P ------2 &.SALES b. LEASE BACK C. LEASE d. RENT 3 &.PURCHASE PRICE S ---------------b.WORTGAGE 5--------------C.WO. PAYMENTS 5-----------------A. LEASEfLEASE BACK/RENT 8.WO. RENT S-----------------------------b.LENGTH OF LEASE YRS. LESSIE------C.MO. RENT INCREASE 5-------DECRUSE $ ___ S. a.N.U.A--------------------b.GROUND------------------------------------C.PARK1NG SPACES!) ON SIT------------2) OFF SITE------------d. LOADING SPACES-----------------1. STREET---------------2. OFF STREEt--------------3 DOCK.---------------b) LEASE BACK C) LEASE ALLEY----------------A) h.U A.-#oiL..fja.Jfr;f!E....J1)W .. 6. LPA REFERRAL YES---:"'11..,.,..,,.....-N0------z .. .. 1, a) OWNER 8) LAND ___ ..,..-.:-=.------------7 DISCONTINUE BUSINESS --":U"-11------------U :; 3. AMOUNT MO. RENT $ A/1,11 E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED !;: AMOUNT MO AENT P.l T I 5-------r-------If 1. MOVING EXPENSES CIRCLE f) S 2580 S2999 0 !;; S. PARKING SPACES a) ON SITE NO -.I"IIL-------b)OFF SITE NO--------A. STREET B. DOCK a) UNDER Ssoo bl Ssoo 5999 g) S:IGOO-h!19 6. LOADING C.. OH STEEn_M.._D. AlllY'------n E. No oF sPAcEs------!:!: C RELOCATION TRANSACTIONS 'Ill .. e 1 DATE OF ACOUISITIOh .... ... 2 DATE WOVE COWPL[TED I 1S !iii 3. AWOUNT OF MONTHLY RENT TO D.U.R A ------j!ia: !i-. LENGTH OF TIME TO RELOCATE AFTER DATE OF ACQUISITION AJJ:lA!IA r .. .. ....... --------c I Sooo S1499 d) SISOO S1199 r 1 S2ooo Su!l9 b) S:DICI-s-. j) s-+AWl S ------j) Sl5.-AWT S _____ ACTUAL MOVING EXPENSE S ___ Z. SMALL BUSINESS 5---------3. SETTLEMENT COSTS S=,....,_.=------==-o=""":---- oTHu % M wu Dl' s '"''' S TOTAL fiNANCIAL ASSISTANCE S....,j/L' .. F. OTHER INFORMATION: 1 LOCATION 8) ON SITE DRESS b) OFF SITE ADD I 2 COMMENTS AND/01 REWAIKS 1: 0-" z C'1:r .. z "' "'"' N .. .. w .. :r'" .. "' lD "'"' E O-S z C'1:r "' .. z "' ... .., w '" n .. .. vv u

PAGE 14

__ .. .. ... "' ... .. rr ..... .,u !!: ... a: .,.., "' lE ... 8 B ... .. "' z z --------+--lg N "' ::;: a: :'c .... "' u "'"' a: c.. .. z "' a: .. ... ;:, r;rc:; ... e=:. ; (. : i_ L C I pr_ l t : G-t: I.H:. C;QC! t NO Of EMPLOYEES. .. :' TlMP d) 1!>-19 a) ... d) 1!>-11 7. YEAIS IN 1. YEUS AT THIS LOCATION __ bt S-9 zo-u b) 1-1 e) zw t') 10< f) Z5+ e), .. ,. () zs+ DATE 0< LOCAL APPROVAL I AT THIS ADDRESS PRIOR TO I?-9-7":L...) YES ______ N0---10. GROSS INCOME OF ESTABLISHMENT ____________________ (_) 11. NET INCOME OF ESTABUS.HMN1 (_) 12. ELIGIBLE FOR SBD YES------NO-----PRESENT PHYSICAL INFORMATION: 1. @OWNER b) LEASE BACK <") LEASE d) RENT 2 A )N.U -------------------------------RJLo ________________________________ ___ 3 AMOU'i MO IHt-;1 5------------------------' Alr.t0UN1 h40 PENT F I '!'.t S ___________ "":' ________ __ 6 LOADI"'G a} Silt b) OP SIH O -------:----------!\. STREET i.l. DOCK /1( C. OFr AlL"'----------1-.. NC> or SP"ES ---------RELOCATIO>< TRANSACTIONS DATl OF A:Oc:SI110' if .,;_1 ,3 OA TE MOY E COMPLETE 0 ___ 0_. L.. ;;;__ ,...._, _____________ __ 3 AMOUNT Of MONTHLY PAID TO 0 U R A 5 -----------' LUIGTH OJ: TIM!" TO fcH.OC.COTE AFTEJi DATE OF ACOUI ------_--0,....-_------------------------0 Z t L I z I Z t r &.S'-.l-;; b. LliSt sa: (.LEAS d. fflf' j a. hJfl S { PA 1.: E S -----------------------------5--------------C,MO PAYMENIS $---------------------------------. LEASE/LiAS AtK/UNT 8-MO. lENlS __________________ __ b. LENGTH Or LlASf YIS. LESS IE------....:.---e. MO. lENT INCIUS 5-------------DECIUU $ ______ __ s. a. N.U.A. ____________________ __ C. PARKING SPACES 1) ON SIIE --------------------------z) orr SITE----------------------d. LOADING SPACES---------------------------1. STREET-----------------------------z OH STREET _______________ 3 AU.EY ----------------------------6. LPA. REHRRA YES--------------NO---------7 DISCONTINUE IUS,.ESS-----------------E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES. CIRCLE a) uDER S50o bl 5soo 5999 c) 51000 Su99 d) 51500. 51999 fl S 250c Sz99!o !! I S3oo; h) 53500 53999 i) Sooc + .. S ------------e 1 S S2 j) S2s.oo!t+ AMT S ----:---:-=...,.. ... ACTUAL MOVING EXPENSE sf, 47/ 9' 2. SMALL BUSINESS DISPLACEMENT PAYMENT S -----------------3 SETTLEMENT COSTS oTHER S/tLUfJNo. s ___ 5 TOTAL rtNANCIAL ASSISTANCE S ____________ _.;;...,.,...,.p""J-..S: ...... +.,/ ER INFORMATION: 1 a) ON :-----------------------b) !IFF S!TE ADD COMMENTS ANO;OR REMARKS __________ ...:::::;,---=------...___, :;) 0 z w 8 z n 1N3V.!Yd 110 1N31l L Z t l z H ., n sna ,_, .... "-... .. :: Ct' ..... .., lit ut .... ("': .. (': !:: 0< z Cl:z: = z "' .. ., 0 n .. .. t1 r: I ______ .._,.A 3 I c 1 I r E o I F E o E 5 I I 9 a 7 6 5 I I u s .,; "' a: --------1 .. ,. .. v. a: .. 0 .,u ... ::: 0 a: .,.., ... ::E "'8 ... ... z .. A B PRESENT ESTABLISHMENT COMPOSITION D. PERMANENT REL.OCATION 19-01 .... ,OF BROWK ELECTRIC co. 2 ooHss J.ULO Lar1mer Street ADDRus 1152 ; .A .. E '" owE oR MC,R L. V. Brown CITY uenver, South STATE Colo. m 80 10 H P[ OF tSTAEI -CIRCLE 0 1 Z 4 c. 7 & 5 TFAOE AREA CIRCLE 0 J E hO. OF EMPlOYEES PERM ) 0.' ,. b)S-9 c) 10< IS-19 el zo-z f) zs+ TEMP. b) S-9 t) I().U iJ'J'iS- r) zo-2 () zs+ 7. YEARS IN DENVER--.....I'IU'I....,;T""------------8. YEARS AT THIS AT THIS ADDRESS PRIOR TO DATE OF LOCAL APPROVAL ( f '14 ) YH..L.... NO----10. GROSS INCOME OF' ESTABLISHMENT liNK < __ > 11 NET INCOME OF ESTABLISHMENT LWK __ l 12. ELIGIBLE FOR SBD YES------NO-----PRESENT PHYSICAL INFORMATION: 1. b) LEASE BACK 2 Ai.u l') LEASE d) RENT B )LA NO UtJIL 3. AMOUNT MO RENT 5--------------------------------1.. AMOUNT MO. RENT P.I.T.I s _________________ ____ 5, PARKING S,P,JiCES a) O SITE NO ------------------b) OFF SITE NO---------6 LOADING A. STREET B. DOCK C.. orr STEEET ______ D. AU.EY-------------[. NO OF SPACES------------RELOCATION TRANSACTIONS DATE or ACOu1smo S/ 1.3 Z. DATE MOVE COMPLETED ___ .. 3. AMOUNT OF MONIHLY RENT PAID TO D.U.R A s ____ t. LENGTH OF TIME TO RELOCATE AFTER DATE OF _. MM. ACQUISITION ---------------------_..::JiiiL::."It:.l'IUr:::,oL----b.LEASE BACK C, LEASE d. RENT 3 E PRICE S JIIIUIIItiD,.-------------------------b.MORTCiAGE 5--------------C.MO. PAYMENTS 5------------------------------. LEASE/LEASE BACK/RENT a,MO. RENT 5 __________________________________ __ b. LENGTH OF LEASE YRS. LESSIE ________ t,MO. RENT INCREASE S-------------DECREASE $ ____ S. a. N.U.A. DAfM. b. GROUND---------------------------------t,pARKING SPACES T) ON SITE--------------------2) orr SITE-------------------------d. LOADING SPACES--------------------------1. STREET--------------------------z Orr STREEl'-----------------3 DOCK'-----------------------------. AU.[ Y------------------------------6. LPA. REFERRAL YES------=.,....----N0--------------7. DISCONTINUE BU.SINESS E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. IIOYI.,G EXPE.,SES CIRCLE -a) UNDER Ssoo bl Ssoo 5999 t) $1000. $1099 .$1500 51999 f) S ZSOO 5Z999 g I S3GOO 53499 b) 53500 53999 i) s..o + AWT s ---------j) Szs.-... ACTUAL MOVING EXPENSE sCV tl Z. SMALl. BUSINESS DISPLACEMENT PAYMENT $----------------d) Szooo Su99 3. SEnLEMENT COSTS $-------------------------------. OTHER 5. TOTAL rtNANCIAL ASSISTANCE S If, :t.1 a: /A F. OTHER INFORMATION: 1. ARY RU.OCATION a) 011 :-;:-:-;:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-: b) !IH SITE Z COMMENTS AIIDfOR REMARKS _____ -___ ...;;_::=-... _,.. ________ w .. N .. ot---i., '" lit ._, w._ c = .. .._: "'U i v a...; .... .. z .. .. .,o !!:"' .. .. .. '..JU uu U0 \.)

PAGE 16

s -:..:; i s ,_ !u l -.... -. =-..... (J: I<,. t. E: C, r.>(..: 0 H.C.Dl ... ,.f, 0.-_ t. ... "' >-., ... lE .. u "' .... ., 0 a: ., "' :1 t. NO or {i;J V-1.-o-b) S-9 C') 10-U d) e) zo.z n n+ TEMP. b) !,.1 e) 10." d) 1"'" e) Jo.z () z'+ YERS IN DENVER 1. YlARS T THIS LOC.TION .. I/L..-----------9 AT THIS ADDRESS PRIOR TO 10. GROSS INCOME Or ESTABLISHMENT 11 NET INCOME Of ESTABLISHMENT ELIGIBLE FOR SBD DATE or LOCAL Att,IOYAL ( ) YES ___ NO __ ... (_) """ (_) YES----NO----.. 8 ,.. B. PRESENT PHYSICAL INFORMATION "' z ., c z a) ov."'R b) LEASE BACK r) LEASE A l' u A.----------------Bi''c __________________ __ .!: t. A'-10;J"'7 MC $------------- uj::C'I A.oc" "'-C R"' ___________ __ 1:' : SFACLS aior. Silf flt0 -------------rl b) Qf I Sl'l'l ------------=--11 c LOAD"G L I E. floC or ------1 C 1 ; RELOCATION TRANSACT10N5 0 A H ACOUI SITIOf>. ----..,.--,-.,--...,.-------DATE MOv> COM PeElED ___ ,_,/Q.c.......:fa=B:.... __.7'-':l..._ _____ AMOUNT or MONlHLY R"-1 PAID TC D.U R;.. 5------..,_ a:t 0> TO AFT[!=" Dt.H or ACQJISllrO'\ -------------------AUf! ARiA a _e I' z t ... .... r z 4 .i. J E 0 l F ,.....,:::-:.;1:..:6=7. -==-:..,';..-"" r;:;_;:e....:E:=I ( (.UAS J 8.F-uR::"I.SE PRCE $ --------------1-------------------------------C.MO. PAYMENT5 U:ASE!LUSE a. MO. tENT S b. LENGTH oF LEASE HD-MD ns. LESSIE -----c. WO RENT INCREASE 5-------DECREASE S ---5. a. N.u. fl#tlt. b.GROUND----------------------------------------C.PARKING SPACES 1) SIT-------------2) OH SITE------------d. LOD!NG SPACES-----------------1 STREET _______________ 2 OFF STREET ______________ 3 OOC'---------------------------------' ALLEY------------------6 LPA REFE"RRAL YES-------NO-------7 OISCO'iTINUt. BUSINESS---------------E D.U R.A FINANCIAL ASSISTANCE GRANTED a) U!<.lDEP .Ssoc bl Ssoo Sm c) S,oo-: Sug9 f) S Z>OC $1999 !! ) S;ooo Sl499 h) Sl>OO. S! ... d) s""'. S199' t) Szooo i} S400C + AMT s -------j l s" ooo+ "" s ---::-=r.ACTUAL MOVING EXPENSE S 2 SMALL BUSINESS DISPLACEMENT PAYMENT S --------3 SETTLEMENT ________________ 4 OTHER--------S=.---------5 TOTAl FINANCIAL ASSISTANCE OTHER INFORMATION: 1 T RAin RELO\:ATIOI\ 8) ON -----------hi orr SIT ;: COMMFP\lS AND/OJt REV:AP.KS ____ ---..._...;;:: __ =-------"'fSfl :> a e 4 n lfo.i3V.A\fd HO l.N3ti L c I H I I YEARS DENVEP TEMP MP1.. PERM. EMPL AREA TYPE II XjlQ40)1 ALPHA COOE u 0 .;. "' a: -----i".,.; .. ., ... :1: 0 .,u ... :::: 0 a: ., PRESEt>;1 ESTABLISHMENT COMPOSITION 1 "'""oF Groery 1 ooEs; 1 J 2 5-21 L ;r,!mr St!"eet N .... E 0' owr i. .S .:. 5 E. NO. OF EMPLOYEES PERM. TEMP b) S-9 P) zo.z b) "'9 P) zo.z c) 10-,. f) zs+ c) 10-" () zs+ 7. YEARS IN DENVER 8 YEARS T THIS LOCATIOh __ _. .... D ... DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) YES ___ NO __ :1 11 N INCOME OF ESTABLI!tHMENT ( m (') t (_) .... D PERMANEN':' RELOCATION CITY STATE------ZIP------2 8.SALES b.LEASE BACK C.LE.ASE d. RENT 3 B.PURCH.SE PRICES-----------------b.MORTbAGE 5--------------------------------C,MO. PAYMENTS $ ________________________________ LEASEfLUSE B'CK/RENT a.MO. REN1 S ____________________________________ __ b. LENGTH Of LEASE YIS. LESSIE _____ C. MO. RENT INC RUSE 5-------DECREASE $---S. a. N.U.--------------------b.GROUND--------------------------------------(.PARKING SPACES l) ON SITE-----------z) O< Cl "' z "' "' ..., ,.. r. \,..: N N -< :r'" "' "' "'" ll: 0< z c:>:r .. .. .. ., n ;$: C') .' z '-"' "'., ,_, ..._; v...;

PAGE 17

"' .. a: ; .,.: ;.;...;_ _,_. .. ..... "' 0 ":.if., .... BY-RIGHT GROCERY ":"'" .!..!.'25/2 1 hbH 0' 0""' o MC.O Syl vj a Arent 09-05 --"""T'"T"'T....:1 I i.,.; .r.r .. ;, ___ c:n _________ sun ______ 2,F -------"\ ------1 .. 4 TYPE Of EiTAB CIRCLE (j)O Z 3 So 6 1 & S TRADE AREA CIRCLE (j) Z 3 I 5 1 LSAHS b.LEAU BACK I.'.LUS ot----.. .. ., N "' ;;: ,.. ,.. N .,; a: .. 0 ..... "' ... "' 0 a: ., 6 110 Or EMPLOYEU PlRM film b) S.l el z._z e) ,._,. f) n TEMP. 8) Cl-4 b) S.9 c) TO-U d) 1._19 e) zo-2 f) zs+ 7 YEARS lh 8 YERS Al THIS LOCATIOh --9"-.,.z:.-, __________ DATE Of LOCAL APPROVAL 9 AT THIS ADDRESS PRIOR TO ( .3-,_ ) NO---.. Lo.: GROS5 0" ESTABliSHMENT ___________ (_) 10 ::!: 11 NrT ,_COME OF ------------(-) "' 3 12 ELIGIBLE FOR SBD YE5----NO ----! ,.. .., B. PRESENT PHYSICAL INFORMATION: 0: c ... z z :,; II" < c. Vl d) RENT MQ RE."-: 5-----------------t A""Oi..:'"!' '-10 F-iT! 5 ______ -:=-------PARKI1>4G SPACES &)ON SITE I b) on S!TF NO ________ 0 LOt.D"'C .-\. STRCET __.!=:::..._B. DOC,.; < C .. S'!EEU ___ [)_ E. NC or SPACES------C RELOCATION TRANSACTIONS 1 '\ DATE or ACQUISITION A 7 DA'!l MO\'E COMFo.EHC 16 -._, ;: t.MCU"l! 0'" MO!\TH:..Y RENT FAIC TO 0 U Si.:. S ------'"':t .... I. LENGT,_. O '!IME TO RE.LOCAH ArTEff CAH 0'" ACQu;SlliON -------------------j.i : l. a.PUIIOIASl PIIC 5 -----------------b.-TSAGE S---,-------------C:.MO. 5 ___________________ __ LEAUILEAS BACK/lENT a.wo s __________________________________ __ b. LENGTH or LEASE YIS. LESSil _____ C.MO RENT INCREASE S-------DlCREASE $ ___ !. 8. N.U A--------------------C, PARKING SPACES I) ON SITE------------z) OFF SITE------------d. LOADING SPACES-------------------1. STRHT _______________ 2. OFF STREET ______________ J DOC-----------------------------< ALL"-----------------6 LPA REFEIRA.i.. Tf.S NC---------7 o:SCOf\"!I ... U &L'SI"iESS E D ro"'ANCIAL GRANTED 1 fiiiOYllriG EXPEIIiSES al UNDER Ssoc bl (') Su9? d) .51SOC-S e 1 S2ooo 52!. 0 S 2soo Sz99'J SJOOO Sl499 b l 5 mr 53999 i) Sooo +AMI. S ______ j) S2s.ooo+ AMT. S _____ ACTUAL MOVING EXPENSE s ___ 2 DISPL..IC:EMEPiil PAYMENT srmuE" cosTs s Pl!ltSolflltJ.. .c.as.s--' .faD OTHER {AJ J. {f!fl fJF 5 __ ..... tt?:l U"A S F"lhAhi:tA .. ASSISTANCE 5 F 0 ORMATION 1 TMPORAR" TION 11) o s TE """' ss ------------bl OFF SOO[ _____ ADVRES. Z COMMfNTS AND/OR REMIIKS ____ ............ _....;:: .. i r'lO .. n .. n :a Ul ("",_""" ;.H----3: 51-" z ":>: n ,., .. m z "' "' .., "" B 'J 0 'J 0 sn< ............ z l L l H t. ,.,, ":KIO -l r I Z r, L I l .:. t V i I l p t L l y 8 1. n t L, : 1'---..!.....o 3 NO I I F [ 0 t F [ D 6 5 4 I 9 8 7 6 5 I I luCl A PRE5EN" lS1ABLISHMENT COMPOSI11Q!, D. PERMANE,.;T RELOCATION 2 6 _14 .... r oF C. R. Bernap:! Inc Ceased ADDOESS .l. J. 0 U J. U th s tree:: 1 ADDRES 5 ___ Cln STATE------ZIP----2. &.SALES b. LEASE BACK C. LEASE "'I 3 .A .. E oR ,.G. C R. Bern arc. ,.. a: ------in. l TYPE OF ESTAB CIRCLE 0 1 2 (j) 4 5 6 i 8 ... N N "' ... .. ... S TRADE ARE" CIRCLE 1 z(} 4 S b) S-9 c) 10-,. f) zs d. RENT 3. &.PURCHASE PRICE $ ----------------b. MORTGAGE 5---------------->6. NO OF EMPLOYEES PERM. 8) 0-0 ..... ::E c "' ... "' ... ., 0 a: .. ... ::E "'8 ....... ... z .. ... ; d) .. 19 TEMP. el 20-20 b), S.9 el zo-z C) TO-TO f) 2s a)CI-4 7 YEARS IN DENVER--------::-11----------8. YEARS AT THIS LOCATION ------'11----------9. AT THIS ADDRESS PRIOR TO OF lOCAi.. APPROVAL .s. q_ 'I.Z.. ) 10 GROSS INCOME OF ESTABLISHM r-tT NQ <_> 11 NET INCOME QJ" ESTABUSHMEIIiT ----------:--(-) 12. ELIGIBLE FOR sao YES----No ... xCIL-a. PRESENT PHYSICAL INFORMATION C.MO. 5 _________________ ___ LEASE/LEASE &.NO RENT S------------------b.LENGTH Or LEASE YRS LESSIE ____ C.MO RENT INCREASE 5-------DECREASE $ ___ S. &.N.UA _____________________ b. GROUND------------------C. PARK,_G SPACES 1) Oh SITE------------Z) OFF SITE------------d. LOADING SPACES-----------------1 STREET _______________ C. OFF STR[1'---------------t 8) OW.r< b) LEASE BACK C) LEASE """RENT l DOCK----------------I. ALLEY------------------1. 2. A)h.UA. _____ .. ...... 6. LPA REFERRAL YES------110------B) ________ ':"ll,_,'t""--------7. DISCONTihUE BUSINESS-----------------MOUNT MO RENT s I qD E D.U.R.A FINANCIAL ASSISTANCE GRANTED :: AMOUNT MO. RENT P.I.T.I S _____________ 1. MOVING EXPENSES CIRCLE C :i; 5. PARKING SPACES &)ON SITE NO---------bjorr SITE N0---------6. LOADING A. STREET B. DOCK a) UNDER Ssoo b) Ssoo St99 f) 5 2500 Sz-. g) SJOOO S:ugg C.. OFF STEEET ____ o. ALLn E. NO or SPACs ------C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION _____ ... h) Slsoe! Slt99 c l $1000 51 d) .Srsoo St!ll!l e) Szooo-5u99 j) s-+ AMT. $ ______ j) $25.-AMT. $ _____ __ ACTUAL MOVING 5 .. .. .. N N ot---....... ,., :D "'..., ,) w'-.' .. N \_.. '--' .. :D J: 0-:: z Cl:t l!l ;l:CI z "' .. N .. N "' D n v ,_, -..I .... :'\ 2. DATE MOVE COMPLETED L jl ,,.. ; 3. AMOUNT or MONTHLY RENT PAID TO D.U I A I .. 2. '"ALL BUSINESS DISPLAtE .. EHT PAYMENT s "lr 'rW I ::t: '-...., .. .. -----1 .. .. s --------------LENGTH Of TIM[ TO IE.LOCATE AFT OAT OF ACOUISITIOh -----------------------3 COSTS 5 _________ ontER s i '7w. ,,.. S TOTAL INANCIAL ASSISTANCE $-------------F. OTHER INFOR .. ATION: 1 TEMPOIAA'W RELOCATIOh

PAGE 18

.... ---+-1 r. .. --.. -.,; 0 .u ... ::: 0 a: .. .. ... :IE "'8 z r:-.:.c.:.: ra-p1-,C'11 ;;8 r .._,_ c::.. tv + .. .l. .j 0 ;... ... --""" ....... _.Q_._ campbel 1 : U !0:. t H'AOL : a; E 8jC..4 r) -" f) n dl 1!1-19 ., .... d) 15-11 l ... l. b)"' e) zo.z e), .. ,. f) n 7. YEARS 1 DENYER--------...----------1. YlUS At tHIS LOCATION -----'--'---------OF LOCAL APPROVAL ( ., 2. .'I'L ) 9. At THIS ADDRESS PRIOR TO 10. GROSS INCOME OF ESTABliSHMENT __________ (_) 11 NE"! INC01to4E or ESTABLISHMENT (_) 12. ELIGIBLE FOR S80 YES----NO_,..---,.. ....... ... z B. PRESENT PHYSICAL INFORMATION: .. u ;: .... c:;: z c ----+-1;::: ,.. < :=; a: 0 c a) OWNER b) LEASE BACK <::[1 LEASE !\) U.A ____ _,-5:::...:;0_,0"'-------d) lENT B J R' AMOU"'T MO F I 11 F-Aih.I""G $ __________________________ __ H) Ct. S,;Tf. hCo --------b)O" Sll =---------.'\. SlOE [T )( B. DOCK C.. Orr ;TEEE: ____ lJ. ALLEY-------[. c 0' SPACES ______ RELOCATION TRANSAC'!"IONS DATE OF DTt MOVE CO,.PLFTE:-AMOU._,T OF MONTHL' RE""T PAlO TO D \J.R /.c s _____ U"'IGT'"' Of TIM[ TO RELOCATE AFTER OAT or ACOUoSiTIO --------------------I ('(). S3:lWd5 !lNIOWOl 'J I I 264 s. ;'.'.''Denver 4.V v ,J San+.:a Fe Dr ,,. ., eo 27r B"C. r. i.. A !:I( 3 8.f'UR(I1A$ Pli'1Cl 5 --------------b.MOR"AGE 5---------------C.MO. $ _________________ UCII/1?--&.MO. lENt S b.LNGTH or LAS[ .,., YIS. LSSil _____ t!.WO. lENt INCIUU $ DECIUSE $ ___ s. a.N.u.A. ____________________ b. GROUND------------------C. PARKING SPACES I) ON SitE-------------zl OfF SIT------------d. LOADING SPACES------------------1. STRHT _______________ l OfF SIREn ______________ l. DOC"--------------- AUEY----------------6 LPA REFERRAL YES-------NO----'ZC.c:,;:c._ __ DISCO'tTINUE BUS NESS--------------D.U R A FINANCIAL ASSISTANCE GRANTED MOV!PIIG EXPENSES CIRCLE a) bl Ssoo. fl 5 ""' 5zm F:) 5Jooc 5:..!19 h) 5Jsoc SJ99!1 i) 5ooo + AMT 5 ------c.-) 5:4!9 d) 5150< 5 t) S:ooo j) AMT ACTUAL MOVING EXPENSE $3 59 Q 6 SMAL!.. BUSINESS DISPLACEMENT PAYMENT 5--------STTLEMT COStS 5----------------C. OTHER -----------5 TOTAi.. FII\AhiCiA!.. S F. OTHER INFORMATION: a) bl TEMPORA5i"Y Rt&..OCATION 0' Sill------ADDRESS------------Off 51""[ ADDRESS ___________ ANO/OA REMARKS--------------1 .. tJO 1N3tl ,, I._ I I_ % w,.. ,., .. :II "'"1"1'",""\ J: 0c z "" ,., "' z "' ... .., .. .. c n ., z L z v I I z L I z 'fcf1 ")SIO (.. u s .;. "' 0: ------10.. .;. a: N N ,., ,., .. 0 ..,u "" ... "" 0 a: O>LO Ill ... :1: "'8 ... t;j z .. A I I lit 1 7 I J \ YEARS II'; TEMP EMPL PERM E"'PL AREA 1YPE ALPHA CODE PRESE"l ESTABciSHMENT COMPOStliON NA ... E Of 4TfB11li'I"Eto.'CAMPBELL Is I 66 ADDREss J. q u Lar 1.rner Street 3 ..... OF OWNFR o .. G. John Campbell 1. TYFl Of EST/\B CIRCL.E C 1 2 3 4 E 7 8 TRAD[ APEl.. C1RCLE 6. NO. Or EMPlOYEES PERM TEMP 2 J 4 8) d) 15-19 b) 5-9 elz ... u b) 5-9 e) zo.zc C) IITC f) n c), .. ,. f) a) o .. d) 15 7. YEARS IN DENYR-....1-2L.1. .... -=-:----------B. YEARS AT THIS LOCATIOh DATE OF LOCAL APP.OYAL 9. At tHIS ADDRESS PRIOR TO ( 3 ) D. PERMANENT RELOCATION ADDRESS 37th & em Denver 20-10 Federal Colo ZIP STATE 2 b.LEASE BACK C, LEASE 80211 d. RENT 3 8,FURCHASE PRICE 5----------------b. MORtGAGE 5-----------------------------C.WO. PAYMENTS 5--------------------------------. LEASE/LEASE BACK/RENt B.MO. RENT 5-------------------------------------b,LlNGtH OF LEASE YIS. USSIE _____ C. MO. RENT INCREASE 5-------DECREASE $----5. a. N.U.A---------------------10. GROSS INCOME Of ESTABLISHMENT 11. NET INCOME OF" ESTABL.IS.HMENT ll ELIGIBLE FOR SBD 'tYfti=NO !=) C. PARKING SPACES T) ON SitE-------------l) OFF SITE-------------d. LOADING SPACES-----------------YES-----NO-------STREET---------------------------------B. PRESENT PHYSICAL INFORMATION: l OFF STREET ______________ I &)OWNER b) LEASE BACK (J LEASE .RENT 3 DOCK:---------------' AUE>---------------------------------z. :\)N.U A __ i. LPA REFERRAL YES-------N0-------'-8) I.AND __ 7. DISCONtiNUE BUSINESS--------------]. AMOUNT MO RENT S QQ E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED AMOUNT MO RENT P.l 1.1. 5--------;---B)ON SITE NO __ ..;L..-----b)OH SITE NO-------S PARKING SPACES MOYittG EXPENSES CIRCLE f) S zsoo 5zm -----j-t,=6. LOADING A. StREET J! B. DOCK C .. OFF STHn ____ D. Au.n------a) UNDER Ssoo bl Sm. 59!19 c) Sooo. s"" g) 53ooo S:w99 h) 53501.'. s-., r .,. ---._ '-' .. _. ii E. NO OF SPACES------c RELOCATION TRANSACTIONS I/ 7 2 : DATE or ACOUISITION r11W$31j/t!l( C"\ DATE WOVE COWPLETED __ _______ 3. AMOUNT OF" MOttTP4LY RENT PAID TO D U.R.A 5 ------4. LENGTH Or TIME TO RELOCATE AFTER DATE OF ACOUISITIO ---------------------d) .Suoo 5!1 Szooc S2 i) S.ooo AMt s ______ j) Szuoo+ AWl $ _________ ACTUAL MOVING EXPENSE s ___ l. SWAU BUSINESS DISPLACEMENt PAYMENtS--------3. SETTLEMENT COSTS OTHU IMLfiU ,, s .. "' pd 5 TOtAL FINANCIAL ASSISTANCE S _.flo:I,.,..,,UfL&0.J(/,1UjtJc._ ____ ------------------------F. OTHER INFORMATION: a) b) TlMPORART aELOCATIOOI 001 SITE------ADDRESS-----------OFF SITE ADDRESS-----------.. .. .. 0!---:tm .. ,., :II ..... E OS z C>::r ,., "' ;l:c:> z "' ,.,.., .. .._, ,., n ..

PAGE 19

1:. ___ __ 1: t i ... .. : i_. ,. .. 13 .! .. ::: 0 It .,., --:--, .. ... .... : .... 1 .,_ t-(... e-. ,-. ....... b J !-; 4W r)1ou d11s-1 f)n TEMP C) 11-U <'I Zt-Z4 0 zs+ 7 YEARS IN DENV __ _______ I. YfAIS AT THIS lDCATIOh DATE Or LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ( ,_ l Mnk. !_l 10 GROSS INCOME OF' ESTABLIS>HME "'T 1\ N INCOME OF ESTABLISHMENT 4 .,J. (_) 12 ELIGIBLE roo SBD YES-----NO------., B. PRESENT PHYSICAL INFORMATION: "' ... ,_ z -------'Hg .. .. .., .. ::E a: 0 .. c -' u "-:t O::o. 8) OWNER b) LEASE BA.CK d) RENT AI u AMOUkT "0 RE'' MC F T.l SPACS l_ !loiO --------&.\l"o bjo sm ,0 ________ :\. STRir' ____ IJ. DOO c. Or< Sftf[r _____ JJ. ALLE>------L. NC or ------RE.i..OCATION I DAH 0' ACOUISIHO z.2 c.f7 OS..TE MOVE COt.tPLETED "/4 :i 7 3 OF MONTHLY PAlC TO D.U.R.A S ------OF TIME TO RELOCAT AFTEM tiATE OF co":s,To --------..------=r-------5: 4310-dt s:;JdS !>N!>---------------------------------t.pARKING SPACES 1) ON SITE------------z) Off SITE--------------d.IDADING SPACES-----------------1. STREET----------------z. Orr STREEt ______________ l. DOCK-----------------4. AUEY---------------------------------6. LPA REfERRAL YES N0--------7 DISCONTINUE ________ E D.U.R.A FINANCIAL ASSISTANcf GRAII;TED 1 MOVtWG EXPENSES CIRCLE a) uDER Ssoc bl S;o;: Sgg; r) S:ooo-S1 dJ S1999 P J Szooc SZ499 fJ S zsoo Sz99> !! ) SlODO S; h) S;m i) S:T ESTABLI5HMENT COCOSITIQ't 1 E D PERMANENT RELOCATION 2 4-0 4 !u 0 -' .,; "' a: .. ,; 0: ,_ N ., .. .. "' .. ,_ c 0: .. i ,..._. ..... "'-0 "' ... "' 0 a: .. .. ... .. co:;; ""'!Or ESTABLISHioiEm Q v ADDREss __ ADDRESS 6 2 5 W 1 2+h A liP, NAI-11 or OW,ER o CHY Denver STATE Col 0 Zl 80204 t TYPE OF ES'!AEI CIRCLE-t i 3Q_..) 6 7 8 Q.sr:Tr'\ b.t.EASE BACK (',LEASE T"'AOE /I REA CIRCLE1 i; 3 5 l PRICES---------------d. RE_, 6 NO Of EMPLOYEES PERiol. &) 0-' b) S-9 (C}10-14 b. MORTGAGE S----------------d)1S-19 I') ZO-Z4 "I) zs+ C,MO. PAYMENTS 5----------------TEMP a}o_. d)1!>-19 b) S-9 C) 10-14 4. LEASE/LEASE BACK/RENT I') ZO-Z4 f) zs+ 7. YEARS IN DENVER ----------:-fc----------8. YEARS AT THIS LOCATION -----.::1.---------DATE OF LOCAL APPROVAL 3.4f. '1&. l 9. AT THIS ADDRESS PRIOR TO NO-----10 GROSS INCOME OF ESTABL!S"t""E"il ___________ (_) 11 "tEl INCO,_.E OF ESTABLISHMENT-----------(_) 12 ELIGIBLE FOR SBD YEs-.... NO ----B PRESENT PHYSICAL INFORMATION: 1. QOWNER b) LASE BACK r} LEISE d) RENT Z. AI -u A. ___ ---!/,...l'f+!P::.,:O!::..;:..r'_ ------B J LAND ____ --------AMOUNr MO RENT a)o siTE NO ___ ..:Z=O:..;....:!:..!S::_ __ .t. AMOUhT MO. REN"! P.I.T.I 5 PARKING SPACES b)OFF SITE NO--------,,-------6 LOADING A. STREET B. DOCK }'< C.. OFF STEEET ____ O. __ E. NO or SPACEs _,.,2lJt..,_ .:. C. RELOCATION TRANSACTIONS 1. DATE Or ACOUISITION------.;""r;.,A-L...=.------z. DAT MOVE COMPLETED ________ ___ 3. AMOUNT Of' MONTHLY RENT PAID TO D U.I.A s _____ LENGTH OF TIM TO RELOCATE AFTER DATE OF ACQUISITION---------------------&.MO. lENT 5-------------------------------------b. LENGTH Or LEASE YRS. LESS IE------C.MO RENT INCREASE $, ________ DECREASE$ ___ __ 5. a. N.U.A .. --------------------b.GROUNC-------------------------------------C. PARKING SPACES 1) ON SITE-----------z) OFF SITE-----------d. LOADING SPACES-----------------STREET ______________________________ __ Z. orr STREET ______________ 3 DOCK---------------------------------4. AL:.E>---------------...,.-6. LPA REFERRAL YES--------NO----'),._ ___ 7. DISCOflllhU BUSINESS---------------E. D U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING XPfNSES CIRCLE a) UNDER Ssoo 0 S ZSOO SZ999 b) Ssoo 5999 g) hDDC 5:1499 h) Slsllt' SJ999 8 j) S.DDC + AMT. 5 ---------r) S1ooo $1499 d) S1soo. 51999 I') Szooo SZ499 j) Sz5.ooo+ AMT. S ---..,...,,....,=lrll. ACTUAL MOVING EXPENSE S t fC'f.f'( Z. SMAU IIUSINESS DISPLACEMENT PAYMENT 5--------3. 4. oTHER 5. TOTAl roiiANCIAL ASSISTANCE 5 __ _.C,'-':(;,....IU.c._7..L..:.-"'&. ... ,.._ __ F. OTHER INFORMATION: TE MPOIIUY RELOCATIO ____ URARIA ON SITE-------ADDRESS------------Off SITE ADDRESS------------._,,.. ................ .. .. .. ... ... ol----;t .. "' lD "'"" ... "' c :a "''.---;.H----= ..... z= Q!. --. ""z r--. 0'> .N ,.,n ,o Ul -.. """ C __.--.. .. .. C UI -J: "' .. ;lie> z "' .... .. __ ..

PAGE 20

... .r c: ... ..... :I .. 0 a: .. .., "' "" :I "'8 ...... "" z 1.) B :. .. : v c...._-... : -It'"';_: .;. ... ; -''"-"''..;S:;o.' Tj;A['I( ,.liilA (oiK,l t l 6 NO Of [MPL.OHES PERM b) !1>-9 d)1S.19 e) b-Z& TEMP a)... b) rJ 10-u (I u+ c) 1D-" f) 2s Sin .. ,. 7. YEARS IN DENYU--:::.:::;r:==-.::..r,-..:..:_ ______ I. YEARS AT THIS LOCATION---------------DATE OF LOCAL APPROVAL Al THIS ADDRESS PRIOR TO ) YES ___ NO __ lO INCOME or ESTABLISHMEN"'----------( ) 11 "'El INCOME Of ESTA&LISHM[Nl (_) 1z EliGIBLE FOR SBD ns----NO ----PRESENT PHYSICAL INFORMATION I. b) LEASE BACK e) LEASE d) RE"' B)cA,c _______________________________ ___ ....... .. .:.,, :: ., ________ l'. ;,.[ .lt.Sl l Pit([ b.MORTIOAGE 5--------------C.MO. $----------------' UAsEIUAU aACK/IENT LMO. IEIIT $ _______________ .....__ b. LENGTH OF LEASE .. ,. LU,IE--------C.MO. lENT INCIUU S-------DECIUU $ ___ 5. a. N.U.A-------------------b.GIOUND-------------------t.PUKING SPACES I) ON SIT------------2) OFF 'ITE -------------d. LOADING SPACES------------------1. STRUT _______________ 2 OFF STREET--------------3. DOC<--------------ALLE>----------------f LPA REFERRAL YES-------NO--------D!SCOhTINU --------------O.U R.A FINANCIAL A5515TANCE GRANTED MOYiMi fXF-EhS.ES CiRCLE 8) UNOEf;' 5 !JOO z ----+-iQ LOAO!"wG b) b)OP SITt lliC ________ .'\. STPE .. -=--B. DOCK C. 0" srrH:...,X____l>. ALLEY X r) () s zsoc 51 It' 53000 53499 h) SEve 53999 c :I a: c c < ... a:o: ;s -' ..... i II [. NC or SFACES 1+1 d) i) 5<000 + AMT e.J om or Condemnation 6/5/7 j j) 5,_ AMT ACTUAL MOVING EXPENSE 2 on MCVE ____ .:Ic:o.J.I.L_l_h:.:. ________ SMAU. BUSifrfESS DISPLACEMENT PAYMENT 5-------3 SEnCEME" COSTS .. orHEO Alternate Pavs:-_71453.21 r lt.At.CtAo. ASS!STAhCE ,_ +! ...=! = "l, 1 or MONTHL.Y A[p,;'!" PAIC TC 0 U A/.. LE"iGT.-or ll""'[ TO J.rE:..OC:.TE OA.H. Ot ACO:..I:s:,.j:,., -------------------OTHER INFORMATION t[t.APQRAP.'I 8) ON S'TE ADDRESS------------b) OFF SITE ADDRESS------------COM"'-\!S a-.o. OPi RE11o4ARKS--------------l .z L .z ;,. r I J 1 ... 7 PRE5EI';T ProgramNT RElOCATION ""' c ... 621 Fox St. Denver AOC f I. ADDRtSS ..... [ 0' 0" "'" o "'G' Edward R. Lucero Clh ------s,-.-TE---_-_-:._-_..:._-:._-_-_-_-2-,- ....,.!?.....,o""=-"o""'l""" -----!"-T'!P or !:STA6 CIRCL-0 l 2 ;, 'G t-' E 2 &.SALES b.LEASf. B.ACI' C. LEASE d. RENT .,. ,.. -. ...., ... ., ... :I 0 .,o "' .. "' 0 a: .. "' ... :I "'8 .. .... ... z .. u; .... c Q t;, TF.AOE APL4 CIRCLE. (j) :i :i 4 3 &.PURChASE PRICE 5---------------6. NO Or EMPLOYEES PERM Bj ().' b) S-9 t) 10-1& b. MORTGAGE 5----------------d) 1S-19 e) 20.2& f) 25+ C,MO. PAYMENTS 5--------------TEMP a) 0-< b) 5-9 t) 10-1& LEASEILEASE lACK/RENT d) 1s.19 e) zo-Z& f) zs+ a ... o. RENT s _________________ YEARS IN 8. YEARS AT THIS LOCATIOh---4'-------------DATE OF LOCAL APPROVAL AT THIS ADDRESS PRIOR TO l YES ___ NC---10 GROSS INCOME Of" ES1A6LISHMENT __________ ( ) l: NET lhCOME or ESTABUSf'IMENi \_) 12 EliGIBLE FOR SBD YES----NO-----B. PRESENT PHYSICAL INFORMATIO .... b) lEASE B.CK t) LUSE @RENT A) L. ----------------B)LANO ____ 3. AMOUNT MO RENT 5-"a-...... C. AMOUNT MQ RENT P.l T I 5-------------b. LENGTH OF LEASE _______ YRS. LESSIE _____ C. MD lENT INCREASE DECREASE$ ___ 5. a. N.U.A --------------------b. GROUND-------------------------------------r. PARKI-.G 1) Ot\1 SITE------------2) OFF SIT------------d. lOADIG SPACES------------------STOEET---------------2 0" STREET ______________ 3 4. 6. LPA REFERRAL YES-------NO---IkC""""'------7. DISCONTINUE BUSINESS--------------E. 0.1! .R.A FINANCIAL ASSISTANCE GRANTED MOYI"'G EXPEhSES CIRCLE a)o SITE NO---------al UNDER Ssoo 0 S 2soo b j OFF SITE 100_ ... ._-.c;______ ) PARKINC 6. LOADING A. STR[E. b) Ssoo -5999 g S3ooo -h '<= B. DOCK C.. OFF STEEET ___ D. ALLEY'-------t) 51000 51&99 b) 5JSOO-5JM9 E. NC OF SPACES _______ d) 5soo-51999 j) S&ooo + AMT. 5------C. RELOCATION ..,_ (!PSzooo-52&99 j) Szs.ooo+ AMT 5--r--:-:-':"":"'""""!'" DATE OF ACQUISITION _J J ACTUAL MOVING EXPENSE s:?y Jlj(, ,(1() [iii Z. DATE MOYE COMPLETED 5 '\
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iC.I ------"''--... ......... .. "' "' :1 .. 8 ... .... .. "' z ---.,.,..'7' ... -.--. ---'-': .. 'i -. :; : !':=. !' ._ .. _,_-=:'---rrc.;sr. l.fdt. ,:.o.::..l l .' 4 t NO or U4h0YlS 8.1 C>-L dl 1'>-19 TEM 1) o..o d),,_,. 's rl z b)M e) rw r) let-u () n tE} 111-1. ,. T) n+ 7. YEAIS IN DENYER------,--....,....-..,...-------1. YEARS AT THIS ----''IL..J'fL.OLS-._ .. J,..-...,1 .. -$._ ___ DAT Of LOCAL 9. AT THIS ADDRESS tiOR TO ) N0---10 GROSS INCOME Of ESTABLISHMENT __________ (_) 11 NET INCOME ESTABUSHMENT (_) 12 ELIGIBLE FOR SBD YES----NO----B. PRESENT PHYSICAL INFORMATION r ...;. a.. -_ .""":1.\':.:... co..: c. tl. L ;. l ::: j Ffi .... i --------------5-----------------C.NO. $---------------- LEASE/LEASE a.MO. RENT 5 ...... ___________ b. LENGTH OF LEASE .. S. LESSIE ----lENT INCREASE 5---5. a. N.U.A. ,6 4fl. 4:._ b. GROUND y J SOACES T) Oh SITE------------2) O:. !. 1. &.SALES b,LEASE BACK C. LEASE 3 &.PURCHASE PRICE S ---------------._ ... ,. "' > .. ... .... _, ..... "'"' :1 0 ,.u 1!!: ... ::: 0 a: "'" ., u=::; ,_ c a:;; ... z,.. ... a: taR[lo CIRCLE 1 Z 6 NC or EMPLO'HES / b) '5 TENP d)1S-19 a)0-4 d) TS-19 rl 2o-zo b}!'>-9 e) 2o-z c) 10,. f) zs+ c) 111-1 f) 7. YEARS IN DENVER------------------8. YEARS AT THIS LOCATION--------------DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) YES-------N0------10. GROSS INCOME or ESTABLISH..-ENT __________ (_) 11 NET INC0M[ or ESTABLISHMEt.iT (_) TZ ELIGIBCE FOR SBD YES----NO-----PRESENT PHYSICAL INFORMATION: C)LEASE 1 a)ow-.R b) LEASE BACK :\)N.U A.---------------________ J. AMOUNT MO. RENT ________ <1. AMOUNT MO RENT P.l T.l 5. PARKING SPACES 6. LDAOING A. STREET s ____________ &)ON SITE NO---------b}orr SIT hO _______ ___ B. DOC< C.. OFF STEEET ____ U. ALLEY------[. NO Of SPACES------C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION ___ __ l. DAlE WOVE COWPLETED ___ 3. AMOUNT Of MONTHLY RENT PAID TO D.U.R A 5------a. LENGTH OF TIM TO RELOCATE AFTER DATE OF S ____________________________ C.NO PAYMENTS LEASE/LEASE -tf? /7V a.MO. RENT 5 ..... G b. LENGTH OF LEASE ey;t./' YRS. LESSIE _____ RENT INCREASE S DECREASE $---5. 8,11.U.A ,/ ,_, 'z:f b. GROUND-----------------C.PARKING SPACES 1) ON SIT-------------z) orr snE ____________ d. LOADING SPACES-----------------1 STREET _______________ 2 Orr STRE---------------3 DOC-------------------------------- ALL
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i= 1.-ii .. .... :.. "', r ;;.:,,,, 4GC& ... iD .. nr. -----fO. .; '!'t'Fl Ci !.!:,iAt 0 1 l (t>: t : 6 TFAOt Alii[A CIRCLE i c 3 !) r .,-, -.. _..-, .,' N .., ., "' "' ,.. ... .. ,.. I; 0 .u ... ::: 0 .. "'" ., ... ::1: .. s ...... ... z "' & NO. Or EMPLOYEES PERM. --------------Ig E-NO 0' SHCES --------C. RELOCATION TRANS CTIONS \ DATE OF ACOUISIT:O I' II ., 5 .... .. u DATE MOVE COMPLETED >-;;; z,. AMOiJ"'T OF MONTHU lii[Ni PAlO TO D.U R A s ____ s I .n :..ENGTI-I Of TltJ.E TO 't'EL.OCATE DATE. Of ACOUi S !liOI-l ------------------------------------L ( S3:>YdS c 2 B.SALlS h.lEASE C. LEAS( d.RrNr l A. PURCHASE PRoCE S ------------------------------b.MOITGAGE 5--------------.. LUS/UASl a.MO. h.uNGTH Or LEASE YIS. USSIE----------1!. MO. lENT INCIUSE $-------------DECREASE $ ------5 8. N.U.A ----------------------------------b. GROUND------------------------------------C.PARKING SPACES 1) ON SITf-------------------2) orr SITE-----------------------d. LOADING SPACES---------------------------1. STREET __________________ 2. orr STREET ________________________ 3. DOC"---------------' AUEY---------------------: ... __ -------------------------------E D.U.R.A FINANCIAL ASSISTANCE GRANTED MO\'IfiiG CIRCL a) u'DER Ssoc bl 5soo -5999 d) .S1 sec 5 r) S2ooo S2 n s zsot 52999 !() 53000 S:w!!9 hI Smr S1m il Sooo + A"T S ----------j) S2,.ooo+ AMT S _____ ACTUAL MOVING EXPENSE S ___ 2. SMALL BUS,.ESS DISPLACEMENT PAYMENT 5--------------SE TTLfME NT COSTS S ------------------------4 S TOTAL FINACIAL s Sl S T .. C E S .. .. O....,Ou0.._ ..... ... )'F OTHER INFORMATION: 1. AELOCATIOh a) bl Oh SITE----------ADORES S ---------------------or f SIT. ADDRE!tS --------------------11 /S/1 .LN3WAVc 110 .LN3!1 :l a 1...... .. ----ot---% r,._-, "' .. () .. 0 I!=! ('oon c :. .. ..,_...., 1-H-----3: 0< z ""' m z "' ... .., "' .. n "' sna "t I '11 l 3 t 2 n 1 I L I r 1 : l l L :_ Y_. L __ --,4-3fof r 'll I .l 7. _f I ,. c n t -, E elF ED 6 5 4 I 9 8 7 6 I I A. PRESrtT ESTABLISHME"JT COMPOSiTiON D. PERMANENT u 0 .... Mr 0 f!I'WILI,;H..., .. .-4 Colorado Garage Door Service 'ADDHS5 nClZee St. 1365 Rio Court .,; ... .. 3 NAME Of OWNER OR (. TYPE OF SlAB CIRCLE 0 1 G 3 4 S. TRADE AREA CIRCLE -1 4 S ----------10. 7 8 .. .,; .. ,.. 0 .,u "' ... ., 0 .. "' In ... ::1: .. s 6. NO. OF EMPLOYEES PERM. 8 0--4 ) 1!1-19 TEMP a) o-4 d) 1!1-19 7. YEARS IN DENVER-----'---,-------------------------8. YEARS AT THIS LOCATION --.J'I....--------------------------b)s.g e) 20-21 b) !1-1 e) zo-z c) 10 f) 25+ c) .... f) 25+ DATE Or LOCAL APPROVAL Al THIS ADDRESS PRIOR TO ) YES ___ N0---10 GROSS INCOME or ESlABLISHMENl _________________ ( __ ) 11. NET IOCOMl OF ESTABUSHMENT (_) ,.. : B ELIGIBLE ro SBD vrs-----NO ------PRESENT PHYSICAL INFORMATION: .. ... z ... "' a:;; 1 8) OWEo b) LEASE BACK d) RENT 2. A) u A. St.. t.()(),l/0 3. AMOUNT MO IE NT $ ...L/_.(J"-'{J"-'''-p""-'(l""--------------------' AMOUNT MO RENT P.I.T.I. S---------------------------5. PARKING SPACES 8)0N SITE NO ....:-=;__ __________ b) OFF SITE N0---------6. LOADING A. STREET B. DOCK C .. orr AUEY------E. NO OF SPACES------c RELOCATION TRANSACTIONS I I. DATE OF ACQUISITION I I II' 7 I l. DATE MOY COMPLETED __ lE 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A. S ------------:i f 4. UNGTH OF nME TO RELOCATE AFTER DAU. Of ACOUISITIO ---------------------------------------cm Denver STAlEColo, ZIP 80204 2. &.SALES b. LEASE BACK C. LEASE d. RENT 3. B. PURCHASE PRICE S -----------------------------b. MORTGAGE 5-----------------------------C.MD. PAYMENTS $--------------------------------. LEASEfLEASE lACK/lENT 8.MO. lENT $ __________________________________ __ b. LENGTH OF LEASE YIS. LESSI ---------C. MO. RENT INCREASE 5-----------DECREASE $ ___ __ 5. a. N.U.A-------------------------------b.GROUND--------------------------------------C.PARKING SPACES 1l ON SITE----------------2) OFF SITE----------------d. LOADING SPACES----------------------------1. STREET ______________________ Z. OFF STREET ______________ __ 3 DOCK-----------------.._4 aun __________________ __ 6 LPA. REFERRAL YES N0------------7. DISCONTINUE BUSINESS .Ill! .. ,..-:;_ __________________ E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPENSES CIRCLE a) UNDER Ssoo b) Ssoc 5999 c) $1000-Su99 d) .Ssoo -S1199 e) Szooo -S2 ) s 2500 Sz!19!1 g) hooo -s:wggl b) S3soo -S3999 j) WOOO + AMT. $ ________ j) 525._. AUT. S _____ ACTUAL MOVING EXPENSE S ___ l. SMAll BUSINESS DISPLACEMENT PAYMENT $----------------3 SETTLEMENT COSTS S----------------------------. OTHER ----------:--::--. S:-::---:::-----5 TOTAL AssisTANcE s 1 p F. OTHER INFORMATION: 1 TENPORARY R[LOC&TIOJrrw a) 01< S"t------"DDJESS ------------I!= c .. .. "' .. of---.._-::0 "'...,......;w.._j .. :a 1-HI-------__, .. .. J: 0c s z "l: r-: -; G')--"' "' "'''-} :. __

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le i L-1 ____ ... ____ -., "' .. r:: 0: ,_ 0 .u !. .. ::: 0 a: .. on ... :I .. 8 z ....... ... z .. bl zo-z b) !1-1 r) zw r) 10-1 () n+ r) o-,. f) Z!tO I AT THIS ADDRESS PRIOR TO _$ YES NO 10 GROSS INCOME or ESTABLISHMENT 1\ NET INCOME or ESTABLISHMENT 110 31 g )0 ,,. (_) ,... j 12 ELIGIBLE roo SBO YEs NO----8 PRESENT PHYSICAL INFORMATION: 1. b) LEASE BACK r) LEASE d) RENT Alu-----------------------------B)tAD-------------------------------MO RlN twtO RE'""T F-IiI s _____________ a 1 o SITE o ___ _./'------2 b I on sm c --------------Hg 6 LOADING A. STOEU DOCK C.. O?tU,crRP a j J1 "' "' J_ .. SIL znr l Llll e' znr L H z z p L "u I I j r E 0 I t t U b I I 1i I I I PRESENT ESTABLISHMENT & D. PERM.t.NENT RELOCATION 2 4-0 7 0 9 t/ u 0 ..J .,; ... 0: A TTnivP'Y'c::it--u n C"nlorado 83114th Street _, AooREss .r.r.tu-:in 1?-+-h ADDREss 1100 14:t;h S:tree:t...-3 ,A ... ,oow,o .. G .Kobert s. Graham CITY Denver,sTATE Colo;m Eh2o2 .. "' --------l"' TYPE or ESTAB CIRC:..E C 2 {j)' :. f 7 8 Z 8.SA.LES b. LEASE BACK C. LEASE d. RENT 5 TRADE AREA CIRCLE I 2 3 4 5 3. &.PURCHASE PRICE 5----------------or---.. ... "' .. ,_ .. ... --........ _: .... .,.; a: .. 0 .. u !. .. ::: 0 a: ID" on ... :! .. 8 ... .... ... z .. .... C[ a:;; 6. NO Or EMPLOYEES PERM 8) 1>-4 b) 5-9 r) 10A b.MORIGAGE 5-----------------d)IS-19 e) ZG-14 0 zs+ C.MO. PAYMENTS 5 _______ --;--------TEMP. a) 0-4 b) S-9 c) 10.1 LEASE/LEASE BACK/RENT dj IS-19 e) zo.z 0 zs+ &.MO. RENT s _______ -=.:..::...=..:::=------7. YEARS IN DENVER l'4 A:::: b. LENGTH OF LEASE YRS LESSIE ______ I. YEARS AT THIS LOCATION.-; C.MO. RENT INCREASE $ ________ DECREASES ___ 9. AT THIS ADDRESS PRIOR TO DATE OF LOCAL APPROVAL 10. GROSS INCOME or 11. NET INCO"' OF ESTABLISHMENT ""'"= 4L (_) IZ ELIGIBLE roo SBD Ys, _____ NO-----8. PRESENT PHYSICAL INFORMATION: T. d) RENT B) OWN b) LEASE BACK r) LEASE A)N.u A-------..:'C:;=::::;;-;._ _____ B)LAND ______________________ .. Z. 3. AMOUNI MO. RENT 5----------------- AMOUNT MO. RENT P.I.T.I. !--------------5. PARKING SPACES ...._._Ml!J>N SITE NO ---------SITE NO ________ 6 LOADING A. STREET B. DOCK C.. OH STEEET _____ D. ALLEY'------E. NO OF SPACES-----c. RELOCATION TRAIIISACTIONS F-I1. DATE OF ACOUISITION I S. B.N.U.A --------------------b. GROUND-----------------------------------C.PARKING SPACES I) O SITE--------------2) or sm _____________ __ d. LOADING SPACES------------------1. STREEI ________________ 2 OFF STREET: _______________ __ 3. DOCK:--------------. ALLEY---------------------------------6 LPA. RHERRAL YES-------N0-....1 ........ 0::::.----'-7. DISCONTINUE BUSINESS----------------E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER Ssoo bl Ssoo -5999 r) 5ooo 51199 d I .SI!IOO 51199 Szooo -52 f) S zsoo 52!199 g I hooo S:wgg b) hsoo s-. i I Sooo + AMT 5------j) Szs.ooo+ AMT ACTUAL MOVING EXPENSE U-17 I. DATE MOVE COMPLETED p II -?:i 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A S -----"' Z. SMALL BUSINESS DISPLACEMENT PAYMENT 5----------a: c i::: 21 ,. :II .,..., "' ... ;N...__, -'--J: 0< z ":z: "' "' z Ill ... ., .. .. .. .. .. "' Cl n .. ... --..._. ......

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' -"i .--. "' -.. .. "" .. .. "' > a .. -. "' I -I I-' .,: e: "'"' 0 .u z 7. .. I. 9 .. 1:1 "" 10 .. 0 u 1% l :. ; : v. ,l. :.. j. t ._ ... 19-03 Cea::;ec o:QeratJ.on ,,;, ... : r.; ');. ... _-nf: Street. Pau J. H::Llst :. l 1 '! y t 0' l 1-:: c ... i: cQ. ; a.-: ... l L .. f'SE .. (", lPAOl CIR'(L[ 0; : 4 8, f'LIICt1ASE PRICE s NO or fllotfoLOl'lES P(litM 81 G-6, b) !>-9 r) b.MORTiiAGE s dl 1!>-19 U.lA f) n C. MD PAY MENU s TEMP. f. 0-4 1_ b} 5-I c} 10-1 .. LUSliLUSE aACK/UIIT ) 1!>-19 za.z f) n &.MO lliiT s YEARS IH DENVER 1/HIC. b. LENGTH Or LUSf ns. uss1 YEARS AT THIS LOCATION CIA!" C. MO. lfNT INCIUSE s DECIEASf $ OAT OF LOCAL APPROVAL 5. &. N.U.A. AT THIS ADDRESS PRIOR TO ( .5 0 9 I ..,.,. ) b. GROUND Yf s.--lND--C. PARKING SPACES 1) ON SITE GROSS INCOME OF' ESTABLISHMENT rtsJlr zl OFF SITE NT INCOME OF ESTABUSHMENT d. LOADING SPACES ELIGI&L E FOR SBD YES NO I STREET d."'" 2 OFF STRT B. PRESENT PHYSICAL INFORMATION: ... ... "" (i}owNrR l. DOCK z I b) LEAH BACK r) LEASE d} RENT .. AU.E'f li;OQO ; .'\).u A 6 LPA REfERRAL YES NO 0 z B) LANO 7 DISCONTifiiUE BUSINESS. u "' AMQUNl MO RE."-;1 s E D.U.R.A FINANCIAL ASSIST-NCE GRANTED ::> MO IHO.,T I T I s 1 MOVIfloG tXPErtSES CIRCLE .. I 0 ... PAFi:t\1rtG SPACE.S al o,.., S.tTt hG r, 5 2so: 52999 J al 5 !>00 h) S,IT[ fo.iC D gl z bl 599!< SJOOC 53<99 ___ B. Q t LOADI'IIG A. STRE'-T DOCK r\ $100tt. $1499 h) S;:sor 53999-I "' c. 0" t..L.U:l ::!: t. d) S;soc 5199. i) Scooc + AMt. s Q: OF SF ACES :'c RELOCATIO" TI>A"SACll0"'5 S2o0< j) s H/A I DATE OF ACOUISITIOO., ACTUAL MOVING EXPENSE s ..J Sd.7l "' 2 DATE MOVl COMPLETED SMAU.. BUSINESS DISPLACH4NT 5 u : A"'CUNT MON"!"HL'f PAIC TO C.U.R.t. s 3 SfTTLEMNT CCSTS S .. CTHER LJ LMU OF s ,,) 1/IJtJ. ld 0:0: LE,.,GTH or-11ME TO J.IELOCI.H I.F"TER Ot.TE OF ... ACOU:SITIOI\ 5 TOlAL FINArtC!Iu. ASSISTANCE s z F. OTHER INFORMATION: "' "' F "' 1 TEMPOl!AQ'f RE ... OCA"!"IO!Ii Q: 0. a) SIH A.OORESS -._ .. E b) OFF SiTE ADDRESS COMMENTS AND/OR REMARKS .. S3)\"dS !>NI'>HU'd S3:lWdS !>"ICWOl d/5/1 lN31',Wd llC e! j a I L I j a I I I z L I z I 8 I z I z I y 81 I z L I z L I z .. n ; r r J H I I i I .. I J. I u TYPE ALPH-CODE ; "' -:: .. .., :a ,. .. {') '1"' o "'("\ c iD .. """'('\ ., .. r, -"' z:= ""''-.C.-. Z"' ,.. ..... N11>0 "'"' ... ,., z.. ..... .. 1: z; en .. ;;: -'" 3: 0-., < z C>: I" ,.. ... z "' ..... ,. sni: I .. A u 0 ..J PERMANENT RELOCATION 3 .. f ... .. N .,; "' Q: 0. .; "' )r .,.., ::!: 0 "' u .. Ill "' 0 "' .. 1:1 "' "' .. 0 u ... "" z .. 0 z u Ill ::> ... "' B t TYPE OF STA6 CIRCL.::: (. l :; s(!)1 C 2 8.S.t.LES b.LE.ASE. BACJ( ('.LEASE AREA CIRCLE CJ.: : 5 3 &.PURCHASE PRICES----------------6. NO OF E"PLOYEES PERM .i:> 1' b) S-9 r) 10 b.MOOTC.AGE 5----------------iJ) 1!>-19 P)ZO-Z4 f) ZS+ C,MO. PAYMENTS 5------------------TEMP 8) 0-4 b} !>-9 r) 10-1 d) a-19 zo.2 f) zs 7. YEARS IN DENVER-----..,...-..., ..... --,_....,.=-:::"":lr--8. YEARS AT THIS LOCATION DATE Or LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ( ) YES-------NO ____ __ 10. GROSS INCO"t Or ESTABLISH"E"'------------------(--) 11 NET INCOMl OF ESTABLiSHMEN; ---------------------<--) 12. ELIGIBLE FOR SBD YES NO-----. LEASE/LEASE BACK/RENT &.MO. RENT 5-------------------b. LENGTH Or LEASE YRS. LESSIE ______ C. MO. RENT INCREASE ------DECREASE 5----5. &, N.U.A --------------------b. GROUND-------------------------------------r. PARKING SPACES I) ON SITE-------------21 or sm -------------d. LOADING SPACES------------------1. STREET _______________ 2. Orr STREET---------------PRESENT PHYSICAL INFORMATION. 3. DOCK--------------------------------1. a) OWNEO b) LEASE BACK c) LEASE ) REOT Allrl------------------------:\) U A. -< ..f
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... .. ,... :-;.; ......... E:e:c. 0: .. ... ., .. N .,.; .. ... In 0 .,u !! ... ::l 0 a: .. 1.? 1100 Stre+ '-"'-'i Schorr q 0' ESlAE CIRCd. l 6 .: t 7 f TPAD .IPlA CIRCLE 1 CD 3 6. 010. Of EMPLOYEES PERM. a) G- b) 5 c:) ... ,. f)zs+ J.5 d\1s.11 z.z TEMP a) G-0 b) 5-I C) T .... 0 d) 15-19 t) zG-z f) n+ 7. YEARS IN DENVER .... --;r-------------------YEAIS AT THIS LOCATION -----''IJ'L---------------------9. AT THIS ADDRESS PRIOR TO 10 GROSS IP'rfCOME OF IZ N[1 INCOME OF ESTABLISHMENT ELIGIBLE FOR 580 DATI. OF LOCAL APPROVAL ) __ NO--urJI<., c __ > ttNK <-> YES----NO----., B. PRESENT PHYSICAL INFORMATION: .. ::: > .. ... z z c ------H;:: .. .. .. :1 a: 0 ... c ?; -' < ..,_ a:;;: ... z "' "' '"' a: Q. b) LEASE BAC' c) LEASE Al" ,_ JOOC H j LA I<[' UNK... A"'0"" .. (' R[" ------------u.-tou ... T MC J([pr,.T F i.l.l PI.Ffi<.ING a)o. S'" o ---:":1:------b)orr SITE o-..:.I_..Q.._ ____ -\. s-REET ____ B. DOC l.. 0'' ALLE>-----F. o or -----RELOCATIO" TRANSACTIONS DAE OF 1 DATE MOVE CO.,PLET[D AA.IOU'\T OF MO+-!THLY RENT P.t.!O TC 0 U li;.. S -------i..ENGTH 0C"" TiM TO IHLOCAT AF'TER CAH Of AC.O!..PSITIO"'o -------------------C. LElS[ d. RENT b,LtAS. BACII. l &.PURC,.ASE PRICE 5 b.MOIIHiAGE S _..;-;;;...o(J"-'--'----------$--------------------------------LEASEILUSE a.MO. RENT 5------------------b. LENGTH Of LUSE YIS. LESSIE ----------MO RENT INCRU\_E(J $------------DECREASE 5 ------&NUA IJ{)V b: GROUND t6 0 K M C.PARKING SPACES I) ON SITE------------2) Off SITE------------d. LOADING SPACES------------------1. STREET ________________ OFF STREET _______________ 3 6 LPA REFERRAL YES--T1..-;;----NO--..:.;:...._ ___ D!SCO...,TI._UE BUSihE.SS D.U R A FINA .. CIAL ASSISTA .. CE GRANTED r.40YfhG EJIP'\iSES CIRCLE s !100 Ssoo f) S 250t SZ999 ![) SJooc 53 h) Smc 53999 i) Sooo + A"' r) S:oot Sag d) S'SOC ST993 r 1 5zooc 5z jl Sz.ooo+ A"T 5---:-;.-;::;....-""" ACTUAL MOVING EXPENSE 1i .fV SM"LL DISPLACEMENT PAYMEN! 5----------3 SET'!LEMC:"il 57"",.,....---------==,....,...,.r-OTHE. s t:> AW sTn"_ ... .:.tl..;:t1 __ TOTA .. FI'-At.ICIA .. ASSdSTANCE F. OTHER INFORMATION: RELOCATIOh bl orr s'"----A"C'OI" s &pjl. ,, i:: I 1ot----... ... "' \. II ..... <'"''"('I "'_ ....... :a "' ... """'. l:: 0-< z ""' ;:: z "' ...... '" c n Ill .. JS snt B i L l f H .I T'l't'E X!itl401.. ALPHA CODE u g il hAM OF OWNEW OR /iJtt STAT t!l. ZIP rJJI -----i .. I. TYPE Of ESTA6 CIRCLE C. 4):. 3 .:. 2. &,SALES b.LEASE BACK TRADE AREA CIRCLE ('J;) Z 3 4 5 j; C, LEASE .. .. .. .. .. ._ .. a: ... 6. NO. OF EMPLOYEES PER... 8) G-4 b) S-9 &.PURCHASE PRICE 5----------------b ... 5----------------..... :1 0 ,.u ... 0 a: CD I.? d) IS-19 r) ZG-ZA f) zs+ TEMP. 8) G-0 b) S-9 C) 10-1 .,l d) 15-19 r) ZG-zo f) zs+ YEARS IN 8. YEARS AT THIS LOCATION -----Y;j'---------------DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) YES-------HC-----!.io 10 GROSS INCOME Of __________ (_) :1 :1 NfT INCOME OF ESTABLISHMENT------------(-) cc e !2. ELIGIBLE sec YES----NO-----?; r-I;; B PRESENT PHYSICAL INFORMATION: z ... c:;; 1. a) OWNER b) LEAS BACK C) LEASE 3 -AMOUNT MO RENT P.I.T.I. 5-----------..-----a)ON SITE b) OFF SITE NO---------5. PARKING SPACES 6. LDADING :\. STREET ____ B. DOCK C.. OFF STEEE1 ___ 0. ALLEY--.,JC"'----[. NO Of SPACES------C. RELOCATION TRANSACTIONS I. DATE OF ACOUISITION ___ .. z. DATE MOVE COMPLETED -'...Z t:CQ 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A 5--------LENG'!'H OF Tlhl[ TO RELDCAT AFTER DATE OF ACOUIStTIO -----------------------------,.. .. r .. ;f. C.MO. PAYMENTS -LEASE!LUSE uc.,G> a ... O. RENT 5 \ 1"""412 -L._' b. LENGTH OF LEASE ,2 YIS. LESS IE .jik( ;?I.e; C. MO. RENT INCREASE S DECREASE $ ___ __ 5. a.N.U ----------------------b. GROUND--------------------------------------C.PARK,_G SPACES I) ON SIH-------------Z) OFf SITE------------d. LOADING SPACES-------------------1. STREET _______________ OFf STREET ______________ 3. DOCK------------------o. LPA REFERRAC YES _______ NQ _______ 7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDEO 5500 b) Ssoo 5999 c) $1000 5ugg d) .51500 51999 r J Szooo Szgg 0 S zsoo SZ999 g I SJooo 53099 b) SJSot' s.J i) 5ooo + AWT 5 -------j) 5z5.ooo+ AWl ACTUAL MOVING EXPENSE Z. S.MAU BUSINESS 5------------3 SEnLE .. ENI COSTS OTHER .#t!t!A 5 DO 5 TOTAL FINANCIAL ASSISTANCE $ __ ..... ._--F. OTHER INFORMATION: 1. TEMPORARY RELOCATION a) ON S.ITE-----'ADDRESS----------b) OFF SITE ADDR[SS------------.. .. .. of---ico '" 21 ..... "' l:: 0-< z ""' "' z "' ... .., .. N .. .. .. N "' It, .._, .. '-'

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... : l :. : _____ ...::..;_,_ --='--'--="----.....,c-r-' n; :y .. I a ------1 .. # Y/)//0 N nPE o LSTs a ... LLS I b.LEAS< sc <'.LEAH d.REM .,; It .. !I TRADE AREA CIICLE J &.PURCHASE PRICE S ;r r llo() I. NO. OF EMPLOYEES PERM 1 .. b. MORTGAGE $ 21 e) zo.z f) n+ C.MO PAYMENTS $ VI""("'\"'() .. 0 TEMP b) 5.9 C) 10." LEASE !LEASE BACK/RENT lit('. Ill(') P) 20 f) Z!+ &.MO RENT 5-----------------.. ... "' > "' ... ::: 0 It "" ... ... ::E "'s ... .... ... z u"' .. "' B 7 YEARS IN DENVER-----==----------8. YEARS AT THIS LOCATIO _.2"""""r------------OAT Of LOCAL APPROVAL 9 AT THIS ADDRESS PAIOP TO I YES ___ N0---10 GROSS INCOME or ESTABLISHMENT __________ (_) 1: NET IJtCOME Of" ESTA81..15HirJIN'! (_) 12 ELIGIBLE roR SBD YES----NO----PRESENT PHYSICAL INFORMATION: bl.,LEASE BACK r)_}(ASE A I u A __ ....... ___ d)RENT '-fC 5----------------11ill.i0LJ',;T MC AE"oT F-iT I 8)0" S!H h,Q --41-------blo;TED EHE"wSE.S-CIRCLE a) UNDER S5oc' b.l S>Ot S9;, f) 5 2 5oc Sz999 g) Slot: 5;'g' h) SJSc: 53930 i) S.:.ooo + AMi r) d) s.soc. 5:99; t) S;ooo S1<9; jl 5z'Ooo AMT ACTUAL MOVING EXPENSE SMALL SUSIIri!ESS O!SP:,.ACE ... ENT PAY""-ENT 5--------SITTLfMIN' COS'S 5----------------5 TCTAi.. FI"-At.C..C.;. OTHER TEMFORUH RELOCATIO!I. 8) o SO!! ADDRESS-----------b) Off SITE AODRESS-----------.C. !'lot 'QP REMAJlKS.-------------a i::: :. Ul -. -'""": J:: 0< z Cl:t .. z 111 ..... .. N 0 r l e l z L l ,.n .. n.IC 0 0 .... .,; A r H I I F o I F o I 6 4 I 9 8 s II I I YEARS !t..: OEf\\'ER TEMP PERM. EMPL AREA 'TYPE IIXJ:c..:.C:): ALPHA CODE PRESENT ESTABLISHMENT COMPOSITION D RELOCATION 0 9-0 2 ME o; ESTAII-'!oi"II.EJII' CONTINENTAL TEXTILES ocRss .l,j,j,j lith Street 1 AoDm' 4607 Monaco MJ.chael Levine CITY Denver mTE Colo ZIP :; NAME OF OWNfi OR twtGfi 80216 -----i .. .,; It ,.. t TYPE or ESTAB .. CIRCL.E o z (!) 4 i1 s. z. a. sALEs b. LEASE BACK (',LEASE d. RENT S TRADE AREA CIRCLE I Z J 4 5 J. &.PURCHASE PRICE 5---------------6. NO. Or EMPLOYEES PERM. 8) 0.4 b) S-9 C) 10< b. MORTGAGE 5----------------"' ,.. d) 15-19 PI 20.24 f) 25+ C. MO. PAYMENTS s _______________ .. 0 .,v TEMP B) II-< b) 5-9 C) TO.I LEASE/LEASE BACK/RENT d) 15-19 P) 20-24 f) 2!+ &.MO. RENT 5---------------! ... 0 a: .. YEARS IN DENVER-----------------YEARS AT THIS LOCATIO --------------DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ( '. ) YES ___ .o __ ... w 10. GROSS INCOME or ESTABL!SH ... ENT __________ ( __ J "' 11. NET INCOME or ESTABLISHMENT-----------(_) '-' IZ ELIGIBLE FOR SBD ,.. l;j B. PRESENT PHYSICAL INFORMATION: YES---NO----z .. b) LEASE BACK C) LEASE d) RENT &)OWNER I Z. A )N.U .. ________________ B) LAND ________________ AMOUNT MO. RENT 5----------------ulll 2 c AMOUNT MO. RENT P.t.T.I. $-------------g:;; PARKING SPACES SIT NO---------b. LENGTH Or LEAS ________ YRS. LESSIE _____ C. MO RENT INCREASE $ DECREASE $ ___ 5. B. N.U.A-------------------C. PARKING SPACES I) ON SITE-------------2) orr SITE ____________ d. LOADING SPACES------------------1 STREET ____________________________ Z OFF STREET--------------3 DOC<--------------.,---4 Ai..LEY-----------------0 LPA REFERRAL YES-------NO-------7. DISCONTINUE 8USINSS.--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE b)orr SITE NO _______ 6 LOADING A. STREET B. DOCK a) UNDER Ssoo b) Ssoo 5!199 0 S 2!100 52999 g I SJOOO -53<911 h) SJsoo-531199 C .. Orr STEET ____ 0. AUEY-------0 E. NO or SPACES-------C. RELOCATION 1-! 1. DAT Or 1:"\ 2. DATE MOVE COMPLETED 5 ,)/. ,, 3. AMOUNT OF MONTHLY RENT PAID TO D.U R.A $-------: 4. LENGTH OF TIME TO RELOCATE AFTE A DATE Of ACOUoSITIOh--------------------4UD4DIA c 1 S1ooo s"" d) .$1!100-51!199 r) S2ooo Sz j) Sooo + AMT. S -----j) 525._. AMT. ACTUAL MOVING EXPENSE s.J,f.fl.ljf 2. SMAU BUSINESS DISPLACEMENT PAYMENTS--------3. SEnLEMNT COSTS 5-----------. .... mr-::::._.---' OTHER ---&,...:.,""'4..__ ___ !.!''' 5. TOTAL FINANCIAL ASSISTANCE $_1f .... ____ F. OTHER INFORMATION: 1 TEMPOAa.Rl" RELOCATION ON SITE-----ADDRESS----------J .. "' N ol----... "' 21 "'"" .. E a i e> :z: n "' .. -;:"' z v "' ..... -

PAGE 27

... ..;..:.t:: : __ : __ ;_. .. _-_.. __ --11 I .. .;... I ... ... .. .. c.: CIA._!; ""'= --"-'' .' .. ..-.---:::: .,--;.;r;r -''ot GZ::i::. ..... ii L' t c:: -C '-' 0' u-:"f ( ___ 'C 4:l.::o'-. iJ. .I IS! &r .. (. :..f A!tt d .... -J' ,. Utlt. c: Jl':. t 1..,:. J b.O. PR:(( ::t" ... 6 NO. or EMPLOYEI S P [ blr.-9 r) 10-u b. s .. lD i -..,. dl elzw f) u+ s "' .. 0''"() C:.MO PAYMENTS I .r'. .. TlMP. ., ... bl J.l c) 1.,. .. L!AUIUASE IIACK/IUT n"'o \ d) 1!1-lt e) INO 0 n+ a.MO. IEII1 S ,-.1 ... -1 .e 7. YE&IS IN DENVER b. LENGTH M Ll&SE YIS. LISSIE :Ill n-" t3'fMA Ill B. Yl&IS AT THIS LOCATION C:. MO. lENT IIICIUSE s DECREASE $ :., ... nn : .. .. Ill r."'?PPIOYAL 0 ( J. ) S. a. N.U.A. II: AT THIS ADDRESS PRIOR TO b. GIOUND Cl I. Z"' ..,. '"'w'l YE: NO---ns: C. PUKING SPACES I) ON SIT[ _., z Ill 10. GROSS INCOME or ESTABUSHMENl ll orr SITE ,.. .. el ... N......., ... y... (_) n lE 11. NET INCOME Or ESTUUSHMENT ..,. (_) d. lOADING SPACES 1110 N ... 0 -. u IZ. ELIGIBLE FOR SBD YES 110 I STREET "'"' ... "' B PRESENT PHYSICAL INFORMATION: 2. OFF STREET o .. z-.., !;; @wNER 3. DOC n; z b) LEASE r) LEASE d) RENT .. .. 1. BACK .... .. .. AUEY lll"' "' 0 2 A)N.U.A. 6. LPA REHRRAL YES NO ,.s: l::' z ::! Bl LAND (, ... z .. 7. DISCONTINUE BUSINESS ..-"' 3 AMOUJ\11 MO RENT S E D.U.R.A FINANCIAL ASSISTANCE GRANTED c u .. J: ... AMOUt.IT MO. RENT PIT I s 1 MOVING [XPEfr.ISES CIRCLE I or c:;:: PARKING SFACES alo sm NO a) 5soo f) 5 2SOC '" UNDER b)orr sm NO g) 3: z b) Ssoo S3ooo S:;gg 0-c .... B. < ., E lOADING STREEi DOCK ;::: c. on S'TEEET ____ IJ. c) SIOOO. s .. h) 53SOO 53999 z c ALLEY C'>::t ::1: n I a: F NO Or SPACES d) S:soo 5 il Sooo + Ato(T_ s 0 RELOCATION TRANSACTIONS e) Szooo Sz jl S2S.IJOO+ AMT s "' .. c :!: 11 3::_1-'/.1 31' 9' z OAT c,r ACOUrSITIO"' ACTUAL MOVING EXPENSE s "' .J 9-d'?P .. .., ... -.. z. DATE MOVE COMPLETED 2 SMAU.. BUSINESS DISPLACEMENT PAYMENT S ... .. 3 AMOUNT OF' MONTliLY RENT PAID TO D.U A.A s 3. SETILEMENI COSTS S "'::t 4 OTHER SfHC.HUJ{j: s ll/:l/ a:r. LfhGTH OF TIME TO RELOCATE AFTE'rt DATE Of -... ACOUISITIO"' TOTAL FINANCIAL ASSISTAIIICE s z c-F OT "' lilt ATION: .. "' :r 1 TEMPORARY RELDCAT ... a) ON SITE ADDRESS b) Of'F SITE ADDRESS -.. ... .. 2 COMMENTS AND/OR REMARKS --::::.. 'lZ'e.:Jc ............._ .. S3JdS S3JWdS IJ/5/1 lN31o;AWd tiC lPi3b '" j a I j 0 ,, r B 'IRS .., I I z L I z B I z z y B I z r L I z L I z .. ., J:.IG r. 1 n l H I o I I D I F I _l_ I F E E D j 6 5 9 8 7 6 5 9 YEARS I!>; OE"VER TEMP E"PL PERM EMPL AREA TYPE ALPHA COOE l>o .. N A PRESENT ESTABLISHMENT COMPOSITION D. PERMANENT RELOCATION .. .. u 1 NAME OF ESIABLISHM_, tb 0 3394 s. Elmira Ct. .J 2. ADDREss l24 :2 Wa!ny,t 1 ADDRESS N .. .,; ,Joe Coopersmith pen 'S7P T STATE co .... "' 3 NAME or OWNEFc OR MGF. CITY ZIP -II: ... TYPE Of ESTAB CIRCLE 0 I 2 3 8 2 B. SALES b,LUSE BACK C, LEASE d. RENT 0 .,.; 5 CIRCLE 1 3 8. FURCHASE PRICE s ;! .. .. II: bl s-9 r) 10 b. MORTGAGE "' ,. 6 NO. or EMPLOYEES PERM. s lD .. d) lf>.l9 e) 0 25+ s ... ... IW .,...,. C. MO. PAYMENTS "'"' TEMP. b) !1-9 c),.._,. .. LUSEfLUSE lACK/RENT '"V .. (J lE d) 1!1-19 e) 0 ls+ a.MO. RENT S 0 c N ..,u 7. YEARS IN DENVER b. LENGTH OF LEASE YRS. LESSIE iD .. 8. YEARS AT THIS LOCATION C:. MO. RENT INCREASE s DECREASE $ :, .. ., .. "' "-'.._; "' DATE M LOCAL APPROVAL 5. a. N.U.A. z= 0 II: ( ) b. GIOUND .. .. Cl 9. AT THIS ADDRESS PRIOR TO Z"' ....., ...... J nl: YES ___ NO--C. PUKING SPACES I) ON SITE _., z -.. (_) l) on SITE ,.._ "' oN ... 10 GROSS INCOME OF ESTABLISHMENT ,.n ::1: 11. NET INCOME OF ESTABUSHMENl (_) d. LOADING SPACES 1110 "' ... 0 u 12. ELIGIBLE roR SBD YES 110 I STREET "'"' ilo "' .. B. PRESENT PHYSICAL INFORMATION: 2. OFF STREET z-,. .. ,.. G:> n; "' 3. DOCK z b) UASE BACK r) LEASE d) RENT .. 1. .. AU.[Y .. liJM -"' 2 .'\)N U A. 6 LPA REFERRAL YES NO ... ... 0 ::! z:e: ... ,.. z B) LAND 7. DISCONTINUE BUSINESS ;;:-"' u "' 3. AMOUNT MO RENT S E. D.U.R.A. FINANCIAL ASSISTANCE GRANTEO .. .. .. AMOUNT MO RENT P.I.T.I. s I MOVING EXPENSES CIRCLE c "' 0: .... 5. PARKING SPACES a) ON SITE NO a) f) 5 zsoo 5Z999 "' UNDER Ssoo b)OH SITE NO g) J: b) 5soo. 5919 53000 53099 0:a A. B. DOCK c --6. lOADING STREET z C .. 0" STEEET ___ D. ALlEY X r) $1000 $1019. h) SHOO 539!19 ""' _}n -j) $oooo + AMT.S _, E. NO or SPACES d) .Suoo 51999 '" .. ... c RELOCATION TRANSACTIONS e) S1ooo sz .. j) SZ5.ooo+ AMT. S ;lla s2J2 co z I. DATE OF ACQUISITION ACTUAL MOVING EXPENSE "' DATE MOVE COMPUTED SMALl BUSINESS DISPLACEMENT PAYMENT $ '".., v"' .J r I. l .. ,.. 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A. s 3. SEnLEMEII1 COSTS $ v '.J I l D:jL .. UNGTH or TIME TO RELOCATE AFTER DATE OF .. OTHER s ... .. ACQUISITION s. TOTAL FINANCIAL ASSISTANCE $ \..i u I I F. OTHER INFORMATION: 1 ...... "'-' TEMPORUY RELOCATION v ;.; AURARiilt 1. l l ON SITE ADDIESS i..; \ .. : i b) OFF SITE ADDRESS I v.V 1 COMMUTs .. 110,-e .u .. Ks Mr::. v I -.. --....::) .. ,.. __ .... "' ,.,

PAGE 28

i .. "' > c .u .. ::: c 0: .,., on ... ::t: "'e B .. ... z z ----Hi c ::r 0: U:4(.o[ I. 'f:. C p:.:_ L!.. E: ttO QJ T[WP. .. !;., d) 1>1> a) ... d)'""" ('f ICP-U C:)If.IO e) Z0%4 f) Z!l+ 7. YARS IN DE NV I----------------------------------1. YEARS AT THIS LOCATION-----------------------------DATE Or LOCAL IPPIIOYAL 9 IT THIS ADDRESS PRIOR TO ( ) 10 GROSS OF STABLISMMENT 11 NET llliCOMl OF ESTABLISHMENT { __ ) 12. ELIG'BL roo SBD YES------NO---PRESENT PHYSICAL INFORMATION: AJA0Uf\T MO RE"'T FIT.! PARK!f\G 6 LOAOif..G A. SlREET $ _____________ .. c' s '', c ____ -<:Z_,.lP:::... ____ __ b)or-r SITE. r.c. ______ =,_ ___ ______ B. DOC 6? C. OFF !;TEEEI _____ D. ALCE>----------E. c or SPACES------------. .3 7 f_(' ',-. ".l>hil/u---,; & ... F t,.il:.}tlt' s ______________________________ C.MO PAYWEhiS S ________________________________ LlASE/U:aSE atii/IUT &.MO. $ __________________________________ b. LEIIGTH Dr LUS ------------US LESSIE _______ :.,__ C:. MO. lENT INCREASE $ .$ # $ S.a.M.U.A 4d b. C:.puKING SPICES 1) ON SITE-----------------2) orr SITE---------------------d. LOADING SPICES--------------------------1. STREET ___________________ 2. orr STREET __________________ 3 DOCK-------------------------4 6 LPA REFERRAL YES 7. DISCO"NUE BUSINESS------------------E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPEIIISES. CIRCLE a) uo Ssoo bl Ssoc 599 f) S "o' f!) SJOOO s l499 h l 53500 53990 I I i i r; Cj-----i!et .-.. Zl 3: 0-5 z Cl:r ... >< c !: ... .. u RELOCATION TRANSACTIONS //-J'-7 1. DATE. OF ACOUISITIOI'i _____ 2 OAT MOVE COMPLETED ______ _,/.,_'/o:::...._-_..Z:::o....::/ __ -_.7'-"._--------d $100(). 51499 d) S1soc S199; PI S2ooc Sz H ::: ;------------ACTUAL MOVING EXPENSE s '? oftihl .. 2 SMALl. BUSINESS DISPLACEMENT PAYt.I!Ef'l'!' $ _____________ 3 Of MOP&: ___y.Sit( k _. 2 / f 1 AODRlSS QPr'@_ UtJttift ;:) 3 NAME OF OWNER 00 J'f:>t:::. ry. t TYPE OF ESTAB CIRCLE (o : .! t 7 8 5 T .. uE AREA 1 CITY _________ STATE--------ZIP--------b. LEASE BACK l'. LEASE 2 &.SALES d. RENT ..... .. ... ... "' r ... .. ... ... ::t: 0 ..,u ... ::: c 0: "'" .. ... .. a:;; 6. NO OF EMPLOYEES PERM ;..,;.,/ b) S TEMP dl 1>19 a)o..o d) 15-19 r) 20.Z4 b) 5-9 r) zo-24 c) 1o.u f) 2s+ c) 10.14 f) 2s+ 7. YEARS IN DENYER------------------------------------8. YEARS AT THIS LOCATION----------------------------DATE OF LOCAL APPIOYIL 9. AT THIS ADDRESS PRIOR TO ) YES _____ N0----10. GROSS INCOME or ESTABLISHMENT ___________________ ( __ ) 11. N[1 INCOME OF ESTABLISHMENT (_) 1Z ELIGIBLE FOR SBD YES--------------PRESENT PHYSICAL INFORMATION; 1. a) OWNER 4. AMOUNT MO RENT P.I.T.I. 5 __________________ S. PARKING SPACES a)ON SITE NO ,;:? b) OFF SITE NO-------------6 LOADING A. STREET B. DOCK C.. OFF STEEET ____ D. ALLEY-----. NO OF SPACES ------------C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION ________________________________ 2. DATE MOVE COWPLETED-------------------------------3 AWOUNT OF MONTHLY lENT PAID TO D.U.R A. S -----------' LENGTH OF TIM TO IELOCATE AF"TER DATE Of ACOUISITIOh ---------------------------------------l B.FURCHIS PRICE S -------------------------b. MORTGAGE S ------------------------------C.WO. PAYWENTS a) UNDER 5500 b) Ssoo. St99 c 1 Sooo s 1499 d) .$1500 $1199 r 1 Szooo 52499 s ______________________ __ f) S 2500 S2999 g l Slooo S3499 b) hsiK' 53999 il S4ooo + AMT S ------------jl $2S.ooo+ IMT. 5----------ACTUAL MOVING EXPENSE S ___ 2. SWALL BUSINESS DISPLACEMENT ,AYWENT $----------------J. SETTLEWENT COSTS 5---------------------------------.. OTHER------------S-------5. TOTAL fiNANCIAL ASSISTANCE 5----------------------------------------------------------------------F. OTHER INFORMATION: 1. TEMP'OtrAI"Y .LOCATION P" F E .. ':" I? : !M,)o -a) 011 SITE----------ADDRESS---------------------b) orr SIT ADDRESS _____________________ __ 1 COMMf '-ll A,.t.!OA t MARk!.----------------------------... .. .. .. ot----,.. Zl Ill... .. "' N .. ... ...... : n ; "' ...., '-' ; "'._ v "'

PAGE 29

1::-.... it ------1 .. ,.. N ., .. .,. a: ... .. ; 0 .,u "' ... ., 0 a: .,., .,, o CHAMER, Robt. ", __ ... ..... M o o .. .,. o .. c.,_,.R.,.,.. ..__Lw.. .... ___ 4 lYfl OF ESTAS CIRCLE 0 1 ; :! 5. TUDE AREA CIRCLE 1 2 3 B 6. 110. Of EMPLOYEES PfiM.0 8) .... seu: .. ,,.. dl ,_,, 1 I b) S-1 e) rz b) .. 7. YEARS IN 8 YfAIS AT THIS LOCATION _,JOL------------c) 10-1 r) n+ C) IG-U !) zs+ DATE OF LOCAL AFPAOYAL 9. n THIS ADDRESS PJUOR TO &f '14 ) YES--I(___N0---10 GROSS INCOME OF ESTABLISHMENt __________ (_) 11 NE! INCOME Of ES1ABLISHMEPH (_) 1Z. ELIGIBLE FOR SBD YES-----NO-----., B. PRESENT PHYSICAL INFORMATION: "' z -----t-'-ig It .. .., ..J .. u a:O: 1z "' V" "' a: c.. b) LEASE BACK r)LEASE A)' u Bl LA"D UNit. AMOUN1 MO .EN: A-.tOUN'!' MO PI T.l 5-------------LOAOI"-G A. STRL[T a)o' s:u o ---::----b) orr SIH O--.O:"L------1( B. DOCK C.. OFF SlEEEl ___ l.l. ALLf'------1:: NO Of SPACES------RELOCATION .,, t.'!1 1 DATE OF' ACOUISITIOfii __ DA H MOVE CO"' PLETE D __/I...;.,:JL-47:...:c..'l ...... ______ OF R[r.jl TO D L; J.. 5 LENGTH Cr TIME TC RE;.OCAT A.rTE R DATE Of ACOUISiliON -------------------Sl)YdS Sl:>YdS !>NIOY01 10-05 y .: .. 11990 S. Boulder Rd"' ,,, Lafayette.vE Colo. ,,. 80026 Z b,LlASl BACk C.LfASl d.REN1 3 8.PUICHASE PRICE 5---------------b.MOITGAGE 5-------------C,MO. $---------------- aAciiJJI OeNU,; -IJ -b. LENGTH Of LEASE YIS LESSIE _____ C,MO lENT INCREASE S DECREASE$ ___ 5 8, N.U A flit/& b.GROUND llf'fl. C. PARKING SPACES 1) ON SITE-------------!) orr SITE------------"d. LOADING SPAC-----------------1 STREET---------------1. OFF STREET ______________ 3 DOCk----------------1 ALLE'Y-------------:::,------6 LPA REfERRAL 7 DISCONTINUE BUSINESS __ ....LN,.LI,L-----------E D.U.R.A FINANCIAL ASSISTANCE GRANTED 1 MOVING CIRCLE II) UNDER Ssoo bl Ssoo S999 c l S1ooo d) S1SOO 51999 fl S zsoo -Sz999 fl) SJooc Sl-099 h) SJSOC 53999 i) Sooo + AMT S e 1 SzoOG -Szo99 j) Szs.ooo+ AMl. 5------ACTUAL MOVING EXPENSE S g9Jl,f0 2. SMALL BUSINESS DISPLACEMENT PAYMENTS--------3. SETTLEMEN' 5----------------.C OTHER TOTAL Flt.AhCIAL ASSISTAJriCE s "'' .; Jr.:a...--F. OTHER INFOI!MATION: a) o ------------b) Off Sill =:-----------COM"FNTS Ac/OR REMARKS ______ .....;;;::::o--!1;;:=::::---------. 1:1/S/1 :> a v B n L l 01----i. ('rt ... n<" .. ('NI") .. '"'1-'"'1 3: 0< z Cl:r .., ;::" z "' ... ., .w N .. '" 0 n ID r" B jQ, .. L L z .. BIL z"r r-YEARS IN DENVER TEMP EMPi.. PERM. EMPL AREA TYPE X31C.:C). ALPHA COD _, .. N A. PRESENT ESTABUSHMENT COMPOSITION D. PERMANENT RELOCATION 0 4 Q 7 V u 1 hAME oF EST'If'LI.SHM'" Creaqer Mercant1le, Inc. g ADORE ss .L "! 2 S T h1 r teen th Street .. ... ... NAME oF owNER o MGR Don r. Creager ciTY en e STATE o tlP..=l;.,b"----4. TYPE OF STAB. CIRCLE 0 1 Z 3 .11 5 (!) 7 8 z. &.SALES b. LEASE BACK. ; I .. .. ., .. ., .. "' .., ... c ... r ...... __ -.....)-.....; j ._j M..) .,; a: ... ... :E 0 ..,u ... ::: 0 a: .. ., "' :E "'8 ....... ... z "' ... .. c o:;; B. C. LEASE d. RENl 5. TRADE AREA CIRCLE 1 ) 3 5 3. &.PURCHASE PRICE $ ----------------6. NO Or EMPLOYEES PERM. a) G-4 C) 10U b.MORTGAGE 5-----------------d) 11\.19 e) zo-zo f) Z5+ C,MO. PAYMENTS 5---------------TEMP. L b) 1\.9 C) IG-U LUSEILUSE dj"i"5.19 e) f} Z5+ 8.MO. RENT 5-----------------X $ b. LNGTH Of LEASE YRS. LESS IE----7. YEARS IN DENVER B. YEARS AT THIS LOCATION /Q !!f&&S C. MO. RENT INCREASE $ _______ ,DECREASE$ ___ DATE Of APPROVAL 5. 8, N.U.A---------------------( .,2. -7-7 ) b. GROUND--------------AT THIS ADDRESS PRIOR TO 10 GROSS INCOME OF 11. NET OF ESTABLISHMENT ELIGIBLE roo SBD 12 PRESENT PHYSICAL INfORMATION: YES----NO----1 a) OWNER BAi:l B)LAND ____ C) LEASE d)tENT z. 3. AMOUNT MO. RENT ___________ AMOU"T MO RENT P.L.T.L. S--------------5 PARKING SPACES 8)0 SITE NO--------b) OFF SITE NO--------6. LOADING A. STREET .,..== B. DOCK C.. orr STEEET D. Aun------E. NO OF SPACES-------C.PARKING SPACES 1) ON SIT--------------z) OFf SITE-----------d. LOADING SPACES-----------------STREET--------------------------------Z. Off STREET---------------3. 6. LPA. RHERRAL YES------NO-..::_:;;_ ____ 7. DISCONTINUE IUSINESS-.....!Dw.Q"-----------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES CIRCLE a) UNDER Ssoo bl Ssoo -St!l9 C) $1000 -5,.!19 .SI!IDO -$1119 !) $ zsoo -SZ!II9 g) 53000 SJ b) S3soosiQ!GOO +-s 0 7/, 1. c. RELOCATION TRANSACTIONS 1. DATE Of ACQUISITION h! 0 I se..f!'tll\ Z. DATE MOVE COMPLETED-.... l. AMOUNT Of MONTHLY RENT PAID TO D.U.R.A $--------d) j) Szs.-AMT. c UNGTH OF TIME TO RELOCATE ArTER DATE OF ACQUISITION---------:: ACTUAL MOVING EXPENSE S II 07/ 2, Z. 8USINESS PAYIIIEI!T $ -------3. 5EnUMENT COSTS 5.-:;.-..-::;::-; ..... OYHER _.S.._.C::._.81:1..1RIIIooiC!.Ioo.Jft;.a,..__ S TOIAL fiNANCIAL ASSISTANCE .... THER INFORMATION: 1. T RY RELOCATION a) 00. SITE_..;;;_...,. __ ADDRESS ------------N 3: 0-< z n: .. .. ;liCI .. ., .. N .. N .. .. N .. 0 n .... ...)

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... .. .... :1 0 .u "' .. a: el:l ... ( &:, r c 0: t '-O al c.-.:. TEWP dl a)D-A d) 1!;.11 r J It-" r) c:) 10.,. 0 u 7. YE .. S IN DENVER---"""l'iF""'T'"'lllri----------1. YEARS AT THIS LOCATION -.li"I.&.''LLI ""''LL'---------I. AT THIS ADDRESS PRIOR TO ( ,T: j' 0 'fi.APPIIO,AL YES--It___N0---10. GROSS INCOME OF ESTABLISHMENt __________ (_) :1 11 NET INCOME or ESTABLISHMENT-----------(-) IP 8 12 ELIGIBLE FOR SBD YES ___ 'ttL.._ __ NO ____ ,. :;; B. PRESENT PHYSICAL INFORioiiATION ()LEASE z .. z b) LEASE BACK d) RENT 2. A)ku ... D'"'fJO<.::... _____ B)LAND __________ 3. A"OU-' MO. RE_, Aloi!OUN'l' MO R(II:T PIT.! PARI{:o.;G SPACES a)o SITE NO __ .:U=>-----bJorr SITE NO------;:::--------H,g E LO.ACit..G :\. SlOEEl DOCK ,.. C.. OFF SlEErT ____ lJ. AlLEY-------"' ::!: a: ec E. NC or SPACES------RELOCATION TRANSACTIO"S '1. ,.,_ DA T[ OF AC.OUISI1"10N ______ DAH MOVE COMPcETEC -----41111-o.I.I.JIII..J ..._.7,_3L.----3. AMOUNT OF' REN'l' PAID TO O.U.R A 5 ____ 4 LE,.GTt-1 or TIM TO RELOCATE ArTER DATE OF D4441l 7p S3:)Wd5 !>NtOYOl 1 ") S S Fe X L 6il2!6 d ,., 0 ":. .. : l b.a.t0'H.A::,t ---------------C:.MO LlAUILEASl lACK/lENT/ ., &.MO.UNT$ b. LEIIGTH Or LUSE S' TRS. LESS I--S. INCIUSE DECIUU $_ b. GIIOUND------------------C:.PARKING SPACES 1) ON SITE------------2) OFF SITE------------d. LOADING SPACES-----------------1 StREET _______________ Z OFF STRHl--------------3 AU.EY------------.,...-----6. LPA. REFERRAL YES-------NO--_...X.a..._ __ 7 DISCONTINUE BUSINESS--------------E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPENSS CIRClE al uoER b) Ssoo 599 r) StDDO. 5"99 d) S'soo. 5t999 P) 5zooo Si499 n 25De 52990 fl') 53000 h ) 5 3500 53999 C'l 54000 .... 5 ------jl S2s ooo+ A"' 5.....,.,... ...... ACTUAL MOVING EXPENSE7Sr. 74) 2 SMAU BUSINESS DISPLACEMENT PAYMENT 5----;:;-:;-:;:-3. SETlLEMr-1 COSTS OTHER -----------5--::::=-,....=-c::-5 TOTAL FtN.-CtU ASSISTANCE S _____ F. OTHER INFORMATION: 1 TEMPORAJI'Y B) OS SITE------ADDRESS-----------b) OFF SITE ADDRESS ___________ Z COMMENTS AI\IC.'OIO REMARKS-------------lid 5 I i I i jot---Zl .. .::=: z :I ..... Z"'...a-!!! .. z ,.. ..... ,.n U>D ..... .. ;:t:,::+-----"n" 0"'., J: J: 0< z C'>;t "' "' ,.,.., .. .. "' c n .. -8 --1.. _o I_ -I. I Jsne \ '2 "2 -1 HS "Z '1 L 7 I .. -, a '"J v "L 0 I 2 ... 1 '7 L I "2 2 1 ., ------,A 3 o F E 0 F E 0 6 5 A 9 B 7 6 5 t----u 0 .... oJ'; ... a: .. ,; a: >N N ... ... ........ 'N ._. -.. -'-' ,.. on :1 0 IPU .. ::l 0 a: 0>1:1 on w :1 IP 8 .. .. .. "' z .. c o:;; A PRESE"'' ESTABLISH"''E"lT J:...?MPOSITI10.N t,\ \ .PERMANENT RE!.OCATION 1 NA"E OF v\\ '"'rl -\ -,.._ 2 ADDRESS \f(',;.f "''"'""-e "'r 1. '-j,l3 hAM or OWNER OR t!!.\lr't'\u..-\-SlOT[ ZIP io) !.5' t TYPC:OF"ESTAB 5 t 7 8 2 &.SALES b.LEASEBACfiC: G:> d.RUiT .... ARE I. CIRClE S l &.f'URCHASE PRICE S 6. NO. OF EMPLOHS PERM h) >9 C) 10 b. MORTGAGE 5------------------d) 1>19 e) zo-z r) zs+ C. MO. PAYMENTS 5---------------TEMP. a) D-1 b) 5-9 :) 111 LEASEILEASE BACK/RENT d) 1!;.19 e) zo.z 0 ZS+ a.MO. RENT 5-----------------7. YEARS IN DENVER ----..... B. YEARS AT THIS LOCATION ... o-----DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ( I YES---ND---10 GROSS INCOME or ESTABLISHMENT __________ (_) 11. NET INCOME OF ESTABLISHMENT (_) 12 ELIGIBLE FOR SBD YES-----NO-----b. LENGTH OF LEASE ______ YRS. LESSIE ____ C:. MO. RENT INCREASE $ DECREASE $----5. a. N.U.A----------------------b.GROUND-----------------------------------C. PARKING SPACES 1) OM SITE-------------Z) OH SITE------------d. LOADING SPACES-----------------1. STREEt _______________ __ B. PRESENT PHYSICAL INFOR"''ATION: Z. OH STREET---------------a) OWNER b) LEASE BACK d)REN1 3. DOCK------------- ALLEY----------------Z. A) U --------------------6. LPA. REFERRAL YES-------N0---------8) LAND----,.-:--,::---::-..:----------7. DISCONTINUE BUSINESS--------------'-3. AMOUNT MO. RENT s I 0 Q 0 D E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 6. LOADING 1. MOVING EXPENSES CIRCLE a) ON SITE NO.---------b)Orr SITE NO _______ A. STREET ____ B. DOC C .. OFF sTun ____ D. ALl.EY-------:) Stooo SuM. E. 100 OF SPACES (ill .Sts.oo sii:> a) UNDER hoo b) 55410 5999 () $ Z!IOD 5ZI99 gl s-. 5:..99 b) 5l51D. b19!1 C. RELOCATION TRANSACTIONS e) Szooo. Szo99 j) ,_ + AM,..S -----j) Szs.-AMT $---,,.......,-==--:. ACTUAL MOVING EXPENSE st, t,$7 J7 Z. SMALL BUSINESS DISPUICMENT PAYMENT 5-------1. DATE OF ACOUISITION __ ..,..,=--.....,.,...-T"''elh..-.wfrt-----z. DATE MOVE _.J,.,.:t _____ "i ..... __ 3. AMOUNT OF MONTHLY IN1 PAID TO D.U.R.A. $ -------3. SEnLEMNT COSTS 5----------------' i' OTHER-----------S-------.c. LENGTH OF TIME TO ELDCATE AFTER ATE Of" I 5. TOTAL fiNANCIAL ASSISTANCE 5------------1'4. -f. OTHER INFOR"''ATION: 1. TUPOIIARY IELOCATION a) ON SITE ADDIESS-----------b) OFF SITE ADDRESS----------2. COMMENTS AND/OR REMARKS--------------AURAR IA .. ... ... ot--.. .., Zl "'" E z ""' "' .. z "' ... .., .. .. .. .. .. .. "' 0 n ...._ >

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.:.! -----i .fit' .. .. N "' .. 0 ..,u .. ::: 0 a: .. a: 0" z u o 2 : J,j .... ..... ,_ .. -: .. : ; ... VI "'t ;. (.P ,; :.t _:.,::-'_,_. L'-.O$....._.. ,;,c;.,-u;....._;.,,..,a .. c. f S !Uul ARIA CIRCL! I 6 NO Of PEIM v-.r b) 5-t el zzo b) !JJ.I e) u-z rl to.u ()H+ e) T () l!+ TEMP. a) 11-4 :-J'd) TS.It 7 YEARS IN 1. YEARS AT THIS LOCATION ----'L-----------------9 AT THIS ADDRESS PRIOR TO OW OF LglliiL APPROVAL ( NO--10. GROSS INCOME OF ESTABLISHMENT pqD. (_) 11 NET I"'C0M[ OF rSTABLISH.,.NT 2' ""'" (_) 12. ELIGIBLE oR SBD lES----NO -----PRESENT PHYSICAL INFORMATION: d) lENT b) LEASE BACK e) LEASE A), u, __.2"r1_.2....,.S"t-.'f"--"'$"!1f"- _.f'-'-1'-"'---B J ____ _.u., ..... AMOU"'T MO 4 A V.C Rt.;T P r T r ---------:-----a)O, SIH o ___..4 ... b)o c L I I YEARS "' DENVEP TEMP EMPL PERM EMPL AREA TYPE ALPHA CODE N u 0 ...J .,; a: ------i'o/ a: ,.. N N .. N c ., "' ::E 0 ...... ,... 0 0: "' "' 0 z .... A PRESE,_.T ESTABciSHMNT COMPOSITION .... ,or n-c Sa 1 vage ADDREss 1122 Walnut St. .... Eorov.,Eo.,G Lester Kal l'l F( OF STA6 CIRC;..E 0 1 2 3 l. TJ:'ADE AREA CIRCLE 0 2 3 .0: E NO OF' EMPLOYEES. PERM 8J 0.4 d) TS.t9 TEMP. 8)11-4 d) 15-19 l B b) s.g e) b) 5-9 e) ZOlC c) 10-1 f) r) () l! YEARS IN DENVER-------------------B. YEARS AT THIS LOCATION------------------DATE OF L;P.fAL APPROVAL ( z-7-7L., 9. AT THIS ADDRESS PRIOR TO 10 GROSS INCOME OF YISF....NO--(_) 11 NET lt.ICOME OF 12 ELIGIB.E FOR SBD YES----NO----PRESENT PHYSICAL INFORMATION: 8) OW,IR b) LEASE BACK r) LEASE A).u.A.----------------B)LAND ________________________________ ___ AMOUNT MO RENTS-------------------!;( 4. Aa.tOUNT MO. RENT P.I.T.I. S---------------"' Q:;; S. PARKING SPACES a)o SITI NO. ___________ -----+-42 b) orr SITE "'' ---------------1-IO:;::: 6 LDAD .. G A. STREET B. DOCK N .. ,. .. ,_. ..... ... ..... -C.. orr STEEET _____ [J. AUH------E. NO or SPACfS -----C. RELOCATION TRAIIISACTIOIIIS T. DATE or ACOUISITION :;\ 2 DATE MOYE COMPLETED 2::1 3 AMOUNT OF MONTHLY UNT PAID TO D.U.R A $------------LENGTH OF" TIME TO RELOCATE lf"TER DATE OF ACOUISIYION s.. z;z:, _zmm __ A IJ ftl A D PERMANENT RELOCATION 09-11 .. ADDREss 3209 Zuni St. ciTv Denver, sTATE Cal a liP BQ')J J 2 &.SALES b,l[AS BACK C.LEASE d. RENT 3 &.PURCHASE PRICl S -----------------b.MORTGGE $ _____________________________ r.MO. PAYMENTS S-----------------1. LEASE/LEASE lACK/RENT B.MO. RENT S----------------------------------b.LENGTH Or LEASE YRS. LESSIE ______ C. MO. RENT INCREASE $ _______ DECREASE$ ___ 5. B.N.U.A. ____________________ b. GROUND-------------------------------------C. PARKING SPACES 1) ON SITE------------21 or Sill _____________ d. LOADING SPACES------------------STREIT _____________________________ 2. OFr STREET---------------3. DOCK---------------------------------1 6 LPA. WHEARAL ____ 7. DISCONTINUE BUS,.ESS------"Yl-'-'Q..._ _________ E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER 5500 b) E::Jilt C) S1000 Su99 d) STSoo S1999 e) 5zooo 5u99 0 5 Z500 52!199 g) S3000 53199 b) 5l500 539!111 j) 51000 + AMT. 5 j) 525._. AMT. $ ACTUAL MOVING EXPENSE 717.7{ 57IZ7S' Z. SMAU .US1NESS DISPLACEMENT PAYMENT 5----------------3. SETTLEMENT COSTS 5---------------------":'--&. oTHu ----------s TOTAL 'UriANCIAL ASSISTINC F. INFORMATION: 1. a) b) orr SITE _____ ,_ I ot-----CJ ,._ .,. 21 "' .... (")'"(' 0-< z ""' z "' ...... N n I N or---ioo "' 21 ...... ..... w .... "' ... -c: .. .., .. ,. z3 .... Z"'"' a! z ........ .,., 1110 .. N ...... iii; ;:t:,::t-----Z"'ll> c .... J: ll: 0< z C1z "' X z = ... .. N "' n -' ._) ..J 0U u l

PAGE 32

'.:! ... ,...,. ...... .. : ..... :_., c. ; 79 s "E -,, ... -----1" __.,;:..."""' :ht (H ':0 t: ; .tt..!:-:. 1'.: L E'-> .. ........ # .. ..i 0 .. u ... ::: 0 a: .. "' "" :; "'s :!: ... ... .. z ID :. ':"J.:Afl AIH t NO or EMPLO"lE!t / b\ d) c) 10-1& f) zs c) 10.1 0 zs+ TMP d) 1 .. 19 7. YEARS IN DENVER-----------------------1. YEARS AT THIS LOCATION-----------------DATE Of LOCAL APPROVAL 9. AT lHIS ADDRESS PRIOR TO ( ) YES--NO------TD GROSS INCOME OF ESTABLISHMENT ___________ (_) 1i NET INCOME Of ESTABL.ISHM[p.;f (_) 12 ELIGIBLE FOR SBD YES------NO------J PR1CL S ---------------5-----------------C.MO. PAYMlNIS 5------------------C. LEASEILUSE aACot/IENT &.MO. lENT 5-----------------------------------b. LNGTH Or LEASE YIS. LUSIE --------C.MO lENT IIICIUSl 5-------DECIUSE $ _____ 5. &. N.U.A---------------------C. PARKING SPACES 1) ON SITE------------2) orr SITE------------d. LOADING SPACES-----------------1 STREET _______________ 8. PRESENT PHYSICAL INFORMATION: 2. Orr STREET ______________ z 0 B) OWNER b) LASE BACK r) LEASE d) RENT 3 DOCk ________________ &. ALLEY----------------A)h u __ ....... 6. LPA REfERRAL YES ____________ N0--------------8) LAND____________________ 7 DISCONTINUE BUS .. ESS --------------:: MO R['o;O ----------------t MC fi:Eh'! F tT.: 111 J' '0 __ ._,;.)(.._ ____ bJcrr s;n f-10 ___ ...,..-::----E. D.U R.A. FI .. A>jCIAL ASSISTA>jCE GRANTED 1 EXPEIIISES CIRCi..E a) u'oER Ssoo bl Ssoo 59!!' ------H;:: A. STR! E1 _____ H. DOCK ,t"' C. orr STEEE' _____ !J. Au.E-------6 LOAOI""G c) S100C. 51&99 f1 S 2SOG 52993 g' Sj499 h l Smc 53999 .. :; a: 0 c :!: .... .. ,_!::! z'C "":< a: a. u 0 '-" "' c: -----f"-.,. a: ,.. z ;;; 0. A E. NC 0' SP.CES --..,...---RELOCATIO" TRAII;SACTIONS /.' 0'-7 1. DAlE OF ACOUISITIOr.. 2 DATE MOVE COMPLETED ,//-/,:Z-AMOUNt OF MONTHL'" RE"T PAID TO D U R A S ------( LENCiH OF THWI[ TO JtElOC.-H AFTER DATE OF ACCUS>TIO' -------------------SDYdS !lNIOYOl Q l d) SlSOC-51999 t) S2ooo 514!19 H ACTUAL MOVING EXPENSE S b7/(). L. SMAll BUSINESS DISPLACEMENT PAYMENT 5---------l SETTLEMENT S:-::-7'"--------"Trr-...... 4 OTHEO c:tt:ITCIJ $ ,, S TOT"' fiNANC,.l ASSISTANCE $ __ F. OTHER INFORMATION: 1. TEMPOJHoAY RHOCATIO'-' B) O Sill b) or< SITE ADDRESS ___________ 2 COMMft.;TS AND/OR REMARKS--------------!! /S/1 l:iC lN31:! :l Q a l 'Z a r z 1 .v 1 L H i I D I F D 6 4 1 9 7 6 I l YEARS lN OP.:VER TEMP EMF'i.. PERM EMPL AREA TYPE CODE PRESENT ESTABLISHMENT COMPOSITION D. Pli,!!'-!ANENT InC penver & ege, 1 fliAM OF l ADDREss ::>tout, Denver ooRrs< 940 S. Jason St. ..... E or OWNER OR MGR....:M=e:..:l=-::=J:::....:o=n=-e=s"------CITY Denver STATE Colo. ZIP TYPE O ESTAB CIRCLE C 1 2(])4 5 E 7 8 2 &.SALES b.LASE BACI'. 80223 d. RENT 5 TI=:AO AR[Io CIRClE 1 2 3" 3 8,PURCHAS PRICE S -----------------6 NO. Or EMPLOYEES 8) D-4 b) S-9 ..:;,l1D-1A b.MORTC.AGE $ ----+-1 inc 1 udes main '_!dJ.l c. Mo. PAYMENTs 5 _____________ "' S Ch00 1 & a 1lMP !.. 8 I C) 10-14 LEASE/LEASE BACK/RENT 0 ii) 1>19 e) 2o.z f) 2s a.Mo. RENT s __ .,JL...,.,L.aJc......,., ..... ..,w=....:""=-----------------.. v: ,.. "' U S IN DENVER b. LENGTH Of LEASE YRS. LESSIE _______ 8. YEARS AT THIS LOCATIOh ----------------C. MO. RENT INCREASE 5 :-=-----DECREASE 5------,... 111 DATE OF LOCAL APPROVAL 5 a N U A JQJJ.II.fl t/-/j 9 AT THIS ADDRESS PRIOR TO ( ) b: tf,.._ 111 Op r'& &J c 1 YES ___ NO----C.PARKING SPACES 1) ON SITE-------------... :; "'s ,... : 8 .. "" z z 10. GROSS INCOME Of ESTABLISHMENT __________ (_) 2) orr SITE ____________ 11 NET INCOME Of STA8LISHMEN7 (_) d. LOADING SPACES------------------12 ELIGIBLE fOR SBD YE 5----NO ------PRESE>jT PHYSICAL INFORMATIO"': B) OWNER b) LEASE BOCK d) RENT A)N.UA '1, ,f, :d B)LANO "'" -# ,.,....,. ; 3. AMOUNT MO. REN' S __ .,.._.l .. AMOUI'IIl MO RENT P.I.T.I S--------------PARKING SPACE!. 8) o SITE NO ---------b) orr SITE NO----------1 STREET _______________ 2. OFF STREET ______________ 3. 6. LPA. REFERRAL YES-------NO-----...!'-7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE al UNDER S500 () 5 2500 5299!1 .'\. STREET B. DOCK C.. orr STEEET ___ lJ. ALlfY-----------------Hig 6. LOADING b) Ssoo 5999 c) 51ooo 51099 (!!> 53ooo S:w99 b) ... E. NO OF SPACES------c RELOCATION t DATE or ACOUISITIOh ].tl 7_). 2. DATE MOVE COMPLETED.j,,..&._-_;qL..;&--j ..... l._ ________ z;: 3 AMOUNT OF MONTHLY RENT PAID TO D.U.R.A 5-------f C. lENGTH OF" TIM TO RU.OCAT ArTER DATE Or lv, AC!ISI1,10h p :aroicr"s 2-5-74: (425. 00) d) 51500 511119 Szooa S2c99 i) 5ooo + AMI. $ -----------j) Szs .-AMT 5 ---=--:-::'""""..,.., ACTUAL MOVING EXPENSE S t /f. 'VJ l. SMALL BUSIIIUS DISPLACEMENT PAYMENT S----------------3. SETTLEMENT C:OSTS oTHn ,sea .. c.a1' 5 S.'l:' 5. TOTAL FINAIICIAL ASSISTANCE 5 F. _JTHER INFORIIIIATION: 1fT TEMPORAl' WELOCATI0'-1 Oh SITE ADDRESS----------------------b) OH SITE ADDRESS--------------------' rnuwfiiTII;. ./: r. ,..... ..... ot-------i --. :D ; .. '"'\"'(') Ut-1 -n i 5 ,.;::! Q!.., .y' .. z .. ,.n 01'0 "'"' == -<;!: "' c .. .. 3: 3: 0< z "" ;lle> z "' m.., .. .. .. w c r .. ... .. w .. ot-------;!oo .. .., :II Ul .... \.: ) 1: 0< z Cl:z: "' Cl ) ,., uu UiJ (J (),

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'OC'' I I 1U: (II .-i -_, :::-Iii ,.,._. t 0' .. ........ .. ol s:,. i 'r' I C ( h .. d.IH,.,, l 'L c __ i ... (', .. HACi: A lo/( lo ( i J PRo(( s It bt g 1D-U b. MOAt,Gi ,._ NO Or (MP:..CHf [S, P r 81 0-t s lD .. -dl 1>19 e) ) Z5+ C.MO. PAYMENTS s "" ..... ......... .,. I r ..... TEMP b) ... c) -LEASE/LEAS .ACK/.UT "'r"'"' I :1 d) 1>19 e) z f) ,. 8.MO. UNT 5 0 b. LENGTH OF LUSE :. -, .,u I. YEARS IN DENVER YRS. LESS! .. :'"\-... la s DECREASE S "" I. '(AIS AT THIS LOCATION C,MO RENT INCREASE ..... .. DATE OF LOCAL APPROVAL .. I"'\ 5. 8.N.U.A. Z"' a: ( ) b. GROUND ,..;:! ... '"" AT THIS ADDRESS PRIOR TO Z"' '''-' Q! YES ___ NO ___ C. PARKING SPACES 1) Oh SITE ... z "' GROSS INCOME OF ESTABLISHMENT (_) l) OFF SITE .. N "" 1D ,.n :1 11 NET INCOME Of' ESTABLISHMENT (_) d. LOADING SPACES 11>0 N "' 0 -u 12 ELIGIBLE FOR SBD YES NO 1 STRE E1 "'"' -1 B PRESENT PHYSICAL INFORMATION: 2. Of'F STREET ... "' ... z-co ... ... 3. DOCK z 1. b) LEAS BACK r) LEASE d) RENT ., ALLEY .. 21"' "' 0 2 AI u LPA REFERRAL YES NO ... J: \: N z B) L"O .... z ; DISCONTINUE BUSINESS ... "' 3 1.40 RN"f E. D.U.R A. FINANCIAL ASSISTANCE GRANTED c ,. .. -u 2 J: AMOU"'T MC RE hl F-I.TI s 6 1 MOVING XPENSE.S CIRCLE "' c PAPI'.!t-.G SP#.':(S H) or. SITE '0 a) f) S HOC ... "' ,. UNDER s .. 52909 b) 0" o l: z b) Ssoo 599! SJOOO 53 0-c 0 E :\_ S'!'R!.El X B. DOCK < ;: c. OFf STEEl ___ ll_ X C) Sooo-5U99 h) 53501! 53999 z c ALLE't "'"' n ::; 0: F NC or SPA:ES d) 51 .. 051999 i) S'OOC: + 5 = I c RELOCATION TRANSACTIONS P) S j 'o I E o I r E c 6 5 9 8 7 6 YEARS I'< DENVER TEMP EMPL PERM EMPL ARlA TYPE ALPH. CODE ... PRESENT COMPOSITION D PERMANENT RELOCATION 17-01 ... .. u moE 0' u-s aVe Service .. ::. SEreeE Ceased OEeration "' N -' 1. ADDRESS or. Rich pomer;ica CITY 3 III,II.M or 0\\''\[R STAT( ZIP 0: r. TYPE QF ESTAE CIRCLE C I 3 7 8 2 &.SALES b. lEASE BACK t. LEASE d. RENT o-.,---HADE APEJ:. CIRCLE Qz 3 l. &.PURCHASE PRICE s :[co I bJs-9 10-14 "' 6 NO OF EMPLOYEES PEJit.' aj .. 5 lD dl 1>19 e) 2o-2 f) 25+ C. MO. PAYMENTS 5 "' ..... \.,) .. ., "" TEMP b) S-9 c) -LEASE/LEASE BACK/RENT "'J "(.) :1 d) 15-19 ") f) z5+ 8.MO. RENT 5 0 c:: .. "' u 7. YEARS IN DENVER b. LENGTH OF LEASE YRS. LESSIE :. Ul'-' "" 8. YEARS AT THIS LOCATION C. MO. RENT INCREASE s DECREASE S "' ... .. "\_1 : .. ... "' DATE OF 'LOC1APPROVAL z: 0 ,., ., ) 5. a. N.U.A-,..;:! "' ( b. GROUND ... .. .. <.': 9. AT THIS ADDRESS PRIOR TO Z"' ... YES__J(__ NO---nl: .._, C. PARKING SPACES 1) ON SITE _., .. z Ill 10 GROSS INCOME OF ESTABUSHMENT l) OFF SITE .. N ... ,,IHJI t"-a ,.n '-::E 11. NET INCOME OF ESTABLI!.HMENT d. LOADING SPACES 11>0 .-"'0 I( u 12 EliGIBLE FOR SBD YES NO 1 STREET "'"' ... B PRESENT PHYSICAL INFORMATION: 2. OFF STREET "'" .. ... z-co .. ... ... 3. z .. .. 1 a) OWNER b) LEASE BACK C) LEASE AUE'Y ..... .. "' 0 2 .'\)N U.A LPA. REFERRAL YES NO Jl I "'J: Z"'"' N z B) LAND .... z > 'DISCONTINUE BUSINESS ... "' RENT s IAI:ID E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ""' -. .., 3 AMOUNT U.O .. ::> J: ... AMOUN! MO. RENT P.I.T.I 5 1 MOVING EXPENSES CIRCLE .. 5_ PARKING SPACES a) ON SITE NO. a) 0 S ZSOG Sztt!l ... "' "' UNDER SSOG b)OFF SITE "" .,1. g) J: b) Ssoo S999 S30DD 53019 0-Cl -LDADIIriiG A. STREET B. DOCK :s -.._.. i c._ OH STEEET ____ O. }l c) S1ooo51499 b) SJ5oo Su'\ z ALlEY "'"' ,.. __ E. NO OF SPACES d) 51500 51199 i) S..00 + AMT. S "' --.. .. C-RELOCATION TRANSACTIONS 73 e) Szooo Sz!l!l j) Szs __ AMT. S -:....; z f 1. DATE OF ACOUISITION ..u..., ; ACTUAL MOVING EXPENSE s "' t .. K SMALL BU"NESS DI$PLACEMENT PAYMENT S "'"''..) .. .; 2. DATE MOVE COMPLETED 2. I ... 3 AMOUNT OF MONTHL.Y RENT PAID TO D.U.I A. s l. SEnLEMENT Cll S ...) u I -OTHER IN .., 4 UNGTH or TIWE TO RELOCATE AF'TEI DATE OF '"'Nn. .. TOTAL fiNANCIAL ASSISTANCE S ;.,.; v -ACOUISITIOh 5. ,, ; F. OTHER INFORMATION: .. ..,) u -1. nMPORAR'Y RELOCATION f AtJIARIA l ON SIT ADDRfSS l' (..; _. 'J b) OH SITE ADDRESS .. ...., 2 COMMENTS RtMARKS :: : ""

PAGE 35

.... .. tv: ------;-BACt<. C'. L(A5t .. l. c' ll t O,Y :_,'t.E f\ --. ..,.. .. rr .. ; 0 .u .. ::: 0 a: .. ., "' ::f .. e !: lPAOE. lokt_,C. 6 OF EMPLOHES. "' BIG b)s.g t)to-14 dl t>19 {) n+ TEMP. a) o.. b) w c) 10.1 d) 1r..19 aw f) n+ 7. YEARS IN DE NYU 1. Y[AIS AT THIS LOCATION --lh.,!"'------------DATE or LOCAL t AT THIS ADDRESS PRIOR TO ( ) YES ____ N0-----10. GROSS INCOME or ESTABLISHMET ___________ (_J \\ NET INCOME OF ESTABLISHMENt------------(_) IZ. ELIGIBLE FOR SBD ---:!!: ,.. t;j B. PRESENT PHYSICAL INFORMATION z \ a) OWNER b) EASE BACK C) LEASE .G A ----R)LAND ________ AM0%1 "'0 RENT S ______ _:/.:.JI';lt!...lff!:_,,_P't:)=""--------------.. AMOU"T MO F!!: s ________________________ 111<>' o ---------z blcNIOVC1 Z t L n z \ TEMPORARY a) 0' SITl------ADORESS----------b) OFF Sill ADDRESS ___________ Z COMMEN!S AhO/OR REMARKS--------------1:!/5/1 :l 0 8 z n 11113 .. AVd !10 1"13!i f I I Z t L I J., z H Js .... t t. U r L.: 0 :I .11 :II' o 1 o !)JI 0 YEARS DE"'VER TEMP EMPL PERM EMPL AREA TYPE Jl'"""' ALPHA COOl A PRESE,_T ESTABLISHME..:T COMPOSITION D. PERMANENT RELOCATION 19-11 ff' ; N .... o Dona 1 x .., "' z "' ...... "' "' n .. ---------i .. ( TYP[ or ESlAE CIRCL.E 2 3 (!)5 6 7 8 2 &.SALES b. LEASE BACK !" TFAD ARE"-CIRCLE. Oz .l t c. J a.PURCHASE PRCE S ---------------('.LEASE d. RENT of----.. "' N .. .. ---"'-.r: a: ,.. "'"' ::f 0 ,.u :!!: "' ... "' 0 a: .,.., ... 6. NO o; E"PLOYEES PER" 8) 0-4 b) C) 10-\4 b. MORTGAGE 5----------------,., ., W d) tS-19 t') zo-2 {) zs+ c.Mo. PAYMENTS s ____________________________ "''"' .. ... 9. AT THIS ADDRESS PRIOR TO DATE OF LOC;'.l APPROVAL ( 3 f ,.,. ) YESJ_NO---TEMP. a) 0-4 b) >9 C) lo-t LEASE/LEASE B!C_!/_!!NT O 0 d) 15 19 t') 20.2 {) lS+ a, MO. RENT 5 .ol C 7. YEARS IN DENVER /[ b. LENGTH or LEASE 1"f II/IRS. LESSIE JIII/I fl :0 10 (_: -\.) 8. YEARS AT THIS LOCATION l; C. MO. RENT INCREASE S JA(/IJ DECREASE $ 1"Hr-"--=-S. a. N.u.A. L 1/.lfJ i E .. : ... _; J GROUND ...a w Q .._ '-' .. z ,-... G'! 10. GROSS INCOME Of" ESTABLISHMENT C.PUKING SPACES I) ON SITE-_.p,.N,..I(,.._ ________ Z) OFF SITE------------.. :1 11 NET or ESTABL.ISHMENl "' 0 'tt d. LOADING SPACES------------------,.n UIC u ELIGIBLE roR SBD YES-------NO------SlREEl _______________ ,_ :;; B PRESENT PHYSICAL INFORMATION: 2. OFF STREET---------------3 DOCK,----------------------------- ALLEY-----------:-:;-----z 0-. z z T. a) OWNER b) LEASE BACK d) lENT 2 A1u .. .;,troD 'IP H) LAND tiA/ft(. 3. A"OUNT MO RENT 4. A"OUNl MO RENT PI T.l. 5---------:--------a)ON SITE NO ___ .._J:J.. ...._ ________ 5. PARKING SPACES 6. LOADING A. STREET b) OFF SITE HD-----------_______ B. DOCK E;j C.. orr STEEET ____ D. ALLEY E. NO OF SPACES------C 1 RELOCATION TRANSACTIONS F DATE OF ACOUI51TION _____ 2 DATE MOVE COYPLETEO ____ ______ 6 LPA REFERRAL 7. DISCONTINUE IUSINESS-#-1/.:QfL-----------E. O.U.II.A. FINANCIAL ASSISTANCE GRANTED \. MOVING CIRCLE a) UNDER Ssoo f) S zsoo SZ919 b) Ssoo hi!. g) SJDOO h c) S1ooo $1099 b) hsoo. s ... d) .Suoo S1t11t 52aoo Szcgg Jl. S.DOO + AMT. 5 (jJ Szs.ooo+ AMT. ACTUAL MOVING EXPENSE iitilif.41 Z. SMALL BUSINESS S--------3. AMOUNT Of MONTHLY WENT PAID TO D.U.R.A. $-------3. sETTLEMENT cosu s _______________ a: ... 4. LENGTH OF TIME TO RELOCATE AFTER DATE Or :r 4 OTHERS':I .. ,.-----ACOUISITION-------------'!!:ooo._...!!:.L;;II/;.;:'41=--5. TOTAL FIMAIICIAL ASSISTANCE ._ ______ --------------------------------------------f. OII!EIIINFOIIMATION: :A: N&-r I. ::wivliARIA :l -ADm*_.:::-==---=----CQMME..:TS ANC/OP IE .... ----------------------------------.. ,.J: ;;13 0 .... 1: 1: 0-c z Cl:z: "' .. z "' ...... .. "' c n .. .. -

PAGE 36

r .,:;-::' I i'-1 =j ,.. ------;-,.-.,-. ,, "' ,.. i----H f ... .-..,.. .. .. ; 0 ,.u "' ..... 0 "' .. ., .. ... :::E ... "'8 B .. ... ... z .. c;;: ... i :j ,___l_!...-,1 "' "' "' 0.. B c) 10-u On+ 9. AT THIS ADDRESS PRIOR TO YES---N0---GROSS INCOME OF ESTABLISHMENt __________ (_) 11. NET INCOME OF ESTABUSHMENT (_) 1Z ELIGIBLE FOR SBO YES----NO----PRESENT PHYSICAL INFORMATION: 1. 8) OWNER b) LEASE BACK r) lASE A).u ----------------AMOU'T MO """ S -L/.l0oL.IoQ""-'.,_.,Q...1QiiiL---------s ____________ a) o. s:" c ---:-:------blorr ,c __ .. x.,_ ____ lQ;.:llf.oiG :\. STREET _)(___B. DOC C. OFf STElE: ___ ll. ''-'-"-------E. NO OF SPACES------TRANSACTIONS O ... H. Or ACOUISITIOr-. DATl "0VE COMPLETED 1 ;2/? [75 ci#-r AMOU"'T OF MONTHL"T RENT PAID TO O.U A A S ------i.ENG"!',.. OF TIME TO RELOCATE A"TE!i Of -------------------53:lWd5 !lNIOYOl a Bll z0r L E elF E 0 j F I 6 .5c. Zu..t"\, c"' f co I'P l'F Ro116 .. 2 a.sns G LH c c. LEASE d. tlht l a. PUICHAS! PRoCE S ---------------b.MOITIOAGE 5-------------C:.MO. PAYMENTS S--------------1. LEAUILAS BACK/IEIIT &.MO. lENT $-----------------b.LMIOT14 OF LUS YIS. US51E------C:.MO. lENT INCIUSE 5-------DECIEASE $ ___ 5. a. N.U.A--------------------b.GROUND-------------------(\PARKING SPACES t) ON SITE------------z) 0" SITE ____________ d. LOADING SPACES-----------------1 STRLET---------------2 OH STREU--------------3. DOCK----------------AUEY-----------------6 LPA REFERRAL YES-------NO-------7 DISCONTINUE BUSINESS--------------E. D.U R.A. FINANCIAL ASSISTANCE GRANTED z MO'IIhG CIRCLE a) UNDER Ssoo b) Ssoo S!l99 c) S>ooo Sugg d) STSOO 5 e) S2ooo SZI99 f) s zsoo s,m l.t) S3ooo S3 h) S;soc SJ!I99 j) Sooc + AMT. 5-------j) S2s.ooo+ AMT. s-...... =--,....,rtr ACTUAL MOVING EXPENSE ;;}.1!Q,;.,. Z s-..ALL BUSINESS DISPLACEMENT PAYMENT 5-------- 3. SETILEMENT COSTS 5----------------a) ON SITE------ADDRESS-----------b) OFF Sill ADDRESS------------2. APIIO.'OR RE!RKS l), zt:: !j f5f1 lt;3WAYoijO l"HI j 0 8 z L H A I 9 7 6 5 I I ... c :. Ull '\-r"l i-H,_ __ :! = ..-,.-, Z'"" n! Jooz .. Jon "'" !a:UI "'"' .. "'!; """ Z"'CJ' ... z ..,...... 3: J: 0< z Cl:r '" ;l:e> z "' '" .. ... .. n "' A PRESEt-;T ESTABLISHMEr.;T COMPOSITIO"-0 PERMANENT RELOCATION 17-01 ._, c "' ... a: ____ ., ... ... "' > "' ,.. ., ... ::E 0 ,..u "' ... ., 0 "' ., 0 N z ut;: ,_ c:;; .... ,or Rental of Property tLLu LarJ.mer Street AoDms Ceased operation 3 ...... or ov;" o MG. Morton ;g;ckstein CITY STATE ""-----.! i'tFE Of ESTAE -0, 2 3 t t. 7 b 2. &.SALES b.LEASE BACK C. LEASE d. RENT 5 TRADE AREA CIRCLE a 2 .3 4 5 3 &.PURCHASE PRICE S ---------------6 NO. Or EMPLOYEES PERM. tt} G-4 0 b) S-9 C) 10-11 b. MORTGAGE 5----------------d) TS-19 e) ZG-l4 0 lS+ C. MO. PAYMENTS 5----------------TEMP a) 0-t b) 5-9 c) 10-14 I. LEASE/UASE BACK/RENT d) 15-19 e) ZG-21 0 &.MO. RENT 5-----------------7. YEARS IN DENVER ----T'"------------8. YEARS AT THIS lOCATION .. 40--------------DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO J .,4. ) 10 GROSS INCOME OF STABLISHMENT 11 NE'T or ESTABUSHMl.PIIl 12 EliGIBLE FOR SBD YES----NO----PRESENT PHYSICAL INFORMATION: b) LEASE BACK c) LEASE d) RENT < A u.-------------------B)LAND ________________________________ __ AMOUNT MO RENT 5---------------------------------. AMOUNT MO. RENT P.I.T I. 5-------------S. PARKING SPACES &)ON SITE NO---------b)or SIT NO ________ 6 LOADING A. STREET B. ooc C.. OH ST[[1 ____ 0. AUEY------E 0 NO OF SPACES------RELOCATION TRANSACTIONS DATE OF ACOUISITION ____ _____ DATE NOVE .. 3. AMOUNT OF MONTHL' RENT PAID TO D.U R.A 5 ------ LENGTH OF TIME TO RELOCATE ArTUt DATE OF AC0UISIT10N ___________________ b. UNGTI< OF LEASE _______ YIS. LESSIE-----C. MO. RENT INCREASE 5 DECREASE $ ___ 5. a. N.U.A--------------------b.GROUND------------------------------------C.PARKING SPACES 1) ON SITL-------------Z) O500 $1999 Slooo Szgg 0 S zsoo Sz199 g) b100 SJC99 b) SJsoo 5'1199. j) Soooo + AMT. S -------j) Sz5.011o+ AMT $ _____ ACTUAL MOVING EXPENSE $ ___ Z. SMAU BUSINESS DISPLACEMENT PAYMENTS--------3. SETILEMENT COSTS OTHER r.t I..IAU OF s 14'! 5. TOTAL FINANCIAL ASSISTANCE ----------------------------------------F. OTHER INFORMATION: 1 TEMPOitAIY RELOCATION &) oo; S1TE-----ADOIESS---------b) !If' SITE ADDIHS------------... ... N .. ol---_, :r'" '" "' Ut otol .... WJ 0 "-..) E 0< z Cl:r '" ;1a z "' .. 0 .. .. ... .. .. ... "' ... -

PAGE 38

1:.: n:. ___ __, .... --r lr ... .. ; 0 .u ... ::: 0 lr .. .. c:: .. ... ,. ..... .. c D 11)0' C)T0" t file 0' P[Rtr.4 diTs.Tt ) zo.zJO f) zs TEMP 8 ... I b) "' c) o.T d) 1s.19 e) zo.z f) n 7 YEUS IN 1. YlAS AT LOCATION.;;;.... _____________ 9. AT THIS ADDRESS PRIOR TO DATE 0' LOCAL APP.OYAL 1 1 f 7A I YES__)(___NO------10. GROSS I"'COM or ESTABLISHME.Nl IJN/(. <_l 11 NET INCOME OF" ESTABLISHMENT fiNK (_) 12. EliGIBLE FOR SBD YES----NO----PRESENT PHYSICAL INFORMATION BACK d) RENT 1. b)LEASE 2 H! L .. D ""'" Jr.tQ PI i I S-------...,;-::;----8)0' SH !'lo( __ b)OH SH :\. H. OOCI\ (. orr ___ fl. CCEY __,I(::.:.----i,. '0 or __ TRANSACTIONS DA' E OF ACOu '""'' _....:;AJ.:<'/'-'A:...:...-;-';7r-;;r.;;---------DA -..,. 53JYd5 'JN10,.01 lj 5 1 : 6 :> a I :> a r .. __ 'Yt.-"RS. TEMF EMPL PERM EMf';_ ARE/. lYPE ALPHA CODE .. "' A ESTABcS>
PAGE 39

.... ... "' > ... w ::E "'8 z ... :: z 0 z bl > C) I< I< d I,..,. PI 21'>-Z< 0 2 TEMP a) 04 4 b) !o-t C!) 10.1& d) 1!o-19 e) I) zs+ 7. Y[US IN DENVU l. YEARS AT THIS LOCATION _.Uu;:LIIf:.lfL..-------------------I. AT THIS ADDRESS PRIOR TO DATE 0< LOCAj, APPIIOVAL ( .. .,jl ) YES ___ HO..JL._ Ufllli... < __ > 10. GROSS INCOME OF ESTABLISHME,.l 11 NET INCOME Of ESTABUSHMENT (1 NIL <--> 12. ELIGIBLE FOR SBD YES----NO----"": =.... ,...;: ..... _--:-. ... : r W > W r I II. tl. '-Sk:: "'-S E .., : l ------------------------------t,WO PAYMENTS & LUSEILUU &.MOIEIITS b. LEIIGTH 0< LEASE ....... wir..-------YIS. LESSIE -------,--(!, WO eENT IIIC.USE 5 DECREASE 5------5. &. II.U A. IIJUC. b. GIIOUND------------------1!, PARKING SPACES 1) ON SITE-------------------------2) OFF SITE------------------------d. LOADING SPACES---------------------------------1. STREET--------------------------------B. PRESENT PHYSICAL INFORMATION: 2. OFF S TRHT ___________________________ < ::E a: 0 c :!! a) OWNER b) LEASE BACK c) LEASE l. DOCK-------------------------------f &. A) .u A 6. LPA REFERRAL YES-"":"TC::---HD----B) LA'"------.""""""'""".------------------------7 DISCONTINUE BUSihES s __ ijlllt."'-----------------------AMOL'" MO H-' s_.@ .. ....,SQIO!<.I"'-----------------------E. D.U R.A FINANCIAL ASSISTANCE GRANTED MO Ro.;1 F-; :\. a)"' 51:1 o ____ .. o ............ ________ bl o, s, .o ______ ... OL____ ________ li. DOC (. 0" STEEET _______ [J. A..;.EY ___________ f.. NO or SPACES-------------RELOCATIO'> TRA'ISACTIONS 0 :. n or ACOU! _______ ..1!/.;!!-1-/A.-P,;o-...mr-------------DAT MOVE COMPLETED ---if-'-.,;I.-IJ ....;_1.._3..._ _____ AlwtOUNT Of MON'!H:.'t RENT PAID TC O.L!.R A s ____________ LENCT._. OF TIME TO RELOCATE AF'TE.R OAT OF' ACOU! --------------------------------------53:l.d5 53:lWd5 !l"'IOWOl 'J 1 EXPENSES CIRCLE a I ucro S oo bl S999 c) Stooo S1499 fl 5 Szm !.0 S;ooc h I S3SOC s 3929 d) S'5ot. 5t!ti9 t" J SZ499 j) s ,., + AMT s --------------j\ AMr s _____ '='":-J,...r ACTUAL MOVING EXPENSE S Jl fi Z. SMALL BUSINESS DISPLACEMENT PAYMENT 5-----------------3 S ETT CEMENT c;QS! S S .,...,...7'11.,.,......,,.---------._.,.-.,...,..-----4 OTHER }. (/IJ.fJO S TOTAL FlhANCIAC ASSISTANCE S '' '' F. OTHER INFORMATION: 1 TEMPORt.R'r RELOCATIOI'Ii a) o ADDRESS---------------------b) orr SllE ----RESS ___________ L. COMMHiTS AND/OR REMARK;----.... __ .....:=---=---------------!!L_SJl !!0 lN3!J ::> 0 .. s a I [ .. n l I r : 1. .s "l L I "l L lo. ._ I J "l I H -, JS sn .. ----, 3 i Nc I I r E c I r E o 6 s I 9 s 6 s I I <..i c ...J ,; ... a: ----------;c.. .. .. .... ... .. Ill .. ,. .. .. ..... ,; a: ,.. .., x 0 .,u Ill ... ., 0 a: .,.., .. u"' 2 < a:;; A 0 PRESENT ESTABLISHMENT COMPOSITION D PERMANENT RELOCATIO"' 19-09 1 NAME OF FINE ARTS RES STUDIO z ADoorss .l.LU.l. lOth Street Aoolss 50 Albion Street 3. n OF owE o MG._ .. J:...;O .. CIT\ Denver, STATE Colo ZIP 80220 .C. TYPE Or ESTAE! CIRCLE-0 1 Z 0' 5 E-., 6 Z. 8.SALES b. LEASE BACK C. LEASE 5 TJOAOE Clfi:CLE rf::3 .: 3. &.PURCHASE PRICE S _: __________________ 6. NO OF EMPCOYEES PERM a ... I b) S-9 c) 10" b. MORTGAGE s _______________________________ ) 1>-19 e) 20.2& f) 25+ C. MO. PAYMENTS S _______________________________ TEMP D b) s.-9 c) 10.1 i!"j 1S-19 e) zo-2 f) n+ 7. YEARS IN DENVER--_,.;13;..""A'Ir'""----------8. YEARS AT THIS LOCATION 9. AT THIS ADDRESS PRIOR TO DATE OF,LDCA.I. APPROVAL ( .. ) YES_l(_NO 10 GROSS INCOME OF' ESTABLISHME:NT 1i NET INCOME or ESTABliSHMENT '/:ltt It I.#. fit> 12 EL1GIBLE FOR SBD YES_._._._. NO_._._._._ PRESENT PHYSICAL INFORMATION: b) LEASE BACK Al u ______ 1 c) LEASE d) RENT 3. AMOUNT MO REN7 5---------------------------------a) ON SITE NO ---------------b)OFF SITE NO---------6 LOADING A. STREET )( B. DOCK C.. OFF STEEET ____ ll. NO OF SPACES-----------C. RELOCATION TRANSACTIONS 1. DATE OF 2. DATE MOH COMPLETED _______ _,ig.;. _.,,__ ..1"1_.:!.._ ____________ 3. AMOUNT OF MONTHLY RENT PAID TO O.U.R.A S ------------. LENGTH OF TIME TO RELOCATE AFTER DATE OF ACOUISITION -------------------------------------AURARIA LEASE/LEASE BACK/RENT a.wo. RENT b. LENGTH OF LEASE YRS. LESSI[ ---------1!, MO. RENT INCREASE $ _____________ DECREASE 5-----5. a. N.u.A. UNIC b. C:ROUND .... (oElleau:lf< ..... _______________ C. PARKING SPACES 1) ON SITE---------------------------z) OH SITE--------------------------d. LOADING SPACES----------------------------------1. STREET--------------------------------2 OFF STRE T ____________________________ 3 : -------------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER S SOC b) Ssoo 5999 c) Stooo S1 0 S Z!iOO 52999 g) 53ooo bt99 b) SJ!iOO. 53999 d) S1soc 51!199 i) Sooo + AMTs ------e) S2ooo 52 j) 5zs.-AMT. 5 _____ ___ ACTUAL MOVING EXPENSE 5 ___ 2. IUSINESS DISPLACEMENT PAYWEIIT 5------------]. SETTLEMENT COSTS 5.,...,..-------------....,=-,..,..,..,_._.--1 OTHER %tll.l&lJ OF 5-J.':IJR.II S. TOTAL FlhANCIAL ASSISTANCE 5 _./Joti...,,.,.D...,Q...., __ ...... ]i...,Q'--------F. OTHER INFORMATION: 1. a) ON SITE ADDRESS b) OFF SITE ADDo' 2 COMMENTS AND/OR aEWAIKS ______________ ..;;:_::III .... --..,. "' "' N N gr---------%.. "' lll "'"' "' "' .. ... .. 0U ;., u \,.; u uu

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St:pply CEASED or;;:.:::, ... I_.O""'_,_i __ I I .i..L:..j,./ T. a1 .,...c..,.. .... ,., "' ... l ----i (.; 0 N ., .. .. "' "' ,.. .. a: ,.. .. 0 .u .. ::: 0 a: .. "' "' ::1: "'8 z CdlCtl t. NO Qr [MPL.Q'H[S. F[RM UMP. d) 1 ... ,. a) o .. d) 1 ... 19 b I > 1o-zo b) .... e) zo-u r I f) n+ c:) lt-1 0 n 7 YEARS IN DENVER--------,.----------8 YEARS AT THIS LOCATIOh ____ .,,.._ _________ 9 AT THIS ADDRESS PRIOP TO I APPIO,AL 10 GROSS INCOME OF ... cr.r--(-) 11 NET INCOME OF ESTABLISHMENT c l1'Z 7fl' (_) I 12 ELIGIBLE FOR SBD _,..,_ ___ ... :;; z B. PRE5ENT PHYSICAL INFORMATION I 5 1 1 I z c a) OWNER BACK C) LEASE ; TRANSACTON5 DATf or $. I. I] 'a DATE h40'H z /, IJ!t AM0U'1 or MO"'Hll RENT PAID TO D U A S ..... JJ...,..,:);Io::.;:.;C._.._ I 5 : Ia: "' or Tl'-4r TO rt"E:..OCATE ArTEri OAT[ OF' -------------------ii' r.. 53JYdS C"'--------'"'1------''' -----8. '!-... h .lAS! b"-"' < .. lA5oL d ,., 3 8.1-'IJRCHA.S.E F'Jr,([ --------------!---------------C,MO. PAYMENTS 5-----------------. LEASEILEME lACK/lENT a.MO. lENT b. LENGTH OF LEASE -------IS. LESS IE-----C:,MO. lENT INCREASE 5-------DECIEAS 5---5. a. N.U.A---------------------b.GIOUND-------------------C. PARKING SPACES 1) ON SITE-------------1) OFF SITE------------d. LOADING SPACES-----------------1 STREET---------------1 OFF STAE1 ______________ 3. DOCK----------------4. 6 LPA. REFERRAL YES-------NO------i DISCONTihUE BUSINESS--------------E O.U R.A. FINA .. CIAL ASSISTANCE GRANTED 1 MOVING CIRClE a) U!'liOtA Ssoc bi Ssoc c l S100C. 51499 f) 5 2500 52999 f!:) 5Jooc S:w99 b) S l>OC 53999 di i) Soooc + A"T s ______ r) S;oo<. 5m9 jl 52!.ooe+ A"' 5 _____ ACTUAL MOVING EXPNSI 5.,---."ll"" sMAu BUSINESS DISPLACE .. ET PAYMENT sb, H72 I 74 l SETTLEMENT COSTS S----------------1 OTHER -----------TOTAL FINACAC S "6, 8721 74 F. OTHER INFORMATION: a) b) TEMPORAR'Y REl.OCA'!IOfl. O -----------OFF SITE ADDRESS ___________ COM...,Ef\TS ANO.'OR t; fS/1 l"'31'oHd dO Hi3!< r Of---......... "' ::0 VI .... !""\Wf") 0< z C'l:t "' >< ;l\C'I z "' ...... .. .. .. c n ., e ls lint Z L l z L l l P l tlll'1 J:oiO L 0 0 ..J .;, ... c: PRESEN1 .. ME or Firernaster .L u u l. Lar AME or owr o MGA Wm. Be 1 1 l H AREA TYPE ALPH/. CODE 0 PERM4NENT RELOCATION 10-O '3 V' ADDHSS 2 7 9 9 CITY Denver N Speer sTATE Col a BlmJ ZIP BQ 2ll ----i'"-' TYPl OF ESTAC CIRCLE C 1 2 (f).: f 7 8 HloU ARE.A ..:: 2 8. b. LEASE BAC< C. LEASE d. RENT ... .. N "' ... ,.. rr ... ::1: 0 ..,u "' ... ., 0 a: .., "' 6 NO Or PER... i:lij 0' TEMP. dl ... 19 a) ().A d) 1 ... ,. b)s.g 1o.z b) .... e) 1o-u c) "" f) 1s c) 10.,. f) zs+ 7. YEARS IN DENVER ------T'I,.-----------8. YEARS AT THIS Ql
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r= .. --. ,._r, Q; "'; 0 .. v ..... a: .., ... ::f "'e .... .... 0: ... z 0 z -... < 0 .r. B z < ::f Q; 0 .. i j l L u s v; a: -----1"-.. ... Vr a: > "' ... ::f c ..,u ... 0 a: .,.., !ol c :': I I ,, = c,:.f -0 i HO or EMPr..0'1'f("5. BJ o..: dl "-19 TEM' rlz .. z b) s.t C)D-lA r) 10" n zs+ c) 111-11 ) n+ 7. YEARS IN DENVtR ------,,.-=-----------VEAlS AT THIS LOCATION _.II"IE.J-rQ.,_ _________ DATI. OF LOCAL .,,ROYAL I AT THIS ADDRESS Pfi'IOR TO ( ) ; (. ;..E.ASi 3 ... A.Sl PiCl --------------b.MORTf.AGE s ________________________ __ C.WO. PAYMENTS 5----------------C. LUSlfLUS IIACII/IUT a.MO. ENT S ______________________ b. LENGTH Or LEASl .. S LESSIE ____ ;__ C. MO. IUT INCREASE 5-------DECIUSl 5----I. &.N.U.A--------------------b.GROUND-----------------------------------YES ___ NO----C.PARKING SPACES 1) ON SITE--------------10 GROSS INCOME OF ESTABLISHM,_T __________ (_) z) OFF SITE ____________ I' NET INCOME OF ESTABLISHMENT-----------(_) d. LOADING SPACES------------------12 ELIGIBLE FOR SBD H S-------NO -------I STRE "-----------------PRESENT PHYSICAL INFORMATION: 2 OFF STREET ______________ 8 3. DOCK--------------------) OWN b) LEASE BACK r) d) RENT .Ptl"- AUE>-----------------A)N 6 LPA REFERRAL YES------NO------H) CAND __________ ,:7::.___________ DISCO'"""' B"SINESS -----------------... ,..1 -----------------[ 0 U.R.A FINANCIAL ASSISTAIIICE GRANTED 1 CIRCLE 8) U"'DEJi bl S;oo .( P: T I 5 ________ :.;-------aiO' So'< NC ---=-':>....------b I 0" s"' NC ------------.-\. STEn OOC i ., _. 1---Ot----i Cl ,., "' :u 3: < z C.. en 5-.,E, ___ Tl. ccE------F c o; scs -------r l S1ooo-S d) Ssoc Sggg "'"' iJ s_______ "' jl .,., 5---:-=,.--,..r/ fl S 2SDC SZ9!1S gl SlOQC S3A9' h) 53500 53999 ACTUAL MOVING EXPENSE s/(, t' J Szooo 5.:.493 Z SMALL BUSINESS OISPLACEME!rtT 5--------., / _, 7 OA TE OF ACQoo SIT D.,< MOVE COUPLE lEt___ _,Jr;z___ .. !:------' OTHER < a '" TOTAL FI_.NCIOC ASSIS1AhCE OF MO"'THlY REM PAID TO O.U I' I< S _______ __ .C lGTH Or TIME TO ArT;' OAT or ACOU!Sil10t.. ----------------------_______ F a) bl OTHEP INFORMATION TEMPORA.Pv RL.OCA"f10"-Oh SITE------ADDRESS------------------53::>dS !>NIO
    11 NET OF ESTABL.ISHMENl -----------(_) I)H SJT( AOORtSS ____________ C0t.At.ArN':'S AND.10R 1:1 s J Q tiC !"31:1 ,, 8 l z 'ld1 D H D I I TYPE ALPHA CODE PERMANENT RELOCATION 06-03 4055 Walnut sn Cal a ZIP 80205 2 a.SACES b. LEASE BAC (".LEASE d.jENT 'i)uPCHASE PRICE S CZ., 6 7$ b.MORTC.AGE S c ... o. PAYMENTs s Z,O 4 1n LUSEILUSE BACK/RENT A a.MO. RENl 5 ______ b.LENGTH OF LEASE YRS. LESSIE ______ C. MO RENT INCREASE 5 DECREASE 5------S. B. N U.A----------------------b.GROUND------------------------------------=--C.PARKING SPACES 1) ON SITE--------------z) OFF SITE _____________ d. LOADING SPACES--------------------I .. N .. cl-----.. !=I c: "' ., ... .... 2J Ul -. -Z"'" o! z .. n 1110 ... N ::f "'0 u B 12. ELIGIBCE roo SBD "s __ .,.,..._ ___ NO -----STREET ______________________________ ___ .. "' ,.. rr .. .. ... z PRESEIIIT PHYSICAL INFORMATION: a) OWNER b) LEASE BACK G.! LUSE A) u A. ______ s1L o ____________ 3. AMOYNT MQ. RENT $ _______ _.3 ..... AMOUNT MO RENT P.l T I 5--------------PARKING SPACES a)ON SITl b) OFF SITE N0 ___ _.,5._ __ __ 6. LOADING A. STREE' lC. B. DOCK A C.. OFF STHET _____ D. AUEY------E. NO o SPACES--------C. RELOCATIOIII TRAIIISACTIOIIIS .4 ... I. DATE Or ACQUISITION _____ 2 DATE MOVE COMPLETE0 ______ ____ 3. AMOUNT or MONTHLY RENT PAID TO D.U.R.A. 5-------a:;;: LENGTH or TIME TO RELOCATE AfTER DATE OF ACQUISITION--------------------Z. OFF STREET _______________ 3 DOCK---------------------------------f LPA REFERRAL YES ___ ._)C,=---HO---------.--? DISCONTINUE IU!ttNESS-----------------E. C.U.R.A. fiNAIIICIAL ASSISTAIIICE GRANTED MOYito.IG EXPENSES CIRCLE ,.0 ,_ .... o .... l: a) UNDER Ssoo bl Ssoo -5999 fl S ZSDO Szggg E g) S3ooo S:ugg S1 rl S1ooo-Sugg b) Slsooh999 d) .S1soo-S1999 S.ooo + AMTs__________ ::l r) Szooo-S2 D Szs.ooo+ AMT. 5------G'l .. ... "' .. n ACTUAL MOVING EXPEN1_E :::., Z. 5MAU DISPLACEMENT PAYMENT S 4 [ 0 4 4 4 3HH-----l SETTLEMENT COSTS OTHER Search s 49.3 90 S TOTAL fiNANCIAC ASSISTANCE 5 $14 I 53 8 3 3 "' f ---------------------------------------------------f. OTHERINfORMATIOIII: ...... 1. TEMPORAIY RELOCATION &\ 01< SITE-----ADDRESS---------------bi SitE------ADDRESS ___________ ... Z COWWNTS ANC/01111 RE.-ARKS ______________ v

    PAGE 42

    .. -.. ., N ... .. r:: .. ; 0 ..,u ... ::; 0 II: .,., "' .. :i "'8 ,.. B .. .. z c z z :i II: 0 .. c .. L ..J u ll:o. "' ;r ... z ... ,, "' a: ... v. .. 0 fDU ... ::; 0 II: .,., .. ::!: .. 8 6 "! B .. .. .. z GISE I s GRILL '1'221 Street ,., v-., Angj e Valdez 08-08 .. "''"' ts;,.t" i APA cP.:u G t. NO or EMPLOYE. Pi.Rht If TEMP.I : -' ( a I 0' bl 5 C) 10-14 dl!>-19 e) zo.z f) n+ a) o.o b) e) TD-14 d) 1!>-tt e) H-l f) zs+ 7. YEARS IN DENVER--.....::'------------------1 YURS AT THIS LOCATION DATE OF LOCAL APPROVAL 9 AT THIS ADDRESS PRIOR TO ( lff4 ) YES..1._ N0-----., 54!.1" U> '" 2,$4 -----------------6 LPA REFERRAL YES---.,,_....----NO--------DISCONTINUE BU S"ESS _.....Jluts_oL. __________ .3 AMOU'Ii"' MO FH ,.,:":' E O.U.R.A FINANCIAL ASSISTANCE GRANTED 4 MC F-1: 5 _____________ __ &.JO, S!lE l"tC --------bJO'r S,!f 6 LOAD'"G A. ___.z!___B. DOC C. Ofl STEEU ___ J). --....t:lC!---[. "-0 cr SP.t0:: -------RE'-OCATION TRAN5ACTIONS 1 D'fdS !>NIC\"0"': a 1 MOVIt f) S Z soo SZ999 g) SJOOC 53099 b) 5!500 53999 iJ Scooc + AMT S jl Szs.?oo A"T 5------ACTUAL 1110VING EXPENSE Z St.iAL!.. BUSINESS DISPLACEIIIIENT PAYMEM 5--------J. SETlLEME'' COSTS 4 OTHEO ALT1i6N/tU PVHt SID, DfJO. DtJ 5 TOTAL ASSISTANC 5 F. OTHER INFORMATION: 1 TE ____ R._El=OC .. a) ON Sill ----9 c) 10-1 d) 15-190 rl 20 f) zs+ 7. YEARS IN DENVER------_d....l!!!--;ir----------8. YEARS AT THIS LOCATION ____ _.;t_o.;ll.._ _________ LOCAL APPROVAL ) 9. AT THIS ADDRESS PRIOR TO 10. GROSS INCOME or 11 NET INCOME or ESTABLISHMENT J./ Yl2. <'lZ> 11 ELIGIBLE rOR 580 YES--------NO __.X."""--PRESENT PHYSICAL INFORMATION: 8 I e z v 7 r. t L I Z V l I Z V ,a, .. D. PERMANENT RELOCATION 18-07/08 1 ADDE ss --=CE=AS=E=D;.......;O:::.P:...:E:..:M=T=-=I:..:O:::Nc:._ ______ cm ________ STAH------ZIP ----------2 &.SALE!:! b. LEASE BACK C. LEASE d. RENT 3 a. PURCHASE PA1Cl. 5---------------S---------------------------C,MO S ______________________ ___ lEASEILEASE BACK/RENT &.MO. RENT $ ____________________________ ___ b. LENGTH OF LEASE YRS. LESSIE _____ C. MO. RENT INCREASE 5-------DECREASE $ ______ __ 5. a. N.U.A. ____________________ ___ b.GROUNO-----------------------------------C.PARKING SPACES 1) DN SITE---------------z) OFF SITE-------------d. LOADING SPACES-----------------1. STREET _______________ l. OFF STREET ______________ 1. b) BACK r) LEASE d) RENT 3 DOCK----------------. L ALLEY-----------------A)N.U A ____ n ..... 4-s.4 .... ___ _.#1c. ....... A-=-----e lPA REFERRAl YEs _______ NO--------Bl lAND____________________ 7. DISCONTINUE BUSINESS-------------..&.-3. AMOUNT MO REhl S E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 4 .IMOUN'!' MO RENT P.l.l.l S _______________ __ 5 PARKING SPACES a)ON SITE NO----------b)OH SITE NO ________ 6. lOADING !\. STREET B. DOCK C.. OFF STHEl ____ D. ALLEY------. NO OF SPACES------1 MOVING EXPENSES CIRCLE -a) UNDER 5500 b) S5oo 5999 cl S1ooo S1099 d) .51500 51!199 f) 5 zsoo h999 g) Slooo 53099 h) Snoo S3999 i) S.ooo +ANTeS----------.. C. RELOCATION TRANSACTIONS 1. DATE or ACQUISITION ______ j) S2s.ooa+ AMT. S _____ e) S2ooo 5z .. .. .... __ "' u ..... : .. ---! Z. DATE MOVE COMPLETED _____ _.$._ 3. AloiOUNT OF MONTHlY RENT PAID TO D.U R A 5 IJQIJf.ACTUAL MOVING EXPENSE $ _____ 2. SMAU BUSINESS DISPLACEMENT PAYMENT 5 2 I a i 3. 5EnLEMENT COSTS S-------------------LENGTH OF TIME TO RELOCATE ArTER DATE DO OTHER --------------S....,..,... .......... ..------------,:-..-..-....... ...,.'"""--:...------5 "TOTAL FINANCIAL ASSISTANCE $ "J. 1 t:! j ,;S ___________ F. OTHER INFORMATION: 1. TEMPORArt'r RELOCATIOJI &I b) ()FF SITE ADDRESS ___________ l COMMENTS AND/OR REMARKS--------------'" .. :Ill 0"0 '"""'\-() 3: 0-:5 z Cl: ;lie> z "' .. .., -. w -, .. .. w "' n .. .. '. .. .. N N ot----c:D "' ., "'"" ... J: 0< z Cl:z: .. .. z "' .. .., '" D n -. _. ._j

    PAGE 43

    .:..; __if.?;.. .u.e r .......... ... .:...;. a _, G .:.:::--c --. 10 .. ________ ,.,., ______ :,. -----L:..ll5-( .. .-" 0 ..... ... ::: 0 a: .. "' "' :1 .. e :!: .... .... "' z B TEMP A .... a '"15.-19 b) S-9 p) zo-2 b)"'' e) zo-2 C) lt-U f) c:) 10-14 f) n+ 7. YEARS IN 1 YEARS AT THIS LOCATION _,/W}'-"'"'"-'"-----------DATE OF LOCAL A,PIOYAL 9. AT THIS ADDRESS PRIOR TO < 5f"1A l NO __ 10 GROSS INCOME OF ESTABLISHMNl-::-:::-::-------(-) 11. N(T Of ESTA8LISI'tt.4[NT -....;'l,_,,..,.a.._ _______ ,(_) 12 ELIGIBLE FOR SBD YES----NO----PRESENT INFORMATIO": 1 Gi OW"R_) b) LEAH BACK C) LEASE d) RENT 2 !\ ,, u __ ____________ B I LANO UNit!. v:: s ________________ t. ,...,JUPI.'! "10 r l ________________________ Fl..i499 hl Smo. 539!19 j) 5400C + 5 jl 5:. ooo+ AM1 $-------ACTUAL MOVING EXPENSE 5 ___ 2 SMAU.. DISPLACEt.4Etl:l PAYMU.ii 5---------l SEnLME' COSTS 5::-::--;;;;-;;------.... --:;::-..-..r---' OTH w J..teu OF s 5 TOTAL "'"CIOL ASSISTANCE 5 _.,:!ca,,,.,1'J;.utJ,O,._.,,.IJ,.Id.,_ _____ [. NC 0' SPACES ______ I 0 r RrcOCATION II DAlE OF 5 ; CA1E MO';E Ct',.PcETEo __ _______ j 0'" MQf\TH!.'f' IH"l Pt.IO TC C.l J; I. S ------or Tllwl TO REi..OC&.TE or ACOUIS!"':'JOP.., ----------------------------------------------F OTHER INFORMATIOI'<: lN3"'Ad IK lN311 l L L l t ., I I. ___ _,_,. I I AREA TYP ALPHA CO:>E PRESENT ESTABLISHMENT COMPOSIT;ON ""'E oF Parkinq Lot oo.,ss l.U::1-l.l ;:,"tree"'; D. PERMANENT RELOCATION 25-03, cool ss __ C_e_a_s_e"'d __ o_.p.__e_r_a_t_i_o'-n'------"' '""''or ow" oo '-'G' ld.IIII!lC cnv ________ saTE ______ ,IP ----------; HP[ OF ESTAf: CIRCF..f 0 2 3 4 5 E (!) io .c: &.SALES b. Ba.::r. C. LEASE d. RENT -"' ... -.. 0 .. u :!: .... ::: 0 It '"" .. "' TF'AC[ AREA -0 t :! t 6 Or EMPL0YES PERM () 0-l. tJ d) 1!>-19 TE"'4P a) o-< d) 15-19 bl 5 20-2 b) !>-9 I zo-z c) 10-" f) 25+ c) 10-" f) 1. YEARS IN 8 YEARS AT THIS LOCATION __ _.J._fi,_ ... t __________ DAY OF LOC.AL APPROVAL 9. AT THIS ADDRESS PRIOR TO 3ff.1. l YES ____ N0--1C GROSS INCOME OF ESTABLISHME-.T 19,..Zi0 J B. PURCHASE PRICE --------------5--------------C,MO. PAYMENTS 5--------------------------------. LEASE/LEASE BACK/RNT a.MO. RENT 5------------------------------------b, LENGTH OF UASE YRS. LESS IE------C, MO RENT INCREASE $ _______ DECREASE S ----5. a.N.U.A---------------------b.GROUND------------------------------------C. PARKIOG SPACES 1) ON SITE------------2) Of< SIT-------------::E PHl INCOME OF ESTABLISHMUi':' ELIGIBLE roR SBD IQ1 D1'0 lik.J d. LOAD'"G SPACES------------------8 1.1. .... : 8 YES----NO---STREET------------------------------Orr STR--------------"' z 0 z-PRESENT PHYSICAL INFORMATION: DOCK-----------------------------1. II) OWNER b) LEASE BACK C) LEAH d) RENT ALLEY------------------2 :\) h.U A 6 LPA. REHRRAL 8) LANt Ull 7. BUSINESS _______________ AMOUNl MO RENT 5----------------E. D.U.R.A FINANCIAL ASSISTANCE GRANTED C. AMOUNT WO. RENT PI T.l S PARKING SPACES. s _________ ___ a)o SITE NO---------6 LDADING b)orr SITE NO _______ A. STREET B. DOCK C .. OFF srrrn ____ D. ALll'------E. NO OF SPACES-------C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITIO....::fl:tf..c.t4!--:::,........--.,...r---------2 DATE MOYE COMPLETED--.:i:L''-'? .. I__."Z ..... 3._ ______ 3 AWOUNl OF MONTHLY RENT PAID TO C.U.R A s ____ c LENGTH OF tiME TO RELOCATE. AFTER DATE Of ACOUISITION---------------------1 MOVING EXPENSES CIRCLE a) UNDER 5soo f) 5 Z500 SZ999 b) hoc S999 g) 5looo bt99 c:l 5oooo 51099 b) 5lSoo S1"\ d) .S1soo. 519!19 I 5zooo S2 j) S.ooo + AMT S -------j) aMr s _________ ACTUAL MOVING EXPENSE s ___ __ Z. SMALL BUSINESS DISPLACEMENT PAYMENT 5----------l 5ETTL[M[NT COSTS OTHER ;'N LILU DE s .LQ.OOO.OO 5 TOTAL FINANCIAL ASSISTANCE S _____ -----------------------F. OTHER INFORMATION: 1. T[MPORAI'I' RELOCATIOtt a) o snE-----------ADDR------------------------b) OFF SIT ------ADORE SS -----------II !""' I I I 1 I-I >: sno ....... () '"0 3: 0< z Cl:: "' .. z "' "'"' .. ... c .. ... "' ..

    PAGE 44

    -------tt ..:-.. .. 0 ,.u .. ::: 0 a: .. .. ... i ARI:.' (.r rt(..! i t. t lifO or lMP .. PlU.! () Cl-40 dl 1!>19 TEMP. a) Oo4 bJ ,_, rl zo-zo b) S-1 e) z.z (" ltf) z c:) ,.,. f) ls+ d) IS-11 7 YAIS IN ONYR __ tJ:_:/U...==--------------1. YUS AT THIS LOCATION _..,_t,tl.._ ___________ 9. AT THIS ADORE SS PRIOR TO YES ___ NO--10 GROSS INCOME Of ESTABLISHMENT 11 N[T or ESTABUSHMENl ... 8 12 ELIGIBL! FOR SBD ; 2 h) 5mt SJ999 il 5:ec: + AMT S ----------jl Sl!ooo+ .,., s ______ ACTUAL MOVJI\jG EXPENSE 5 ___ 2 !.""AL.:.. BUSifliESS CISPL.ACE'-1E"il PAYMUiT S---------3 S E TT;.E E 'Ill CCS T 5 S --,,.--:----------:;,-,:-:,.....--:c-:-----4 crm .. Iff Ltl.j) (JF 5ffJ..-!fJ/. ID TOTAL F INA C IAL ASSIST A NC l 5 --""-or'''";'-'o..---....... :a "''""0wr :;:: C'-c s z Cl :t "' : ;! C') CD z "' ... ... ,. 0 e :> z,t L I I I z I lS snE= 8 Z t L 8 r z f. L Z t l z t H '------'-, 3 I '0 I I I F E c I F E D t 5 4 I 9 8 7 6 5 I I A PRE5ENT ESTABUSHMENT COMP05'l!0"' 0 PERMANENT RELOCATION .. I ,.M, o 'oSH&iol .... Hertz Truck Rental ooREss .1.u S' l..!awrence, Denver I oo[ss MOVED WITHOUT NOTICE PR vi "' 0: 3 AM! 0' OV.,EO OR MGR John .::l'f'fPT"f-V rmgr)wr TO ACQIJ,LSITION ZIF ___ -----!" t. T"t'f( or ESiAEI CIRCU 1 0 i. {f).: f: 1 8 Z &.SALES b. LEAS BACK. C. LEASE d. RENT -'"' "' ,.. ... 0 .,u VI .. VI 0 a: '"" H.A[J[ I' RE.t. CIAC .. 3'\..G? 4 6 OF EMPLOHES PERM tfi)t:) :19'} b) di Pl zo.z tr)O-Jo I bl...., dj 1s.19 e) zo.u TEMP d IO-U f) zs+ r) o-u l) zs+ 7. YEARS DENYER----,=,.------------8. YEARS AT THIS LOCATION __ .,;;;;1..-------------DATE OF lOCAL APPROYAL 9 AT THIS ADDRESS PRIOR TO ) YES ___ N0---.. 1.6.! 10. GROSS INCOME OF' ESTABLISHMENT __________ (_) :I 1' toilET INCOME OF' ESTABLISHMENT-------------(-) ... 8 IZ ELIGIBLE FOR SBD ,.. : B. PRESENT PHYSICAL INFORMATION 3 a. FUACHAS PR1C E 5 ---------------------------5---------------C:,MO. PAYMENTS 5-------------------------------- LEASEILEASE un/RENT a.MO RENT S -------------------------------b. LENGTH OF LEASE -------ns LESSIE-------C. MO. RENT INCREASE $ DECREASE $----S. a. N.U.A. ___________________________ __ b.GROUND--------------------------------------r. PARKING SPACES T) ON SITE ----------------------z) OFF SITE ----------------------d. LOADihG SPACES------------------------------1. STREET-----------------------or" s TAE n ___________________________ co ... z a) OWNER b) LEASE BACK d)0 l. DOCK-------------------.C .e. AU.E 'J -----------------------------zu"' :::> ... ., ... VI .f\)1\U.A. 2,.1./t!!DII-T 6 LPA REFERRAL YES----------N0--------''-8) LAND ___ -:-7:'-::::-:::-:::::;-------------7. DISCONTINUE BUSINESS-----------------------3. AMOU"' MO. RE" 5 "(f?t:lr lfti(;J E. O.U.R.A. FINANCIAL ASSISTANCE GIIANTED AMOUNT MO RENT PI T.l S-------::--,------8) 0' SITE NO. _')._....;;,L.-----5 PARKING SPACES b) OFF SITE NC. _________ 6. IDADihG A. STREET B. DOCK I C .. OFF STEEn ____ [). ALL"-----E. NO OF SPACES--------RELOCATION TRANSACTION5 DATE OF ACOUISITION _________________ 1. MOVING EXPENSES CIRCLE a) UNDER Ssoo b) Ssoo S9!19 c) S1ooo d) .Suoo S1999 r 1 Szooo S
    PAGE 45

    . ("' .-p .. r > r 1 .,. -. 5090 Acoma oer ve Ccl" 60216 II I 1-. I ... ..... .. '. --a. :....L.,..I.. .. I :. I i---0 -c::> I ( .. i. !1-'' E'-'. ( t .c. s ( .... 0 I ii". .. t.: ;. : '. .. h ::.: F :_ NG 0' l ""'F-.C 1 i Pl ''w' a 1 c L I ,_, d lV a d I, {) s -12.-V) .... "' t") lG-l' C.MO ...... TEMP a) ... c) .. ,. .. UASEILEA$l IACK/REIO Ill (') 110 ... ., "' "' ... ., 0 z u c I I I "' I J I I ., "' ... "' "' "' "' 0 z u Q :1 d) ... ,. I f) zs+ a.OIO lENT S c: 0 :. u 7. YEARS, IN b. UNGTH 0' LEAS ns USSIE ") -n "' I YEARS AT THIS LOCATION C.MO RENT s DECIEASE S ..... r; "' "' DAlE 5. &.N.U A. z= 0 a: ( 3 ) b. GIOUNO IINIC, ,.;:t AT THIS ADDRESS PRIOR TO ..., __ or-, C. PARKING SPACES 1) ON SIT "Z ( ) 2) QJ"f SITE. .. .... 10 GROSS INCOME or ESTABLISHMENT ,.n :1 1; NEi lrr.CQ'-1[ QF" ESTABUSHMENT ( __ ) d. LOADING SPACES 1110 0 -u 11 lliGI8L[ FOR SBD YES NO 1 STREET "'"' ... :!' 2 OH S TRE o B PRE5ENT PHY51CAL INFORMATION. z-"' "' b) LEASE BACK J DOCK z 1 C) LEAS d) RENT "''" AUEY """"' AI'" A il 2 LPA REF'EfUtAL YES NO .. :s: :: R) NO ll.tiR. Ni 55 AM0U"'; t.;l -o-E O.U R.A FINANCIAL ASSISTANCE GRAI>TEO "' -J: AMOU ... T FE f.. T PI T I MOI/1"-G XPf.II.SES CtPC.LE Pt., RKI ... ::; a I c. r.c a) fl s '"'' ,.. U""OER 5 50V s, ... b I 0" '( 1/.ltllt, gl 3: z bl s .. 5300{ o_ 0" 0 i LO.e. .-\. S i JF ACES di il Sooc + AMT 5 "" "' c RELOCATIOI\i TPANSACTIONS S:ooo -c:j) 525 AMT c r/ Of ACTU"L MOVING EXPENSE s4 ... "' I y II z z I v 6 I I z L I I z I v a I I z L I z L I I z .. -fiiO I r ; J r H I I I I I I I A B PRESE.N1 E.STABLISHMEt..iT COMPOSITIOI\ 0 ,.,.,or ESTABLISH'<["' Hofsetz Parkina Lot oc's' 1007 10t.'1 & I017 Champa oom None ceased operation ""' 0' 0'"'" o MGR James Hofsetz em STA'E ""----------t. or ESTAB (IRO:l 0 1 t : HJ..Dl CtPCLl E NO TEMP. d I,_,. a) o..: d) ..... 7 b) 1-9 f'} lOb) ... e) zo.2 c) 10-u f) zs+ c) ,._,. f} Zl+ YEA AS IN yEA AS AT THIS LOCA TIO'NZ------------------------------DATE Of LOCAL APPROVAL AT THIS ADDRESS PRIOR TO ) YES _____ N0---10 GROSS INCOME Of ESTABLISHMENT __________________ (_) NET INCOME. Of ESTABLISHMENT (_) 12 ELIGIBLE o SBD YES-----NO---------OHYSICAL INFORMATION a) ow"' b) LEASE BAC< C) LEASE d) RENT A)' U.A ____________________________ B)LAND _______________________________ ___ AMOU N'l' MO R E N'l' S -------------------------------AMOUNT MO RNT PIT I PAiii'KING SPACES a) ON SITE NO -':li...--------------b)OFF SnE NO _____________ __ 6 LOADING A. STREfT ______ B. DOCK C.. OH STEEET _______ D. ALLET ____________ E. NC 0< SPACES ___________ RELOCATION TRANSACTIONS DATE or ACOUISITIO' ____ ________ DATE WOV COMPLETED _____ _.N:....,;..._.;"------------------AWOUNT Of MONTHLY lENT PAID TO O.U R A LENGTH Of" Tlh4f TO RELOCATE AfTER OAT Of ACOUI SITIOh ---------------------------------------8.SALES B"-CI'. (',LEASE d .... : 3 8, FiJRC S E. PRIC ( $ -----------------------------b.MORT(..A(.E C.MO. PAYME.,.TS ... LEASE/LEASE BACK/IifENT I.WO RENT 5------------------------------------b. LENGTH Or LEAS ------------us. L SSIE -----------C. MO RENT INCREASE ------------DECREASE S ----I a. H. U. A ---------------------------------------b.GtOUND-----------------------C. PARKING SPACES 1) OPii SITE -------------------------2) OFF SITE-----------------------d. LOAO!"G S PAC S ---------------------------------S TR ([T ------------------------------0,. f S TRE El ____________________________ OOC<---------------------------------AU.EY----------------------------------6 lPA lifEF"EfUiAL YES----,.,-------N0---------------01 SCONT"U BU Sl N [ S S __ ...J.x:!,... ____________________ _;_ __ 7 E O.U.R.A FINANCIAL ASSISTANCE GRAiiTEO MOVING ElPEIIiSES CIRCLE -a) UNDER Ssoo b) Ssoo. s ... c) StOOD. s .... d) .St500 St!l99 e J S2ooo 5,.99 f) S Z500 S2!199 g) SJDOO bt99 h) SJSO().SJ99t i) Sooo + AMT.IS -----------j) ... s ________ ACTUAL MOVING EXPENSE SMALl BUSINESS DISPLACEMENT PAl'.W[Ml $ ---------------J. SETTLEMENT COSTS OT>
    PAGE 46

    -" I .-- I .. r ,, .. ... "' .. -" .. .. J -" ... ... -... ... -.. .. ... "' .. > -rr .. N -- .. -:.I I .r "" t .... ), z I 9 .. .. 10 ... :1 .. 0 1.1 1Z .. ... B p ... z 1 "' c 2 z ::, 3 ol-' !J" I 2 s: t .. ::; 19 TEMP a) 0-4 dl ''-'9 bi rl zu b)w r) z.z r) to-1a f) n e),.,. ) 19+ YAIS IN YEUS AT THIS LOCATION __ .:.tfLJ1'-=Q"'-------------AT lHIS ADDRESS PRIOR lO GROSS INCOME Of ESTABi.!SHM[ NET lfrtCOME OF ESUBi.ISHMENT tLOGoBL roo SBD RESENT PHYSICAL INFORMATION. DATl OF LOCAL APPIOYAL < &f 'a 1 s__L_ NO--:r:: (I"Wi :' -4" YES------NO------C) LEAS d)RENT b) LlASE BOCK A l" B 1 L"r ----'UIU.lrlu!C,._,_. ----------------------MC -.uou,.,. Htott .... :-..:-, lll '.' s:-:-t. NO----------SITE. r.: ________ LO.IODI,._G :\. ____ H. DUCK c. C" S't[0 ___ 11. ACL[Y ______ L-c or SHCts ______ RtLOCATIQo.; TRANSACTIONS DATE OJ ACOUISITIOI'\ _____ -::;:,--,:r-.:::;...---------OA T MO\' [ CO" P.T C ______ Of t.tQPii'!no.Y rH:f\T PAID TO 0.1,; Fi A. 5------LE ... OF TIM[ TC U"T R DA.H OF ACOUIS.ITIOh -------------------Lb-.L-' ,,, __ _;:C::..e=a=s'-'e=c=_;:0:.."''"',_.-'e=-=!''--c::;;-....;t=i-'c"'.-=-:"'-. ___ c-' .. lr: -----8. b.l ( ot.Sl &&.: .. d. -.-J 8.f'UP(.td,!,f PR ..:.I 5-----------------C.MO. PAYMENTS S-----------------&. LUSLUSE .ACK/UNT 8.MD lENT b.LUGTH Or LUSt YIS. LESS1l-------C.MO. I[NT 1NCIEASE 5--------DlCIUSE $ _____ __ S. a.M.U ---------------------b. GIIOUND------------------C.PUK'"G SPACES 1) ON SITE------------z) orr sm -------------d. LOADING SPACES-----------------1 STREET _______________ Z Orr STREEl ______________ 3. DOCK-----------------4 AUE-----------------6 LPA REFERRAL YES N0--------1. DISCOMINU! BUSINESS E D.U R A FINANCIAL ASSISTANCE GRANTED 1 MOVI"-G CIRCL. -al u'oro S;oo bl 5soo 5993 e) S1occ d) Sl999 f) 5 Z50' g) 5300C 53<99 hI 5350o 51999 i I Soooo + A"T S j) Sz5.ooo+ A"T 5-------ACTUAL MOVING EXPENSE S _____ __ 2 SMAU BUSINESS D1SPLAC .. [NT PAY"E"' S--------3 SETTL!YENT COSTS OTHER IN l..tw q,. s 5 TOTAi. F l"li.NCIAL ASSIStANCE 5 ,!I 'a:'&0"" ::, :: "' "' "'"' lg .. '"IN(' :. .. 1-H-------., ... i:l .. Z"'"' .. z .,n .,.o .. "'"' :;1-i,::+------. ...... .... z ... -c .... i: 3: 0< z Cl:t "' >< ;EC\ z "' .. -. 0 n .. .. .. ,. ... c: F OTHER .... ,...lt ....... :""': .... ls"'-"'E.._.!.._..t_..!;_40_, .._______ [55---------b) 'JH SIT! AOOR..;::-00:::::----------2 co .... r.,s ANo'o or .. ooKs ____ -.__...;;;,.._o;;:::-----.........._.. ... 53JVdS !lNIOYO, I:IC ll\;3tr ..... 8 ") 0 :> 0 ,. ,., y I y 8 t l H t Wd""! ")SI(I .. r .I 3, 911 zrt t "c 1 I F E c 1 F D 6 1 A I 9 B 7 I J .. A p ,_, 0 .J .r. ... 0: '-' '"" ... ,_ 6 .. "' :1 0 ... 1.1 1 ... ::l I 0 a: 9 .. .. 10 ... :1 .. 0 u ... :;; B p z 1 .. 0 ::! z z u "' 3 ;: c .. "' 5 6. c. 1 2. ... 3 z ... II: .. 1EARS ;ER TEMP F""l PER". EMP. AREA TYP< ALPHA CODE 1 ES1ABL!SHMEIIi"! COMP051110" / ;) D PERMANENT RELOCATION ... -no!sTAs"s""''" ""c.-,z.co r-enct lr,_d "' -... ocms -r:; "" :,;..."'=" Li) c1 L Lr -1 .,.: '-1 '9 e) zo-2 () zs+ C. MO. PAY .. [NTS S-----------------------------TE"P F.) b) H c) 1 LEAsrltusr BACK/RENT ,c ) U -"'S r) Z0-2 f) 25+ a.MO. RENT 5--------------------, YEARS IN b. LENGTH or LEASE YRS. LESSIE _____ aS ; {t:$" C. MO lENT INCREASE 5-------DECRUS S ------YEARS AT THIS LOCATIOh / DUE Or LOCAL APPROVAL S. a. N.U.A --------------------AT THIS ADDR PRIOR TO ( ) b. GROUND-------------------------------us ____ NO __ GROSS INCOME OF" N INCOME or ESTABUSHMEroil (_) ELIGiBLE FOR SBD Y S--------NO -------RESENT PHYSICAL INFORMATION B) OWNER b) LEAS BACK clLUS[ Al.u -----------------BJLAND ______ AMOUNT MO R['T MO RENl PIll PARKU\IG SPACES. LDADING .'\. STREET 0' SIT NO _.x=----------b)or SITE N0----.,.----___ 8. DOCK ,)tt.. C.. orr sTtur ____ D. AUEY------E. NO or SPACES------RELOCATION TRANSACTIONS ..f .;( / ...., r DATE Or /.:12._"'-----DATE MOVE COMPLETED d / :l /5' AMOUNl OF MONTHLY RENT PAID TO D U.A.A S -----LENGTH OF" TIM[ TO RELOCAT ArTER DAlE OF ACQUISITION---------------------C. PARKING SPACES 1) ON SITE-------------2) OH SITE ____________ __ d. LOADIG SPACES------------------1. STREET _______________ OH STREET ______________ 3. DOCK---------------------------------C. AU!Y---------------------------------6. LPA RHERRAL YES--------NO-----.....;L.. __ 7 DISCONTihUE BUSINESS--------------D.U.R.A. FINAr.CoAL ASSISTANCE GRANTED MOVING EXPENSES CIRCLE -a) UNDER Ssoo b I Ssoo 5999 0 S 2soo -Szm (1: l hooo S:ugg b) S3soo -$1m1 C) STOOD 5,.99 d) S1soo. S1999 r 1 5zooo S2 j) $&000 + AMT $ -------j) Szs.ooe+ AMT ACTUAL MOVING EXPENSE S::; C; riC ,(b ) 2. SMAU D1Sf'LACMENT PAYMENT $---------1 SEnUM[NT COSTS 5--------------- OTHER ------------------:---,,-5 TOTAL fiNANCIAL ASSISTANCE $ =! 9 Q (,. c
    PAGE 47

    i.-1 !;I .. .,; 0 .,u .. II: .,., .. Research 6B 1-.a zee, uc'.vE.r :: .... "''' "'., ,-c;ary lt 50 :Denver tl. Eleve:::th St. S0:204 d.""' -: C' '' '' J HI.Df IP'f/1 Cli::.[ i ; J ( NC or EMPLOY D[l,_ .: ,., rJ lO ,. ) I 2o-2 f) u 8. f. ..1li.:,..Aol PR1Cf ----------------5--------------------------------C.MO 5--------------------------------TIEMP a)... b) "'' r) 10.1 d) 1>11 r) zo.z 0 z,. nus '" DNV _"-'.;;;_-=----------nus AT THIS LOCAllON _,-a,...=-------------DATE: OF LOCAL 9 AT THIS ADDRESS PRIOR TO ( ) YES ____ NO---lO GROSS OF ESUBLISHMENT __________ (_J 11 fillET INCOME OF ESTABUSHM[N'! (_) 12 EliGIBlE o SBD YES----NO-----. LIUEILUSE .ACK/UNT a.MO. RENT b. UNGTH Or LEASE YIS LESS I-----C.MO RENT lltCRAS 5-------DECIEASE $ ___ 5. a.N.U.A-------------------C. PARKING SPACES 1) ON SITE------------l) OH snr --------------d. LOADING SPACES---------------------1 STREET _______________ i .. e ....... B. PRESE"T PHYSICAL IIOFORMATIO"' 2. OFF STREEI-----------------"' "' z u .... Q L .. z "' :1: 0: 0 c z "' "' .. a) OWN b) LEASE BACt< c) LEASE A)UA J5t:?{) 5//0rOO 3. DOC'---------------- AUEY----------------6 LPA RHEORAL HS-------NO-------7 OISCOhli'-Ul BL:SI"iESS----------------E D.U.R.A FI..,AhiCIAL ASSISTANCE GRAhiTED MC F I':'; 1 MOVIhG [XP-.5!:. U I:-; .... ': ______ /'::) CIRCLE hl('ln SH 'C---------b) Ssoo. S99s :\. SlOErl f3. OOC' ------f) 5 z;oo 51999 g) 5JO LOADih.G C. OFF ;lllE'---' J. 'C., r) 51000 51499 h) 53999 E. !IIC Sf'ACls dl S1999 i) 5ooc + ... 5 -------RELOCATI0'-1 TRANSACTIO"S r-r) 5'000 5':i; DAlE OF ACOUI Sl!O' j) AMi S ------ACTUAl MOVING EXPENSE S :J.zt'.flt:l "'OV CC,.,PllEC _______ 3 AMOUNT OF MO,..'!HLY RE.t<,T FAID TO 0 U 5-------,e LENGTH Or TIME TO RHOCA'![ AF'TER DATE Qr --------------------j 2 SMAi.l. PAYME"'-1' S---------3 5---------------4 OTHER -----------5--------TOTAi. FlfiiAhCIAL ASS.ISU.hCE 5-------------a) bi OTHER !"'FORMATION: TEhi!PORAR'r QN S'TE------ADDRESS -----------Sl'! At:OIHSS ___________ C0MMtoiTS A,_O/Qf< "flw\ARKS--------------' J i'o: "' :a "" .... 0w.'.'"" i: :. .. -""'\ l:: 0< z C>::c "' X ;l!CI z "' ...... c .... r ;na .. u 0 -' .r .r. 0: >-N ., N ... .. .. .. 0 ..,u ... ::l 0 II: .,., .. .. :1 ... e ... .... .. "' z L Y11, JSIC H i._l, I :. YEARS I'\; E'R TEMP EMF._ PERM EM=-L TYPE ALPHA COD.i PR[SENT ESTABci5HMENT COMPCS:TION D. PERMANENT RELOCATION .... 0' .. E'\J,Hughes 'I'owinc, ooRE" l."iU-w. Ave. Inc. 3 ...
    PAGE 49

    .. .-.N ., .. N "' "' c c: -" .. ... -N .. .. -N ,., I. -"' .. ... "' ... .. '"' ... .. >-rr .. ... --'-.. __. ...... ./ ( : ... _j ): "':"' _.w ... rt a.:t:aner -. Qe;-;:.'s;;r ""''' (.;a Jase::: c Q Q : ;::.u ., 0 .Gi:) -" i .... .:. ... ( h .. f E;t.: ( f d.H"*: J ;.;.[t 0 J a. P'-.CL "' a.IC' 0' P[IRw. "C.' I bl!--9 c) t" b .... ORT d. LOADING SPAC[S "' 0 u ELIGIBL[ FOR SBD YH NO STRffl PRESrNT PHYSICAL INFOR ... ATION 2. OfF STAET ... B. ... ... 3 DOC< z 1 a) OWN[R b) L[AS[ BACK d) RNT .. AU"' 4141 0 2 U.A. .. LPA REFERRAL NO z ::: B) LO.C I.M.A:. t!ID : DISCONTINUE BUS!NESS MC R,_! S E 0 U.R.A ASSISTAO.CE GRANTEO .., lw40 liE."- P :'!'I $ I MOVJ'-1(, [XPEhSES c a 1 o" 51![ '" al fl 5 ;;oc U'\OER S biO" s:H ,;::. gl z bl SSO{ 5300( 53<(>9 c LOltDII"t(, :\. STR[E.: B. ooc.-. ;:: orr )( Ll. >' rl 5100t. h) 53SOO < c. ::E a: E. NO or scH di SlSCIC Sc!!'l; j) S41i0t + AMT 5 0 RELOCATIO" TRANSACTIONS r) S2ooc s,,g;. jl S2! 'lOD+ ,u.n c Sl,7.3 1 DAlE Of ACOUISITIO"' ACTUAL MOVING EXPENSE s ;; 3<.11! 73 ,, 2 DATE. MOVE COMPo..EHL 2 SMALL BUSH.i OISf'LACEMEIIIT PAYMENT 5 3 AMOU"'T OF MO"-TrtLY RE '' P.C.IC TO D U R A s 3 STTL.EM[Po;i COSTS 5 ;llf7.W OTHER %1i l..ltll tJF a:t: lh';'TI-\ ar TIME TO AF'Hh DAlE or z ACOUISnot-. 5 TOTAL ASSISTANCE 5 l1 6ll ... "' i a: ; TEtJIS:ORA 0. -6 8 J Qh SITE. A LS I bl 'J'"'" SIH I .-r.o.'Ofl REMARKS -:-S3J\I'dS SDWdS JSJ1 tiC .iN3b .8[, :;) a I :;) a ,, I z v I z v y II z v II z y 8 I z r L I z r L I z r ... "'; r i r IJ. n i H -I I I 3 i NO I I F E 0 I F E D I 6 s I 9 8 7 6 s I I YE:..R5, II\; TEMP E'MP_ P[RM EMPL AREA TYPE ). CJ ALPH;. COOM-' I X i'c r .. "' .. "'"' 1"''"0 ..nc ::D Cli'""'.-n ... .. z-< ,.;:! .... ... !:!! z r-""" cr. .. n ... o "'"' ... c z-oo n; .. ,.:c z-., ...z "' "'-Cl .. "' l: "' 0-0 < z C"l:r n = .. z ... ., .. I(! .. .. A PRESEN; ESTABLISH ... ENT COMPOSITION 0 RELOCATION "' w ..... o sueusH"E'' I :::1. tel:lloun tain Contract Furnishings, Inc. u c_, ..J ; 2 I N "' o;-. Tinsley S0202 it 0'" 3' ll ffi CITY Denver STAT :QIQ: ZIP -.. 0'" [STAB CIRCLE < 2 7 e 1 a. SALES b I fA Sf pel-' ,. 'E5H d.RE_, = .r I lRACl AREA CIRCLE zO I J. a. FURCHASE PPICE s :ro: .. a: "' ,.. 6 NC Of EMPLOYEES PERM 81 0-4 c) 1G-,. b. MORTGAGE s "' e) zo.z f) zs+ s ....... .. C. MO. PAYMENTS '-'-' "' ... TEMP a).,_. b) 5-I c) 111-1 LEASEfLEASE BACK/RENT .. ...... &.MO. RENTS U 0 :1 d) 15-19 r) zo.u f) Z5+ c: ..... ....., 0 "' u 7 YEARS IN DENVER b. LENGTH or LEAS[r yrs. YIS LUSIE .... II!.: 21 .. i!: '-' 8 YEARS AT THIS C. MO. RENT INCIAS[ 5 DECREASE $ "' ....... ... "' DAU OF z: -..i 0 5. 8. N.U.A. a: ( 3:.z.J b. GROUND ,.;:! .. \.? 9 AT THIS ADDRESS PRIOR TO Z"'"' .. NO--C. PARKING SPACES 1) ON SITE o! z "' 10. GROSS or ESTABLIS.Hto.tENT Z) OFF SIT r-... 0' "' ... IL Ill (_l ,.n :1 11. NET INCOME 0!=' SlA&LISt1M[t.IT II---!_l d. LOAD!hG SPACES .,.c "' 0 I.<"" -u 12 ELIGIBLE roR SBD YES NO I STREET "'" ... B PRESENT PHYSICAL INFOR ... ATION 2 f STREET """ ... z-oo n; "' d)RNT 3 DOCK ,_ z 1 a) OWN b) LEAS[ BACK .. ALi..EY w -razllt. .. 2. 6 LPA REFERRAL Y[S NO .. :r: 0 N .. z B) LAND 7 DISCONTINUE BUSINESS "' RNT S E. D.U.R.A. ASSISTANCE GRANTED 0 .. .., 3 AMOUNT MO "' 2 l: c AMOUNT MO. RENT PI T.l s 1 MOVING EXPENSES CIRCLE Cl ... 5 PARKING SPACES Jtf a)ON SIT o a) 0 S Z50C 5zm "' "' UNDER 5soc b) OFF SIT NO g) 1: bl 5500 S999 53ooo 53099 0-A. B. < 0 .. LDADING STREET DOCK z i c.. OFF STHn-X-.0. c) 51000-Su99 bl S350C SJ!I9!il ALUY ":r n NO OF SPACES d) 515oo S1999 j) Sooo + aw1 s "' .. c. RELOCATION TRANSACTIONS e) Szooo S2 j) Szs.ooo+ A"' S 1!4,5",.1.1111 z 1. DATE OF ACOUISITIO" ACTUAL MOVING EXPENSE "' :z-] -z! ..... .. 2. DATE MOVE COMPLETED z SMAU. aUSINESS DISPLACEMENT PAY .. ENT $ .. .,/ 3 AMOUNl OF MONTHLY IE:NT PAID TO O.U.R A s 3. SETTUMENT COSTS 5 s .... LENGTH OF Tl .. [ TO IL0CAT[ ArTER OAT[ o< A S:,D I S::,2 o 5 '-....; mu1smoN AtJRdl F LOC '-" ..; 8) SITE ADD bl ADDI[SS ............ ..... ..; OFF S.IU ,.ftWIUCMTC ..nll'tD ......... IICC ----

    PAGE 50

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    PAGE 51

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    PAGE 53

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    ..... -----! I. Q. ... '.., __ ,...-,...--H v >-.. !i 0 .u .. II: ., ... :I .. e ,._ B .. ... z u c .. "'' etw._r a. ... .,. t NC EMPL0HS. Pf.ii'1 81 c,.: d).,.,. bi ,.; TEM. a)D-4 #n-11 (') 1C'' f) n+ 10.1 0 n+ 7. YURS IN DEMVH---.&14 ... M"'--""--'"T--------I UARS AT THIS LOCATION ----HtH---._,kJ""'--------DA!l OF LOCAL APPROVAL I .I ,.7z.. ) t. AT THIS ADDRESS PRIOR TO 10 GROS!. INCO-..E OF SlABLISHMEhl (_) 11 NET INCOME OF ------------(-) EuGIBcE foo SBD YES NO----PREHNT INFORMATION a) OW.rR b) CEASE BACk c) LEASE d) RENT .-\ l u. B)co ______________________________ ___ AM0L1"f!' MC RE"-T 5.---------------Aloi!:''JP,:l MV Fl1" 5-------------P'-R,._\G SF-t..::::ls s;n ,..c --------t : _________ :\. STO[ E' H. r:>C C. orr ___ [). u.n _______ I 0 z _, : 3 "'::t: a: 0. .. z "' "' a: :1. [. NO or SP:.crs ------RELOCATION "!"RANSACTIO"'JS o't OF ACOUISITIO>. 8-1-73 0'-TE MOVE CO"'.PLETED .. '1-7'1 AM:>UNT Of MONTHU RENT PAlO TO D U l a I ,... -.:: ... -(. .. l d ....... I ----------------b. :.t ---------------C.MQ PAlMEN'S S---------------. UASlfUAU lACK/RUT &.MO. RENT S __________________________________ b. LENGTH Of LUU .. S. USSil ______ C.MO RENT INCREASE S--------DECRUS $ _____ s a.N.u.A ---------------------b. GROUND-------------------------------------C.PARKING SPACES 1) ON SIIE----------------Z) OFF sm _____________ d. LOADING SPACES-----------------1 STREET ________________ l 0" SIRHT ______________ J DOC<----------------. 6. LPA REHRRAL YES-------NO--------7 DISCONTihU Bl.ISINESS--------------E. D.U R A FINAN ASSISTANCE GRANTED 1 [).PEt<.SES CtRCL a) u.or< Ss" bl 5500 s ... r, s ""' s:.19 !!1 5;oo' SJ-<9; b) 5Ji>OC 53999 il Sooc + "' s ______ c) 5ooc 5ug dl s-,., .. S r I St.:g:j) A"' ACTUAL MOVING EXPENSE C/72S() l SMALL BUSIN(SS DISPLACEMENT PA'f'MUH 5----------3 SETTLEMENT COSTS S,..-,,....,-.....-..,...-------=..,----' OTHER S#, I.Jttii/Q S TOTAl F 'NANC; Ol ASS'S TANC E 5 __ F HER 8) bl TEMF-LOCATION 0,_. snt ____ -----------oro -----ADDRESS'"-__ =--=-------COM .. E NlS REMARKS----------=:::1!11-_,,..---......_ ..... IJL_S 1 lN3"-AWo !iO l'-3o I J c I 1-3: 0-< z C'l::t: "' (;; zl v ,., .. t I s I J I y B I z I I z H )SIC .. ,.. u 0 _, ,; ... a: .. .. .. .... -........ ------,;. ., ... :I 0 .,u VI ... ., 0 II: .,., ... :I .. e ...... ... z r/ r [) I F I 0 ( 6 5 I 4 I 9 I B I I 5 A PRESEIr Kim .. "!le 1 L l'f'PE OF" ESTAB CIRCLE (I 2 3 4 @ 7 8 TRADE AREA CIRCLE 0 4 6 OF EMPLOYEES. 8) ... dl ,..,. 8)11-4 d) 15-19 b) c) 10-14 TEMP c) lo.,. f) 25+ YEARS IN DENVER -----'T"'li'["-----------YEARS AI THIS LOCATION ___ _,,-'0..._ __________ 9. AT THIS ADDRESS PRIOR TO ( D"l2: if=!' ff.O)AL YES N0------10. GROSS INCOME Of ESIASUSHMENT II. D ( __ ) 11 NET INCOME OF ESIASUSHMENl ------------<-) 1z ELIGIBLE ro SBD YES----NO----B. PRESENT PHYSICAL INFORMATION a) OWNER b) LEASE BACK c) CEASE B}LAND tJol AMOUNT MO. RENT S ______ l. 4. AWIOUNT MO RENT P.I.T; 5 PARKING SPACES a)ON SITE NO ___ $".._,0"----------b)o
    PAGE 55

    ....... M & E Co. '" 67 c ,...;_.,. -=> ....... .. .. """\' W. on son (: t 0-I f .. ..,-,-.. -.. N "' .. .. ; 0 .u "' .. .., 0 II: .,., ... "" :f "'e B .. "' z z 0 -' c u "':t a:o. z "' V' "' a: .. 8 Ch.i 0 .: 6 NO Of E.1114P:..OvS. P[ttJI. llJ G-o!: bi tJ dit;.o9 PI zo.z c) 10" f) zs+ TEMP. a).... C) 10.,. O d) e) ,...,. f) n+ TEARS IN .. YEARS AT THIS LOCATION DATE OF LOCAL APPIOYAL I. AT ADDRESS PRIOO TO ( J f 7 ) >ES--I(___N0------\0. GROSS INCOME OF ESTABUSHME'l '""' (_) 11 N[T INCOME OF ESTABc1SHMENT UftiC (_) 1Z ELIGIBLE FOR SBD YES-------NO---------PRESENT PHYSICAL INFORMATION: a)OWNEO b)LEASEBACK d)REhT A)uA 1J4r) B ) "Nr liNK. AMCU" ... 0 RE ,, s ___,.,J< ..... 5--------------------------------C,MO PAYMENT& S--------------------------------4. LUSLEAS BAC:K/Rl,l'.. a.MO. RUT b.LUGTH OF LEAS N-M TIS. USSIE ________ .:__ C.MO RNT 5-----------DEC:REAS 5-----S. a.N.U.A. b.GROUND C. PARKING SPACES I) ON SIT----------------------z) OFF SITE------------------------d. LOADING SPACES----------------------------------1 STR T----------------------------Z. OFF STREET ________________________ 3 DOCK-------------------------------4 AU.EY--------------------------------6 LPA REFERRAL YES ------=:------N0--------------7 DI&CO.ro NU E BU so NE & & ___ _.1/."''fl--------------------E D.U R.A FINANCIAL ASSISTANCE GRANTED l. AIJJOUII.! MC RE"'':' P! T l 5 ________________________ 1 MO\ii'-G EXFEhSE.S CIRCLE.. a)o' &:TE "" ----------------ranc,DER S;oo b1of"r S;t ,c _____________ '-bi"" 5 f) S Z>O< !1 I S ><99 hI 53soo 53999 E. i..OkC lNG .'\. SlOE' _______ Jl. DOCK -----------C.. On !nEEE! ___ n. AUEY------------J::. o OF SPACES ___________ RELOCATION TRAo-;SACT10'<5 1 0" E CF ACQUI SITIO' ________ z DATE MDV E COMPLE 1 ED .. l____ ___ 3 Ah40UN': Of MONTHi..'V AEhl PAl& TO 0 A 5------------4 lENGTii OF TIME TO RELOCATE AF'TH DATE Of ACQU!S ITIQPII -----------------------------------53)YdS 53'JYdS !lNIOY01 c\ Soooo 51499 d) S1sor S!!99 f' J S.:ooo SZ49!; i) Sooo + ""' S -----------jl sz;.ooo+ AM' s ___ 71..-.,-= ... ACTUAL MOVING EXPENSE $ 4'J /iiS' Z SMAli. DISPLACEMENt PAYMENT 5----------------3 SETILEME'l COSTS S,-r:=...---------------..... ..--------4 OTH SJM&UitAil S 17.511 S TOTAL L ASSISTANCE S _..J,..JUI!!Jo&&._.$'5,.,_ ____________ ___ F. OTHER INFORMATION: i TEM.PORUt'Y al b i OFF Sill AbC -2 iN3i'iAWa llC j c Js sn& I I NO I l a sl' zr L r DIF ED I. L 7! .. ..o:.IO H I I u c oti "" a: YEARS TEMP t.MPL. PERM. MPL CODE A. PRESE"1 ESTABLISHMENT D. PERMANENT 39-01 1 .... r oF Rental Property ADoREs; !:'o 1 -8th 1 3 .. ,.. oF ow,E oP ... G. Merle .acDermed ooR.!107) 8 YEARS AT THIS LOCATION 9. AT THIS ADDRESS PRIOR TO DATE OF LOCAL APPROVAL 3 ) 10 GROSS INCOME Of" J, ,,,
    PAGE 56

    N r. .. \I ., ... .,u .. ::: 0 a: "'" M2"iest..::..c Litho ,. ;., C::_c,.::.::.:.-.c..:::.::c..:=.==--=='-'===--'"., _tout '"' :." .-., .. ._.., Ray Hc,f&wall : c;.: t !:-!" f ;. Ud" O:.IRC..t ,.,; .: 6 NO Or EMPLOYEES PR......, 8J Gt dl 1>-19 TEMP 8) 0-4 d) 1>-19 t'} lD-ZC e) .111-zc (") 1C-1.& 0 zs+ c) 111-1 f) z,. 7. YEARS IN DENY 1. YEARS AT THIS LOCATION _______ DATE 2' APPROVAL ( .,.7 ) 9. AT ADDRESS .-RtOR TO YES __ ,. __ NO--.. "' 10 GROSS INCOME OF STA8LISHMNT __________ (_) LO :1 n NET INCOME OF" ESTABLISHMENT ----'"'T------(_) "' 8 ELIGIBL roR SBD Y s-.... 2('-'---NO ----! ,.. I;; B. PRESENT PHYSICAl INFORMATION. z 1. a) 0WNR b) LEAS SAC @cusr i z IL d) RENT A) u -----=2.=-r, ...... ?-.._.S......,D:.._ _____ Atr.40u"ir MC REI,T ______ A"-'!OUNl lrro40 RHiT F; T 1 s _____________ al:" st c ----.---r-b) o" s'" o /'11r::;;.u! -\. Sl.[[l B. DOC C. orr STEEET ____ l>. ___ E .... :-. Qf" ______ RELOCATIOt; DATE. or '-'"''-:('::.'-------DATE MOVE COMPLTEC Z ,"j 7 !/: .J .. u >-;;; z,. ..,_ .. AM0U" OF MONTMLY RENt PAIC TO D.U.R A 5 _!./tii..,ril....:..' __ a:t z .., ... 8 QF' TIME TO REl.OClTE AF'Ht:l DAH OF ACOUISITIO -------------------Lc AURAR lA 53:)\'dS a .. 4255 ;:, benver .... .... 0 ;. 8d2H t l A!i1 c ... AS.! d ,,. :. PkCl ___ ,.J._._;..,J(o...JOti ..... ;:. ___ -:------C. 110. PAYW NTS S _.tc..'Jlu..tiAI ..... :.K.rL--4. LlASE/LEASl 8ACK/1Ufl f 8.MO. RENT b. lENGTH or lEAS YRS. USSI ----C.MO. RENT INCRUS 5-:-:--::-----DECRUSE 5---5. a. N.U b. GROUND------------::::-------C.PUKING SPACES 1) O SIT _____ ,:z.=------2) orr sn ------------d. LOAD,_G SPACES-----------------1. STREEt _______________ 2. OFF STREET---------------3 ALLEY-------------....C'<;::3. _________ 6. LPA REFERRAL Y-------NO--..J.l'-::... ___ 7 015.CQNTihUE E. D.U R.A FINAN CIA<. ASSISTANCE GRANTED 1 t.tOifiNG EXPENSES CIRCLE a) u"'or;; S b) S>a<> S!!<> r) Sooo 5"99 d) 5 f' .1 Szooo S.t1A99 fl s ,,., .. 51999 II) SJOO, .. S34l!9 h) 53999 j) SlOOC + 1.._.1 s j) AMT S------ACTUAL MOVING EXPENSE S t zy;.,ti ... ShiAU BUSU a I I I I ; j_ :::;..1 ____ i:c: ,. ... ... ..... it 0-:!: z "= = ;::" z II> ..... c n "' l r t n 6 l l P L y 8 L I l t L Yofi )SIQ c. DENVER TEMP PERM. EMPL AREA TYPE u 0 .J "' A PRESEhT ESTABLISHMENT COMPOSIT10"' N""' or M.;.NOR SEAT : Dcms 915 W. Colrax COVER 3 NAME or owr o M(,O Don Seastrom -----!".; a: >-.: TYH Or ESTAB CIRCi..E ti (!)j :. HADE ARE.A CIRCLE a> 2 4 E; NO. OF' EMFi.OYEE.S PEI\t.t E: 7 8 bl- t'} 21).24 b) >-9 r) 2o-z c) TO" f) 2s c) 1G-,. f) zs+ N .. N "' "' .. >-"' ., "' :l 0 "'u ... ::: 0 a: "'"' "' TEMP dl 1S-19 a) o ... d) 15 7. YEARS IN 8. YEARS AT THIS LOCATION _____ DATE OF I.QCAL APPROVAL ( 77Z..l 9. AT THIS ADDRESS PRIOR TO 14 .. Is: (_) 10. GROSS INCOME OF ESTABLISHMENT :1 11 NET INCOME OF ESTABUStiMENT "" 3 12. [liGIBL FOR SBD Mnk (_l YES----NO----! "' ,.. B. PRESEiolT PHYSICAL INFORMATION: "' z 1. b} UAS SAC r)UASE d) RENT A) N u A __________ r : .... u"' 4 AMOUNT MO RENi P.l T.l 5--------::-;,.,.------C:;; S PARKING SPACES 8)0 SITE NO __ fuf;_ ____ AMOUNT MO RENT ------ro z b) orr SITE NO _______ -----'1--10 6. LOADING A. STREET ........... B. DOCK ( .. Orr STE[l ___ 0. ALLEY--------1:!; E. NO or SPACEs ______ C. RELOCATION TRANSACTIONS 1 1. DATE OF ACOUISITIO / __ '! Z DATE MOVE COMPLETEO ___ N .. ... AMOUNl OF MONTHLY RENT ,AID TO D.U.R.A S _______ D. PERMANENT 42-03 ADDREss 355 Kalaroath '"'Denver. sTAn Colo 21P 80204 I b.LEASE SAC C.LEASE d.RE"' 3 B. FURCHASE PRICE S ________ S C.WO. PAYMENTS S ____ LEASE/LEASE IACK/RNl &.MO. RENT S __________________________________ __ b. LENGTH Or LEAS YRS. LESSIE _____ C,MO. RENT INCREASE $ _______ DECREASE$ ___ S. a.N.U.A. ____________________ b.GROUND-----------------------------------C.PARKING SPACES 1) ON SIT------------2) OH SITE ____________ d. LOADING SPACES-----------------1. STREET _______________ l. OFF STR! ______________ 3. DOCK--------------------------------' ALLEt------------::::o-----6. LPA REFERRAL YES-------N0---',.....--=---:--7. DISCONTINUE E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER S 500 b) 5soo S999 r) S1ooo $1099 d) .SIUO 5119!1 e 1 S2ooo S2 f) 5 2500 52999 g) 5looo 5:w99 bCS3soo $3iir> il Sooo + Aw,..S '$, '= V.2, 3! j) AMT. ACTUAL MOVING EXPENSE ... z,_ l. SMaLL BUSINESS DISPLACEMENT 'AYMENT 5-------3. STTUMNT COSTS 5--------------:-LENGTH OF TIM TO RELOCATE AFTER DATE OF DTH -----------... ACOUISITIO S. TOTAL FINANCIAL ASSISTANCE .... ,.,;;!uaB 2 COMWNTS AIU>IOR ........... .. ... "' "' ol---- ... :II II> ... ... ... "' J: c z ":z: n "' ,. z II> ... ..

    PAGE 58

    ,-: i ___ .. H "' ,. "':I 0 ... .. I ... TEMP 6) .. : 0 di 15-19 a) 11-4 bt rt 2G-2 b) s-o r) a-u C} 10-11. n zs+ c) 10.1 f) zo+ YEARS IN DENVER YEARS AT THIS LOCATION __ Ceased '0t ,, ---------''-----------, ... ________ ... _____ h .. !&H &a.:,., G.t 8.FuPC...,J:ia!. PPCl! --------------b.MOOTC.AGf 5-------------f.MO PAYMENTS $----------------4. LEISEILUU IACIIH \. STOlrT ____ lJ. DOC C.. orr !'TE n ____ D. ALLEY'-------OF SF.C.':ES-------TRA>;SACTJO"S D>'< c ACOus.,,c,. 'I: CAT MO\> E. __ .... .... I:...:....J'!.t..JOL---------or MOiilllHll' Rffri;T PldD TC t:: A s ____ LEhiGTH OF TIME TC RHOCAH AF"HR DATE 01 ACOuiS.;T!CJ>.. ---------------------S3:1WdS !>NIOY01 STREET-----------------Z OFF STIEET ______________ l DOCK---------------4. ALLEY----------------6. LPA. REfERRAL YES-------NO-------7 DISCONTINUE BUSINESS--------------E. D.U.R.A. GRA'iTED MOVING E.:PEIIISES CIRCLE a) S!!oc bl Ssoo c) $1000 s .... d) $1SQ[ 5 t) Szooo ft S o' S:o% g) h, SlSOO 0 S3999 i) S400C' + AJJ.l s ------il ... A"'' s ______ ACTUAL MOVING EXPENSE S ___ 2.. Sl!.tAU BUSINESS DISPLACEMENT PAYMENT 5---------3 SETTLEME_, COSTS ..... .-'7 .... -4 OTHER ZN l.ma Ot 5 "l. f38 ao TOTAL ASSiST:.h..:t. 5-..oi'"-I'UJ.fl.._rj;iU131L.. _____ F. OTHER TEMPORAA' a) o SirE------ADDRESS-----------b) SITE _____ AODRESS ___________ .i COMM[N!S UIDIOR AENA-KS--------------li /5/1 lN3V.AYd 110 lN31l J 0 l:>r----;t!= ... .... V'...., "-wr; =. z= ..... Z"'"' .. z ... ,.n "'" "'"' ;;!1-:.,:+-----;;:-0,. r.r. 3: w .. c z ""' n .., = "' .., .. 8 : -z .. Sf"ti -----., 1 3 ,, t.c! .;, r. 2 1 C. B t -C. n B -A 3 .L 2: 1 I 8 4 z z n ., 0 2 I l 7 2 H 1 7 2 I rED,FED654J98765 J I u s .,; <= -----t".r. It ,. .. .. .. ., ... :1 0 "' ,..., 0 It ,..., "' < c:;; A .... .. z,. "' II: c.. ..... ,: """"'COMPOSITION D PERMANENT RELOCAT/01>< 10--0 8 NA" o EsrABcosH"E" Michie Equip. ......' At>Dm 1 326 -11th Stree J 617 W. J 2i:h Avenue .... ,oo..-... o .. Gclarence cm uenver, STATE BU204 l. TYP:l OF ESTAE 0 i 3 :.. : Gill 2 C!:GX1j 1::1. I o-t 5 TP.AD[ CIRCLE 6 NO OF EMFL.CYEES PERM if-TEMP 0 d) lS-19 a)0-4 b) S-9 rl 20.24 b),-..g r) 2o.24 c) 10-u f) zs+ c) 1o-u f) 2s dl1 .. 19 // 7. YEARS IN DENVER ----....,.,.---'.l----------8. YEARS AT THIS LOCATIOH--.I.Jr,_,/ ___________ DATE Or LOCAL APPROVAL AT THIS ADDRESS PRIOR TO ( 3 .q.7A. ) YES __ JOI __ N0---10 GROSS INCO ... E OF ESTABLISHMENT QQQ (_) 11 NET INCOME OF ESlABL.ISHMENT ---'-'--------'(_) 12 ELOGJB.E Fo SBD PRESENT PHYSICAL Z. a} OWNEfi' b) CEASE BACK !\ I u A __.tJ..,N"fK::--' ---------1:1) LANC __ AMOUNT MO RENT A.. AMOUNT MO RENT P I 1.1 s _________________ ___ 5. PARKING SPACE.S. a)Oh SITE NO--------b) orr sm 100--------t:. LOADING A. STREET 'lo( B. DOC C.. OFF STHET ____ D. ALLlY'------E. "o or SPACES-----c. RELOCTION 1. DATE OF ACOUJSITJON ___ ....,.,_.,!/...;0::.,..;.7.>o3"-------Z. DATE MOV COMPLETED ___ 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A s _____ __ LENGTH OF TIME TO RELOCAT ArTER DATf Of" ACOUISITION ___________________ AURARIA 2 a. SALES b. LEASE BACK (".LEAS[ J &.PURCHASE PRoCE S ----------------b. MORTGAGE 5---------------C.MO. PAYMENTS 5-----------------4. LEASEIUASE A a. MO. RENl S 7LJ O.uO b.UNGTH OF LEASE ___ Yis. LESSIE _____ C.WO. RN1 INCREASE $ -'f!f DECREASE$ ___ s a.N.u.A. ___ C.PUKINii SPACES 1) ON SITE---------------2) OFF SITE _____________ d. LOADING SPACES-----------------STOET--------------------------------Z. OFF STREET---------------3. DOC"----------------4. ALLEY----------------:,-6. LPA REFERRAL YES----::-:----110-------7. DISCONTINUE E. D.U.R.I. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a) UNDER Ssoo b) Ssoo St!t9 c) $1000 51199 f) S zsoo Sz999 g) Slooo Sl499 b) Snoo S-e j) S.ooo +AMI.$ ______ d) 51500 519!19 r) Szooo 52499 j) Szs.-AMI. S __ "=-="'..,.....,,.., ACTUAL MOVING EXPENSE stf.7rfL'J7 2. SMALL .USIIIESS S--------l SEnLEMEIIT 4 oTHu s ..,_o:J.'I'O S. 10TAL FINANCIAL ASSISTANCE f. OTHER INFORMATION: 1 IELOCAnON a) "i;;r-.r ADDRESS------------b) OH ------------"' 0)----... "' "' "'"' "" uoo .. z-= .. 3': Z"'"' ... z .., g .. .. 3': lJ: 0:5 z "'"' "' .. ;:l:o:> z "' ..._;w ...... .. .. w "' ., n ... ...

    PAGE 59

    ,, ...._Mll S Cat:'J.net !:l!"10D !1!9 .we..:._, r, Oenvet .. O'" 0 ,., .:. "C'hc 21 g}Ieltu!l _____ s.:L----'" ---li -----i'. 0 t t 8.''"' b.1 6AC r, .. --.. ,. c: .. .. .3 .. 0 a: TIM' .: : a 1 o .e dl 1!-19 a) D-4 d) 1 .. 11 bJ S-9 el zo.u e) ZO.ZI c) ID" 0 zs+ c:) 10.,. f) n+ 7. YE .. S IN DENVER ---""TIIIII"----"""'r-----:::---1. YEAIS At THIS LDCA liON __ ,."'-_.....,.;;;;r;;....,C?._..$..._ __ DAT OF LOCAL APPROVAL AT THIS ADDR SS PRIOR TO ( ) YES _____ NO--'" "' 10 GROSS INCOME OF EStABLISHMENT __________ (_) :E' 11 NET INCOME Of" ESTA8LtSHMNT (_) "' 8 1Z ELIGIBLE FOR 580 ,.. : B. PRESENT PHYSICAL INFOR ... ATION: YES----NO----.. ... z ... v. 2 "' c .. I. z B) OWNER b) LEASE BACK t')LEASE A)" u ___./ ....... _______ AMOU'' rT Ar.AOLJ""' "-'0 r: I,. I PA5tKi"-.G SF-t...:E.S 8)0 ... S'1f Nt) --...J..'--------b)O" Sill NC ________ ----Hg e LOAD"G A. STHfl DOC. C. orr srnn ___ ll. un ______ < :1: 0: 0 c -' E. NC or SF-l..CES ------RELOCATIOi>; TRANSACTIONS DATE OF ACOUIS.ITIO"'------------------DAH. MOV [ COMPLETED---------------3 AMOUNT OF" MO"tTHLY RENT PAID T::: O.U P A 5------4 LENGTH OF" TIME TO RtLOC.GT AFTE.R OA.TE OF ACOUISiiiOto. -----------------------__ ... 53:lYdS !>NI0 s j ll.f.JRC"A:)l PAIC[ S ---------------b.MOI!t(,AG[ $--------------C.MO PAYMENtS S---------------1. LUSEILUSE aACk/ftiiT a.MO. IEIIT S ___________________ b. LENGTH OF LUSE TIS. U551E _____ C.MO lENt IIOCRUSE 5-------DECUASE $ _____ S a. N.U.A-------------------b.GIOUND-------------------C,PUrNG SPACES I) ON SITE------------2) orr Sin ____________ d, LOADING SPACES----------------1. STRHT _______________ Z OFF STREEt ______________ 3 DOCK---------------o. LPA RHERRAL YES-------NO-------7 BUSINESS--------------E. D.U R.A. FINANCIAL ASSISTANCE GRAII:TED MOV=hG EXPEhSS CIRCLE aJ U'-DER b.l 5soc 5999 r1 51ooo 5,.99 d) 51500 51999 t) 52 DOC 52499 f) 5 ZSOO 5Z999 gl 53DDO 53A99 h) 53500 53999 i) 5oooo + AMT 5 -------j) 5zs.'l0o+ AMT s _____ ACTUAL MOVING EXPENSE s ____ 2. BUSINESS DISPLACE .. ENT PAYMENT 5--------3. SETILEMENT COSTS 5----------------0 OTHEO ------------5-------TOTAL flhANCIAi.. ASSISTANC[ 5-------------OTHER INFORMATION: 1 TEMPORARY RELOCATIOt.i 8) O S!H------ADDRESS -----------b) (IFF SITE ADDRESS------------Z COMMEt..'TS ANDIOR ttr.IIARKS--------------:: 0 r i'l= .... .... .... -..,,.., ,!=1 .. n ... n c :. .. '\ ""'"" 1"H---..... -, z ,... ... on 11'0 N "'"' ;:t:.,::+--------"'!: an"" z 0 .. ., 1: 3: 0-< i Cl:r "' "' "' z "' .. .. N ,., c a: .. 1 -I ,, l L l J -z I v -. l I l r L z .z H .i )sao ... ----., I 5 0 d 9 I I I I 3 YEARS IN DENVER TEMP EMPc PERM. EMPL AREA TYPE XJHUCIX ALPHA CODE .. u c .,; "' a: -----lC. .; a: .. ... N N "'"' ::E 0 .,u .. ::: 0 a: "'" "' .. A. PRESENT ESTABLISHMENT COMPQSITION 1 ..... 1 or Is Tavern ocEss 1. u ::> Lar 3 ..... l Ci' ow-. o MGP Sandra Lee Rios :. T"Yi'E 0'" U 1 C) 3 4 TRADE A.REA CIRCLE j 6 NO OF EMPlOYEES PERM. d)IS-19 TEMP 7 8 b) S-9 zo.u b) .. r) ZDZ e) f) zs+ e) IG-1 O zs 7. YEARS IN DENVER---1-... ,._------------8 YEARS AT THIS LDCATION ---------------9. AT THIS ADDRESS PRIOR TO DUE OF 'fPROVAL ( ..s10 GROSS OF" ESTABLISHMENT 11 NET INCOr-4 OF" ESTABLISHMENT 12 ELIGIBLE FOR SBD YES----NO------B. PRESENT PHYSICAL INFORMATION: 8) OWNER b) LEASE BACK AIN.UA. 1 d) RENT l. 8) LAND '1::::. u "' .. "' 3. AMOUNT .. o RENT 5---/.3S';----------. MO RENT PIT.I 5-------------Q 5 PARKING SPACES 8) SITE NO.---,;;-------------+-l,., b) OFF SITE N0 _.3._ _____ 6. LOADING A. STREET ........... B. DOCK ;,[ C .. OFF STEEEl ____ D. ALLH------E. NO or SPACES-------C RELOCATION TRANSACTIONS 2 1 .. DATE OF ACOUISITION lfl-.c_ Ji'_,.J 0 DATE MOVl ... .. \ii 3 AMOUNT OF MONTHLY lENT PAID TO D.U R A $-------a:o: .. LENGTH OF" TIME TO RELOCATE AFTER DATE Of ACOUISITION ___________________ D. PERMANENT RELOCATION 10-05 OP:SRATION ADDOESS CEASED c, Denver, sTATE ('a)a ZIP-----L 8. SALES 3 8. PURCHASE PRICE b. MORTGAGE e.MO PAYMENTS b. LEASE BACK l".lfASE d. RENt 5-----------------------5------------------------s ______________________ __ LEASE/LEASE lACK/RENT a.MO RENt 5-----------------------------------b.LEIIGlH OF LEASE YRS. LESSIE ______ C. MO. RENT INCREASE 5-------DECIEASE $ _____ 5. a. N.U.A. _______________________ C.PARKING SPACES I) ON SITE--------------2) OFF SITE ____________ d. LOADING SPACES-----------------1. STREET----------------2. OFF StREET ______________ 3. DOC"----------------4. ALLEY----------------6 LPA. REFERRAL YES NO-------.L.7. DISCONTINUE IUSINESS __ ..Y.._,c..Jte....::.SoiiL--------,.-E. D.U.R.A. FINANCIAL GRANTED MOVIIIG EXPENSE& CIRCLE a a) UNDER Ssoo bl Ssoo SM c:) $1010 STtt d) .S1soo Stilt r) Szoeo Sutt n s zsoo s2111 gl s-. s h) 5:1500. s ... j) s+ AOOT $----------j) Szs.-AMt. $ _____ ACTUAL MOVING EXPENSE s ___ Z. SMALL aUSINESS DISPLACEMEIIT PAYMEIIT S--------3. SETTLEMEifT COSTS OTHEI fll I& u QF s 112.. IUliJ... QQ. S TOTAL FINANCIAL ASSISTANCE S ______ ),.'IJ.III,:,.; .. .... ; .. .. ;ir.llil.IJ .. ------------------------------------------------F. INFORMATION: -... .. TEMPCIIIA ON a) ONSnE b) OFF SITE _________ &DDRESS _____ .... 'II:::---------2 cowooun uo/oo ___________ --...,_=----AURA.RIA ... .. ... ot---.. .. "' lD "'"" 1: z Cl;z: "' .. '" c n n "" -"-' "' '" ... -....J"'\J

    PAGE 60

    i::: -.. ; ...... -.. ... .. "' > .r. a: >-0 .u .. ::: 0 IZ ., .., ., 2 HA-[.l ARl' (l&::..t NO OF [WPL.OTE[S ,[RM TEMP. d) 1 ... 19 P) zu b) !1-5 e) ZDl c) 1" f) n+ nus IH DENVER l. nUS AT THIS LOCATION t AT THIS ADDRESS PRIOR TO 10 GROSS INCOME OF ESU.BLISHMEPiiT 11 NEl INCOME OF ESTABUSHMENT 12. ELIGIBLE FOR SBD H S------NO -------PRESENT PHYSICAL INFORMATION: 8} OWNER b) LEASE BACK sJ U0ASE A 1' u ___ ____ B)L.,D ____________ "''' ______________ __ t. tr.ll.:. R[""T F;-: l 8) O S'l ----'&.oz'----b)O'J' ____ B. DOCK -----H E.. LOAOih.G A. STR[[T (' Off ___ [l_ -------,.... [. "'C or S'"ACES ------C RELOCATION TRANSACTIO"'S '!!: I DAH OF ACOUISITO P,.! :t_ Z DATE MOVE. COMPLETED z 3 At.401J .. T OF REJH PAIC TO C L.1 A 5 irt 4 L[t>tGT,.. or "!'t.,E TO AF"HP DA"![ Or ACOIJIS1TI0"' --------------------,. r--,. L 53:lYd5 0 .rl'/ ...?c. rc-_, st-,:;, Jfv,Z /li h -.G./ J B.HIRCHAS Pll([ !. S-----------------------------C.WO PAYMENTS LEASE/UASE aacr.@ ,... a.MO RENT 5 _____ b, UNGTH OF LEUE ..,... Yn L[ C. MO. RENT INCREASE $ _______ DECREASE $ _____ s. a. N. u.--------------------------------------b.GoouND-------------------------------------C. PARKING SPACES 1) Oh STE --------------2) OFF SITE------------d. LOADING SPACES-----------------1. STREEl _______________ ___ Z OFF STREE1 ______________ 3 DOCK------------------------------4. AUE>----------------6 LPA REFERRAL YES-------NO-------7 DISCONTINUE BUSINESS--------------E D.U.R.A FINANCIAL ASSISTANCE GRA!iTED t MOVING [XP( NSE CIRCLE al UNDER Ssoc b) Ssoo c) 51000. 51499 d) S1soc-S1999 f) 5 2>0o Sz999 g) 53000. 5.w99 h) 5JSOC -53999 i) 5oot + AM; S ------j) 51< AMT S ---_,....,,..,.,......., ACTUAL MOVING EXPENSE 5 Tzt SMALL BUSINESS DISPLACEMENT PAYMENT 5---------, OTHER 5 TOUL fi .. ICIAL ASSISTA.CE $ ___ __ F OTHER INFORMATIOIII 1 TEMPORARY RELOCATIOI'Ii B) 0' SITE------ADDRESS-----------b) Off SITE ADDRESS------------2. COMMENTS REMARKS--------------I:LO lN31:L J a :!: 0< z ""' ,.., .. ;l:CI 2 "' ..... c .. .. l t r l l y s L Z t l r z p n l L Z t l z I H I "t41 JsiO 4 jt 1 .L...._ __ :-,4 u :: .,; "' 0: ,; .. "' >-II .,,., ::t: 0 .,u "' .. ., 0 IZ .,.., ... :; "'e 8 .. ... .. "" z u ... c o:;; I D I F E D B 7 6 s II I I YEARS II> DENVEF' TEMF EMPl PERM EMPi. ARE< TYPE UXl'OOX ALPHA CODE PRESENT ESTABLISHMENT COMPOSITION D. PERMANENl RELOCATION l Q-O S "'"E or ESTABCISHv.m MILE HIGH DISPOSAL 2 oDRtss 10 3 J33 Lar1mef Street 1 ADDREss ___ 3 NA ... E o owE OR MGR J'oe Ia cm ________ STATE------ZIP_..IIII-'114/aii..Jua.._ .: TYFE. or Esue CIRCLE o 1 2 (} .: 6 1 e z a.SALES b.uASE c.uAsE d.RENT 5 HADE CRCLl 0 2 3 4 3 B. PURCHASE PRICE 5-----------------6 NO OF EMPCOYEES PERM @ O- A. b) 5 r) 10" b. MORTGAGE 5------------------d) 1S-19 e) 20-Z () zs+ C,MO. PAYMENTS S _____________________________ TEMP (jJ) 0-4, b) .. d) 1S-19 e) zo.2 r) 10-,. f) zs+ 7. YEARS IN DENVER -----T------------8. YEARS AT THIS LOCATION __ _.A&------------DAT OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ( 3f't.2.) YES___l{__ NO-----( > U> 10. GROSS OF ESTABLISHMENT 11 NET OF" ESTABLISHMENT 12 ELIGIBLE FOR SBD YES--------NO ------PRESENT PHYSICAL INFORMATION 1 b) LEASE BACK G)LEASE d) lENT -AMOUNT MO lENT P 1.1.1 5-------------S. PAIKING SPACES &}ON SITE NO----------b)O" SITE NO ________ i. LOADING A. STREET B. DOCK C .. or sTEEn ____ D. Aun ______ E. NO o SPACES-------. LEASEILEASE lACK/RENT &.MO. RENT 5 __________________________________ __ b. LENGTH OF LEASE -------US. USSIE ---------r, WO. RENT INCREASE 5 DECREASE 5 -------5. a. N.U.A--------------------C. PARKING SPACES 1) ON SITE------------2) OH SITE ____________ d. LOADING SPACES-----------------1. STREET _______________ 2 OFF STIE ______________ 3. DOC"--------------1 MOVING EXPENSES CIRCLE -a) UNDER 5soo f) S Z!IGO. Szl99 p:) s,.... sw" b) SJHO 511111 j) + AMT 5---------C. RELOCATION TRANSACTIO'S _. 1 DATE Of z. DATE WOVE COMPLETED----2-'-.. -'-_...,;_...,IoiJ-------b) Ssoo5tH r I Sooo 5,.99 d) .51500 51199 ) S2ooo S2tt j) 5zs.AWT 5 ______ __ ACTUAL MOVING EXPENSE 5 _________ "' '-" -.... z .. :i:"' ... 3. AMOUJri!T OF MONTHL.Y RENT PAID TO D.U.R A. S --------' LENGTH OF TIME TO RELOCATE ArTER DAT[ OF ACOUIS1T10N ___________________ AURAR lA Z. SWAU aUSINESS DISPLACEMENT PAYMENT 5---------3. SU1L.EWEN1 CO\TS OTHER IN _blfdl a, s.!J'fllliiJ S "IOTAL FINANCIAL ASSISTANCE 5 .............. lll.&.l ... l!ioU
    PAGE 61

    ... r-' ------'i:, ..... ... "' > I.! 0. 0 .,u ... ..... 0 a: "'" "' :t .. e B ....... z z u.:.c.t '-H: Cfl::.. 0 E NC or F["M T[MP : a) t.' d)1 .. 19 a) D-1 d)1 .. 19 bl ,., rl 2o.2 b)w e) n-z rl "" f) 25+ c), .. ,. f) n+ YEARS IN DENVER _,._.,..,.,_ ____________ AT THIS LOCAnOh ___________ DATE OF LOCAL Al'llltOYAL 9. A' THIS ADDRESS PRIOR TO !f'P& ) YES ___ N0---10 GROSS INCOME or ESTABLISHMENT __________ (_) 11 NT lf\ICOME Of ESTABLISHMENT (_) 1Z EliGIBLE FOR SBD YES----NO----PRESE"'T PHYSICAL I"'FORMATIOk a) OWNrR b) LEASE BACK C) LEASE A ).u A. __ .. v .. ttu._ ____________ __ lH,QI< HILA'"-------------------A VIOl!\-T M;: R i '" ----------------------------vo 1\t ,J, &-L :. ... ... (; SJ: ;.::_ [ S s ________________________ a l c. s '' c. -------------h) OP' S 'H ---------------I I c I I 5 !-ij) z,.. :\. s:RCt: _______ B. DOCK c. 0'' S"E''---11. ""---------[. 0' SF-.:..CES -----------OF 'Pf" PAIC TO O.U If A OF TIME TC IHLOCAH AFHP C.Q.T[ QJ" ACO;.;ISITIOI\ ------------------------------.jt-U:> Lowel1 Blvd. Colo,,. (, L[ASl 80204 ... 3 &.PuA'-hA!.l PRCl ---------------S----------------C.MO PAYMENTS LIASEILUSE cK(Uii) LMO. RENT b. LENGTH OF LEAS _______ .. S LESSIE _____ C,MO IfNI INCREASE S DECREASE $ ___ 5 a. N.U.A. ___ b.GROUND---------------------C.PARK,_G SPACES I) ON SITE--------------2) OFF SITL ____________ d. LOADING SPACES------------------STREET ________________ __ OFF STRl ET __________________ J DOCK--------------------------6 LPA REFERRAL YH-------------NO---',C.""--------i DIS COP. TrNUl BU Sl S 5 ---------------------------[. D U R.A FI .. ANCIAL ASSISTANCE GRA"'TED MQ\oi"'G [XPE .... SES CIRCLE al UloCE Ssot bl Ssoc S!!!! f I S zsoc SZ99 f! I S;aoo S349o hI Smc SJ999 cl S1ooc 5:<99 dJ 5'St!t:. S1tt99 t I Szooo Szt!l!l i) Sooc +A"' S ----------j I s, OO('+ "'" s ----=-....,...,.... ACTUAL MOVING EXPENSE sAii-3 lltJ 2. Sliotl.i.L BUS!h DISPLACEMUH PAYMENT 5------------J SEITLEMEhT COSTS S----------------------4 OTHER Sr----------5 T01AL fi'ANCIAC ASSISlANCt 5....;*-.... F. 1 B) O SITE SS b) 'JFF SITE COMMENTS ANC/QR R[l,ll!RK5 ___________ ,.;;;:::!1--=---...... 53)YdS !lNIOY01 /5/1 z L z L ., .. .niO "' ,. -----;o.. -"'"' :t 0 "'u "' .. ., 0 a: .. .., ... .: u B ....... ... z 6 s_n I TYPE II XJC.t> ALPHA CODE PRESE"'1 ESTABLIS><"EN1 .... E o Modern Cabinet ; uo:: :.C'1 z "' ... ., .. .. 0 .. .. .. ot---;: .. ,., "' V'l .... ..._ w, .... "'-' "'(; .... "\.) J: 0< z "% "' .. z ... ... ._) .. _, .. ... N .. .. ...... ___ ....

    PAGE 62

    r H N "' 0 .u :! "' ... ., 0 II: "'" -. ... .... ., CIR(.d 0 f. NC Or LMPLQY[[S PPhol .3 dJ 1>19 TMP a) 0-4 bl 5-9 e) z .. ,. b)" e) ze.z c) IO" f) u+ c), .. ,. f) no II ... 1>19 7. YEARS IN DENVU -.:I-U:ilft:C::_;...---------------------I. YEllS AT THIS I.DCATION _...:4z.. ________________ ___ t Al THIS ADDRESS PRIOR TO 10. GROSS INCOME Of ESTABLI!HMENT 1 i NET INCOME or ESTABUSHMENl 12 FOR SBD YES--------NO-------B. PRESENT PHYSICAL INFORMATION: .. z ----H N .. ::E II: c c z ..J .. u ;...v; 2 .. "':r O:r.. z ..., "" "' It t.. 2. &)OWNER b) LEASE BACK RENt A l N.u R I .. ,, ----:::-::o-:::,-:-------------AUOU'' MO R!N' MO f $-------....-------810' s; o _.OJiii!.......,....----h 1 0" ':' _UN=!!I(=------E.. LOADING A. STREET "" B. DOCK C.. O'f ;TEEE'---[)_ ALLE>---...liL---NO Of' SPACES ______ DATE Of DATE MOVE CO .. PLETEC ___ AMOUNT OF 5lENT PAID TO 1::. U S -------LlfotC'!H Qr TO AF'T[h-DAH Qr d -!' ACQ\.J!SITIQ" ... 06-06 Ceased operation .. I ..... : -. ________ .,, _____ ,., ----a.s..r..l'! h.!..[l.!t[ &AC" J PRIC 5--------------S------------------C.MO. PAYMENT' $---------------------. UA5EILUS aACK/RUT a.MD. REifT $ ________________ b. LEIIGTH Or LEAS .. LESSIE ________ C. MO. RENT INCRU'E $.--------DE CRUSE $ ------5. a. N.U.A ----------------------b. GROUND-----------------------C. PARKING SPACES I) ON SITE-------------Zl OH SITE ____________ d. LOADING SPACES------------------STREET _______________ Z. OH STREET ______________ 3 DOCK---------------AUEY-----------------i LPA RHERRAL YfS--....,..:-::'"""=--NO------' DISCONTINUE BUSINESS--Ya.c;...;;51-----------E O.U.R.A. FINANCIAL ASSISTANCE C.RANTED MOYihG EXPENSES CIRCLE a) U'-D b> (') S1ooo-Sugs di .S1so:--r J Szooc 5: n s 2!100 g' 53000 53499 h) 53 soc Sm9 il Sooc + AMT -------j) s" .... T s _____ ACTUAL MOVING EXPENSE S ___ SMAU BUSINESS DISPLACEMENT PAYMENT 5---------l SETTLEME:JC:OSlTS 5_-:lr::-------::-:--::-=-:::--..,....,..--' oTHER _,_, or s !" 111 10 5 TOTAL riNA.CIAL ASSISTANCE S .... .. _____ ., F. OTHER INORMATION 1 REL.OCA.TIO"' 8) Oh > ADDUSS-------------bi Ofr SITl ............ ADDRESS ___________ __ Z COMMEhTS ANO.'OR !:! /5 1 .1N3WAWd t!O .1N3!:! '"0"'0 3: 0< z r:>:r "' .. ;:l:C> z "' ...... .. .. D n .. e I J c J1 .. z L 0 z 8 n z L ,., .,atC H z v ,. B I '---..!.1 ...,. 3 '0 I I i F E D I F E D 6 5 A I 9 B 7 6 5 I J J A PRESENT ESTABLISHMENT COMPOSiTION 0. PERMANENT RELOCATION 2 5 _01 ""E 0 MUSIC 1 INC. "' it -----!"" ... "' r ... .. ._. .. ,; II: .. 0 .,u ... ::: 0 II: "'" "' 8 ,.. B .. .. z ... .. <>:;; ,_ ooms J 000 Lar1rnet: St.t:ee.t. 1 ADDREU 2345 -7th Street 3 ...... or ow"' o ... G. Keene z. Srnl. th CIT> uenver, STATE Colo !'ZIP 80211 .l: '!''!P[ or ESlAS C!RCL. G Q 2 J .: E 7 8 l('&.SALE;:'\ b.LEASE BACK C.LEASE d.RENT liU.OE AREI.. CIRC.t..E 1 .i: 1'}4 6 NC OF' EMPLOYEES PERM. ar0-4 d) 1>19 e) 2o-2 TMP. a)o .. d) 1S-19 7. YEARS IN DENVER .a. ... ......,.-------------------8. YEARS AT THIS LOCATION _...J/'-Il"-.-------------------b) $-9 e) zo-z c) 10.,. f) Zs+ c) 1 .. ,. f) Zs+ AT THIS ADDRESS PRIOR TO 10. GROSS INCOME Qf ESTABLISHMENT DATE APPIIOYAL ( .Jfilt. ) ,.,.:t.rs.JILNo __ .,o,pDd l_> 1! NET INCOME OF ESTABLISHMENT--------------(-) :: ELIGIBLE o SBD HS------NO-----PRESENT PHYSICAL INFORMATION: 1 a) owNER b) LEASE scA z A)hUA. J,6tJ0 ...._ B ) LA ui!JJL 3 A"OUNT MO RENT .. ..... d) RENT A AMOUNT MO RENT P.I.T.I 5--------------::=---------a)o SIT[ NO---------------S. PARKIMG SPACES b)OH SITE NO _______ 6 LOADING A. STREET "" B. DOCK --------C .. OFF STEEET....._D. ALLEY_ .... lfl!c., ___ E. NO or SPACEs-------------c RELOCATION TRANSACTIONS I. DATE Or z DATE MOVE COMPLETED _____ 3. 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    PAGE 64

    JV: :, .t.."'lr !J.A.l. K l !"'..t..N ::>treet 124 50 i\. -. ':thornton. _, v .. K .hincton co;,.o. z,,bC241 ... -: ____ ,--, _,.,. r H .. .. ; 0 .,u "' ... ., 0 a: "' ... ::t: "'e .... ,_ ... 2 a:: B Torr-:--f1cnlerney .. -:....... i 0 p E-()0 .. t-NO 0' [MPi..0YES Ill ,. f) z ,All(. d) 1!>-13 ll>l< TU4P. a) 0-4 b) H e) te>,. ... d) e) aw f) Is+ 7 Tf .. S IN DUVU -1. nus AT IHIS LOCATIDIW __ __________ t. AT THIS ADDRESS PRIOR TO DATl JJ.F .!9,1iAL APPI'OYAL ( Jlf& ) YE s....1!f_ N0---10 GROSS INCOM OF ESlABUSHMEiri!T 4414 (_) 11 fri[T ltriCOM[ Of' ESTABLISHMENl fHI" (_) 12 ELIGIBLE FOR SBD ---PHYSICAL INFORMATION: 1 b) LEASE BACK C) LEASE A,.-;; -rr st71J d) RENl 2. MO I.MOU._,i MC" Pi i I -------------PAJd .. hG aJO"-s:a .: --------b)on ,: ________ "'"D"C :\. SlREE: ____ 1!. DOC. C.. oor !tlEEEl ____ [), ALL>Y------i li I r. NC OF SAC[S ______ RELOCATIO"' DA:E C' ACOU,S:lO :0 7.3 I ...J u "':r Ito. OAH MOVE __ OF MONTHLY RENT PAID TO 0 1.1 li. A S ------OF T!l.tE TO REL.OCAT[ O.A!E or ACCU!SI!i0' _____________ i.:> d k, ti".:.' .Z 8. I-; .. .. Ffi!.Cl S I, PPf,IID IJ C.MO PAYMEhTS uuriLusE aAcllllrNT &.MO. lENT 5 __________________________________ b.LENGlH Of LEAS[ YIS. USSIE---"'"""--C.NO lENT INCRUSt S-------DECIEASE $ ____ s. a. C. PUKING SPACES t) ON SITE--------------fiNI/.. Zl OFF SllE ___________ d. LOADING SPACES 1 SlREEl----------------2 orr SliEEl'---------------3 DOCK--------------- AUET-----------------6. LPA. REFERRAL ____ 7 DISCONtiNUE BU S,.ESS __ I.AllLIIfL----------E. D.U.R A. FINANCIAL ASSISTANCE GRANTED 1 MOVI,..G [).P[t..SES CIRCLE a) UNDER Ss:< bl 5soo S;.;.; r I 51ooo 5ugg d) S1soo. n s "'' s ,999 !(I SJooo S;,,. h) 5JSDo SJ999 i) Scooo + A.,T s 1(, flf. 'II r) Szooo 52-.; il Sz! ooo+ .M, s ______ ACTUAL MOVING EXPENSE S _____ Z. SMALL DISPLACEMENT PAYMEhT S--------3 SEnLE"E'' COSlS OtHER !fEAUI/!1/& S S lOTAL FI'HC lAc AS SIS l ANC [ 5 -'.&.j}..,_3'....__..1fL/!.":.....t-U..-----F OTHEP INFORMATION: a) b) 2 o Sl!r-..... :----ADDRHS -----------!)FF S!TE. """-.... AODRI:'CI COMMf.'-TS. Ah[I/QJI REMARK$ ______ ........__=!101-... IE:"'---........ 1:! s lN31' a ,-. J: 0 z C'l ::z:: ('\ "' Cll z "' :. ,.(I S3JVdS S3JWdS : I z t 1 z r : : z z JS sn& y B z n z z ,.,, H L n I I I F ElC(t. 4 I _j ALPHA CODE ':-YE..:.RS II\; OEt\VEP PERM. EMPL AREt.. TYPE lf u c "' ... a: ------l"' ,, CIRCLE ... .. ... "' .. .. ... .. ...... .... >-..... ::t: 0 ..,u ... ::l 0 a: .,., "' ... ::t: "'e 2 6 Qr EMPL.OHES PERM TEMP a 1 6' a) O-' d) 15-19 bi 5-9 20.Z4 b) e) zo.z c) 16" f) 25+ c) 10.10 f) zs+ 7. YEARS IN DENYER -----....---,rT,....,:T-r--f-T"lr-:::----8 YEARS Al THIS LOCATION __ ?5";;..t __ __ DATE OF LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) YES-------N0------10 GROSS INCOME OF ESlABLISHMENl __________ (_) 1\ NET ESTABLISHMENT ___________ (_) ELIGiht SBD YES----NO----r-,_ B. PRESENT PHYSICAL INFORMATION ... z 0 N 2 ... o:;; z &)OWNER b) LEASE BCK d) RENl A)k.U A-----------------B)CAND _____ AMOUNt MO RENl 5 __ AMOUNT MO. P.l T I S PARKifrrriG a) ON SIH NO __ LDADING b) OH SITE NO----:-:-----.'\. STREET B. DOCK )( C.. OFF SHHl ____ D. ALLEY------, NO OF SPACES-------RELOCATION TRANSACTIONS t. DAH OF ACOUIS'TION ___ .. :------2 DAU WOYE COWPLElED __ 3 AMOUNT OF MONTHLY RENT PAID TO D.U R.A S -------. LlNGTH OF TINE TO RELOCATE AFTER DATE OF ACOUISiliO ..... -----------,])0/J.id AtMtv PERMANENT RE ... OCATION SlAl 2 b.LEASE BACK d.RENl J &.PURCHASE PRoC[ 5 ----------------5-------------------------------C.WC PAYWENlS $'-------------------------------. LUSEfLEASE BACK/RENT 8.MO. RENT 5-------------------------------------b.LENGlH OF LEASE YRS. LESSIE _____ C. MO. RENl INCREASE $ _______ DECREASE$ ___ 5. a.N.U.A-------------------b. GROUND--------------------C.PARKING SPACES I) ON SITE--------------2) OFF SITE------------d. LOADING SPACES------------------Sli[El _______________ __ or STREEli ... ---------------------------DOC.K----------------------AUEY-------------------------------6 LPA REFERRAL YES-------NO------:,-7. BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED WOYiftG EXPri115S CIRCLE a) UNDER hoo bl .. S9!l9 c) $1000-Su!l9 d) .Stsoo Stm Szooo S2c99 () 5 ZSOO Szggg g i hooo s:w99 b) SJSOO Sl9!1!\ il s.- ... Ts ------il Sz5.CIOO'" AMT ACTUAL MOVING EXPENSE s/0 I Z. SMALL BUSINESS DISPLACEWNT PAYWENT S---------l. SEnLEMENl COSTS 5----------------C. OIHU ------------S'-------5 TOtAL FINANCIAL ASSISTANCE 5------------F. OTHER INFORMATION. TEMPORAl Y IELOCATIOti a) 00< SIT<------ADDRUS----------bl OFF SllE -----ADDRUS -----------2 COMMfNTS .. friiClOit REMARKS--------------" c: of--.. "' :a ....... ... i:IJ Ul -c _;:'-':;.... 31: 0-< z ""' "' .. 2 "' .. .., ,., n

    PAGE 66

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    .. -H .. .. N ..... 0 .,u .. ::: 0 .. ... 6 NO Or PERM TEMft. Ill,., dl 1!>-19 a) o-o rl 2o-zo b) .. r) 111-1 (') 10" n u+ c:) .. ,. f) l,. 1. TEARS IN DENVER--.&' ... l. YEUS AT T>IIS L.IICATIOI<--.....II< cr z V' .., .. .. l ___ ... __ r:.._.,. : : : 1 : :1 3 o I I E r I F E 6 5 I 9 s 7 f 5 I I I u s ii: -----i'"' 0: .. "' .. 0 .,u "' ,..., 0 0: .. "' ::!: .. 8 1!: ,.. B. ... z .. u .. c c:;; PRESENT ESTABUSHMENT ../. 0 PERMANENT RELOCATIOI'l _..,E OF /J ft'_L ACDRCSS Ill r vT .... [ 0' OI'"EF o MG \Tuhiih LP.?t;r CIT\ STATE 4!42 .. .: Tl;.f or ESii\E CIIKlE 1C,_ .. : f i f: 2 8.51..L b.LEAS[ BACP'. (".LEAH d.REJr.T /.FE.t. CHICL[ CJ,;' 3 8,fUACHASE PRiCE S -----------------6 NO or EMPLOYEES PERM al 0' b) 5 C) 10 b.MORT'"Gf S---------------d)15 t)20.2C C.MO. PAYMENTS 5----------------TEMP a) ,._. b) r..o d) 15.19 e) 20-2 7. YEARS IN DENVER-------.-=----------8. YEARS AT TttiS LOCATION ___ .... ---------OAT OF LOCAl APPROVAL 9. AT THIS ADDRESS PRIOR TO ( ) YES _______ ND-----1C. GROSS INCOME __ ) 11 NET INCOME or ___________ (_) 1Z ELIGIBlE FOR SBD ns. ____ NO-----PRESE"'T PHYSICI.L INFORMATION: I b)LfASACK d)RENT A l u .....?,./-L----8! lAND ________ AMOUNT MD REN1 5---------------------------------a) Oh S!H NO AMOUfrlll MO RENT P.t T I PARKING SPACES a. LUSEILUSE BACK/I[NT a.MO. RENT b. LENGTH OF LEASE YRS LESS IE------C.MO. RENT INCREASE 5-------DECAEASE 5-----5. a. N.U -------------------b. GIOUND------------------C, PAAKihG SPACES 1) ON SITE--------------2) OFF SITE---------------d. lOADING SPACS --------------------S7REE'------------------Orr STREET _______________ 1 DOC-----------------6 LPA REFERRAL TlS-------NO----....,--&-7 DISCONTINUE ----------------E. D.U.R.A. FINAI'lCIAL ASSISTANCE GRANTEO MOVING EXPENSES CliCU f, b)OrF SITE NO ________ al uNDER Ssoo 6. LDADING A. STREET B. DOCK IC C.. OFr STEEEl ____ D. AUH' ______ b) Ssoo 5999 c) S1ooo 51
    PAGE 70

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    PAGE 71

    I ------;::1 .. -:-----1-1 ; .. "' .. ; .v .. 0 ... .. .. ... :1 "'e ,.. 8 .. ... z ,;:. ...-. --.-...... _....__..:..;..; ........ ...... .c.' ..... -_ ---: p t e li:.C.Ot l.fHl. C1k'CLl c i :, ( NO 01 IMPLOHlS PlRM c:ij Q-t d) 1!1-11 b) S-9 el zo-u rl zo-z c) 1o.u 0 n+ C) 10-U f) Z!+ TEMP a) ... d) 1!1-11 1. YEA IS IN DENVER ----------------:;r'll!r-----------------8. YEA IS AT THIS LOCATION ________ DAU OF LOCAL APPROVAL i AT THIS ADDRESS. PRIOR TO ( .3. q_ ) YES ____ No __ __ TC GRCSS. OF IJirfCOME OF ESTABLIS.HM[Nl (_) li [LIGIBLE FOR SBD YES------NO X PRESENT PHYSICAL INFORMATION 1. Gl..owNER b) LEASE BACk c) LEASE d) RENT A)' u A------------------B) '"r-------------------..... jJO,:l '""" f s ---------------------------------" "-4(-".. .... () foo f '\ ;. T I S ---------------------------SPI\Ci:S 8 I 0._ s:r: "-0 ------------------b) o.r sm .o ________________ __ Loo"G -\. ST: n = C'l m z v. "'.. .. OwN .? 1r; !z :'J f ,.... /'_,; COMMEhTS otoo REMA' ... ,... B ... z CD u"' :0 ... c c ... "' i .. z,.. ... II: PRESE"T PHYSICAl. INFORMATIOII:: l (!)owNER bl LEA.SE AINUA BILAND BACK c) LEASE diRE NT Z. 3 AMOUN' MO RENT 5---------------------------------AMOUNT MO RENT P.l "!'I PARKING SPACES s ____________ WT ____ ___ a ION SIT NO b)orr SITE N0 ___ 6 LOADING A. StRET _______ B. DOCK "' C.. OH STEEE: ____ ..JDu [. NO OF SPACES--------------RELOCATION TRANSACTIONS 1. DAU Of ACOUISITION ________ -:--...-::::-----------------2. DATE MOVE COMPLETED ______ 3. AMOUNT OF .. ONTHLY RENT TO D.U.R.A. $-------------- LENGTH OF' TIME TO RELOCAT ArTER DATE OF ACQUISITION---------------------------------------2 OH STREEt----------------------------3 Aun ----------------------------..,.---6 LPA RHERRAc ; DISCO,TINUE BUSINESS _N..._ .. o.__ _____________________ E. D.U R.A. FINA .. CIAL ASSISTANCE GRANTED 1. MOYIIIIG EXPENSES CIRCLE a I UNDER 5!o00 b) 5soo 599'3 c) 51000. SU99 d) .S1sot 5199'l r 1 S2ooo Szug f) 5 2500 52999 @:) S3ooo 53!19 h) 5350() 53991 j) S.ooo + AMT S ------------j) 52s.ooo+ AMt. ACTUAL MOVING EXPENSE 5i(Sflif' 2. BUSINESS DISPLACEMENT PAYMNT S -----------------3 SET!LfMENT COSTS 5...-:-:-:;.--------------:.;:r,r:::::ll<-----4 OTHER Sf/1111111111 S !1/J iO S TOTAC fiNANCIAL ASSISTANCE 5_..a .. 4 ..... ------------------------------------------------F. OTHR INORMATION: AURA. RIA .. 1 TEMPORARY a 1 ON SITE-----------ADDRESS----------------------hi OFF SIT! AI>DRESS------------------------... "' ...... .... -... ) '"""'. .. z 3 ... \..: ... Z"'" .. z ,.n U>O "'"' !: ,.,_ .. J: z .. .,. ...... J: E :1-z r:>:x ,., .. ;llr:> z "' w N w N .. ., n .._, "' ....... ._:

    PAGE 72

    J > :-.... : -----,; -..r .. N "' "' ... .. i: .. 0 .... !: ... ::: 0 a: .., .. ... :1 "'e ...... ... z ., Q-. z' C ,- t L "-" > :-: J:>:. t. N)0:fwii" .. (')1CiU dl f'i 2o.1 () ru" a)... bi !H c:) 11-11 d) 1,.19 .t 11-ZI f) Zo+ 7. YUS IN D[NV[R .... +--=-"'Y"' ..... YEARS AT THIS LDCATIOf< __ .... lt...,.& .... s..._ _____ t. AT THIS ADDRESS PRIOR TO DI.Tl Or ;.AL A,f'.OVAL ( .27.:2.-) YS 10 GROSS INCOME or ESTABLISHMf N1 LA.l'\k(_) 11 NET INCOME OF' ESTABLISHMENT u,.,.k, (_) IZ ELIGIBLE FOR SBD YES-------NO --------8. PRE5EN1 INFORMATION: b) LEASE BACK d) RENT AI u _________ H)LA,D ____ 2. .. Q .:. ( .. ci ,,., U. .,l.Si H > ---------------b ... s -----------------f.MO PAYMlTS $-----------------. lUSE/LUSE .ACK/IUT a.MO. lENT 5------------------------------------b. LENGTH OF lUS YR5. LS51 ----,--C. MO. I[ NT INCREAU S------------DECI[ s -------5. a. N u.A------------------------b.GIOUND-----------------------------------C. PUKING SPACES 1) ON SITE--------------z) orr snE ---------------d. LOADING SPACES-------------------1 STR _________________ Z. Orr STREET __________________ 3 DOCK.------------------------------1 AllEY---------------::,.------6 LPA REFERRAl YES---------H0-..1......-::o:::.. _____ DISCONTINUE BUSINESS __ ...u PI:_,._!:' ____________ __ I AMOu" "'" Rt" 5 ----".........,-_.. k.' -----------.. u ..,...,ouo.:' MC' Rr,, F-1 r 1 (;--------------PAFUCIIIG SIH M; ---------D.U R.A. FINANCIAL ASSISTANCE GRANTED MOVING ---------+-:r = ;;!<> z "' ,.,.., .. N .. N "' c n ) OOISI DDUSS-----------b) OH SITE......... ___ {J4 4:C Z. COMMENTS .... -=:;-;,. _____ ....... ...;:.,,_=_j ...

    PAGE 73

    i= --_-P.----.e-'-1-l.-. ._A_._u_ ... .... -,.-_-. -.-.-___ .. __ ----.-.-.-... -" ....... .. "' it :. ..... : ... ------,-----------"''''" 1253 Crt-is S; ; .... ,OJ 0"'-'' o .. G. __ NLlLJe.::...J.L...J.L......cM:u..c;..'ii.Jj'..Ee:::..Jiwl ___ -----1 .. ol TlP[ Of CIRCi.l C. i. J 4 S 1:. 0 i ... -. N N .,; a: ... ., "' 0 .u ... ::: 0 a: .. .., "' ... .. e ... ... ... z 5 TRADE AI( A ClltCLl Q l l 4 5 6. 110 Of' TEMP dln-lt a) ... d) 15-19 e) lo-u 0 n+ e) lt-u 0 n+ 7. YEARS IN DENYER---------:;-----------1 YEARS AT THIS LOCATION ____ OAT OF LOCAl. APPROVAL 9. AT THIS ADDRESS PRIOR TO ) us_X __ .o __ 10 GROSS INCOME Of ESTABLISMMENT __________ (_) l1 NE.T OF (_) 12 ELIGIBLl roR SBD YES----o __ xA---B. PRESENT PHYSICAL INFORMATION d) RE" a) -'0"" MO R[-' 5 z P 1 b)or' st '"-------------H, :\. SHHf'! X H. C.J: ... (_, Orr STlEEl ___ J), ALCE>-------" .. .. u c "' ... "' 0 ... v. ... "' 0. A 1. [. NO 0' SPOCES ______ RELOCATION TRANSACTIONS DATE or ACOUISITIO, ____ lJ..IQJ...::,-;;..,l..;-=-.l6.u;81.... _____ DATE MOV< COMPLETED __ Of PAID TO [J R t. S ------lE'-GTI-I Or TiV.f 1'0 kHOC.ATE AF'iEP DAH OF --------------------8 mos. -----10.. ,.. .,; It ,.. 0 .. u ..., ... .,. 0 a: c TEMP 9 AT THIS ADDRESS PRIOR TO 10 GROSS INCOME OF ES1ABUSriMhi ___________ l_) 11 NET IIIIC0114E. OF ESU.BL.IStU.IIESol 1&1 3 12 ELIGIBLE FOR SBD ,._ : B. PRESENT PHYSICAL INFORMATION. YES----NO------.. ... z ... c o:;; B) bj LEASE &:< c) LEASE Alo -?.s-O .S9 .,tJr B)LAND z. A .. OUNT MO RE '-AMOUNT MO RENT P I.T.I. S---------::7------5 PARKING SPACES a)o SITE NO --..,;)"'.__ ____ i LOADING A. STRHT b) OH SITE N0-------____ 8. DOCK C. OfF STtEEt ____ lJ. LLET E. 100 Of SPACES--------I DATE Or ACOUISITION ___ z C RELOCATION TRANSACTIONS ,I.;.J'2 DATE MOVE COMPLETED //--,$"-,_ 3 AMOUN'! Of MONTHLY ltENl PAID TO D.U.A.A S -------"' a: 4. LENGTH Or TIME TO RELOCATE ArTH DAH or ACOUISITIO ------------------------136 3 Elati 21 80204 suH Col a 2 a. SALES b. l lAS lACK C. LEASE d.llNI I. S --------------b.-TGAGE S--------------C.MO. $----------------'-LUSEILUSE a-:wo-IENT s ASn. 0 0 b. LENGTH Or LEASE LUSIE _____ e.MO 1NT INCREASE !-------DECREASE$ ___ 5 a. N b. GROUND-----------------C. PARK,_G SPACU 1) Oh SITE ----.AY ________ 21 0'' SITE------------d. LOADING SPACES-----------------1. STRE---------------2. OFF STRE--------------J DOCK-----------------' ALL"-----------------f LPA REFERRA.i.. YES---------------OISC.Ohll'lllJl BUSII\ESS --------------O.U.R.A ASS!STANCE GFlAI\TED MO\'ING EXPENSES CIRCLE a) UNDER Ssoo bl Ssoa 599? f) S 2soc S2m fl) hI Smc Sl99 il Sooo + .. S r) 51000 d) .S!SOO S1999 r _I S2ooo S2" jl S2,ooo+ ... T s------ACTUAL MOVING EXPENSE i2 9 4 1 Q S"'tAL.L BUSiNESS D!SCLACM[NT 5-------STH.EMEJri': COSTS. 5------------------' OT"ER -------------5--------S 9 4 0 lQ F. OTHER INFORMATION 8) b) TEMPORAR'\' RELOCATIOt.. o SITE------AODOESS -----------OFF SITE ADDRESS-----------2 REMARt .. ot---;tao ,., .... .. '. :u "'"""' .w "' .. 1: 0c z "" "' .. z "' ...... '- ._,_1 .. --... .. ... ... ...

    PAGE 74

    ,_ I ... -... _..::. ..... -c:. ;;: .... .. : :C::: __ ..::..::...;=:....::....:::_ ____________ ( _______ ,.,., -----' ---------1 .. .{. d .... .. --, "' .. "' ... oJ' a: .. "'2: 0 "' .. ::: 0 II: "'" .. ... ::t: 00 8 !I TJ!AOI AJHirt. CiiU'! ,{ ,; L '. 6 NO or EMPLO'YfE!. PERM -o-bt t r) ,,_,. d) ,,._,9 rl zo-u 0 n+ b),._, e) ,._,. d) ,._,t r) zo-z 0 n+ 1 TEARS IN DENVEP ---aoS'ZU-=.,.-----------1. YlARS AT THIS LOCATION __ __,s.._7,_ _________ DATE Or LOCAL APPROVAL 9 AT THIS ADDRESS PRIOfC TO ( J. '. '7:J, ) YES.-1_ NO--t.,IDD <_> IDD <-> 10 GROSS INCOM[ OF NT 11. NCT INCOME OF ESTABLISHMENT B ..... ... z 12 ELIGIBLE roo SBD YES-----NO------PRE5ENT PHYSICAL INFORMATION "' u "' c V' z c "' :1: a: c I c 1 -' .. 2 Ia: .. z ., "' II: Co. @oWNER b) LEASE SACK rl LUS d) RENT AI u ----------------HI L"''-----------------,_.(' IH .._. ----------------Airo40i.J"'"" M,:, 5---------------PAP"'I'-G 810, S'!: "tC -------b)c;; SOH o---------LOAOII'I.C. A. SHo:EET H. (10(1( C. OFf 51 ___ (1. TRAN5ACTIOI>5 7 DATE or ACOU!SIT!O'------..;,-,.:,.--i;;'ii-------DAH MOVE COMPLETED ____ _,1.__.1'-'0.._ _.1'-':l"'-------OF MONTHLY RENT PAIC TO 0 U t:' A 5--------TO 4F':'f!; OAT Or J ACOUISI'IO' J J B.PUIC'iASE PR,,:E 5 --------------b.MORTiiAGE 5--------------e.WO. PAYMEmS 5-----------------. LEASE/LEASE BACK/RUT a.MO RENT b.UNGTH or LEAS[ US USSIE ______ r.MD RENT INCREASE 5-------DECREASE $ ___ S a. N.U l -------------------b.GROoND-------------------C. PUKING SPACES 1) ON SITE------------z) 0" SIH -------------d. LOADING SPACES-----------------1 STRHT----------------2 OH STAEEI---------------3. DOCK-----------------& ALLEY----------------i LPA REFERRAL 'IES--------NO---------DISCONTINUE BUS"SS ---------------D l! R.A FINANCIAL A5515TANCE GRANTED MOVI'-G a I u'Dr Ssoc bl Ssoo Sggg d1 Ssoc S1!1'l9 t I Szoo: S"!l'l ft S zsoo S2t!l'l g I S3ooo s .. t9 hi Sm: i I Sooc + AMT S jl AMI 5------ACTUAL MOVING EXPENSE S _____ __ l S"'4ALL BUSit.i DISPLACEMENT 5---------___________ .II:-IN/, IIJ 4r S S"OIJ IJ() TOTAL F'INAhC1A:. ASS.STAt-.CE 5 ......... _.5.._./J._.q"'-"-'"""IJ'-------OTHER INFDRMATIQIII T[IJIPOAARY RELOCATtO"" HI O SITE------ADDRESS-------------bl OFF SIT C0to4'ifNTS aNO/QR RE.MAII:KS--------------PRE5Er,;T ESTABUS>iMENT COMP051TION 0 PERMANENT REcOCAT!DIII 10-0 5 .,.,or rsraus"""' __::C'-T-. 414 1 .. A I) 0 -' ;r. it 2 ADDArss 1055 St;t:eet ADDREss Am Nat' Bank Bldg 3 .... [or OWN o MG. c. !'1ert Reese CITY Denver' STATE Colo m RO?O? -----1"" : TYPE OF ESTAE. CIRCL C \ 2 0 4 s t 1 e ; a. SACES b. LEASE BACK C. LEAS 3 B.FURCHAS PAiC S ... .. "' N ., "' "' ... ,.. c "' ... I ..r' II: ,.. ..... ::t: 0 .,u .. ::: 0 II: .. .. ... ::t: .. 8 z ,.. .. B ... z .. s TRAO[ AREA CIRCLE 1 CD :: s 6. NO. OF EMPLOYEES PEA". 81 o- I dl,._19 TEMP. b) .. 9 rl zo-zo b) .. 9 r) zo-zo r) o- f) zs+ c) 10.1 0 zs+ 0 AD dl ,._,t 7. YEARS IN DENVER---==-,..-------------8. YEARS AT THIS LOCATION ___ _.'$.._ ___________ OAT Of' LOCAL APPROVAL I .3"1&. I 9. AT THIS ADDRESS PRIOR TO 10 GROSS INCOME or ESTABLISHMENT __________ (_) 11 NET !NCO" Of ESTABLISHMENT-----------<-) 1Z ELIGIBC FOR SBD Y S-------NO ------PRESENT PHYSICO<. INFORMATIOIII: 1 biLEAS BACK rl LEAS d) AN1 u __ BiuND __ 3 AMOUNT MO. RENT 5-----------------. AMOUNT MO. REPIIT P.ll.l S---------------5. PARKING SPACES a) ON SITE NO.--------b)OH SITE NO--------6. LOADING A. STREET B. DOCK C .. orr STEEET __ IC __ D. ALLfY'-----E. NO OF SPACES------c. RELOCATION TRANSACTIONS 1. DATE Of AtoUISITION ___ __,f:;-:;fl'--; t7"':,f-------Z. DATE MOVE COMPLETED----L(..;...IfL.;.._.7r..;oj:z.. _______ 3. AWOUNT OF MONTHLY RENT PAID TO D.U.R.A 5 ______ &. LENGTH Or TIME TO RELOCATE ArlEA DATE Of ACOUISITION--------------------AURI\RIA b.MORTGAGE 5---------------C,MO. PAYMENTS S ________________________________ LEASE/LEAS BACK/RENT a.MO. RENT 5__,U"'-'-'I'IJ'"'/(.=,.._-------------b.UNGTH or LEASE YRS USSIE _____ C. MO. RENT INCREASE 5-------DECREASE $ ___ 5. a. N.U.A. jtJQ C.PUKING SPACES 1) ON SIT---.:-----------2) OFF SIT --...0. d. LOlDoNG SPACES-----------------1 STREET-----------------2. OH STAHT _______________ J. DOC"---------------- AU.EY------------r----LPA REFERRAL YES---::-r-.-----N0---..?<""----''---7. DISCONTINUE BUSINESS_.M=-tJ"'-------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1 MOVING [XPENSES CIRCLE a I uNDER 5soo b I Ssoo S9t9 e) 51000 51'"' dl 51!1110. 511199 r J 5zooo 5z 0 5 zsoc 5zt99 g) 5Jooo 5lol99 b) SJSOC) I 5J9911 il Soooo + AMT 5------j) Szs.ooo+ AMT ACTUAL MOVING EXPENSE s.q,a, Z. SMIW. BUSINESS DISPLACEMENT PAYMENT 5---------3. SEnuMEm C057S OTHU S8At.UI s !i!l_.OO S. TOTAL FINANCIAL ASSISTANCE 5 F. OTHER INFORMATION: 1 B) :c::::::::: ADDRESS----------b) -'...... :::z&"""== i !01-----:t '" :II ;!" n"'("'' c :.. .. 1-Hr---= .,.. ... ., z:: ..... Z"'"' z ,.._., ..n 11>0 "'"''" .... ..... .z ... 0 .. U' J: 3: .. .. 0-0 :s z ": r C': IZ' z "' '".., .. w w N ot------2! "' :II ...... 1: 0< z ""' "' "' z "' ... .., .. ... ......: .. n ......... '.

    PAGE 75

    -.. "' .. N .. "' "' > .. r: -.. .. N ... L .,. ,.. r .. .. __ .. ...... J o/" ;;: c. ,, a: .. '""' :E 0 ..... Ill ... Ill 0 a: ., '" ... :E .. 0 u :1!: ... B :;; z "'i 0 z :::: u "' ::: "' c z .. :E 0: 0 c :1!: .J .. u ... z :;:. "' a: :. s y A. u 0 vi "' a: .. vi a: ,_ '" ... :E 0 ..... :1!: "' "' c a: .. '" ... :E .. 0 u :1!: B ... ... "' z .. 0 ::: z ... "' "' ... c co-"' .. :... I :-: ... :..:. .. : :.t c r '"-' ee "Street 11:n t".3:-. \' "'""""' ;:_,y..,: ... :.,;. ,..c._.;. .J Sanchez ;:n colora(;!.p 80211 .-o TYFt o E Sl.C.li CIRCL.t ( l :; a.St.i..ES b. LIAS! IA{Ii, C, LEASE d ., TfADl IdlE,.. CIRCLE I if:" s I. &.f'URCHASE PPICl 6 110. OF EMPLOYEES PEIW ... I hi S-9 10.1 b.MOITGAG s )IS-19 i ZG-2 0 n C. MO. PAYMENTS 5 TEMP a) ... b) S-9 .... .. LUS/LUS BACKIINT d) 15 ) zo-2 0 zs &.MO. I[NT 5 7. YEAit$ IN DENYEI b. LENGTH OF LEAS YIS LSI I YflR!i AT THIS LOCATION C.MO aENT INCREASE s DCRAS S DATE Or LOCAL APPROVAL 5 &.hU A. 9 AT THIS. ADDRESS. PRIOR TO ( ) b. GROUND YES ___ NO---f. PARKihG SPACES. I) ON SIT[ 10 GROSS OF' STioBUSt-t'-4ENl (_) 2) QFJ" SITE 1' NET INCOMl or ESTABLISHMENT <-> d. LOADING SPACES 12 EIGIBLE o SBD YES NO I STREET PRESENT PHYSICAL INFORMATION. 2. OFF SlRE[T .. 3 DOC' I a) ov.E bl LEAS! R4CI". r) LEASE A!..lEl 1 -\ J." 11 IGi IJl :J '9 p 1)0 I ,q, 5 LP REF >ES o Bi '"" B:.JS!\[!:.5 ? VC ... /f)(), flO (fip_,. Stc. c.(\))) E O.U P A ASSIS'rAN(E UC. gr "' j : s XFE,..SU CIRCLE l P.t Sf. E. S a I o' s:: "c a) UNDER fl $ "" bloro S1Tt c bl 53COO f lO.C.DI,.(, -\. s-:-::: [ r-oo, c. r\ 5100:. hl 5]5CC on s 't;fiS.IJ E. o OF sF.;cEs d) 51'10: S RELOCATION I ;o 'I P) S2oo' 51499 jJ AMT s I DA.H or ACOUISITIO"' 7 ACTUAL MOVING EXPENSE 2 OAT M0V[ $/)f). 2 SMA .... DISPlACMNl S I..""'C'-"11' o;; MONTHll RE,.T P"tC. TO 0 L rot.. 3 SHT!..EME."'l CCSTS 5- LEMa"" or TIM TO Ot.:l 0' 0TI-4EP ,js, rJ A.SSISTANCl s ; F OTHER INFORMATION I TEMFORI..R'f B) 0'\ SITE hi .IJl:'f SITE ADORES!:. 2 COM'-tEII.TS A!'\10.'0!:1 RMARI "-'"(_) 10 GROSS INCOME OF' 11 tUT INCOME OF' ESTABUSHMEhT 12 ELIGIBc roo SBD YES-------PRESENT PHYSICAL INFORMATION: E:!Y b) LEASE BACK Alu tlNK.. c) LEASE d) RENT B)LAND ______ A .. OUNT "0 REN' S.jJtt;S'D:J.&LAQU(J!.... _________ A"OUNT "0 RENT PI T.l S-------------PARKING SPACES a)o SITE NO--------b) orr SITE NO ________ 6 IDADING A. STR ET B. DOCK C .. OFF STT D. ALLEY------n ADDREss 3400 Mariposa em Denver, STATE Colo ZIP C.LEASE H Street 80211 d. RENT 2. &.SALES S b. 3. &.PURCHASE PRICE _____________ b.MORTGAGE 5--------------C.MO. PAY .. ENTS S ________________________________ LEASLEAS BACK/RENT &.MO. RENT $ __________________________________ ___ b. LENGTH OF LEAS C'. MO RENl HtCAEA.SE 5 a. u A lltll! _________ YRS. LESS!--------------DECREASE b.GIOUND--------------------------------------C.PAIIKING SPACES \) Ofrrll zl o sm -----------------d. LOADING SPACES--------------------STREET ________________________________ 2 OFF STREEt---------------3. DOC------------------------------AUEY----------------------------------6 LPA IHERRAL YES------.---N0----------7. DISCONTINUE BUSINESS---iJI!lCiOL-----------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED MOYIMG (J.PENSES CIRCLE ; f) 5 zsoo Szggg g) b) c. E. NO or SPACES------RELOCATION TRANSACTIONS "I ... OAT OF ACQUISITION ___ _.if..:l' .. IJr---------a) UNDER Ssoo bl Ssoo S999 r I S1ooo 5I OM d) 51!100 51M9 5zooo SZn 11'0 "''" ... "" z-,. ..,_ .. C'>n"' w .. :1: "' 0 > J:, "' 3: o_ < c z ""' n '" a: z "' ..,.., ,. J,.oy 0 c: 0 .. "' "' "'"' "' w w .. '-' :z, -,. ;. "' ll: 0-< c z Cl:t .. ::: a: z "' ... .., ,.

    PAGE 76

    .. 1: 1. iC: .. te::::-'":.,, io4s __ .,.,. 222 Santa Fe Drive .,, "' ; --=--=--....::.._: ____ =-=---=---....,.,..,..,....,..,.." 0 Denver .. Co1o.. 80223 .. 1-------1 .. ... .... cr :1.,. .. .. oo: ...... T. L. Magee ----,i,:::.t. Tr;"AOl APEA (IG(L[ oi. 3 b.llA:,I. 8AC..Io.. (".L[ASl d.RUn ot-----3 8.PURCHA!i.! PIII'Cl 5 ---------------.' .,,_ ..; II: .. b) 6 110 Or PERM 8) C>-o c) IOU b.MORIC.AGl 5----------------lD ----+-1 dl 1 .. 19 e) zc..u () n+ b) .. c) 1o-u C.IIIO. PAYMENTS '---------------fi""' nw(""! LUSEfLU5E BACK/UN! 1,., !""'\ .. ... ... .. .. .. .. .e "' ... 0 II: .. .. "' ::E e ,.. : B .. ... z c z-z 0 "' :f 0: c ... c :!!: ..J < u "':t O:a.. B d)IS-19 P) Zt-U () Zs+ 7. YEARS IN ......... S:a....'--------l YURS AT THIS LOCATION ---11i6 ..... ..jJiliiM0Jo.lt& ..... ..--------DATE Of LOCAL APPROVAL 9. AT THIS ADDRESS PRIOfl TO ( 3-9-72 ) YES ___ NO--X.__ IC GROSS INCO"E Of seJ f-ernp) oy.ed NfT INCOME OJ" ESTABLISHMENT-----------(_) 1l ELIGIBLE FOR SBD YES----NO __ x._ __ PRESENT PHYSICAL INFORMATION: 8) OWNER bJ LEAS BACK r) LEISE ()RENT :\)' u _______ B) LA'"----------------------------------; AMOU'' RE'T M0 R[O,:'! SPA::ES BIO' s:H t.C --------b)Orr "" ,c ________ 6 LOAD'"G A. STorr, __x._B. Doc C.. 0" S lEE [! ____ Jl. ALLE '------E. o or SPACES-------RELOCATION TRANSLCTIO"S D_, or ACOUISITIO' _.J_n..._.._--,=9;-aDAn MOVE ____ 3 AMOUNT Of MONTML.Y PAlO TO D.U.fi A S ------4 LE\UT!i Ql'" Tlt..tE. TO H.:..OC.AlE ArlER D.AT OF AC0U15.1T10N Moved to a.MORENTS Sub-leasl.ng not dis.cl.li: .... b. LNGTH Of LSE US LUSIE______ jg CO -.-"\ C. 1100 IN7 INCREASE S DECREASE S ---s a. t.1 u a--------------------= b. GROUND--------------------Z C. PARKING SPACES I) ON SITL-------------,. z Z) OFF SITE-------------Gl .. .. d. LOAD,.G SPACES------------------::: Sl 10 1 STREET_________________ iii;; ;:t;.,:;t----2. OFF STREET_______________ 3. "' 0 ALlEY----------------., f. LPA REFER;AL 'I'--------NO---------i 7 BUSII\ESS--------------E O.U.R.A FINANCIAL GRA ... TED EXPl\SES CIRCL.t: a) u""" sse, bl Soo S999 rl S'occ d) SY.l< S1!1'J'J t I Szoo S-19 b) S c) 1o.u f) zs+ r) 10." () zs+ TEMP B)ct-1 I') zo.z b) .. P) ZDZO YEARS IN 1. YEARS AT THIS LOCATION __ _./t.tyr.o"'.:;.... 2"-lmiD_.4!a..----OATE OF APPROVAL AT THIS ADDRESS PRIOR TO < 3-r-7LI 10 GROSS INCOME OF' ESTABLI!.HM[t.ll NO----Un!;_ l_J 11 NET lhCOM Oj: ESTABLISHMENT-----------(_) 12 ELIGIBLE fOR SBD YES----NO ..... B. PRESEPI:T PHYSICAL INFORMATION: 3 &.PIJRCHASE PRICE b. MORTGAGE $ ______________________ __ $ ______________________ __ C.MO. PAYMENTS $--------------------------------' LEASEILEASE lACK/RENT I 8. MO. RUT S lA, !1\ b. LENGTH Or LEASE _______ Yis. LESSIE _____ C. MO RENT INCREASE S DECREASE S ___ S B.N.U.A-------------------b. GROUND------------------C. PUKING SPACES I) ON SITE------------z) orr sm ____________ d. LOADING SPACES-----------------1. STREET _______________ I Orr STREET---------------a) OWNER b) LEASE BACK d)RENT 3 h ALLEY---------------r-A) N U.A.--9'-1-J E LPA REFERRAL 8) T. DISCONTINUE BUSINESS ___ Np.;OIL.----------3 AMOUNT MO RENT S E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED AMOUNT MO. RENT PI T.l 5-------,.--::-----5. PARKING SPACES B) ON SIT NO _.:olr,...;;-;;..olfL.----6 LOADING A. STREET b) Off SITE 110----:-7""-___ B. DOCK )( C.. OFF STEEET ____ D. ALLEY------E. NO OF C. RELOCATION TRANSACTIONS I. DATE or ACOUISITION_-:=--.,....,.--_. .... ------Z. DATE MOVE ______ l. AMOUNT OF MONTHH RENT PAID TO D.U R A S ------. LffrriGTt-1 OF TIME TO RELOCAT AF"TEA DATE Of ACOUISITION--------------------AURAR lA 1 MOVING EXPENSES CIRCLE 8) UNDER S 500 b) Ssoo S999 c) SIODO S1019 f) S UOD Sl919 g) SJOOD S:wt!t b) Sl50CI SJ1!19i j) S.OOD + AMT. $ ______ j) Szs.-AMT. ACTUAL MOVING EXPENSE s3; 2./lJ-..; Z. SMALL BUSINESS DISPLACEMENT PAYMENTS--------d) S1soo Slt!tt I') SZODO SIOI!I 3 UTTLEMENT oTHER S&Ac..t+al!lt s __ 5. TOTAL FINANCIAL ASSISTANCE .. OTHER INFORMATION: I. WELOCATIOf'li 8) ON SITl--.....;;;::-.t.II:!!D!IRESS----------b) OH SITE ... :t"' "' lD "'"' 1: 0< z a:o: : z "' "'"" w ...... ...1 '" 0 n ..

    PAGE 79

    :-: "" .... = ,. ;,;._ < .. ,-v; '. : .. ,.,,,:. J a' -----10. ,;, a: ... .. ; 0 ,.u "' ... "' 0 a: .,.., TRAD AREA CIP.CLE I. NO (lr [MPLOYEfS PERM TEMP ., ... d) 1!1-19 blw b) !1-9 e) ZllZ e) lo-u f) zs+ r) 10.1 () Zs+ YEARS IN 8. YEARS AT THIS LOCATION --1-'-------------D4l[ Of LOCAL APPROVAL AT THIS PRIOR TO ) 'I'ES ___ NO __ H!. GROSS INCOME or E!.U.BLISHMh1 __________ (_) 1l lltriCOM QJ ESTABLISHMENT (_) 12 ELIGIBLE roo SBD YES----NO----... 8. PRESENT PHYSICAL INFORMATION: ., u .... c z -----+-12 I < ::!: a: 0 ..J u a:;;: ... z "' .. a: c.. B 8) OWM 0 b) LEASE BACK C )LEASE :\l.u A 780 {6 llJcA't--------------------------------------/t.a.10t,.;.trr.; ... a.10 RE,.,. F" PARt\!h\:. SF-AC [ 5 lOAD aJo" s:H ,...\, -------b)orr sm ____ B. C. 0" S'lEEl ___ )l. A,.E>------E. c oF SPACES ______ DATE OF ACOiJIS!TIO"'----------------OATE MOVE 'OMPlETEtl --------------Of MQfi,TH .. R\"1 PAlC TO 0 U W A. or TO ArTER CAll OF /ICOU:St ... IO._ -------------------.. ... \ ... l L S3:lWdS !>NICYC'1 l L r D 6 ; ..... .,,,,,, ____________________ ----b.ltASl (', lf ASl d.R[NT l &. PURCHASE. PRIC b.-TGAGl 5-------------e,MO PAYMENTS 5----------------. LEAS/LU5[ IACKIINT &.MO. RENT 5---------------------b, LENGTH OF LEAS[ YRS. LESSIE _____ MO RENT INCREASE ------DECREASE S ----5 a. N U.A-------------------b.CROUND---------------------C. PUKING SPACES I) ON SIT --------------21 OFF SIT------------d. LOADING SPACES------------------STRHt _______________ ___ OFF StREEt ______________ 3 DOCK:----------------ALLl>-----------------LPA YE!:. _______ NO--------OSCO\l!t.UE SS ---------------0 u ASSISTANCE rxr E"'SES CIR'CLE al UNDER S>Oc bl Ssoc 599' dj S1soc 5,999 r I 51ooo 5z f) s '>00 52999 it) hi S3993 i) Soco + ... i \ ... t ACTUAL MOVING EXPENSE l. SMALL BUSINESS PAYMEN'" 3 SETTLEM\T COSTS S----------------4 OTH! R ------------TOTAL F"U.;At..::A:.. A!:!SISTANCE -------------F OTHER INFORMATION. TEMPOR&..Ili"t AELOCA.T\0111 I o SllE------ADDEss ------------bl OFF Sill ADDRESS------------COMME.I\TS ANC OR to s ::> 0 7 r 5 PERM EMPL AREA TYPE u c ..J "' .... a: ESTABLIS': "' "' z ., ...... .. .. ... .. ... D 1'1 ...; ........ t \ {

    PAGE 80

    1:.: a. "t": ;. .. ... : ... -.... .,,,., 1 ,, ,_, ..... Ryder Truck cw., 915 Lawrence hAVi .. MGJo .J j m Tb om a 5 !"";_. Rental ...:-(.;3 550 Bryant "" Denver sw Colo z" 80204 -----!"" Tl'f'E 0' S1AIS CIRC.U 0 1 !l 6 ; I G.suES b.LASE &Ac C.LEASE d.IINI ., N .,; II: .. .. 0 ,.u "' ... "' 0 II: '"" "' ... :1 .. e 8 ... 2 2 5. AREA CIRCLE 1 2 3 (!;) I 110. OF EMPLOYEES PUM. 81.. TEMP a) .. .. elzw b)w Z6-Z 7 EARS IN DNYER-------....il-ilo...!-r-------------8. YEARS AI THIS LOCATION---------=----------DAlE Or LOCAL APPROVAL AT THIS ADDRESS PRIOR TO ( 3.1.'7 z.. ) YES--J!___N0------10 INCOME or ESTABLISHME Jli'! 0 l> (_) 11 hE'T INCOME or A.. J:J (_) t: ELIGIBLE FOO SBD YES-----NO_.._.;.;:......--PRESENT PHYSICAL INFORMATION: Q ow.r b) LEASE Bc r) LlASE d) RENT PURCHASE Ptlc S .. 11.-TGAR C.MO. LEASEILUst AtK/tENl B.MO. lENT'-----------------b. LENGTH II' LEASE VIS. LESSIE _____ r, MO RENl IMCRUSE 5-------DECREAS $----5. a.Hu.-------------------------------------b.GROUND-------------------------------------C. PARKING SPACES t) ON SITE-------------l) OrF SITE------------d. LOADING SPACES------------------STREEI ______________________________ Z OFF STREEI---------------3 DOCK--------------------------------ALLEY-------------------------------.-\} U A -----....:!!.2io.r, -u.t?w,.(';'----------6 LPA REFERR., YES-------NO--------B}LA"'--------------------> Dsco-ruE aus,.Ess _______________ AV.OUI'Ioi t.AQ Fa,._! E 0 U R A Flrt.IANCIA:.. ASSIST-"NC( GRAf\TEO AMOU .... T MC Pi 1! s ______________________ __ MOVthG CIRCLE PARKIIIIG SFACES a) o SITE h<> -------- b1orr s.:r ,c ________ 0 .. "'1 c ill ... ""1-"'1 1-Hf----------Hg A. ''""' ___ _B. oo: C. OrF STEEEI ___ !). ALLEY-------1:. NO OF SPACES-------a) UNDE b) Ssoc 59!"; cl Stooo S1eo<; d) .St soo St!B!I r 1 S2ooo Szgg f) S HOO 5Z!t99 !! ) SJOOC 53099 h) Smc. SJ!m ;:,_ < z .. .. ... 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AooREs52f1-"2'i2 Wazee Oenve;r.DDREss2474 W. 2nd,Ave. ; NAME OF OW'E" OR .. G. Paul p. Stgele CITY Demrer S,.IE Co] a m 80204 I. TYPE. Or ESTAB CIRCLE 0 1 l j 4 s(!)7 ti Z &.SALES b. LEASE BACt\ r. LEASE S. lRADE AREA CIRCLE 1 2/b4 5 J. 8.PURCHASE PRICE 5----------------W!rf"NI 6 NO. Or EMPLOYEES PERM. a'fo-< fl>s-9 7 r) 16-1 b.MORTGAG 5-----------------d)lS.\9 PI zo-z () z5+ r.MO. PA,MENTS 5------------------TEMP a) o.4 b) r) 10-11 LEASEIUASE BACK/RENT d) 15-19 P) 26-Z f) Z5+ a.MO. RENTS-----------------7. YEARS IN b.LE11GTH OF LEASE 8 YEARS AT THIS LOCATION _./,_,"'--------------DAU Or LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO ) YES ___ NO----10 GAOSS INCOME or ESTABliSHMENT __________ (_) _______ YRS LESS IE-------C,MQ RENT INCRUSE S-------DECREASE $ ___ 5. a.N.U.A--------------------b.GROUNC------------------------------------C. PARKING SPACES t) ON SITE------------zi OH SITE ____________ C\;r ::1 2 "' ..... :1 \1 \C 8 ,, NET lfrvCOM OF ESTABL:SHMfhT (_) d. LOADING SPACES------------------" ,.. : B z ELIGIBlE FOR SBD YES----NO-----PRESENT PHYSICAL INFORMATION: a) 0W.ER b) LEASE BACK OEASE d) RENT A).uA AMOUNI MO RENI AMOUNT MO RENI P.l.l I PARKING SPACES a)o SITE NO _...,1! ........ :;_ _____ __ 6 LOADING A. STR b)OFF SITE N0-----.....,:----___ 8. DOCK ......-:= C.. OFF SIEEEI ____ n. ALLEY------[. NO OF SPACES--------RELOCATION TRANSACTIONS 1. STRE ______________________________ Z OFF STREEI---------------3 DOCK---------------:,:- 6 LPA REFEOIAL YES-------N0-------7. DISCONTINUE BUSINESS---------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. M()YihG EIPENSES CIICL f) S Z500 Sz199 8 l 5Jooo s .. ,. 5! a) UNDER h10 b) 5500 5tl9 r) Soao STet ,.n, z Snoo SB99 :r d) .$1!100 '"" i) S.ooo AMl S ---------l: n .. I ... .. ... 0 ..J 1. DATE OF DATE MOVE e) Szoao. szj) Sz5._. AWT. S--===-=--ACTUAL MOVING EXPENSE R, 1': ., ., Z. SMAU. 8USIME55 DISOLACEMENT PAYMENT 5--------------. --.. .._ -.. 2 .ijL.t r AMOUNT OF MONTHLY RENT PAID TO D.U R.A. $ _______ 4. LENGTH OF' Tla.IE TO RELOCATE AFTER DATE Of ACOUISITIO --------------------STTLMENT COSTS 5,..-...-----------""'\\r:;;;;:"""::."'o OTHER S .. S OJ'f.Jcq'l 5. 101AL FINAIICIAL S ____ .. F. OTHER INFORMATION: UMPOIIAIY ELOCATIOJirll ON -----DDIESS ------------u (..;

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    ! /. :-;.; t: :. ... :.. of Prooerty :: i .... ... ......... l :i45 lac5st Ceased 02eratior: 1: .... 1:.. :< : -----I'.A.'.J c o-. .. "'"' Hfii:n (. :,..r.!L (J) .. .:. ::. ... L t & 2 .. L b.n>l (', L[ a.S.l d.IH'-' 0 v 1 ,,! /. ) I l 8. PIJICHAS.l 'II([ i ..... .,... "' bl t') 10-U b. MORTGAGE ... 6 NO Of PERM a) o- s 21 --... -dln-19 0 n s "'('l e)IW& C.MO. PUMUIYS ..... TI"MP. a) o-o b)w c) .. uau/uan acK/IEifT n--n ::E d) e) J0-2 0 n a.MO IUT S i:: 0 "' .u 7. 'fEARS IN DlNVER b. UIIGTH Of LUSE YIS. LUSIE 21 cor,""('\ ltd ;.. 8 YlAIS AT THIS LOCATIOIII: c.wo lENT ltiCIEASE s DECREASE S ..... """' ... ... "' "' OAT OF LOCAL APPROVAL s 8.N.U.A. z3 0 "' ( JfU. I b. GROUND .... .. .., 9 ll THIS ADDRESS PRIOR TO Z"' ... -NO ____ (,PARKING SPACES 1) ON SIT[ .., GROSS INCOME OF ESTABLISHMfNT ( ) Z) Ofr SIT[ N' i 10. l,.tt1J. Nl INCOME OF [STABUSHM[NT (_l d. LOADING SPACES 11'0 ... "' 0 u ELIGIBLE fOR SBD NO 1. STUEt i!: 2. OfF S.TREEi .. ... I! PRESENT PHYSICAL INORMATION: z-a: ... ...; .., 6!:> l. DOCK ,_ .. z b) LlASE BACK c) LEASE d) RENT a: AU.E'\' "' .,-f c : ""'"' 6 LPA REF'ERRit.l YES NO z-" "' z Hi D lltH, ... z 7 DISCONTINUE BUS.IN!:SS "'E O.U R.A FINANCIAL ASSISTANCE GRANTED 0 .. u MO iOf">" "' "' .... ::; Rt ,: F ,t! MOVII\IG [XPl .. S.ES .:HfC ... E a 5,F:..-::S a 1 c.. r.o f)5 HOO S;m ... ,., al UNDER S50C I j b)Of' '0 gl 3: bl Ssoo 5999 S1ooo Sl-t% 0c .\. STRt.El ___ H. DOC < c) SiOO!;. 51.99 b) SJSO( SJ999 z I "' C. 0" ___ JJ. AUt. 'I "" ('" I ::< 1: d) 5150(' S1999 il SooG + AMT s "' Q. NC OF SJ:ACES. .. c e) 52499 jl Sz!..ooa+ AMT. 5 ;liC> or ... c i!: D.C."[ OF ACOUISITiOI'Ii NA ACTUAL MOVING EXPENSE s -' ...... .. OAT! MOVE COMPLETED z. SMAll BUSINESS DISPLACEMENT PAYMENT S u AMOUNT or MONTHLY IHhT PAIC TO 0 C Q A. s SETTLE .. C&n 5 Oi sj3'10.uo c:C:: TO AHOC.IoH ArTEQ OA":'E. OTH EO H li!U -z 5 TOTAl FINAI'I:CIAl. ASSISTAhC 5 I A t1r tc r.:-. ... 1 TEMPORA r TIOII. Q. I 0. ...... ..... c-.:.. a: 8) 0' SITE A ""'-I b) op: sn ADDRESS -- 2 COMMEJiriTS> ANOIOR REMARKS -i ...... "' .. :r I S3:lVdS S3:lWdS !:>NI01C1 lj St1 l.r-t=ViAWC tiC :l 0 I :l 0 L II B 35 sna ... r t I z L I z 6 I I z L I z I y 8 I z L I z z t ,.,"'! JSIO n r 1 r J H I I I I i D I F I A I I I I F [ [ D 6 5 9 8 7 6 5 YEARS I" DENVER TEMF Eh'PL PEFIM EMPL AREA TYPE c.: o:. AlPHA CODE J. N A PRH,T ESTABLISHMENT COMPOSITION C. PERMANENT RELOCATIOt; 09-08 ... .. u hA.._.E OF Schade's Reoair Service 0 l2'En SE. CEASED "' -' 1. ADDRrSS "' ADORES$ Vern L. Schade "' 3 or:; CITY STA'!E ZIF ... it ::.. TYFl OF ESTAE. CIRCLE 0 5 7 6 2 &.SALES b. LEASE BACK C. LEASE d.RENT 0 v TRADE AREA CIRCLE (j) l 3 t s ... 5 3. 8. PURCHASE PRICE :'" a: NO OF EMPLOYEES PEii:M b) 5-9 c) 1o-u b.MORTC'.AGE ... ,. 6 s 21 .. dl 15-T9 e) 2o-z f) zs+ C. MO. PAYMEifTS s "'""" \Jw0 "' .. TEMP t') ...... -LEASE/LEASE BACK/lENT uN0 ::E e) zo-zo 0 a.MO. RENTS C:: 0 N 7. YEARS IN DEirriVER .21 b. LENGTH Of LEASE YRS. LESSIE 21 .. -u ;.. 8 YEARS AT THIS LOCATION c.wo RENt INCREASE s DECREASE S .., ... "' ...... .. "' DATE OF LfAL APPROVAL S. B. N.U.A. .J 0 -7Ll "' ( b. GROUND ... .. ., .., 9 AT THIS PRIOR TO Z'""' w NO---C. PARKING SPACES 1) ON SITE a! .. "' 10 GROSS INCOME. or E.STABUSHM[NT 'S,.t> I!Q e (_) zl o SITE ,.._., N .., ::< NET INCOME. OF ESlABl.I5Ha.4.Nl (_) d. LOADING SPACES .,.o N .. 0 -u 12 ELIGIBLE fOR SBD YES NO 1. STREET "'"' ... i!: Z. OFF STRtET ... ... B PRESENT PHYSICAL INFORMATION z-.. ... .... ... ; "' J. DOCK "' z 8) O""NER b) LEASE BACK d) RENT "' AU.EY .. lD"' "' 0 2 Al.u A 6. LPA REFERRAL YES NO "' ::c' Z'""' N z B) LANC 7. DISCONTINUE BUSINESS .S "' RENT S =" C"' -c u ]_ AMOUNT MO E. D.U.R.A. fiNANCIAL ASSISTA CE GRANTED .. I: cr AMOUNT MO RfNT PI T.l s 1 .. OVING [IPENSES CIRCLE .. oo-,_ PARKifrriG SPACES o SITE NO a) f) S 2soo Sz999 .. '" "' UNDER Ssoo &A ) Off SITE NO g) hooo -53 J: b) Ssoo St99 0-.. A. B. DOCK < LOADING STPEET hi z -l! c. OFF srun ____ D. AU.EY c) SDOO-51499 C\:z: n -E. NO or SPACEs d) .Snoc S1999 i) S.000 + AMT s "' --.. .. RELOCATION TRANSACTIONS r) Szooo Su99 j) 525.-ANT s ;liC> z DATE Of ACOUISITIOh ACTUAL MOVING EXPENSE s "' -' ...... "" 2 DATE MOVE COMPLETED Z-.. l. SMAU BUSINESS YMEifT S '---' .. ;P,i l AMOUNT OF MONTHLY .ENT PAID TO D.U R.A s l. SETTLEMENT COSTS S +71 zt lA} L.tfiU QF ._. u :a .. LENGTH OF TIM[ TO RELOCAl ArTER DATE Of" -OTHER s ACOUISITION OTAL FINANCIAL ASSISTAtfCE s 1J a z r. ).7 '-' a( ,..,fll' N u u -... 1. TEMPORARY liE a: ... a) ON SIT ADD I .... bl --u u OFF SITE &DDIUS -----------------------

    PAGE 83

    It .. ... .. ,_ It ... .. ; 0 .u ... ::l 0 It .. ... -----';'-'-'--" .. -r...,,; f: "" __ : t L "" __ // .. ;. :. .. \;; z,, t. llH or CIRC..t ( < I. 6 i b,LEASE BACI( d.t[hT !I TRADE AREA CIRCLE 0 .: 4 S J 8,PUICHAU PIICE $---------------5. NO. Or EMPLOYEE5 PERM a) D-4 b) !1-1 C) ID-14 b.MOIITCiAGE 5-----------------d) l!i-19 e) Z...Z4 f) zs+ C. MO. PAYMENTS 5---------------T[MP a) D-4 b) S.l C) ID4. LUSEILUSE BACK/.ENl d) IS-19 e) ZD-U f) Z!+ a.MO .EN! S-----------------YEARS IN OENYER ------------------8 YEARS Al THIS LOCATION--------------DATL Of" LOCAL APPROVAL A': THI!t ADDRESS PliliOR TO ( ) ns ___ No __ 10 GROS!t OF ESlABLISHMENT __________ (_) 11 III[T INC0'-'4 OF STA8LtSriJroHN1 (_) z ELIGIBLE roR SBD YES----NO----b. LENGTH OF LEASE _______ US USSIE _____ C. MO ENT INCIUSE 5-------DECUASE $ ___ s a. u.A----------------------b.Goouo----------------------------------------C'.PAAKihG SPACES 1) Oh S.ITE -------------z) orr SIH --------------d. LOADING SPACES-----------------1 STREET ______________________________ __ ... ... :: z "'I B. PRESENT PHYSICAL INFORMATION 2 OH STREET ______________ c 2 c I :ll It 8) OWNEO bj lEASE SAC. \I' U p .. ov'' .,,. "'" \. S'!'HET &1<" S"' '0 -------blor< SITE O------,:-:;.---___ H. coo >( C. N' STlEE1 ____ [J. -"------L. 'c o scNIOVOl ,, J 0 I lS S,& L Z t l I r. z,rlv zr Ll11z:v l z z J 0 :::tU I I AREA TYPE U )i.HC.St-)1' u 0 A. PRESE"' ESTABLISHMENT ..... E o Refrig. Co. ooEss 1J25 Walnut Street ; ""E 0' OWNEO o MG< WiTi. ,t;. Sears "' -----!"-t. TYP[ Of' STAB CIRCU (I .: !I 6 7 6 ... "' ... ,. II' "' ..... ::1: 0 ,..u !!: r-::l 0 a: .. ... ::1: "'0 u e z .. S TRADE AREA CIRCLE 1 0 J C 5 i NO. OF EMPLOYEES PERM a) 0-4 b) !i-9 C) 10 3 d) 1!'>-19 e) zo-24 () zs+ TEMP a) D-4 b) 5.9 C) 10-14 (J d) 15-19 e) f) zs+ YEARS IN YEARS AT THIS LOCATION _..aaJ/IL.-------------DATE OF LOCAL APPROYo\L 9. A'r THIS ADDRESS PRIOR TO JA l Es-K-o __ IC GPOSS OF' ESTABLISHMENT IIAJI( ( __ ) 11 NET ltrrwCOM 0'" SlABL.ISHM[fotT (INit l_l 12 [!..IGIBLE roA SBD ----PRESENT PHYSICAL INFORMATION 1 b)LEOSE z. :\ ,. u.A BACK C) LEASE s, LO.D IJNI( u ,_::: l AMOUNT MO RENT < 4. AMOUNT MD RENT P.l.l.l 5------....,.-------C t;; S PARKING SPACES a) ON SIH NO _,If._ ______ b)OFF SI!E NO _______ ------Higi::l 6 LOAD.-G A. STREET B. DOCK C.. Orr STEEEl _____ D. ALLEY __ M'-. ___ __ .. -1!!: E. NO or SPACEs ______ C 1 RELOCATION TRANSACTIONS DATE OF ACOUISITIOh .J. "'"" 7..! Ei: Z. OATE MOVE )I 3 AMOUNT OF' MONTHLY RENT PAIC TO D.U.I.A. 5------I LENGTH OF TIME TO r.E:..OCArE OAT Of __ ..._ __ :A liB & 11111 -D PERMANENT RELOCATION 06-04 1 C. LEASE d. RENT b,LEA$E. BACt< l. a. PRICE $ b. MORTGAGE .... C.MO. PAYMENTS 4. LEASE/LEASE BACK/UNT a.MO. lENT 5------------------------------------b, LENGTH OF LEASE _______ YRS. LESSIE ______ C. MO. RENT INCREASE $ _______ DECREASE$ ___ 5. a.N.U.A /1.11/ID b. GROUND I. (IIQ C. PARKING SPACES I) ON SITE Z) or SITE d. LOADING SPACES _.,.,w. ... --------------STREET ______________________________ __ Z. Orr STREEl---------------3 4 ALLrY----------------5 LPA. REERRAL YES----.,.. .... -NO--..oiXI!L.-----7. DISCONTINUE BUSINESS ____ il ... _.(JL-----------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CI8CLE a) UNDER SSOCl f) S ZSOCl 5Z999 b) SSOCl. 5!199 g) Slooo -S:TA!IIt c) 51000 $1099 b) 53SOO -S:mt d) .Suoo. S1999 a Sooo + AMT. 5, '"''" v Szs.oooo AMT. s __ -=,......,,.....,.,_ ACTUAL MOVING EXPENSE sct;Ati.ff/ Z. SMALL .USINESS DISPLACEMEIIT PAYMENT 5--------e 1 Sz1100 -52499 3. SEnLEM[Nl COSTS 5":':'':"::::--------:-;;nT"r...---4 OTHER 'M"' s NllD 5 TOTAL FIANCIAl ASSISTANCE S 4111."" F. OTHER INFORMAnON. 1 IELDCATION I .. "' .. N N Si------"'"' ,., :II "'"" .. _, lg .,. ;., .. '.... ) !! ;:: Cl z:: ,.,.. .. z ,.._., ,.n U>C "'"''" .. N u;; .. ... .. =i ;;:-.. 0 .... J: 1: i c:> z n ,., .. ;lie:> z "' ..... ..

    PAGE 84

    __ .. .. --:.. ... : k a: ..... :,...... .. --'-.:.ce __ :.,_ ....... .. ......... "-Au i. 'i; OYt !\ i 05-______ .:;..:.'.::,:;_:........;!:..';.:..L='.:.'-0._. ----------------1".c lYH OF E.STAb CIICd 1 2 5 f 7 8 "' rr "': a: .. .. ; 0 .u "' ... ., 0 a: .. ... .. e ....... ... z 0 z-.. 0 :r. So TRADE AREA CIRCLE 6 110. or EMPLOYUS PUM 2. J .. s dl 11>-19 bi !H r) zw c) ,,..,. f)zs+ .,..J,.. TEMP 8)o-& b)W C)ll>-,. d) 15-19 r) zw f) n+ 7. YUIS IN DENYU-....114,.._.15,D.Ik:a..A&...y------------8 TEARS AT THIS L()C.AliOh _.;; ...... ""'lc-.... .a---------DAll or .J..OCAL APPRO'VAL 9. AT THIS ADDRESS o TO I ..3 'f 12. l 10. GROSS INCOME OF ESTABUSHU[NT ( __ ) l1 h INCOME Of ESTABUSHMI.hi .... 1z EliGIBLE Foo SBD YES----NO -B PRESENT INFORMATION: tM<'\Ic. 8) OW,[O bl LEASE BAC". c) LEASE d) RENT A)' u ..... I; f .... 5 ___________ .. L="------------AW::l-.' .... -.tC F\t F.,. a 1 o. '"' ': __ _. .. ..., ........ L,.,'------z blo" s"' =------------------H,Q t LCS.[Io,c, -\.. ____ B. oo:..-; ( .. oo' SlEL['----JJ. ALcE>----------,.. l.. a: }.. hO S.PS.CU: -----------C RELOCATION TRANSACT!Of>S 1 DAlE OF ACOUISI'oO g-:A <1-7..3 5 2 DATE MOV[ 1i1;= 2)![ AMQlJp.;':' Cf MONTH;. Y PA.t[ TO 0 lJ;. /1. 5.----------"':t O:o. z ... "' .. a: c.. 6 (I!" TIME TC OAT or AC0U1 SrltO"' ------------------------------53:lVdS !lNIOVO, l L :..:..'-___ __:_ __ ___:__--=..::...:. .:.....; = .. 1040 so..Lt:-. Fo.x St.. c"' be:-:.ve.r, sui( Co .... o, .. Svi.23 2 8. SALES b. LEAS 8ACK C.UAS d. liN! J. a. PURCHASE PRiCE $ ______ ___ C.WO. 0 LUSE/UASE 8ACK/tlNT 8.100. RENT 5 ____ _,,....,_,,...4.,..,'----------b. LENGTH or LUSE _______ YIS. LESSIE------C. 100. RENT INC RUSE S DECREASE 5---8.N.UA-------------------------------------b.GROUND----------------------C. PARKING SPACES 1) ON SITE------------------------2) orr SIT-----------------------d. LOADING SPACES---------------------------1 STRE E '-----------------------------2 OFF STREET-------------------3. OCKK------------------------------- LPA RH [ .... DISC:ONilhU E BU SiJrrtE S. 5 ___ ,LD:....----------------------E. D.U R A. FINANC1Ac ASSISTANCE GRAf>TED MOVING [JPEfiiS[S. CIR'Clf -a) uDER Ssoc b) Ssoc 5!1;'; c) Soor 5.,,., d) Ssoo S1999 P) 5zooo 524'l'l fl 5 2!100. 52!199 5300( 5,. .. b) 5mo. 53!199 i) Scooo + AMT 5 -------j l Szs.ooo+ AMT S ---==-='7".-::. ACTUAL MOVING EXPENSE l. ShtAL ... DISPLACEMENT PAYMEN"! 5-------COSTS 5---------------------------------< OTHEO ------------5 TO!Ac F ,.AN:OA ASSISTASCE S .fc..!....,J ... '-'()"'-:.0 B) b) 2 THER INFOR"4ATIDN l[ 0' ----------------SITE COMYEfliTS AND.'OR REMARK5 __________ .....;;;::::.--=---lN31'1Hd I!C' lt.3t! ,, -,-l!il c :. .. '"'-'I 1-H-----:!!:; ..... z:: Z"'"' a! .. 0110 .. "'"' 0:1-io:+-----.. -.... 0,. "' 3: J: 0< z C'l:t "' z "' ...... w .. c n .. sne l v B l L l L l H A. T COMPOSITIC\ 0 PERMANENT RElDCATIOt; 10-0 5 N u 0 ..J ..... E oF ESTAec s""[" Sk Pilots of Am. ocrss____,__,l 0......,.3'-"'-9 j hAJJ! or MGJi __ ... E...,.l..,m.._...e ... r..__...""....,,.S...,.a....,c .. AoDuss .,; ... .. ---------lg: .,.; a: .. N "' N ., ... 0 ,.u ... ::: 0 a: CD ., .. .. e ... .. ... z TYPE OF ESTAe CIRCLE < : 2 J < 6 7 (j) .... -, S TRADE AREA CIRCLE 1 2 3 f:l fl//4. 6 NO. OF EMPLOYEES PERM b) 5-9 C) IO-U N/A d) 1>-19 20-zo f) zs+ TEMP 8) 1).& b) 5-9 C) 10-1 _...d) 15-19 r) ZO-ZO f) 7 YEARS IN DENVER __ _,(L,__,r------------8. YEARS AT THIS ----1-------------1C 1Z DATE OF LOCAL APPROVAL I l AT THI$ ADDRESS PRIOR TO GROSS INCOhll or ESUBLISMMPH -f(_) PliET Of ESTABLISP4ME"-'!" -f(_) EliGIBLE FOR SBD H S-----NO-------B. PHYSICAl INFORMATION: f)lEASE 9 B) OWNER b) lEASE BACK ., F MO REN' AMOUM MC RENT P 1.11 5-------------PARKING SPACES filii(. 8) 0' SITE hO ----------6 ---+-i;:l LOADING b)OFF SITE NO ________ A. STREET B. DOCK ... .. !" .. ).,! 1. C"i 2. .... ., z .. C.. OH STEEET _______ D. LLEY------E. NO OF SPACES ______ RELOCATION TRANSACTIONS DAH OF ACOUISITION ______ _.,I(IJ .. A..__-:;;-:;;r'31111T---DATE MOVE COMPLETED _________ ... L:..If',.;:;_.f. .. .. L----AMOUNl OF" MOfliTHLY RENT PAID TO D.U R A 5 -------------LENGTH Of TIME TO IELOCATl AF"TER DATE OF ACQUISITION----------------------------CITY STATE--------ZIP------2. &.SALES b.LEASE BACK C.lEASE d. RENT 3 &.PURCHASE PRICE 5 ------------------b. MORTGAGE 5------------------------------C.MO S---------------------------------0. lEASE/LEAS BACK/RENT 8.MO. RENT 5-------------------------------------b. LENGTH or LEASE YRS. LESS IE ______ C. MO. RENT INCREASE 5--------DECREASE 5 ___ S. 8, N.U.A --------------------------------b. GROUND---------------------------------------C. PARKING SPACES 1) ON SITE ----------------------2) OFF SITE -------------------d. LOADING SPACES---------------------------STREET---------------------------------2 OH STREET-------------------3. AUEY------------------------6. LPA REFERRAL YES ---:-........ r--110---------7. DISCONT;NUE BUSNESS ___ i1!!!t.!s!!....--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES CIRCLE a) UNDER Ssoo b) 5!100 5999 c) Sooo s,." d) .51500. 51999 r 1 S2ooo Szgg f) S Z500 Szll!l I! l SJooo b) SJSoo bl!l9 j) S.000 + AMT. 5---------j) S.Zs.-AMT. $ ____________ ACTUAL MOVING EXPENSE S _______ Z. SMALL BUSINESS DISPLACEMENT PAYMENT$ ________ 3 COSTS S.,..-,r::.------.,..,.-,.....,r.o.---c OTHER .jltl Lltw rUfll.D. Ill S. TOTAL .. NUCIAL ASSISTANCE S "'lllitJ ff F OTHER INFORMATION AURAR IA .._, ...) :) us;: RELOCATION ADDifSS -----------.. .. N N Sl-----::t'" '" :a "'"' 1: 51-z Cl:t '" .. z "' ...... ... ... 0 w .. ... .. .. c n

    PAGE 85

    ---. ----. ___ _.-.. -''----=-..: .... 1 __ __: __ _, __;_ ____ _L ____ .:..; :..;---.-T""I------!." ........ .. or It .. .. 0 .,u "' ... "' 0 It ., .., ....... 8 ... z ID :z ----+i-tS: I I 0: 0 c z Sr.-.,...;. t"..-e s1f;oenve.r ... 1245 Wazee Market Ben Smart..(owner! ""' Colo.,,.8o2o2 cr [S,.AF. t o .c t TPA.D AREA ClllC1..l 0 i 4 6 NO OF EMPLOHU PERM If} ... I d)!S.19 TEMP ,., ... rl zo.z b) S.9 r) .. ,. f) Z5+ 'tl"j YEARS IN DENVER _./..,0"--:;or-----------YEORS AT THIS LOCAT!Oh --'"2'--------------c) ..... f) n+ r) zo.z DATE OF" LOCAL aPPROVAL i THIS ADCIUSS PRIOR lO ( I YES ___ ND--10 GROSS INCOlril or ESTABUSH'-4PiT ___________ ( __ ) 1' fiiEl INCOME ESlABLSMt.A[N"! (_) z EliGIBlE roR SBD YEs ____ No -----PRESENT PHYSICAL INFOIIMATION a) 0"'" b) LAS[ BACh A\'"' DA l PUICHAS [ b.IIOtiTr.MoE r. MO PAYMENTS b.LilS ('.LEA Sol d 5------------------------s ______________________ __ s ______________________ LUSE/UASE ACK/IENT &.MO. lENT 5------------------------------------b. LEIKiTH OF LEASE ______ YIS. LESSIE ____ C.MO. RENT INCREASE S DECREASES----5. a.N U A-----------------------b.GROUNO-------------------------------------C. PARKING SPACES !) ON SIT---------------z) OFF Sl!l ---------------d. LOADING SPACES------------------1 STRE __________________ Z OFF STREET ______________ J DOCK-------------------- ALLE"t------------------t LPA. 'I'ES.-------hC---......... ""''-----7 BUSI"'[SS -------------------[ O.U R.A FI .. At.:CIAL ASSISTANCE GFIAtFF SITE AOuRE5S -----------2. COMMEt6'!S ANO.'OR REMAII'KS ______________ ,_ I ol----"' :D "'"('\"'("\ c z o :::t r C"' tr' z "' ,., .., .. I j r 1 z r L 1 z r I v 6 I 1 z r t L j 1 i z 1 Y B j1 z r t L 1 z L z H J I I _I 1 I F l I < u j I ,. I .n c: -----!"" : not Or ESTAE ClfCCi..E c i. .; :. 2. LSOLES b.LEASE BACK d.RENT 3. B. PURCHASE PRICE 5 _________ ....:::======-:::_-... .. .. .. .. .. -... or. 0: .. ...... ::E 0 ..,u ;!: "' ... "' 0 a: .,.., "' ::E "'e z lrt:AD AREA CIRCLE O; s 6 NO. OF EMPLOYEES. PERM b) s.g r) zo.z b) S.9 r) zo.zo r) .. ,. r) zs4 c) .. ,. r) zs+ IC TEMP d)15-19 a) c.. d) 15-19 YEARS IN OENV[R------..;:------------YEARS AT THIS LOCATION ---3 .... ----------AT T"iiS ADDRESS PRIOR TO DAl OF IACAL APPROVAL ( 3-"7-73-j NO-----GROSS or ESTABL.tS'"IMENl W ( __ ) 11 NE"! ti'IICQM[ or -----------( __ ) z EUGIBct ro SBD YES----NC -----b. MORTGAGE 5--------------C.MO PAYMEmS 5--------------------------------. LEASEILEASE lACK/RENT Cl.MO RENT):> /2 s: OO b. LENGTH OF LEASE YRS LESS IE-----C. MO. REm INCREASE 5-------DECREASE $ ____ S. f.PARKING SPACES!) ON SITE-......IC .. AL;/ __ "'-'AJ'-"",._z) OFF SITE----------------d. LOADING SPACES-------------------STREET-------------------------------...... 5 ... PRESENT PHYSiCAL INFORMHION: b) LEAst BACK e) LEAS l on STREET _______________ 3. DOCK----------------------------------z ID z 9 A l.u _____ __ MO RENT AMOUN"'!" MO A[Hl P ll.l S------------PARKING SPACES .. a) O S!TE NO --------b)OFF SITE NO _______ __ f. A. STREET B. DOC 6 LPA UFERRAL YES-------NO-------7 DISCONTINUE BUSINESS---------------[. D.U.R.o\. FINANCIAL ASSISTANCE GRANTED 1. MOVING EJPENS.ES CIRCLE a) UNDER 5500 bl Ssoo 5999 0 S Sz1199 g) Slooo hott C.. OFF STEEET ____ D. AU.EY--------g E. NO OF SPACES-------l') STDOO S1099 d) .Suao s.,., r 1 S.Zooo Sz h) SJsoo. s-' j) Sooo + AMT $ _______ C 1 RELOCATION TRANSACTIONS DATE OF DAT MOVE COMPLETED ___ _,,,_.I: __ ... j) Szs.ooo+ AMT ACTUAL MOVING EXPENSE S / ..I.Jil Z BUSINESS DISPLACEMENT PAYMENT 5--------l. SETTLEMENT COSTS 5---------------OF TIM[ TO RELOCATE ArTER DATE OF OTHER-------------$---,,...,.,.-,,....-,,.... .. ACQUISITION--------------------5 TOIAL F!NAhCIAC ASSISTANCE $ _______ ,.,,_,. ..... _.4..._. ...,.,_,&.. Or MONTHL 'I' lENT PAID TO D.l.l R.A s ------------------.,..-..--;;r"iiii:--:Jir'-. .. ., ,,. ATION: AU R:A RIa ....;;;::---=-----bl '.)F'F SITE _____ ADDRESS _____ "' .. N N ol----CD II> "' :D "'""" '-:111'"-J .. .. 1: 0< z ""' ,., .. ;:"' z "' ...

    PAGE 86

    .. N ., .. 0 '"' .. ::: 0 lt ., "' "' ::!: .. e ..... ... z "' 0 z""', "'" _.,., .. Sl?eer Furnitur(; 1114 Wa 'nut Co .. ,.,, : o; TYPf Ql ESTAECIPC.L[ 0 i z(j t !I t ; 6 5 TRA.DE AREA CIICLE r,')z J. 5 I. 110. Of UIPLOTEU PUJ-"" TEMP dl 1>19 a) o-o d) 1>19 b)s,.e rl b) >I r) zo.z c) 10.1 f) n+ c) f) l!t+ ; __ ----_: D.ft.TE pt LCAJ.. APPROVAL ( ) 9. AT HilS ADDRESS PRIOR TO 10 GROSS INCOME or ESTABLISHME lilT D d (_) 1\ hET INCOME OF ESU.BUSHMENT -----------(_) 12 ELIGIBLE roo SBD YES----NO __.X..__ B. PRESENT PHYSICAL INFORMATION &} OWNER b) LEASf BACK d LEASE G:l.R"-11 ____ _________ H "'' ----------,C""'l,..--,.,..,,..----------------- MO" '. "Co AE ,. ___ ..;l::...lo..::S'-!.'-lO,_,O,_ ______________ AMQiJ'I.T MV A[,_, '!:' s ________________________ lll0' s:H ... ::::. -----r--- ,." 1 7 3 6 c"' Detlver :t. sw. o ,,, 2 a. b. LEASE BACk d. RENT l 8.PURCHASE PRICE S --------------b.MOITGAiiE C.IIIO. PAYMENTS __________ I. LUSE!LUSE aACK/IUT &.MO. lENT 5------------------b. LENGTH Or LEASE YIS. LESS IE------c. MO RUT INC RUSE 5-------DECREASE 5----5 a.Nu--------------------b.GRouo---------------------------------C.PARKING SPACES 1) O SITE--------------21 0" SITE ____________ d. LOADING SPACES------------------STREET _______________ 2 0" STREET ______________ 3. DOC<-----------------------------6 LPA REF!OAAC YES--------NO--X"""------DISCONTt,.U ----------------0 U FINANCIAL ASS!STANCE GRANTED MOVING EXFE..,SES -CIRCLE c: iD ,. "' .. -,.... .. 0 no ,. .... n .. o .. !'"\"'("\ ... .. .. .. f) 5 zsoo 5Z99' 31: 2 I < ::!: c: blO" SITE NC ____ -"4!.... ___ ____ 1:1. ][ L orr SHEE1 ___ ll. AcCEY--=----&) UNDER Ssoo bl $sao. (') SlOOC-It l 5300< 53499 S1 -0 h) :::t n .. ,. .L N .. a: -----t"' N ... N ,. H ........ ., :: c E. o oF scEs __ _.x'"----RELacATIDN TRANSACTIONS DATE O ACOUISITION ___ _____ d) .5c sot S1999 r I SIOOu 52499 i\ ::::::. ::: ., ACTUAL MOVING EXPENSE S 4 4 B 0 0 "' DATE MOVE COMPLEHD ___ 9"'-L-_s..._._._,'l.c....o3L--------"'... "" s ______ SiotALL DISPLACEMEf\IT PAYMENTS H-+---SETTLE..,EN1 cosTs 5 Search 9 I. 30 2 ,; "' c: c. TO D U Jf /. LEhoGTH Qr TIME TO ArlEF nAH or A::OU:SITO' l [$[-, r 6' I. .. S3:>vdS 5 OTHE 10TAC roN .. CIAc ASSISTA.CE S s 53 9 o 3 0 OTHER INFORMATION TEMPORAR"' RELOCATIO'Ii B) o, SiTE------ADDRESS-----------b) ':IFF SITE ______ ADDRESS ------------2 COMME'IiTS ANO.'Oii REMARKS-------------fSfl J a 8 z 4 I z z 1 H I ,, sno YEAR5 1,.,; TEMP PERM EMPL AREA TYPE ALPHA CODE/ A. PRESENT COMPOSITION D PERMANENT RELOCATION 1 u o Eme,,sm' Electric z Accm 1127 lO __ t_ PliAM or OWN(FC Qlf MGI= Norman Spitzer l TYPE. OF' ESTA6 CIRCLE 0 2 3 t 5 f, 7 8 1. ADDk5s 6601 N. Washington CITYuenver STATE Colo. ZIF ____ 5. TRADE AREA CIRCLE (!) 2 3 S 6. NO. or EMPLOYEES PERM C!!l 0 d) 1>19 b) Sl rl 2o-zc b) S-9 e) zo-z 2 &.SALES b.LEASE d,J!ENT Q.PURCHASE PRICE S flAc.A-C) 10 b.MORTGAGE 5-----------------------------f) zs+ C.MO. PAYMENTS 5-----------------------------TEMP a) o-o d) 1>19 c) f) zs+ 7. YEARS IN DENVER------...,.'7""---------8. YEARS AT THIS LOCATION ___ 9. AT THIS ADDRESS PRIOR TO DATE ( J. "'(" ) 10. GROSS INCOME OF ESTABLISH,..EN: ___________ {_) 1; NET INCOME OF' ESTABLISHMEN-: (_) 12 ELIGIBlE roo SBD YES-----_.,>c..,.. __ PRESENT PHYSICAL INFORMATION: LEASEILEASE BACK/RENT 8.MO. RENT 5------------------------------------b.LENGTH Or LEASE YIS. LESSIE _____ C.MO RENT INCREASE 5-------DECREASE 5-----5. 8. N.U.A--------------------b.GAOUND--------------------------------------C, PARKING SPACES 1) O SITE-------------21 OFF SITE------------d. LOAD,_G SPACES-----------------1. STREET---------------------------------2. Orr STREET ______________ ,..;:, l DOC<---------------,;--b) LEASE B.C C) lEASE d) REhT AI u 6. LPA REuLA";.EE:-:_-:_-:_-:_-:_-:_-:_-:_-:_-:_-:_-:_:_--.o--__ ------: .. 8)LANO ____________________ 7. DISCONTINUE BUSINESS----------------I. 3. ..<:.oNT MO RENT 5 E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. EXPENSES CIRCLE PARKt,_G SPACES a) ON SITE o ---------.. .. b) 0" SITE NC --------.'\, STREET B. DOCK z 2 i. LOADING a) uDER Ssoo bJ Ssoo. St99 0 5 2500 52!19!1 1: g l S1ooo 5ulli 51 i C.. Orr STEEET ____ o. AU.EY------E. NO or SPACES-------RELOCATION TRAN'!>ACT';o';,.j 8 _.,2 ... ':!l-.e.___ w._ L3. AMOUNT or MONTHL' tENT PAID TO D U.R A. S lf//,,1/I UNGTH Or TIM TO R". :>CAH ArTER DATE OF ACOU1SIT10' -------------------c) S1000 $1 ... h) 53500 53999 :z: il Sooo AMT. S --------:..,, C'l d) 51500. 51119 r) 52ooo 5zctt j) Szs._. AMT. 5--...,.r-""'R'.,...or-"' ACTUAL MOVING EXPENSE $1 r B Bl, 8 I= ... TlMPORAIY RLOCATIO'-l ON SIH------ADDIUS ------------I .. .. .. '" n

    PAGE 87

    -1 i-"' -L. '\ Schoo.:.. ---------------r-r-1 I !-..; ,.-.. _________ ... _, __ _...!-\.1.-J' '-'' .... r. _________ ( --------S.L-l------1>1 -----I -----lC. .. "P!.. or E STAE 3 .: t. b 2 b.t ElSE BACt. C. LEAS d l:r.:._ v. a: ... .. 0 .,u Ill ... ., 0 a: a>C> ... :f "'0 u ... ,_ i "' z i .... I .. 1'R,.Dl AREA 1 1 3 t 6. NO OF ,ERM d)15-11 a) o-o d) biS-t el b) 5-t e) zo-z c) 1t-1 f) n+ c) 1t-11 f) Z5+ TEMP 7. YEARS DE NYU------------------YEARS AT THIS. LOCATIOh ---------------DATE OF LOCAL APPROVAL AT THIS ADDRESS PRIOP TO l vrs ___ No __ 10 GROSS lfotCOtwtE or ESTABLISHtr.llENl __________ (_) 1\ NE! INCOME OJ ESTAEILISHM[P,":' (_) ELIGIBLE o SBD YES----NO----B. PRESENT PHYSICAL INFORMATION: biLEASE BACK c) LEASE d) RENT A i, ----------------B_i":-----------------AVC;J,":" ... V Rt.\' 11'-'!0:.:-: f.. !; a.J or. "" = ---::-:--------b)Off ST! ______ :\. S.'!'ll'l n R. C. orr SH.HT ___ IJ. ILLEt ______ E. 1>4::' or -----RELOCATION TRANSACTIONS CATE o ACOUIS:', ___ ___ OAH MOVE C0'-4FLETEL --------------OF PAIC TO U U R /.. s _____ OF TiM[ TC r.tEt.OCA:f Ar"HR r-t..T[ or A::OtJISTIO .... -------------------I :: G I I l I L .. e 1 z I 1 ? J A.PLIRCHASE PI,Cl b.MOITfoAGE s ______________________ __ 5----------------------C. MO. PAYMUTS s ______________________ __ I. LEASE/LEASE BACK/RUT a.MO. lENT 5-----------------------------------OF LEASE YRS. lSSIE _____ C.MO IEN1 INCREASE $ _______ DECREASE$ ___ 5. a. N.U A--------------------b. GROUND-------------------------------------(',PARKING SPACES 1) ON SITE-------------2) 0<' SITE------------d. LOADING SPACES-----------------STREET---------------Z Off STREEl---------------3 AUE>-----------------------------LPA RE t .1 Szooc: Stc99 f) S -Szm fr) Smt S;gg b I SJSo: il Sooc AMT s ______ jl SVNSt. Rose Residence Aoo, s !:' => 2 -I 0 th street ,_ ADDRl ss N N ..... Of o M(.' CllY ChicagosTATE __ I ...... l_,l ....... _ziP 5061 a t. -CIRCLE!IOZ 3.:!: 7 E d.RE.NT et----"' ... .. "' ... ... .. .. ... N ... a: ... ... :f 0 "'u Ill ... Ill 0 a: .. (.? "' TF'I.O AREA CIRCLE (!) i 4 S 3. a. PURCHASE PRICE 6 NO. Of EMPLOYEES PERM a) D-4 bl > r) 10-14 b. MORTGAGE S---------------I,A.'tl,/<. d) 15-19 e) ZD-ZI f) zs+ C. MO. PAYMENTS 5---------------TEMP a) 0--0 b) >9 C) 1D-14 I. LEASE/LEASE BACK/lENT OAT OF l.:QCAL APPROVAL ( 9. AT THIS ADDRESS PRIO TO dJ 15-19 e) ZD-ZO f) Z5+ a,MO. RENTS-------------------7 YEARS IN DENVER 44.tlj; OF lEASE -------YRS. lESSIE _____ B. YEARS AT THIS lOCATION ---"=ijJ!O'--=-----------C.MO RENT INCREASE 5--y-----DECREASE $ ___ 5. a. N.U.A. _____ _.I .. fM,_...,c_:__ _________ b.GROUND------------------------------------NO 10. GROSS OF :f 11. f,Q, 8 ,... B ....... 1\E":' INCOV.l OF ESTASL!SH'-4UtT -----------(-) C.P,t.RIC..UtG SPACES 1) O'i SIT------------Z) or sm 'T"'----------d. lOAD"G SPACES --.1.( .. .. ... z E!.IGiB .. F"QA SBC Hs ____ No ----PRESENT PHYSICAl INFORMATION. b) lEASE BACK c) LEASE d) RENT STREET--------------------------------2.. OFF STREET--------------A) h.U.A .. ...... ___________ 6. L,. REFERRAL YES _______ II() __ .. .,.-::_ ____ B) 7. DISCONTihUE ----------------3 OCKK----------------------------------4. 3 AMOU_, MO RENT 5-----.II'MIIEIIII' .. _...._ ________ E. D.U.R.A FINANCIAl ASSISTANCE GRANTED < o>-"' MO RENT P.l T I S------------S. PARKING SPACES &.Jl)ON SITE hO --------"''o)orr SITE NO ________ LOADING A. STRrrT. ____ H. DOC ; C.. OFF STEEET ___ D. AU.EY E. NO or SPACES------.. DATE Or ACOUISITION ___ C RELOCATION TRANSACTIONS 2. DATf MOVE COMPLETE[) fi--I 3 3. AMOUNT OF" MON'!HLY R[lr!IT PAID TO D.U R.A 5------I LffrriiGTtl OF TIME TO RELOCATE AF"TER OAT[ 0' ACQUISITION--------------------A.URARIA,____ MOYING EXPENSES CIRCLE a) UNDER Ssoo b) Ssoo St99 c) S1o00 Su99 d) 51500 51999 0 5 lSOO SZ999 g) S300C Sl.t99; b) SJ99!i e) Szooo Sztt il Sooo + AMT S ------j) Szs.ooa+ AMt. ACTUAL MOVING EXPENSE S q,, .Z.Z Z. SMAll BUSINESS DISPLACEMNT PAYMENT 5 3. f.OI S 'f OJI,, /' OTHER S64.CCH"" s 5 TOTAL Flr.ANCIAi.. ASSISTANCE S /.:l. 0 1. TEMPOitAIY iOfll a) o s1n hi orr SITE -cuss ___ :z:.. ... "' %1 VI .... '-W-c :., .. J,.Hr------z::: ,._ Z"'"' "'Z r-,.n 1110 "'"'"' ... w .. ,_ .... Z,..CJ': .,.z o .. l: 3: 0c i t:>:z: w ... "' .. n .... ; \.J

    PAGE 88

    i !:;i ,_ I j.-1 __ ... __ ,.... .. .. "' "' > a: .. .. ; 0 ..... "' .. "' 0 a: .. ., ... ::1: .. 8 ,.. B "" z ... -:. -. .. ,:v: : t,;A.I.If ( l'rPf Ql LSTAf CIA::;.! 0 Z 3 t HADE CIRCLE 6tJ 3 6 110 OF EMPLOYEES PERM. a) 1).4 ,,, TE .. P a) 0--4 -d) c), .. ,. 0 zs I0-1 0 Z!+ 7. YEARS IN DE NY E R -------.--------------------YEARS AT THIS LOCATION __ ._1_.71--------------------DAlE Al THIS ADDRESS PRIOR TO ( J !' ) 10 YEs_L__oo __ GROSS INCO"'E or STABLISHME-' IIIII. (_) 1l NE'l INCOME Of l.S1ABL!SHMEN1 !INIC. <--l 12. ELIGIBLE FOR SBD YE>----NO --------PRESENT PHYSICAL INFORMATION c) HAS d) RENT 1 E-!;> b) LEAS< BAC :\ J'" ______ ll) 'A,,. .Avo:..; ... .. Fa .... --------------------------------.u .. wo.. ... "t' T: 5 ________ s::< = _..5 .. /J..._ ___ ___ b) 0" s '" "" --------,..--------.-\. STFlE' ________ B. DOC )(' (_ C" STEEn_l!__) J. 'LLEY __ ..c)(::-::------1:.. hC 0' SF.ClS __ ,;;S;,_IJ .. "' ::E 0: 0 c ;!: ...J < u r-=:;:, z > "'"' Ito. RELOCATION TRA"'SACTIOI'>S DA H O ACOUIS:TIOt. ..... .... ------------0A H. [ C(H"P i..[ ":'E 0 LE"-GTH TIM[ TO HLOCioT t.r'![r;; or UIS. A COV! !TIQo., ---------------------------'.;!_..__...:.;"1'';...;::...:.,._ V.. 5lt:O Cook Street c, Denver Colo 1 80217 C.LAH d.RENT l. cr S ... '511=::-------b.MORTGAGE S .... -C.IIO. PAYMENTS s -P. LEASE/LEASE BACK/RUT a,MO. IEIIT '-----------------------------------h. LENGTH OF LEASE -----------YIS LESSIE ------C, MO. lENT INCREASE $ _____________ DECREASE S B. N.U.A lftii/IJ b.GROUND---------------------------r.puKING SPACES 1) ON SIT-----------------------fi/JI(. Z) OFF SITE-----------------------d. LOADING SPACES-----------------------------------IJNI( .. STRHT -------------------------------l. OFF 5 TREET ____________________________ 3 DOCK---------------------------------4 ALU Y ----------------------..,.,.-------LPA REHR .. l HS-----:;:T:-----NO----.....:il:::_ ______ 7 E BU 51 hrE S S E D.U R.A FINA,CIAL ASS!STA'ICE GRA"TED 1 MOVIPI.G CIRCLE 8) U'DH S SOChi ('\ S1ooc. f) $ 150< 5!oocb) Smrd) S!SOC-1.') S2ooo Sz i) Sooc 'Tl']l!llox jl S2s ...,. AM' S 41 A67.$!J ACTUAL MOVING EXPENSE "'-''14'1.1 SMALL BUSINESS DISPLACE"'ENl PAYMENT 5-----------------3 srnu ME f.;r cosTS S -.-;;-:-:-:c:;r-------------,..,,..,,...,.no,----' OTH SljAI.J!IIINT s w 1o ; TOTAL ASS!STA'CE; _.KLIJ.,, .. .:.l._l..,l .. ,_.a:.._.:!l,._ _____ F. OTHER INFORMATIO'I l TE ... B) 0 RE SS -----------------------b) OFr SITE ""-ADDRESS 1 COM'-'E\TS ANC 'o RE'<'lnfl<> -:> a ,, I ,_.. .... 0 i lll ;; ... n .. o 3: .. nNo .. "'-I") ,. .. ,. 0-" 5 z ""' n C\ 1:11 z "' "'... .. a I ... n sn& I e 1 1 L I u I 0 D l 6 5 V B I 9 z z r I I -'; I L l r H I II': TEMF Efi.'PL AREA TYPE ALPHA CODE u c ...J "' ... a: PReSENT ESTABL!S>:z: '" -.. n ;" ...... :._) "' .......... ... J

    PAGE 89

    :=-i -----' .. .r. a: .. ..... :1 0 ,.u :!: "' ... "' 0 0: 0 :z -:z ---------H'=' ::E 0: 0 c z s t:1C:ic 6 Curtl. s "Y' ''"''' ,. ,._, wr: Fi fi e1 d !. .33-Cl Co] a. ,,80344 f. LEAH d "' 01 .. t C i.6) t 6 HA.LH ARlJ ("RCLl (!):.. 3 .4 5 r) 1o.u f) 25+ r) 1o.u f) 25+ ,;, a. Sl.d. S. b. LEAH BAC"-0 o.PUACHAS( Plil(.[ S 4/4!, co b. Monc;coE s M,Ood 6 NO OF EMPLOYEES PERM. 8' ().. TE"P d) 1f>.19 8)0.0 d) 1>-19 f) 2 .. 2. b) f>-9 r) zo.z YEARS IN DE NY E P -------------:::-::=:---7'"-..-"'C"-------HUS AT THIS LOCATION ____ ___ DAT[ OF LOCAL .&.'! HilS ADDRESS PRIOR TO ) 10 GROSS INCOME or ESTABUSH..,!:Nl ___ 11 NfT Of ______ .2....._,3,._'1..;... ________ ll ELIGIBLE FOR SBD YEs----NO -.1."""::!111.--PRESENT PHYSICAL INFORMATION 8) 01'<' R b) L ASE BACK ctiLEASE d) RENT .-\)' ,. ____ ... H I '""--------==---.o..,....-------/ciO.PO a ) o. ""c -----------------b I OFt 5 IT NC --------------\. STRC1 ____ Jl. DOU. C. Of' STEEP ___ ). ALLEI----,.,-..,.-,,...--F ,a a' s "u $ __ RELO(!.. To ON 0.,, 0' cousTo, _____ 0., E "01' E COM P CETE C Of MONTHL'f RE"-';' '0 D J R A s IVD.OCJ ... G":'"" or 11'-"l TC RELOC.t.TE .t.FHI< DATf or ACQU IS' 110"------------------------------------i C.WO. PAYMENTS UAU/LUSE IACK/.ENT ;;,C./lilt.. J/fMtl, B.WO .ENT b.LENGTH O LEASE YRS. LESSIE _________ t. "0 tENT INCUASE S-------------DECREASE 5-----5 a. N u -----------------------------------b.GROUNO-------------------------------------PARKING SPACES 1) ON SITE-----------------------2) orr SITE----------------------d. LDAD1NG SPACES---------------------------1. STREET---------------------------l Orr STREET---------------------------3 DOC<---------------------------------LPA 5![F'[RRAL 'f'E5. ____________ N0----41(...., ______ 0: SCO'H F. --------------------TO'AL '1 .. C.' Ass 1S TA" E -------''-!::...L' OiMER H...,.PQRA.FD RE:..OCAT!O..._ 0' S T E----------ADDRE S S -----------------0r'F SITE A CORE SS ----------------------(Qto,A f I OR RE. 5 --------------------------a ? Z L n I t ol--- r:,....., '" 21 "0 .. 0 ... n .. n "' "' c '" r L .. L' c PRESENT ESTABL15H"'EN7 CDMPOS!TIO' D PERMANE"'T 0 4 0 4 SlT;I:)IS';r GROV?FRS '"c""' o 1 I;azee LVLarKet 0: ---------10. "-A'I-IE O.,..,N[;. OR Ra 1 p"r; f>,-n.-1 i PJ t. or: ESTAS CHKLE-0 1 (. 3 t Q a N "' N .. .. ,_. -. ._, .... ., "' :1 0 .. u :!: ... 0 a: "'" "' HADE AIHA CIRCLf E NO. Or EMPLOYEES PERM TEMP. 1 l (!)' a To...: d) 1!>-19 ) 0-4 d) Tf>-19 b) S-9 r) zo.z b) S-9 r) zo.u c) 10,. f) zs+ r) 1o.a f) zs+ YEARS IN 8. YEARS AT THIS LOCATION ---... il.""'.o.Q"-------------9. AT THIS ADDRESS PRIOR TO DATE OF J..PCAL APPROVAL ( .3-7-72..) 10 GROSS INCOME OF ESTABUSHMfNT NO ____ __ u.nk.hewn < > f.D 11 N(T INCQ,_.[ Of __,u...., ... .._..k..J ..... ... wou.._ _____ (_) "' u 12. ELIGIBL.E F"QFi: SBD :!: YES-------!:; 6. PRESENT PHYSICAL INFORMATION. :z z 2 &)OWNER b I LEASE BACK d) RENT A)' u A"OUNT MO REN1 AMOUNT MO RENT P.L T.1 PARKING SPACE5 8) 0' SITE NO ---' ....... b)Orr SITE NO _________ 6. LOADING A. STREET B. DOCK C. orr STEEET ____ D. ALLET---------[ NO Or SPACES-----------RELOCATION TRANSACTIONS DATE o ACOUISITIO' ___ DATE "0YE CO .. PLETED _.I .... _____ AMOUNT OF' MONTHLY RENT PAID TO O.Lt.R A S -------------LENGTH OF TIME TO RELOCATE AF"Tlll DATE or A.COUISITIOh --------...,.:------------------------.... AS F!ll ... AODHSS 2_1Ql 2\)ca-:-.t ;j;J73N em Deriver. ST.rE ro1 0 m EO 211 8. SALES b. LEASE BACI'. C".LEASE d. 8. PURCHASE PRICE b ... ORTGAGE $ ______________________________ ___ C ... O. PAY .. EmS S ________________________________ LEASE/LEASE BACK/RENT &.MO. RENT S __ b.LENGTH OF LEASE ----::::-:--:-::-YRS. LESSIE ______ r. "0 RENT INCREASE S '(Q 9 0 DECREASE 5----S N.u.A t1 I 5o S9 Et b. SPACES. I) ON SITE-----------------------2) orr s m --------------------d. LOAD.-G SPACES-----------------------------STREET _____________________________ ___ O'f S TRE El ______________________ 3 DOC----------------------------4 ALL LPA REFERRAL YES _____________ NQ _,....-:::c_ _______ 7. 01 SCONT I NU E BU Sl "' S S --1-LI.I:__ ____________________ E O.U.R.A. FINANCIAL ASSISTANCE GRANTED WOVING EXPENSES CIRCLE a) UNDER Ssoo bl Ssoo S999 c) S1ooo Sugg d) 5'500. 51999 r 1 Szooo 5zo9 f) S zsoo S2999 g) S3ooo S:..gg h) S35oo 5:!999 1 j) s. ... + ... T s ---------j) Szs.ooo+ ... T ACTUAL MOVING EXPENSE S i/4;, lp4 Z. SWAU BUSINESS DISPLACEMENT PATMUn S-----------SEnLMNT COSTS OTHER SfASC:.H TOTAL FINANCIAL A SSI STAhC E S ----------:rLO,lLj..L.:.._9z!ZM F. OT 8) b) c c: "' "' "' st----%'" .. '" "' "'" .. "' ,N U1 "' "''1-+--'---..::..-3: 0< z l:>:t '" >< ;::a z "' ..... ..... "' "' "' "' "' c ..... ;

    PAGE 90

    :;: .. ---------: :-:; ... .... :-. I' ... ..... "'i 0 .... "' ... ., 0 a: ., c z--------+-1 1.., ... .... .. t HH 0' lSTAb cQ;, : S Hlt.IH AREA CIRCi..E 1 l l g 5 6. NO OF ENPLOYEU PUN. 8) dl ... TWP. d) t ; tl b) ... e) lO-U e) ,..,. f) zs e) f) n+ 7 YEARS IN DENYER------;r------------8. HARS AT THIS LOCATIO' ___ ..,\..,\ __________ OI.T LOCAl .PPI'IOYAL 9 A" THIS ADDRESS PRIOft TO 1 J.ct.'l:l l 10 GROSS OF ESTABLISHU["fT N'O <_l NET IPIICOM Cr ESTABLISHlo4[r.,T NP <_l 12 ELIGIBLE FOR SBD YES JC. NO----2565 Blake Street Co 1 o ;_,::;. .;::;..,;8"'""'0'""2.-0,....,4.s [. 2 b.d.AS BACt\ C.'-ElSE (Pa.PURCHASL PRICE $ : b.-TGAGE S I' ft! lfO UtO. PAYNENTS $ :t .. Q -'Mn!:"' .,. ;,.., -: .. -. LEASEILuu aAcK/RUT 8,MO RENT $ _________________________________ b. LENGTH OF LEASE ________ us LISSIE _____ e. NO. RENT INCREASE S-::-:::-c=-"',-:,......-DtCREASE $---5 A.N.UA. li-'11000 b. GROUND Jt0 10DQ C.PAOK,_G SPACES 1) ON SITE----'Li..._ _______ Z) Off SITE ____________ d. lOADING SPACE5 ------------------1 STRE "-------::---------B. PRESENT PHYSICAL INFORMATION: 2 OFf STREET ____ ... =---------< :IE a: C' ... c B) OWMO b) LEAH BACK rei LEASE d) RENT 3 DOC<------------------t ALLf\ ------=-"-----------<\I' ,, A ___ .... O..,Q...____________ 6 LPA REFE ooL YE>-------NO--...E)C..=----B I L! ... :------==-=-....,. .... ,------------7 [)ISCOPiiTIM'E ss --------------Aio4C Y.C Rf S---4 ... E. 0 U P.A ASS!ST;.NCE 8JC" ---..1'"'------- b1cr s:'' : _____________ .'\. _______ B. oo:: .... __ .. X"'----C.. 0" '"'" )S, 1-_. P..!: Of --:-----DATE c.r ACCWISTIO JU oT Ac. 10 Dl.TE. COt.'Pi..EHC al uNDER Ssoo bl S!oo. Sm cl S1ooc S:t; d) ssoo. .. r J S;ooo S2o; f1 S 2soc S2go: fZ I h) 53 i) AUT s jl S2.ooo .,, s-------ACTUAL MOVING ExPENsE s3.\ijo;JW I 2. SMALL. BUSINESS DISPLACEMENT PA'fMENT S ----------I' "' 1-; .. t' (', :a ;;; ... ,.., .. 0 c : .. ""-1"1 = ... ,....., zm ... z .. c n .. or MQNTHL' F-1.:0 TO C 5 or TIME TO rtELO:::.H Dt.""t Q:'" j < '4 qo.a TOTAL r "A NCo AC S S > S rACE S ___ ;ML..J! ... .., IS.....__.J.._O...,.:,:I:o...;\l'--u 3 ;r :r ACCu:S!r!Ot, ----------------------e. "" io. a a :. PRESE1\ T ----1 "' > ,,.; c: .. ..... ::E 0 ...... "' ... "' 0 a: "' .. TEMP B) 0_. d) 1> 7. IN OENVEfi------------------YEARS AT THIS LOCATION----------------DATE OF LOCAL APPROVAL AT THIS AOORtS!I PRIOR TO ) YES ___ C-----10 GROSS 11\COME OF ESTABUSHt-4ft.i1 __________ (_) ::E ,, "-E'" Qf -------------(-) IDs 1Z [LIGIB .. E FOli' SBD ;!; B PRESENT PHYSICAL INFORMATION: ... z AMOU!'IiT MO RENT P 11.1 PARKING C) LEASE B)O STL NO _....Je(IEI,_ ____ b)orr SITE N0 ____ =------------+-1;:1 lDADIG A. STREET 11. DOCY. )(' C. OFF STEEt1----D. ALLE'------.. f.. NCO< Z C. RELOCATION TRANS ... CTIONS T. DATE Of ACOUISITIO' ;"; 2. DATE NOVE 3 AMOUfril OF MONTHLY RENl PAID TO D U R A l L[NGTH OF Tlliot( TO RELOCATE AFTR OAT OF ACOUISITIO--------------------1 F. OHlER INFOR'-lATIOtl: REL:J':A:10 .. B I 0' SITE------ADDP.ESS ------------b) OF SITE ______ .ODHSS ___________ 2. ANC'Or; _____________ b /S/1 y 8 a) UNDER Ssoo bl Ssoo 5999 c) STOOO S1099 I z z t ; YIS. LESSIE --------------------DECRE ... SE n s 2soo 52999 g) S1ooo h) S1m. SlM9 d) .51500. STW.. r 1 Szooo S2 i) Soo AMT iJ S2S.'IOC."" AMT. ACTUAL MOVING EXPENSE S # il ?. 'NALL BUSINESS DISPLACEMENT PAYMENT 5--------] SETTLEMENT COSTS 5----------------& OTHER ----------......,=-577-,...,..----- 5 TOTAL f1N .. CIAL ASSISTANCE "'" i'/, 7L F. OTHER INFORMATION TEMPORARY RLLOCITIOIIt. 81 ON SITt------,ADDRtSS ------------'. .. ol---;i .. c: .., :a ..... "' N'--1 21 -._i i-H-'---= z = ,_ >-z ,.,., 1100 ,v .. ;;!1-::::=+-----.. ""'"" 21"' :s: c .... 1: J: 0-< z e>x ::: :C1 z ...... .. .. .. n '-

    PAGE 91

    .. ;.. t._: .... __ ___ __JI_ ___ ---'__ '-'-'; : ,. :. II .:.. Fea'e.,..al ..:: .,.,.,':-"-: ,. : '--? -1-'fV'--'-"--,.,, LJEO.t :::r v lfpr;l.__-_.l'----1. cr ,. ;{!)' t ; c 2 a.SALES b. L[IISE BACk C'. LEI.S.E d. REh! ..... ., ... .,; a: .. AREA CIRCLf. 1 I NO Or EMPLOYEES PERM. J. B. PURCHASE PRICE. b ... OIITGAGE $ ____________________ __ $ ______________________ __ :---+-1 TEMP d) IS. a) o.. d) IS" bl e) l .. u b) .. e) 2 .. 2. t) 1 .. 1. 0 2!10 e) .. ,. C, 1!10. PAYMENTS s ____________________ __ 4. LASEILEUE &ACK/RENl .. ..... ::E 0 ..,u "' ... "' 0 a: .. 7 YElRS IN DENVER 8. YEARS Al THIS LOCATION __ ___ f) lS+ DATE OF LOCAL APPROVAL 9 AT THIS ADDRESS PRIOR 1'0 ( ) Hs ___ No __ 10 GROSS OF' ESTABLISMW.EN .. __________ (_) hl IIIICOM[ or E'STABLIS.HM[NT ___________ (_) ::f ... 0 u 11 ELIGtBcE ro SBD ,... : B. PRESENT PHYSICAL INFORMATION "' YES----NO---2 ... a\ b) lE"S &ACK c\LEAS! e A I' u A------------------R.MO RENl $ _________________________________ __ b. LENGTH OF LEASE YRS. LESSIE _____ C. "O RENT IIOCREASE $ _______ DECREASE $---S a.u---------------------------------b.GROUD--------------------------------------C. PARKING SPACES I) O SITE--------------2) OFF SIH --------------d. LOAD,_G SPAClS-----------------1 STREEI ________________________ __ Z. OFF STRE!l _______________ 3 DOCK-------------------------4 Al.LE'I------------::::;oo-----fo LPA. YES-------'0--\Zc... _____ C'" 2 H l ----==---=-::::;;,------------: O!SCo .... r,U[ &USI'oESS ---------------1,, "'CC'' """ E O.U.R A FINA ... CIAL ASSISTA"'CE GRA"'TEO + A':J .. \! Jl..l() H"'T I 5-------------i MO\':f\(', __ o: ___ j ... PAIOII' ;hC SPI.CE.s al o,, s.H. ,..c. --------(],'P ut.ti[R Ssoo : 17 bJorr "-:: _________ b) f) S zsc Szm h l cG": :\. S'"''' ____ B. I C.. OF' SIEEEI ___ I.l. soc. f' 1 S2oor: Sz,99 i) Sooc + AMI --------j) '"' ACTUAL MOVING EXPENSE Selt&f.71f SMALl BUSINESS DISP'-ACEMENT PAYMENT 5--------S E TTL 1..1! E V!' COS iS S r-----:-:-:----::::-,_,.,.-:::-:::,...--4 c;"E S(.,Arch'"? c.eSM s '2 TOtAL SS!STANCE S .t (,) 9 '( o:.:;.rJ,' i' F OTHER INFORMATIO'-. I I 'II; I S3:>WdS =r -E I a J-z, l l l -1 T[I.IIPOP.tdi) a) o SIH------ADORtss ___________ bl OFF SllE ADDRESS ___________ t "OJi _____________ v a l n L I l r \.. ._ I ... Js sr.& L .& -, .. 3: 0-5 z ""' ... "' ;l\e> 2 "' ...... n .. '=-------'-, 3 i o I I r E D I F E o 6 5 4 I 9 8 7 e 5 II I I s;.rl __ :x::".;_,::-. ... A. ESTA6CISHMENT COMPOSITION 0 PERMANENT RELOCATION O 9-0 8 w 1 .... 0' Pete T ibaldo Whse r Dom .l..:Lo::u 12th St. 1 ADDRm Bergen Park 07-01 3 "A"'' or ow"" o .. G. Pete T1 ba 1 do c11v Gal den mTECal a "' .. -------l .. ( TYPE Or ESTAB CIPCLE' -0 1 L 3 4 S. TRADE AREA CIRCLE (!) 2 3 4 S 6 NO. OF E"PLOYEES PERM c1i 0.4 5 t. '} 8 c::::r::;.SALES b.LEASE BACK c. LEASE d. RENT i-.. "' .. >- '-....... ; r .- .,; 0: >-.. "' ::E 0 ..,u ... ::: 0 0: ., on "' ::E TEMP d) IS a) o.. d) TS.I9 b) S-9 e) 20.2 b)s..t e) 2o-2 C) 10 f) 2s+ c), .... f) 2s+ 7. YEARS IN OENYER------------------8. YEARS AT THIS LOCATION---------------DATE OF LOCAL APPROVAL 9 A'l' THIS ADDRESS PRIOR TO ( '.ti.1-z) YES ___ NO __ 11 10 GROSS INCOME OF ESTABLISHMENT __________ ( __ ) NET tCOME OF ES1ASLISHMENT ----------..,....1-) 1.1) 8 1Z """ B. PRESENT PHYSICAL. INFORMATION. ELIGiaLE ro 580 YES----NO t<.,. CC z 1 8) OWNER Q.L[ASE BACK r) LEASE d)REN' 2 2 ... z,. z A)N ------------------B)LANC ______________________________ ___ 3. A .. OUNT MO P.ENl S----------------4. AMOUN'! MO RENT P.IT.I $ __________________ ___ 5. PARKING SPACES. a)o SI'E No. ________ b)orr SITE NO _______ LOADING A. STREET ____ H. DOCK ( .. orr STEEEl ____ o. ALLEY-------E. 100 OF SPACES-----c. RELOCATION TRANSACTIONS 1. DATE OF ACOUISITION _____ DATE "0YE .. /'-IC.._,_, 7-L.-"".:o:::: --:-::--5 __,fj...,.ol6ot._ .;;..c..;;.o_ AMOUNT OF MOlrrfTHI..Y RENT PAID TO D.U R A LENGTH OF TIME TO R[LOCAU. ArTER DATE OF ACOUISITIO ---------------------AUDADIA 3 &.PURCHASE PRICE 5--------: ..... --------b. MORTGAGE 5-------..;;.&. q ______ C ... O. PAYMENTS LEASEILEASE BACK/RENT 8 ... 0. RENT 5--------------------------------------b. LENGTH OF LEASE YRS. LESS IE-----C. MO RENT INCREASE $ _______ DECREASE S ----5 8. N.U.A ------------------------b.GROUD-------------------------------------C, PARKING SPACES 1) ON SITE--------------2) OFF S!H --------------d. LOADING SPACES------------------1. STREET--------------------------------2 OFf STREET _______________ 3 DOCK.---------------'''--' 6. LPA. REFERRAL 7. DISCONTINUE BUSINESS---------------E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCi..E 8) UNDEP S SOO bl Ssoo 5999 c) $1000 Sugg d) .S1soo. S1999 f) s 2500 52999 gi S1ooo. Su991 h) Smo 53999 i) S.ooo +A .. ,.$ ______ e) $2000 S2 j\ 525._.. ... ,. s __ ="2'=ra ACTUAL MOVING EXPENSE S z !'ff U 2. S"AlL BUSINESS DISPUICE .. ENT PAYMENTS--------3. SEnLEMENT COSa $----------------4 OTHER -------------, S,-,r1="'r-"'C'...----S TOTAL FINANCIAL ASSISTANCE $ z 71 .f& F OTHER INFORMATION. 1 TEMPORARY ILOCATI0h a\ nw .. ,,.. _________ --.. .. .. et-------c. -:a .,..., 3: .......... ) 0 z e> :r n "" G') z "' .. ... ..

    PAGE 92

    .. ... --... .. -... .. .. ,. > = ... I ... .. ... -N -N ., .. N ., .. "' ... c .. H -...... ,._. ... ...,; .... --r-------.--------.--_---,----:-:-. :.:.. :. .. --:-. ted Business Products i_=. Ur Denver 2045 s. Holly St. --"' ;;, I Ber::a:IC :Katz {ownerC:'oenver Col<:> 80202 .. ,., ... (;1 :JY., 05 ,."" sua. ZIP _, it -( "' HPI ESTAB CIRCtl -C. '(;): 8 a.!tlLtS. b.LEAH BAC (',LEAS d. lENT 0 .,: 5 TIADf AREA CIRCLE (J) i 3 5 l a. PURCHASE PRICE s i. (!() 6 110 Or EMPLOYHS PUM. l... blw r) 111-T b. MORTGAGE s :II P)lii-U f) n+ s ;;;...,(')"'("1 C.IJOO. PUMENTS .. .. TEWP 1.. .,._, c) 10-,. .. LUSEILUSE lACK/lENT "'1'"'\N!"' :1 d) U-19 ) f) zs+ a.MO lENT S C:: 0 ill .. u 7 YEARS IN DfNY ,_ b. LENGTH or LEASE YIS. LESSIE "',.....,_,..... !: ;z, 8 YEARS Al THIS LOCATIOh C.MO 1"1 INCREASE s DECREASE S .., .. .. ... "' .. -----"' OAT OF LOr A;. APPROVAL 5 8.ti IJ.A z:: 0 a: ( I b. GROUND .. 9 A1 THIS ADDRESS. PRIOR TO Z"'"" w-.. YES ___ h.---C. PARK.I .. G SPACES 1) ON SIT .. z "' (_ ) Z)OH SITE r-... cr. N' ... 10 GROSS. INCOME Of" ESTABUSHME"-T ,.n ::E 11 NE'! INCOME 0' ESTABLI$,HMEhl (_) d. LOADING SPACES .,.o .. 0 7 "'"' u ELIGIBLE roP 580 HS NO I. STRErT ... !: OH STREET Joe B PRESENT PHYSICAL INFORMATION-z-., ... "' 3 DOCK 2 al ov.,...rr.> b) Lc I -\. ___ ll_ :.OC < (!P hi S;soc Sn99 z I L orr su HT ___ l I_ "-U' "'"' n E. fiiC or SF.C.CES d) Ssoc : j) S&ooc + AMT s "' a: "' 0 PI S:ooo Sl' AMl s ;);o "' c TRANSACTI-0'15 7 4 j) i ;!: l,li'fcl/ z ACTUAL MOVING EXPENSE s "' .... DATE Of ACOUISITIO\ i 7 ; ... .., .. ... D-H MOVE. r / 'f DISPLACEMENT S 1 I u A[ NT PA.IO TO C J; A S f IVQLUIIT Qr JJ!Qp.,;lMLV 3 COS i 1 ;s"P!.I)D c::?: LEfrliGTt-t OT TO f'IIELOCATE AF"UF o;:,[ OJ" OTH[Ii, ... P"""" 1 ACCU'SlT\0"-s TOTAL J" IJriA"'-CIAi :lAN:r z s/" 9rll ;r. F OTHER I <= -1 T[.,aoPQRAR'I RtLOCATIO!o. ._ t ----w.;_ a) Oflo SITE ': 'RESS b) .QH SITE AL. =-ESS l U,C "OR .. I l 53:JWd5 !JIT ESTioBLISHMENT COMPOSiliOI< D PERMANENT RELOCATION 25-01 w u hAOo4E or ES1<6Lii""' Universal Copiers s ADDOESS 10 8Lawrence 4206 /d. 38th A--.,-e::-.ue N I ADCAESS ,; Wynn T.ppce Denver, Colo z,p6021 2 ... '-AME OF OR MGP CIT'I STATE a: ._ TYPE OF ES'!'AB CIRCLE 0 z ; s{!7 8 2. a. SALES b. LEASE BACK C. LEASE 0 IIi 5 TRADE AREA CIRCL I 3@ 5 l. a.PURCHASE PRICE s .. a: b).-..9 r) To-,. '" ,_ 6. NO or Elo4PLOYES PERM. a) o. b.MORTGAG s :u d)l,-,.19 e) f) Z5+ C.MO. PAYMENTS s .,...., ..... TEMP b) S.t e) TO-I -UASEfLEASE g "' :1 () d) T.-..T9 e) Zll-l f) zs+ a.MO. lENT S M0 C:: 0 ... u 7. YAAS IN DENVER ,o b. LENGTH Or LEAS HIS -LESSir/jl$!GiQL 21 .. !: ;.. t 8. YEARS AT THIS LOCATION C. MO RENT INC s DECRfASE S ... "' ,.., "'. "' a.N.U.A a:ao 0 a: .. ., ... ::E .. 0 u !: B. ... .., z .. 0 z u "' :::1 ... c ..... "' DATE OF LOCAL APPROVAL 9 ,AT THIS ADDRESS PRIOR TO ( 3'1D.. ) 10 GROSS INCOME. OF ESTABLISHM[Nl (_) NET INCOME OF (_l 12 ELIGIBLE FOR SBD YES NO PRESENT PHYSICAL INFORMATIOIII-&)OWNER b) LEAS BACK d) RENT I .21(p0 2 _o\ u A_ B)UND ______ 3. AMOUNT MO. RENT S ..... ...... ;.,1-Uoi......10"-JooQt_________________ A. AMOUNT MO. RENT P.I.T.I. PARKING SPACES E. LDADING A. STRET 8)0h SITE NO--------b) orr SITE NO---------___ 8. DOCK C.. OFr STEEET ____ o_ ALLEY-------E. NO OF SPACEs ______ C. RELOCATION TRANSACTIONS "f.S 1. DAT Of z. DATE MOVE COMPLETED __ ... _______ 3. AMOUNT OF MONTHLY lENT PAID TO D.U R A. S -----LENGTH OF TIME TO RELOCATE ArTP. DATE OF ACOUISITION-------------------5. b. GROUND C. PARKING SPACES 1) ON SITE z) OJ"'F SITE d. LOADING SPACES I STREET Z OF'F STI[El 3 DOCK AU.(Y 6. LPA I[F"EIAAL YES NO 7 DISCONTINUE BUSihESS __,Nu.;O"-----------E. D.U.R.A. FINANCIAL ASSISTANCE GRANlED 1. MOVING PENSE5 CIRCLE a) UNDER Ssoo b) Ssoo S!l99 f) S zsoo Sz9!19 g) SJOOil Su"' b) SJSOC> SJ9!19 j) 5&00CI + AMT r) SIOOCI-S"!l9 d) 51500 $1919 "' Szooo Su!l9 j) Sz5.-AMT. s ----,.,...,..,.--,...,.,,.. ACTUAL MOVING EXPENSE sftf HZ 2. SMAU IUSINESS DISPLACEMENT PAYMNT S---------3. SETTLEMENT <;,!!STS Sr-:-;--------::=::"llr-r.lll"'"--- OTHER s do 5 TOTAL r!NANCIAL ASSISTANCE S "" /9 J F. OTHER INFORMATION. 1 a) OH !1: 0c z ""' "' "' ;l:CI z "' .. .., w N ... .... ) .N ,__.: '-' \..'. w N .. N '" .. n .. ,.; ......

    PAGE 93

    N N ., .. N 0 ..,u "' .... "' 0 a: 10 ,... >B ... z a: E !,__ __ _,__,. u -' "' a: A -----1".. "' .. .. ., 0 "'u "' .... "' 0 c: .. ,_ >B ... z .. ON z v; ... .. .. :;; ....... #or. ..:..; --_.. ..-..1. ..._ I 0 :. \,... .,',, Owrr. ': c: ... _....::.....::...::,.::..---::..;:....;_;: _______ __ .c 'r .. 'l .. l \. e TRADE '-REA CIRCLE l < > 6. NO OF EMPLOYEES PERM. b) i-f C:) 1._1. )1!1-19 rl z._za () n+ TEMP b) !1-9 r) 1fi.U rl zo.z f) Z! 7. YEARS IN DENVER ___ _.3oiL.:::0::...._,.-::---------------B Y[ARS AT THIS LOCATIO -----l.f..IQIL--------------------A':' THIS PRIOI= TO OAT Of l,Q_C.AL APPROVAL 3-'f-72-l ____ __ 10 INCOM OF N"' "'CO.,.E 0'" ESTAB: .ISHM["'l FO,.. SBD 32., 000 ) I pee '--> 12 YES----NO ------PRESE"'T PHYSICAL INFORMATIO"': hi LEASE B.tCI': C) LEASE .-\I' c ---!-/':-. .....L..f._t ____ ll I-'"--------------------" .F:.R ... :'\(. s,c-:.:[S O.)V' S;!:_ h-: ------------------b \ I SI"!E. !'I.C -----------------.-\. ____ H. DO(. ( .. or--nu:f-:___ l.J. l. NO :or TRANSACTIOI>IS CA' [ 0' ACOU 15 iTIOI. _____ D<: l "0\" CO""""' 0 ____ _.fc;....-:._.J..f_,2.._.:-:....;7:...;3L...----------- li I. c -., ;. k S3::>Yd5 z ESoABLISHMEr.;T COMPOSITIO" '""'' 0 .,, 5,..,, Frank VanDersarl Aocs, Frank vanOersarl OP 0. CR MGg TYPE Or ESTAB CIRCLE. (l : 2. j .( (j) E 7 8 5 Tli:ADE AREA CIRCL.E 0 Z 3 4 5 6. NO. OF EMPLOYEES PERM. a) fl.4 b)S-9 C) 10-" I d) 15-T9 e) zo.za [) zs+ TEMP 8) 0-4 b) S-9 C:) 10-1& 0 d) TS-19 rl Zfi.2A f) zs+ 7 YEARS IN DENY E 0 _____ l)=AJ'-'/(,r'---------------------8. YEARS AT THIS LOCATION ___ '..._'3 _____________________ .C.T TM!S ADDRESS F RIOR TO DATE OF ,4-0'0f ..... PPROYAL ( S 'f I 10 GROSS INCOME or UI-J!(, ( ) n NET INC0'4E. OJ" E.ST"Bl..!SHM["tT vN''-<-> ll. [1..\GIBLE F"OR SBD YES--------NO --------PRESE"'T PHYSICAL INFORMATION a) OWh b) LE.SE BAC' C) LEASE A,. u A ___ ..Ji...aSt.!0'-'0"------------------------------B)LANO ____ A .. OUhT MO RENT __________________________ AMOUNT MO. RENT P I.T.I S ________________________ PACI'KING SPACE$ a I o SITE NO.---------------b) OFF SITE NO---------___ B. DOCK 6. LOADING A. STREET C. OFF S TEE ET-------D. AUEY-----------E. NO OF SPACES-----------.......... ---. .. ------. _____ _L _______ ., i ... 8.SA .. l!:l Ill. PlrCE. b.MOIITGAGE C:.MO. POYMENTS h.LEA!.l BACk (', i..(.!a-[ s ___________ __ $ ____________________ __ LUSEILUS .. CKIRENT a.MO. ENT $ ____________________________________ __ b. LENGTH OF LUSE C:, MIO 1Nl INCREASE ------------YRS LESSIE ---------------DECREASE a.Nu-----------------------------------------b.GROuNc--------------------------------------C. PARKING SPACES 1) Oh SIH. -------------------------2) o F SIT ----------------------d. LODING S PAC S ----------------------------------1. S TR T --------------------------------OFF STREET ____________________________ DOC--------------------------------AcCE--------------------------------LP A RH [ YES-------------NO----------------0! SCO...,'!"'IlJ t B:..: S '\ E S ------------------------------C l' R MO\IIh;G D;:P'iSES Cl!00 ; .. h) sm, Sm; d I S:soc -S199 r) S;ooc 5;;!9 i) + A"T j) A"''ACTUAL MOVING EXPENSE JJ St.iA1..t. BUSIPI.ESS DISPLACE ME "iT ----------------SET7i.E V[ NT COSH or"ER ?, TGlt..:.. lo.SS:STA"iCl ik:,_ -' a; b) OT COMM E A NC.' 01= j:H. A R S --------------------------d /S j 0 ... 01------ nn a ;;;.,n .. o ... .. c: iD Ill r\-') :! CID z::: ...... ,.z .. ... ,.,., 11'0 "'"' .. ,.._ :ho::t------..,_ .. ., -.. J: z ... t:. -% 0 J: l: ... 0-0 s z :r n : C'l Cf z "' ,.-:.., ]S ljr,, 8 z H 7 I I TYPE CODE D P1:RMANEt,i7 RELOCAT;ON 29-03 Yuma Street STJ.TE Colo. v ADDLSS 1 0 2 0 m> Denver 80204 &.SALES <;#OosE C. LEASE d. RENT a. PURCHASE PRICE _________________ b. MORTGAGE 5 ----------------------------r.MO. PAYMENTS 5 ________________________________ &. LEASE/LEASE BACK/RENT &.MO. RENT S ____________________________________ ___ b. LENGTH OF LEASE YRS LESSIE ----C. MO. RENT INCREASE S-------------DECREASE S -------a. N U.A b. GROUNC IJNJ< C. PUK.-G SPACES 1) ON SITE ---------------------------2) OF" F" SITE ----------------------d. LO.DING SPACES-----------------------------------STOEET ______________________________ ___ OFF STREET __________________________ J. 4. ALLEY----------------------------------6 LPA REFERRAL YES----.....,,..------NO----.:.j("---------l BUSINESS __ .JtJ'-li.JQOI... ______________________ __ E D.U.R.A. FI"'A"'CIAL ASSISTANCE GRANTED MOVING EIPENSES CIRCLE a) UNDEO Ssoo b) Ssoo S999 cl Sooo S1A% d) .SCl. S19M fl S 2soo Szi'J'J g) SJooo 53&991 h l Sl,.r 5:1999 il S.ooo AMT. s __________ ll' c: :a ... "' N N or----CD "' ., Ut.... w ........ NJ .. "'Hf-----'"-' z:: ,._ z ... !:! ,.z --" l: "' 0 z C'l ::r C> "' .. e) Szooo Sz!l9 jl szs.oao+ AMT s __ -:-:TIII"'!!'"T:; ACTUAL MOVING EXPENSE S /l7(b/? c. RELOCATION TRANSACTIONS 1 DATE OF ACOUISITIO "'. I .., 1./. C\ z ..J .. z .. ... II:: a. "' SMAU BUSINESS DISPLACEMEN1 PAYMENT 5--------------2: DATE MOVE COMPLETED '7 J rn "'.., ,. J. SrTL .. ENT COS':"S 5--=:-::--:-r--------.....,...,......,..,.,....---4. OTH S /11.1!0 5 TOTAL FlhANCIA. ASS!STANCE ______ 3 AMOUNT OF" MONTHLY RENT PAID TO D.U.P. .l S --------------... LENGTH OF TIM TO RELOCATE AHt OAT OF ACOUISITION --------------------------F. OTHER INFORMATION: A liD A RIA :, t:::?'5ATIOh ADDRESS _____________

    PAGE 94

    .. ..i.... .. --------------------------'>": :;I : I; I ; .. .,; ... --'-_._,_ .. ::t.rf: .. .. -':" ': ;. .,-,o. M: .......... ;.....,,.......:..--.---: c:---, ._ ... _...._ __ ... .:-:--:-::: .... -N "' ii .,; a: ,.. ..... :E 0 .u ... ::: 0 a: .,., "' "' ... ;. ... ; 1. '!'fP! 0' 0 '' TriACC AREA CACI f (::) Z b)!i-9 e) zo-u b) 6. 100. OF EMPLOYES PERM. 8 I 11-C """' TEM a) o-c e) zo-2 7. YEUS IN DEHVER--.I!!!!:a.I!!A .. YEARS AT THIS L0c:4TION _,.2,.._-lJyiUI:r::.;S, .... ________ C) 10-1C () u c)1o-u () 25+ DI.T Or J...OCAL APPROVAL ( ,_.,_7,, AT THIS AOORSS PRIOR TO GROSS INCOME or SH.BLISMtroHNT 11 N[l or ESTABL!S.HMEhl 8 12 E"GIB' FOR 580 :!: YES----NO----,_ 8. PRESENT PHYSICAL INFORMATION "' 8) OWIIIEJi z .. b) UAH BOCK 0 "''", __ _:_1-of,!::l...!, .... z -ll! ,.,,, _______ ... ""': .... ..M b L tijA a) c ..... s:h _____ z bJOP SIH o--------------H9 ..\. S"IOH1 DOC,.. N < :; 5 c z <.. Ori ___ } A.LE'I ______ F. c (" ------RELOCATION TRANSACTIONS DAH or ACOu1s:;1o' .31-: I OAH CQU.P!..tTU.l __ QE" MO"fHi.Y RE.Jo;':' T(o r,.U J: r. ACQi;:S.:TiQI\ -----=-::----.-----------.. ti!: c ________ ,.,., -----'. ----b.LlASf BAC" C'.I.IASE d.RfHT B. SAd 5o A.PURC.,A!tE b.MOITGAGE s ____________ __ $ ____________________ ___ C. MO. PA YMNTS s ____________________ ___ a. LUSE!LUSE BACK/.ENT B.MO .ENT 5 ____________________________________ ___ b. LNGTH OF LEASE C. MO RENT INCA AS ______ _:us. L _____ ------DECREASE S ---S. 8. N.U.4 --------------------b. GROUND-------------------------------------C.PARkiNG SPACES 1) Oh SJTE---------------21 orr SIT------------d. LOADiNG SPACH-------------------STO[[t _______________ Z. QJ"J' STREET ______________ 3 DOCK-------------------------------ALLFY ________________ AEF'EAU-L YES hC--------OSW'T"U[ Bcs'E SS 0 U R A FIN:r ;l:Cl z V> ,.,.., n .. G I s I I s .noG u 0 ,: a: ,.. "' > "'"' :E 0 "' ... "' 0 a: .., :E .. 8 "'I "" z < c:;; TrP[ Qf TPADE AREA CIRCLE NO. OF' EMPLOYEES PEiiM. TEMP I I I I F b) S-9 211-2 2o-zc 7. YE4RS lh C) 10-IA f) 2s+ c) 111-1C () zs+ a) o- d) IS-19 YEARS 4T THIS LOc:ATIOh--.... '------------OAT OF LOCAL APPROVAL AT T"'IS ADDRESS PIIIOR TO ) YES ___ N0---1C GRO!.$ 1NCOt.'E OF' 1" Jrt[1 INCOM Q> ESTABLISHMENT {_) 12 lLIGIBL< o SBD 8. PRESE"T PHYSICAL INFORMATION: H 7 6 CODE 1 b.LEASE BACK (', LEP.S d. RENT 3. &.PURCHASE PR1CE 5---------------5----------------------------C.MO PAYMENTS 5-----------------------------C. LUSEILE4SE UCK/RFNT 8.MO RENT 5-------------------------------------b. LENGTH OF LUSE _______ YRS LESSIE _____ C. MO. RENT INCRE4SE 5 DECREASE S ----S. 8. N.U.A _____ ('.PARKING SPACES 1) Qt. SITE-------------1) OFF SITE------------d. LOAD,,G SPACES-------------------STOEET _______________ ___ OFF STREET ______________ 8) OW,EG b) LEASE BACK C) LEAS .....:""'"""_ DOC'----------------4. Z. AI U ------6. LPA REFERRAL YES--------N0--------8) LAo _____ .,.=,.-,_.----------7. DISCONT,.UE BUSINES5---------------------4Mou MO RENl S E. D.U.R.A. FINA>jCIAL ASSISTANCE GRANTED Alri40Ua.t MO lENT P.l T.l MOVING EXPENSES CIRCLE S. SPACES a)o SITE NO--------b) OFF SIT NO _______ 6 LD4DING A. STREET ___ B. DOCK C.. orr STEEET ____ [)_ ULEY'------E. NO or SPACES--.,...---c1 RELOCATION TR,.NSACTIONS /_./-r-?fl = DATE Of ACOUISITIO---+.-J.':.... 2 DATE MOVE COMPLETED_.....::/.'-''/''-_=_..;,"-"()0...-_.7'-"'?1"'------a) UNDER hOG b) Ssoo. S-. c) S1ooo Su,.; d) .SI!iOO 51!199 J S2DOC Szc11 flsnoo-5z!l99 @:I S3DOC 53C,. b) S3500 53!199 i I Scooo + AMT S ------j) Szs._. AMT S ACTUAL MOVING EXPENSE S 7/f' !So 3 AMOUNT OF' MOHTHL'r RENT PAID TO D U R A 5 ------2. SW4U BUSINESS DISPLJICEMENT P4YMENT S-------- 3 SETTLEWENt COSTS S-,,---------.... OTHU .::1eCL:J't < ..N "':Z: a:o. a. LENGT"' or TIM TO RELOCATE AF'Tflif DATE ()f' p;tlJo?C J ACOUISITIO'-------------------5 TOTAL FINANCIAL ASSISTAitC __ !: -----------------------------------------F. OTHER INFORMATION tir l["POfA''f IELOCUION 8) ON SIH------ADDIESS ----------L\ .. N gt------:r'" .. "' "'""' .W '-' c: :a Ul -3: z :z: <" ;:; .. z "' "'.., ..

    PAGE 95

    .:....::.:__ __ ...:...._:_____ -,. t-_._...,_. ..... ---'-'---'--=---'----.;_ ____ .. ______ .....I;_ _____ :..=,. __ ;;_;__.:_ __ ___,___..: 1.: ..,_ "':. 2 .... :....;. t ; i i:_l j. .;.:.; ;;.:: '' .:::.. .......... -. -"'"'.7"::: C' ':n 12.:: l 8 c h .. JotinJ.. a '====,...------r...,.,-,.-,:;:-----...-. ..... ....,,..., i i II 1--"' "'""': ... : ;)0. 1,111.-L ______________ : ;n: 0' CRCll. : 3 0 .. -... "' > "" a: .. .. ; 0 .,u .... ::: 0 a: .. .. :1 10 3 z Tlo.A.Of. lofi'[S. (lrt'Ci..E CD .! 3 6 NO. OF MPLOYES PERM 8J 0-4 d) ThP. bl S-9 r) zo.zo b)H e) 20-ZC YUS IN HARS AT THIS LOCATION --.OAL-------------l') ..... f) 25+ c) 1" f) Z5+ a) o .. d) DAl OF I.OCAL APPROVAL AT THIS ADDRESS PRIOR TO ) IC tNCOME or __________ (_) 11 HE'!" OF -----------(_) 1Z ELIGIBLE SBD YES-------NO-------r-::;; B. PRESENT PHYSICAL INFORMATION: .. z 8) OWNEO b) LEASE SACK r) lEASE :\)'" _, ... ,.lt.([..III:Q:.._. __________ Hi A'-'Ou, ": .,., s ... M::l F .. !' al0!. s:n f\0 -------- biorr SH NC ________ :..0:.(1,,:-. :\. STJYdS !lNIC'fCl : J 81 I r r ,. -----. 3j I o I r cDenver ,.",_C=-=o'-'.I:..:o=--, 80223 C'. LEASE l &.PURCHASE PRICE b. MORTGAGE C:.OIO. PUMENTS LUSEILUSE lACK/RENT &.MD lENT 5 __________________________________ __ b. LENGTH Of LEAS liS LESSIE _____ C.MO RNl INCREASE 5-------DECREAS $ _____ 5 &. N.U.A-------------------b.GROUND--------------------------------------C. PUKING SPACIS I) ON SIT!-------------Z) Off Sill------------d. LOADING SPACES------------------1 STREEt ______________________________ ___ Z Off StREET ______________ 3 DOCK-------------------------------4 ALLEY-----------------6 LPA REFERRAL YES _______ NO--------DlSCOir'lll!"':tE 0 U R.A ASSISTANCE 1 MQ'IrlloG [liDPoSES (IR'CLE a I Sso!t bl 5soo f) 5 !Sa< 5Z999 SJoo: h I 5350< 53il99 rl Sl:lOCi d) Szooc SzH \\ ACTUAL MOVING EXPENSE S l\.571./$ .i:. SMALL BUS!._ 55 DISPi..ACEMENT PAYM[Ptfl S ---------J SETIL[Mt:"T CC'5TS 4 OTHER ____ '-:;;--=()::::K ________ 5 TOTAL fiN A ASS; 5 E 5 J F OTHER INFORMATION: 1 1 RE.:..OCATIO"i a 1 o -------------------b) OH SllE C0Mh'ENTS A"C ON RE.MARKS----------..:;::-.... ::----............ 1:1/S/1 L z 5 I I "' 1EA.RS DENVER TEMP EM>L PERM EMPL lYPE ALPHA CODE./ D PERMANENT RELOCATION v 0 .J A. F'RESEf\T ESlABLI$1-IM[NT f'".,.u""""'T1'-u' .A .. o .. ....... : ,. .,; a: ., ... :1 0 ..,u .. ::: 0 a: .. 6. NO. OF EMPLOYEES PERM. TEMP dl a) 11-4 d) b) 5-9 e) zo.z b) 5-9 e) zo.z e) 10-U f) n+ c) 1o.u f) zs+ 7. YEARS IN DENVER -------rM::----------8. YEARS AT THIS LOCATION ____ DATE OF LOCAL APPROVAL AT THIS ADDRESS PRIOR TO 3-9-72 ) 1.1.1 10. GROSS INCOME. or ESTABL.ISHM(I'iT ___________ (_) \1 NET INCOME. OF -----------'(_) 10 8 t= ELIGIBLE roo S80 r: B. PRESENT PHYSICAL INFORMATION: YEs--------NO ....,Xg,... __ "' ... z a) owE b) LEASE SACK elLEASE GRENT Z. A).u A. ___ BILANc ________ AMOUNT MO. RENl 4. AMOU"il MO RfNi P.I.T.I. 5-------------S. PARKING SPACES &) o SITE NO. ----.A'I------b) OFf SITE NO--------------6. LOADING A. STREET X B. DOCK C.. Orr STEEET ____ [}. ALLEY------E. NO Of SPACES------RELOC.lTION TRANSACTIONS DATE Of ACOUISITION ______ _.q,_.:._ ... ________ DATE MOVE COMPLETED ___ ,;._;;.,;;;;_;;._;...;; ___ "::::E ___ 3. AMOUNT OJ' MONTHLY lENT 'AID TO D U.R A 5 _...,:.,.::,.,0"-l-!:..-LfNGTH or TIME TO RELOCATE: AFTER DATE OF ACOUISITIOh -----r-r---:----------PT10T to AliDA DIA em enver STAlE Colo ZIF 80204 Z &.SALES b. LEASE SACK (',LEASE d. RENT 3. &.PURCHASE PRICE ---------------b.MORTGAGE 5-----------------------------C,MO. PAYMETs 5--------------------------------. LEASE/LEASE BACK/RENT &.MO. RENT 5 515 b. LENGTH OF LEASE LSSIE _____ C, MO. RENT INCREASE 5 2J 5 o 0 0 DECREASE 5-------5. &. N.U.A. _____ l'.PARKING SPACES 1) ON SITE-------------Z) OFF SITE-------------d. LOADING SPACES------------------I SlREEI _______________ Z. Off STREET---------------3 AUE>---------------------------------6 LPA. REFERRAL 7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE 8 ) UNDER S 500 b) Ssoo 599'! c) S1000 S1a99 C) S zsoo Sz999 g) $300(). he,. b) h999 d) .Snoo 51!1!19 e 1 Szooo Sza99 j) Saooo + AMT 5---------j) Szs.ooo+ AMT 5 -'t""""J'r'"r.,....."'ft ACTUAL MOVING 0 I 6 91 Z. SMALL BUSINESS DISPLACEMENT PAYMENTS---------3. 5EffiMENT CD,fJS oTHu ;:,earcu 1.. 149.20 5 TOlAL FINANCIAL ASSISTANCE 5 __ _,$,....7'-',_.l....,6L6..._.a .... Io..I..._ ___ F. OTHfR INFORMATION. TEMPORAl> RELOCATIOOO a) 001 SITE--------ADDRESS------------" --. .. ... ( .. .. "' 01---.. ::t"' .. "' :II 11'-.l'-.i ... J z z Cl::t "' "' z "' ...... .. -- _! --._; .... ...... ..._,

    PAGE 96

    :.. ::,...._! -. ----c--.:. .. :: ;.; 'V. \;azee Office ,:>J: IIE:1 St. Of'tlce f.20Q ., Denver U:-:ion Depot Harold CasF1 c_-, Denver _____ 1,, 80202 /. '; i -----1"-0 2 t (: 5 TRADE APE/._ CIRClE 6. NO. Of [MPLOYEES PERM : ------+-1 2 3 5 ., d) b)'"' t!) H-l t!) c) o.u () ... r) IOU () 25+ V' >-0 .. u "' ,..., 0 a: "' .., "' ::E "'0 v TEMP d) 15-1936 7 TEARS IN DENYE R -------.. 8 YEARS AT TH!S LOCATIO"' ____ _;::....:::._ _______ OAT LOCAL APPROVAL 9 AT THIS ADDRESS TO ( ) 10 11 12 YES ___ NO---GROSS I"'COME or ESlABLISH'-'fN! __________ (_) NET INCOME Of ESTABUSHMl""T (_) ELIGIBLE roo SBD Y S---NO----! ,... l;j B. PRESENT PHYSICAL INFORMATION. z 1 r) LEAH A),_u ----------------Hl LANC ________________ u ...., A'-"iQUPI;l MO H 1\ ----------------MO P.EP F, 1.1 S----------..,.----8)-Y S!Tf -----=)\ ___ 2 h)OiF S!T 1-IC ________ ----+-1? :\ saET ____ H. DOC ... C. OF< SIE[[, ___ !J. A"'-"--.....,----I'.;C. < ::E g ... c. z : I e [. NC Of S'CES RELOCATION TRANSACTIONS DAlE or DA TE MOVE co .. 0" T [ c ..... l....,.Z_l ..... S"-+Z-'L..:.4.._ ____ OF Y Rl!'>o':' PAID TO D U R t.. -------LENGTI-I OF" TIME TO Ar-HR DATE 0[ -------------------53:>dS :JNI)i999 r) 52ooc 5:<99 f) S csoo Szm !(I 5;c,oc s,,., hI S2so:-53999 H ;============= ACTUAL MOVING EXPENSE S ___ Z S'-1Ali. BUSINESS PAYMENT 5--------SETTLEMENT COSTS$-----------------4 OTHER -----------S _______ TOTAL FINA"-CIAl ASSISTANCE 5------------al bl I OTHEF; INFORMATION: TfMPORARY RELOCAT!Ot-. 0' -----------OFF SIH ADDRESS ___________ COMMf,..,TS REMARKS--------------" 5 1 l.I\3V.AVd C l.N3d i i c: 2:1 u. ;.Hr-.----:!:: Z'"" ,-.. ., V>O ., .... .. .. .. l'lr _,z .. 0 .. !: 0-<: z C"l:r .. ;::" z "' 0 r. l I L z z z 1 v z z ,., "JSIO H ''----""-. I 3 I i o I r s I I 7 I I u 0 -' "' "' Ct -----i"' oi. a: >-"'"' :E 0 .,u "' .... "' 0 a: "' "' ::E "'8 !': .... :;; z ,_ c:;; YEARS TEM0 PERW EMPL AREA TYPE X31 ALPHA CODE P' A. PRESE"1 CO,.OOS!TION 0 PERMANENT RELOCATION AURARIA ol,.!-fJ8 B. ..... 0 ESTABLISH''"' Weicker Transfer &' AODOE5S 1 24 0 12. th. s:5:e+t ""'-BriCJhton Blvd 3 NAM [ OF 01'' E o ... G. ...... t ...... CITY Denver ST AH c 0 l 0 liP i Q :617 .:. TYPE OF ESTAE CIRCLE 0 1 2 a> 4 6 i B b. LEASE BACK (',LEASE d. RENT !. TRADE AREA CIRCLE (i)Q)(J;, S 3 PRICE 5 ....JI"'JN""'/(..._ ____________ 6. NO. OF EMPLOYEES PERM. C) 10-14 b.MORTGAGE d) 15-19 f) zs+ c. MO PAYiolENTS TfMP. a) b) c) H>-11 LEASEfLEASE BACK/RENT d) 15 r) YEARS IN DENVER __ _,U:,:fl:../L.r:::..-:------------8. AT THIS LOCATION __ ..J!/E.II::u;lf.,_ __________ ___ IC 11 DATE OF LOCAL A-PPROVAL AT THIS ADDRESS PRIOR TO Jf'r.l ) NO __ GROSS INCOME OF __________ (_) Nf'! INCOME Of ESTABLISHMENT (_) IZ ELIGIBLE FOR SBD YES----NO-----PRESENT PHYSICAL INFORMATION: I b)LEASE 2. A) "-U A---'.,"'-"'=#.!,__ ___________ BACk.. C) UASE d) REN1 B) LAD IIAJC AMOUNT MO REN' S--------------------------------AMOLJNT MO RENT PI T.t. S-------------PARKING SPACES a)ON SITE NO-------b)OFF SITE NO-------____ B. DOCK 6. LDAOING A. STREET C.. OFF STEfET ____ D. ALlEY------. NO or SPACE$-------a.MO RENT 5---------------------------------------b.LENGT .. Or LEASE LESSIE ______ C. MO. RENT INCREASE $ DECREASES ___ 5. a. N.U.A ReliC b. GROUND lltlli C. SPACES 1) Olrol SITE------------2) orr SITE-----------d. LOlDI"G SPACES-----------------STREET--------------------------------l Orr STREET ________________ J t LPA REHR.AL YES---...,----N0-------7. DISCONTINUE _JAJI!I.ID,I....-----------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED JrltOYING EXPENSES CIRCLE a) Ssoo b) Ssoo S999 c) 5ooo 5ugg fl S zsoo Sz999 gl SlOOO s .. tt b) Slsoo $)999 C. RELOCATION TRANSACTIONS 1 DATE Or ACOUISIT\0" s-f. 73 d) .Suoo 5m r) 52ooc: 5l il s.ooo. AMT. s I 9 :ilo. 60 j) Sls.ooo+ AMT. S --";?Jr-;:'77::--. ACTUAL MOVING EXPENSE S IJ', 59t'. /,. l 2. DATE MovE coMPUTED 3:o Z3' 3. AMOUNT OF MONTHLY RENT P'AIO TO D.U R A $-------4. UlriiCTJ-4 OF TIME TO RELOCATE AFTEJI DATE Of ACOU\&IT\0" -------------------A liD A ftl a Z. SMAU BUSINESS DISPLACEMENT PAYNENT 5--------l. SEnUMENT COSTS$------------------ OTHER -----------.:;;-,;5 S TOTAL FINANCIAL ASSISTAMCE S _., .. .. ____ F. INFOR:ATION: 1 A) OH ... _. ....... I .. ot---< 0 c: "'"' ,., "' "''"" "' .. .. .. .. "' ;.H---'--:!!:ID z::: .. z .... G" ,.n v.O .. .. .. .,.., l'lr .. ..J .... ;:gf'l'! .. J: Z'"O> o .... J: !: 0< z ""' "' .. ... .._, ,... "' ..,.,.,_ ""J

    PAGE 97

    -----!" ... ,.. N "' .. ... 0: .. .. 0 .u "' .. ., 0 0: .. .., "' "' ::E "'8 .. :;; z .. .. ..... -Pk :!.... ...... ,.=. ... g. Lots 35 ... 07 & 36-05-.1. 6 7 5 Speer "',," __ & Abe .. ______ ,,.., ____ z,, ___ Hairy l. T"1 H or r SU.R CIRC.Ll t 1 Z j 5 TRAO[ AfH.A CIRC.LE (i) l d It: CD 6 8.S..A .. [S, b. LEASE BACk ('.LEASE d. lENT 6 110. Or EMPLOYEES PUM. bh-9 e) 10-" d) 1!>-19 el f) zs+ TEMP. a).._. b) W 1!) 10-1& d) 1!>-19 e) ZO-Z f} Z!+ 7. YEARS IN DENVE'I---7.,.--::;"'!="-----------8. YUS AT THIS LOCATION ---<1,_,<------------DIU OF LDS.!L APPROVAL ( 39. AT THIS AODRE!S PRIOR TO NO--TO GROSS INCOME OF ESTABLISHMENT __ -,......:-__,-::r-7----(_) 11. N INCO_,E or ESTABLISHMENT .,.,..,, (_) Tl. ELIGIBLE FOR SBD HS----HO -----B. PRESENT PHYSICAL INFORMATION 1. C) LEASE d) RENT 3 &,PURCHASE PRICE $ --------------b.MCIIITGAGE 5-------------C,IJIO. PAYMENTS 5---------------&. LEASEILEASE aAcK/tENT 8,1l10 lENT 5------------------b. LfiiGTH Of LEASE YRS. LESS IE------C. MO. lENT INCREASE 5-------DECIEASE $ ___ 1 MOVI""(, Jr.PPtSES CIRCLE .: MO f' 5-------=-------C :;:, P.O.R .... :"4G SPACES 810' s:H __ s-..... o.._ ____ .. -----j--jz b)OFF SIH NC _______ 2 E LOAO"G A. sr' ____ H. ooca) ucro 5 so' bl S'oo S!'99 fl s zsoo 52999 g) 53000 53499 C. c" sTEEP o C RELOCATIOt< TRANSACTIONS .,1 1 DAH or ACOUISITIO 'l_ l DATE MOVE 3 AMOI.Htl Of" MONTHLl' RENT PAID 1'0 0 U R A S ------..,_ o:O: 4 lENGiH OF TIM TO RELOCATE ArHR D#o':'E: OF" ACOUtSilJOt.. --------------------c \ S1CtOC d) 51soc S:99; 1 5zooo 5Z499 h) Smo 53999 i.l Soo + AMT S -------j) AMT S _____ ACTUAL MOVING EXPENSE S ___ SMAU BUSINSS DISPLACEMENT PAYMENTS---------SETILEMEN159S1S 4 oTHr. 1 L I E. Y.. /) F s_ ...... TOTAL f'lt.tA-..;CtAL ASSISTANCE. S ______ .,, .... Q'4C-I}K.IQ .... F 0 R INFORMHION: N .. N a J a '"f rv l :. l, S3:JYdS L a} b) COM"f"'S ._cloR __________ ............. _....;:: __ J 0 y 1 B l .. n lt.I3,...Hd t!C lN3ti z L l L l t '" ... : ot--i GD r_,.r'"\ "' ... () .. 0 -,., 3: 0-c :!0 z "::t n = C'l CD z "' "'.. ,. __ _.:...,. 3 o 1 1 -. -E o 1 E -0 6 s 1 -9 8 -, -6 s --1 --r .. .-...t'\-\'C.. Si- --=---"' A ESTABLISHMEt-4 TO-T4 b.MORTGAGE 5------------------d) TS-T9 Z0-2< f} 25+ C. MO. PAYMENTS 5---------------TEMP. a) 11-4 b) !>-9 e) TO-T UASEfLUSE BACK/RENT d) TS.T9 e) 20-1 f) zs+ a.wo. REliT 5-----------------7. YEARS IN DENVER ----...... r-:r7.=---------8. YEARS AT THIS LOCATIOh __ ;z_....,.: ...... ..._ _______ DATE OF LOCAL APPROVAL AT THIS ADDRESS PRIOR TO ) YES ___ N0---10. GROSS INCOME Or ESTABLISHMEN1 __________ (_) 11. hET INCOME OF ESTABLISHMENT-----------(_) TZ. ELIGIBLE FOR 580 YES----NO---PRESENT PHYSICAL INFORMATION: b.LfNGTH OF LEASE YIS. LESSIE _____ C, MO. lENT INC lEASE 5-------DECREASE $-----5. a. N.U.A--------------------b.GIOUND--------------------------------------C.PARKING SPACES 1) ON SITE-------------2) OFF SITE-----------d. LOADING SPACES-----------------STREET---------------------------------2. OFr STRHT---------------3 LEASE BACK C) LEASE t / .tlt20 .s. H. ALl.E>----------------------''---A) LPA. REFERRAL Bi LAND __________ .... Ir...,________ l. DISCONTINUE BUSINESS _______________ 1 t;;;;;) d) RENT I. 3. AMOUNT MO RENT 5----------------<. AMOUNT MO. lENT P.I.T.I. $ 5. PARKING SPACES a) ON SITE NO. /,Y-/ b) OFF SITE 110--------i. LDADING A. STREET B. OOCK C.. OFF STEEET ___ O. NO OF SPACES _.)(,_ ___ E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED T. EIPENSES CIRCLE a) UNDER $500 b) Ssoo S9.l9 c) $1000 Su99 f} S 2500 5Z999 g) 53000 S:l." b) h500 53999 j) S.000 + AMT. $ ______ T. DATE Or ACQUISITION !!!!!l....-...J z C. RELOCATION TRANSACTIONS 'J!-Z. DATE MOVE 3. AMOUNT OF MONTHLY RUT PAID TO D.U.I.A. $-------d) .5 51999 I!) Sz 51&99 j) Szs.-AMT. $ _____ ACTUAL MOVING EXPENSE $ ___ Z. SMALL BUSINESS DISPLACEMENT PAYMENT 5-----------f UNGTH OF TIME TO RELOCATE AFTER DATE Of ACOUISITIOh-------------------3. SEmEMENT COSTS 5-----------------' OTHn s. TOTAL FINANCIAL ASSISTANCE S f'.i4?_.p() f. OTHER INFORMATION: /,11/ Uf' 1. ftMIII()ItAR'Y RELOCATION a) ON 51TE-----'ADDIESS----------ft N'F' 40.1Tf" c: ;., ot--:t"' ... "' :0 "'"' w .. .. .. l-Hr---' .. '--1: 0-c z Cl::t ... I "' .. "' c "" n m ... .. oJ ..; ... .., ..._) .... ;

    PAGE 98

    i .:. c. Ji ",_, ..... 'Ill -- ,. ,P[s;.'l,' :t..:-;.;.,.:. 1 .--- -L.---_--.--.. ---.. .. I : ...... i. ... ;..t_: .- # .. ;.:_ ..... ,... .. -:coc ;::0:y Street .. ""E,-'li.t'" 0 80207 l aocm l.J..l !;rick: Pres. con Denyer I ,,... LO.lO. ..... ..... .... ... l NAMl Of OWNER Of< MGF 1 z 3 S E 7 I l. &.SALES b. LEASE aAC.K {;;LiAS RENT UP[ or STAB CIKL D J. LPUICitA5E PIIC 5 ---------------I. TIADE UEA C1KU" 1 a 3 5 fl:ll.._.. c:) I..W b.-TGAG 5---------------i. 110. Of UIPLOYU5 PUM. &J ._. ol----i .. ('!'<' \ d\ c:) IN 0 1!1'" C,IIO. PAYMEIITS b) ) UUE/UAS BACK/IEIJ.Io TEMP. 8)._. ._, ) () a MO lENT S .. .. -, ._ d) C: a.z Z!l'" / Vallf'+:J') YIS. LESSIE.-----/Q f',l. b. LENGTH OF LUS -il V.), { ,,(,4} C.MO R[MT INCREASE 5 MID DD DCIEAS[ 5----DATE or LOCAL APPIIOYAL 5 YEARS IN DENVER 8 YEARS AT THIS LOCATIOh "' ... ., 0 a: g AT THIS ADDRESS PRIOR TO ( ) b. "'" In low 1D GROSS INCOME Of ESTABLISHMENT 11 NET INCOME or ESTABLISHMENT .. e 12 ELIGIBLE FOR seo YES----NO----,.. B PRESENT PHYSICAL INFOR,.,ATION' @ :.A.SE z t=:Jfl: I z 8) 0""" bl LEASE BACK d)REN' A l' I; A __ _________ B 1"'[----....,..--:-...---------------"'"' ... ouT MO. RENT PIT! S--------4"7-------Sf'ACES SIH. !'<10 b I 0" STE C _...J.,1..._ _____ LOAOI ... G STREET ____ B. 00:' t.PARKING SPACES I) ON SIT-------------1) on sm ____________ d. LDADING SPACt----------------1. ST.EET-------------------------------OFF STRHT---------------3 ALLEY---------------------------------6 LPA REFAAL Y-------NC---------7 0.U R .A FI"A"CIAc ASS:STAI\ICl GRAo.;TED MOYihG EXFS.ES CIAC1..l a l uNDEI\ bl c\ S1ooo fl! !!I hl zsoo. S;ol): SJ499 a .-\,...,..... ;.H--i:: "-1 w \ 1!! J: 0-c z C'I:Z: .. e i J( C .. OFF T[[[: ___ Ll. ALLE1--.J7----E. c or SPACES ___ ,._I ___ d) $1500 51999 e J Szooo Sz!l'! 0 Soo< AMT S ---,.0...----:-,-:-. -:: .. -:-'--1-;? 1) Szs oor+ AMT S 0 ii' 't J s&."" "' )( z u c ..J .,; ... a: gc .. z "' "' i ... RELOCATION TRANSACTIONS Of ACOUISITIOI; ____ Dio TE MOVE COMP1..E lEO ____ AMOUp.;T or REM PA!tl TO 0 U J< 5 ----=-=---Lt.Jo.GTH or TO kllOCATE AF"iEP OAH QF ------10.. "' .. ,.. "--. I -_. '-.. r ._j "'"'-"" j I ;_,. -v l u "V i U .... .. c ... "' 9 AT THIS ADDRESS PRIOR TO r) ,.1. 0 n OAT Of LOCAL APPROVAL !f ) YES......!{_ NO---lO GROSS INCOME OF ESTABLISti .. [NT __________ (_) 1'<. NET INCOM[ OF STABLISHM["' (_) IZ. ELIGIBLE FOR SBD YES----NO-----B. PRESENT PHYSICAL INFOR,.,ATION: I. B) OWNER b) U:ASE BACK c) LEAS Z. AINUA. 9,111(1 B I LAND JII!IIC 3. AMOUNT MO RtNT $_ ...... AMOUMT MO R[MT P.I.T.I 5--------:'llr--------8 I ON SITE NO. __.1. .. b)oFF SITE MO--------p B. DOCK PARKING SPACES 6. LDADifrtG A. STREET C.. Orf STEET ___ 0. ALUY_.J.J(:to.... ___ ENO OF SPACES-----c. RELOCATION TRANSACTIONS 1. DATE or ACQUISITION __ z. DATE MOYE COMPLETED 4 ..,, z! 3. AMOUNT OF MONTHLY lENT PAID TO D.U.R.A. 5-------. LENGTH Or TIM TO IELOCAT ArTI' DAT or ACOUISITIOh--------------------AIIDADIA ACTUAL MOVING EXPENSE -z SMALL BUSIIIIESS PAYMENTS-------3 co' s 5 < OTHEO 3M.tLI(fAI& 5 ; :'; 5 TOTAl FINA!o!CIAL .. F OTHER a) bl RELOC#t.T!Oh 0 SITE------ADDRESS-----------':)F"F SITE COMMENTS A.,.!:.IQR REMARKS---------------.. 'Z .. -: ')SIQ d. RNT LEASE/LEASE BACK/RENT &.MO. RENT 5------------------------b. LNGTH OF LEAS YRS LESS IE------t.MO. RENT INCREASE 5-------DECREAS S----5. a. N.U.A ---------------------b. GROUND----------------------C.PARKING SPACES 1) Oh SITE---------------2) OFF SITE-------------d. IDA DING SPACES--------------------STREET ________________ __ I. Orf STREET _________________ 3. AUE>-------------------6 LPA RHERR4L YES---------NO-------7. DISCONTINUE BUSINESS--------------E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCL a) UNDER hoo bl 5500-StM r) S1ooo 51199 d) .Suoo S1119 J Szooo Sao" f) 5 Z!IOO 511199 g) hoooSlol"i h) Snoo h999 i) S.ooo AMT 5--------j) Szs.ooo+ AMT. 5 ______ ACTUAL MOVING EXPENSE S ___ Z ... AU .USINESS DISPLACEMENT PAYMENT 5--------J. SnLEMI!JlT COSTS OTHU L1U DE s !#_ (J(Jl. tiQ 5 TOIAL FINANCIAL ASSISTANCE S .. '1-"M ...... ..... .. __ ,_ _____ F. OTHER INFORMATION I. a) ON "' ,.,.., ,. ;ito .... "' :D "'"' .. lr'l \,..N-1: 0< z C\z ,. .. .. .n : ... "' ...... _,.,.._; -------------------------------------------

    PAGE 99

    0:' -------------------------------_L_ __ ---f' : .... '. : ;; : : .:. : C:. -...:.l s _._ : 2 2 = := :.-:-. '"'"""-to ;..... .. ;.. : _-___ -_._--_-_--_ --,-----,---.-.. I r.: ,._, I,.;..Ji .... ; ........ -_-,. lli v X-.i.J.. ------!'-' ()' 8 1 8,Sio;.l!lo lAC."-L LEASE d. OENJ N ., N I') "' ,_ .. .. .. 0 ,.u ... ::l 0 .. tD<.'> "' ... ::E "'0 u ... t;; 2 TRAO[ AR[.A CliKd l (jJ' 6 110 Of EMPLOTlH PERM. AJ 1>-A r) IG-IA d) r) zz 0 u+ TUP. 4ii;;:> b) 5-I e) 111-1 d) P) ZII-ZO f) Z5+ YEARS IN YURS AT THIS LOCATION ---.. DJ.TE Of LOCAL APPROVAL 9 AT ADDRESS PRIOR TO ( 3'YES NO-----10 GROSS INCOME OF Hal. (_) 11 N INCOME OF' ESTABL!SHMENT 44n4. ( __ ) JZ ELIGIBL FOP S80 Y U--------NO ----------B. PRESENT PHYSICAL INFORMATION: 2 0 C( :;; .. 0 c :!: b) LEASE BACK r) LEASE A)' u H ) LA"' .... .._ _______________ __ AMOO'i "'0 Ol" AV.O.;,-:-MC P.[ F-.,. PAR'"'i"tG .-\. 5TH" a} Of'.. S "'V ---""-------------b) 0" S !T NC ----------------_. B. DOC C. 0" S T[ E E LC"------------E. NO OF sAcEs --------RELOCATION TRAN5ACTION5 DATE OF ACOUI 5 :no ___ DA H MO\' E COMPCE TE C .... Ato.40UNT or 'r' li'[t;T PAID TC 0 U 5; A. 5 _______ AC.Oui SiTIO"-------or-----------.."'7---------------3 ............... a. "j "'"' """ """ '""" 3 B.PUOCHASE PRICE 5 -------------------------------b.MOtlfiAGE 5--------------I:.MO. PAYMENTS $ __________________________ -LEASEILusE ell/tENT a.MO. RENTS __________________________________ __ b. LENGTH II' LEASE YRS. LESS IE---------1:. MO. RENT 1MCIUSE S-------------DECREASE $------5. .NUA. _______________________________________ __ C. PUKING SPACES J) ON SIT!. ----------------------2) orr SITE-----------------------d. LOADING SPACES--------------------------------1. STREET---------------------------------z. OH STREET _________________________ 3 DOCK------------------l ALL[ I-------------------------------f t.PA RE r E RRI.:.. 't [ 5 ---------------NC----------------: Dl S S --------------------------E. D.U R.A FINA!o;CIAL A5515TANCE GRANTED MOViP..G l.Hh.SES a I uNDER Ssoc b) S;o, 59? rl s,.o; d) 5150( r J 5zooo 5"9'J f I Sz999 !1: l S3ooc 53409 hI SJsor il Sooo + AM' S ------------j) un. ACTUAL MOVING EXPENSE S SMA:..t BUSIIiESS D!SPLACEMEtH PAYMENT 5----------------3 COSTS S--,.,.---=-,-,,---------------'=-="'::"" OTHER SCA( c H cxe U, F"i :u .. a) bl z "EP INFORM:O.TIC"-1: TEMFO LOCATIO!\ o .. orr sm __________ aDcREss _____ .. __ -,;:-;:.--.,.._,... ____ ----J: o_ < z O:t "' 2 "' cot..tMr""t!. I! s lS sna ,., ':.J:o.O "' .. I :' ''' ''.: :1. '.I'.'''.' ''. ''. 3 NO 1 r. 1 1 r E I o 1 r 0 E o I 6 s 4 1 g e 7 r e s I : ", r--/ A PRESENT ESTABLISHMENT D. PERMANENT RELOCATION w "' '-' 0 .,; -a ------i" .,.: .. .. ., ... ::E 0 "'u "' ... ., 0 .. or<.'> "' .. .... c a:;; NAM or E 7th St. 3 NAME or owE o MGR Robert T. walker TYPE or ESTAB CIRCLE 0 1 .Qs 6 ; 8 5. TRADE AREA CIRCLE (J)z l 4 5 6. NO. Or EMPLOYEES PERM. 8) 11-4 d) !5-!9 el ZII-Z4 TEMP. a)D-' b)s-t d) 1s-19 e) z<>-u r) 1o-u f) zs+ e)111-l. 0 zs+ 7 YEARS IN 8. YEARS AT THIS LOCATION __________________ DATE Of" LOCAL APPROVAL 9. AT THIS ADDRESS PRIOR TO I I 10 GROSS INCOME or N P NET INCOME or ESTABUSHh4Etotl ) \Z ELIGIBa FOR S80 YH --/.::...--PRESENT PHYSICAL IN -Is 1 G) ov. N( h'f LEASE BACK c) LEASE d) RENT 1 ADDorss 2 6 50 S Zuni cmEngl ewoodmn CO ZIP ________ C,LEASE d,RNT 3. B. PURCHASE PRICE S .. b, MORtGAGE S c 0 (l__ r\, C.MO. PAYYENTS 5 ________________________________ -LEASEILEASE lACK/RENT B.MO. RENTS __________________________________ __ b. LENGTH Or LEASE TRS. LESS IE---------e. MO. RENT INCREASE 5-------------DECREASE $ ______ S. 8. N.U A------------------------------------------b. C. PARKING SPACES 1) O SIH ----l.,;b;.t..lroo.. ______________ z) 0" SITE----------------------d. LOADING SPACES-----------------------------------T 5 TIE n ________ -::C7---------------------z. OFF STAEE l ____ .i DOC.fr'---------.,-f'_,._ __________________ ALLEY--------------------.....,go------ -----6. LPA. RH URAL TES -------------NO---lox""'---------z. B I LANC 4../IP/?1!1,_ BUSINESS------------------------------3 AMOUNT MO. RENT S---------------------------------E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 4. AMOIJNT MO. RENT P 11.1. 5 ______________ 1. MOVING XPENSES-CIRCLE B)O SITE N0._......;5..u0rrrC.---a) UNDER 5!1011 fl $ lSOO-Sz!ll9 5 PARKING SPACES b) OFF SITE NO---------) B b) Ssoo 5!119 g S1ooo Sl4't 6. LOADING 1\. STREET DOCK C.. orr STEEn::::Z:D. AU.EY------------r) S1ooo-Sui!! b) 51500 S3119 E. NO or SPACES------------d) .S1soo S1119 + AMT. S !:; C.1 RELOCATION TRANSACTIONiS -JlJ ,., / PJ Szooo-Sz4!11 zs._. AMT. 5 __________ DATE or ACOUISITION ___ ACTUAL: 0 lNG EXPENSE $ ________ ___ Z. DATE MOVE COMPLTED 73 Z. SMALL DISPLACEMENT PAYMENT 5---------------.. !. AWOUNT OF MONTHLT RENT PAID 10 D.U.R A. 5-----------!. SnLEMEIIT COSTS S.,-=...,..------,--------------------.. i 4. OTHU !'!', C, ., s 02 S----...,,......,,.........,...,....._ -UNGTH OF' TIME TO RELOCATl AFTER DATE Of 1... 0 ACOU1Sin0N -----------------------------------S. TOTAL FIIIAIICIAL ASSISTA .. CE S Qt!2 ,'SA 1#/ F. OTHER INFORMATION: 1. lMPORAR LOCIT101< f' a) ON -------------------'-r_. '-' r._; L\ -............ ... N N gf--------::t'" ... "' lD "'.... "' "' .. "' ...... '--"'-

    PAGE 100

    .. .. -... N = ... ... ... ... ... = ... ft. .. __ --iA jzi o: .. L NOM --=A-=d-ramn'''Ter-, --'JT-Tor:e;:o-""'""--.---==-==-==-----1240 lOth Street -A. .... I. -ontll INCCIMI: I. A .D.C. I. O.A.P s. G.A. .. s.s 5. I.R. I. A. .. ..-,._ Ill OR MOll tiONTHLY 7. A.N.D. ,.,....... PRESENT HOUSING INFORMATION 1. OWNER C TENNANT ., Z. NO. Of' ROOMS NO. OF BEDROOMs 3. AMOUNT or MONTHLY I[Nf WITHOUT UnLITI[S 5-.,.7'-'DE..!-----' AMOUNt OF MONTHLY PAYMENT P.I.T.I. S-----5. GROSS INCOME OH HOUSING '1.--------1. YIAIS LIVED: IN DENVER RUENT ADDRUS--0.7. PUBLIC HOUSING: RPPUED fOR C lUGIILE FOI C c. RELOCAT10fo! TRANSACTIONS I 3 1 CAii. OF ______ Z. DATE MOVED ,,.. ,). 7) J. AMOUNT OF MONTHLl' lENT _.AID TO D.U.I.A. '------'LENGTH OF nw TO IELOCATf: AFTER DATE OF ACOUISinON NAM< ADAMS Dan ADollrss 902 Inca Street \. PII .. U IEWTA r UI.U .-u .,_"_" valftD.J. .......... lkwmt ; IIIN .. IS QIICLI -R$11 b .... t.-d.. W.11 l. AYEIIIGI ANNUAL GlOSS UNt&L ,, ______ f. s 7J.4! g. -h. ITO W/0 fUIN. S I INDIVIDUAL S. AMOUWT OF RELOC.AnON ADJUSTMENT PAYMENT _______ AMOUMI OF 5198 Decatur Street /;::;
    PAGE 101

    0 N ... N N ... ... N ... A ... ,.. .. :o.,.:.v:.,')c .... -,,. rJ;..-:-:. 5. R.I. &. VA. 7. A h.D PRESENT HOUSING INFORMATION 1. OWNER Ci TE:NNJfliT Z. NO. o ROOMS R NO. Or BEDIOOMS l. AMOUNT OF' MONTHLY RENT UTILITIES 5 8()-:liiJ AMOUNT OF' MONTHLY PAYMENT INCLUDING P.i.T.I. S ____ 5 GlOSS INCOME SPENT ON HOUSING 'is-------,.-6. YEARS LIVED IN ADDRESS __ __ 7. PUBLIC HOUSING APPLIED FOR C ELIGIBLE FOR 0 C. RELOCATION TRANSACTIONS 1. DATE Of 2. DATE MOYED--------'L''-1'-'-Z....L------J. AMOUNT Of .. ONTHLY RENT PAID TO D.U I.A. $ ______ LENGTH OF TIME TO RELOCATE AFTER DATE Of ACQUISITION. ... .. l. AMOUNT OF IELOCATION ADJUSTMNT PAYMENT '--------' AMOUNT OF I[LOCATIOh '-------.. .. a II!- -----.l:a1ii\JI: .. C. .. : L. .:..::..: 0 Cnc..::;L N:.:.31: S:..:o: 3::.::..11dTo"'-"-II ,.____,I<:..::': H= Nj: 3"'--.:0N:.:.._; 1::.:..::11 Yf:3.::._ '+-:'SC:: 0)7--3 8+...,.-S.e_;; l'i;c=O) I 0'-'i--11--;;--l II _Q_ l N311 !l N IS <1 0 H NO N3:1113c N E 5 9 L 8 ons 1 13s '. 1. '" '. t : .,. I < ,: I ', 1" l.l 1biJ a 1 b 11 JU '=' e 1 ll b :J 4 I M :) 41J a IJR;AN ll' -.. .. 2 rH. INCOME MONTHL' INCOh1E EARhj li -"I ETHN: IJ A.REA ALPHA qlOE .,. ;: fiJi AA UNRELATED INDIVIDUAL 0. PERh1ANENT RELOCATION 3 t! 'Ob V ----------1 Ho s .. "' NAME ALEXANDER, ADDRE55 1500 Waters _Fl 'Rrnn !=: N z a 0 N "' ... 13: z ADDRESS 952 lOth Strec;t CITY 'Rrnmc um 1\1 v 18l 3 URBAN ARfA CIRCLE 1 (!) 3 CP 5 6 1. PAIYIITE RENTAL SALES HOUSE = .. "' ETHNIC COMPOSITION CIRCLE 1 a> 3 5 6 a. STANDARD iW""'SUB STANDARD RENT: W/0 UTILITIES 5 ft '' WITH S ----.. .. "':.,: 'cl .. 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE I Z 3 5 6 7 B I 10 11 Gi) 13 1 15 16 6 SEX MALE .2 I FEMALE __________ 7. AGE OF MAL OYER 62 FEMALE OVER&! _____ I. MONTHLY EARNED INCOME CIRCLE 1. s o-ct 1. s zso.zn z. 50-19 3. 100'9 a. 150-199 5. 200-1&9 9. OTHER INCOME 1. A.D C. 2. O.A.P 3. G.A s.s 5. I A i. VA. 7. A.N.D. 8. OTH R 8 350-399 10. 500 OR MORE MONTHLY PRESENT HOUSING INFORMATION UNREPORTED INCOME ______________ ANNUAL 1. OWNER ::::; TENN'"T/ C J Z NO OF ROOMS __._._ ___ NO OF IEDIOOMS ..... -4--::=:-3 AMOUNT or MONTHLl RENT WITHOUT UTILITIES S __.3o.iii.J,.._.,_.3....,7.__ AMOUNT OF MONTHLY PAYMENT INCLUDING P.l T.l S ----PURCHASE PRicE s I wo. P.I.T.I. s ___ b. c. 1-' LPA REFERRED :J SELF RELOCATED 0 PERCENT SPENT ON HOUSING !Iii--------d. e. Z. PUILIC HOUSING PROJECT NAME g 3. RENT SUPPLEMENT MONTHLY INCREASE S ----DECREASE S ___ ;Jo,iii Cl .. .. E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE ;c UNDER SZG b ZD-32 '7ZB3 c 3U5 d 06-58 e 59-71 Z. AVERAGE AlltlUAL GlOSS '-------97+ AMOUNI ---W.'O F"URN 510 W/FURN. 3. AMOUNT OF lnoc:ATION ADJUSTMENT PAYMENT ______ AMOUNT OF ILOCAnOH PAYMENT I TNfP .. .. .. .. 5. GROSS INCOME SPE_, DN HOUSING 91\------.--"T 6. YEARS LIVED IN DENVER ___ PRESENT ADDRESS d ....... Si "' 7 PUBLIC HOUSING El.IGIBL FOA APPUED FOR 0 RELOCATION TRANSACTIONS !!! AIZ6o -1-1-7.1 1 DATE Of RUN 51 II A __ 2 DATE MOVED '"-17 :r J AMOUNT OF MONTHLY AEN'I' PAID TO D IJ I.A 5----- LENGTM OF TIME TO RELOCATE AFTER OAT OF ACOUISITIOh ;1=-. "-lili --.. _, !0 .._ Ul .. lc .....

    PAGE 102

    ----. : ...., 1 1\, : r _. ;o-:., ,;, :..J' 39-C5 ------z c !;: .... ALVARAD9.L And v M A:.:>" E, o__..2L..l6,...5"'-l..._ ..... R ... a .... l'"-'e ........ i-llg-""-h...__.S ..... t ........ r .... __ .ViDDuu 94 8 9t:.n Street "'" REa, :: uH HOuu ... .. ;;_-sl J. UnAIII AI[A CIIQ.l -1 J Q 5 6 o ITANDAIO ., S.-STAMD"ID 0 CDMI'OIITIOII CIIIC:U. I l f) t I .. b ..ftiiTc W/0 IIIKJUI 1--::-......,,.---WITII '-.,--=..-I .. I .... .1. -ST tiiNIM aa-a llf'I!CIIIk IY --MeaU JIO. UU. s-(,4 .. : .. ., .. .... to ,,.0. "";_"') .. ,1; ---........ --.a... .. .. .. ..:.M.c-tiiJVIilt .. __ lo ____________ l ,.': __ "J. AR Gf .. MALIS OVIJI .. :/ .,I.W.UWU.R ...... ;PIDJKTU .. I: ... .. N ":t-... D ... Cl .. I. _,._, f&IIIIID ,_ .. z.-J. 110-1ft 5. IOO.Ut I. OTHER INC()Mf 1. A.D.C. Z. O.A.P. 3. G.A s. s a .... D .... 7. ... .. ,_ UUl'OITID IKIIIMf s .. u G ... OR WORE .,,o."" MONTHLY ANNUAL AMOUNT MONTHLY RENT WITHOUT '------AMOUNT OF MONTHLY INCI..UDINC. ... l.T.I. '------GROSS INCO,.E SPENT ()frij HOUSING YEARS LIVED IN DENYER ____ PRESENT 7 PUBLIC HOUSING A.-PLIED FOR 0 [UGIIlE FOR 0 RELOCATION TRANSACTIONS 1. DATE or ACOU!SinON ____ DATE "0VEO _________ ______ ___ OF MONTHLY RENT PAID TO O.U.R A lENGTH OF TIME TO RELOCATE ArTER DATE OF ACO:JISITIOr. AURAR lA S!lA, !l3AN30 HI S!lV3' 5036 I r e r. l .J .v11 o 1., ,L r ., 0 _, ,. 1 OTH INCOME I, INCO"E li""" .. ,. 0 .. N "' N -w-1 "' :..,.;., .. ...) _; .... .. rn _, 8! "' ... I I ., 0 .. 0 a: .. CHILDREN FAMILY COMPOSITiON b SOCIOECONOMIC DATA ADD ........ 0:.....4LS""----4:9_,t.,..h...__,S<-t_r_,e...,e ... t-"<-__ URBAfrri AREA-CIRClE 1 G 3 8 5 &. ETHNIC COMPOSITION CIIICLE 1 2 C!) & !5 I 5. HI&HlST GlADE AnAINED IN SCHOOL n HEAD Of FAMILY CIRCLE 1 CD l 5 6 7 I I 10 11 1J 1J ,. 15 6. NUWB OF CHILDIEN IN HOUSEHOU> 7. AGE Of' WAlES OVEI 65 1./, FEMALES OYU 6Z f(, I. WONTIILY lUNEC INCOME CIICLE 1. z.3. 10ft-1ft 150-199 5. ZOO.l.tt I. OTH INCOME 1. A.D.C. Z. O.A.P 3. G.A ... s.s 5. I.A. I. VA. 7. A.N.D. I. I UIOZII B. !!S0-!99 () .-t-----::--.:--::--1. YIAU UYDt .. DINYU ____ PUIIIIT ADDIUitt.!U:: 7. P118UC HOUIINGc API'IJID 1'1111 C WlUU POl D C. ltEL.OCATION TRANSACTIONS l" I. DATI: OF ACDUIIInOII __ L DATI MOVED I. _,...OF IIOIITILY UIIT PAID 1D D.U.LA-1-------'-UIIGTII Of' nwt 1D ADDCAT A" DATE OP acoursrnDN. -TILT: .. C:IfAI[ I littlE AI["-"-----! [ D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;... g1 ... ..,. l t. MOVING EX,fNS$ CIIICLE 0 UNDU 10 s 71-83 "'I""' I b lO.ll g. IL96 z n, c. JJ...4,5 110 W/0 FURN. ;:I I d .. 18 $ 5 UIDIVIDUAl r'"i CD ,._, i ..... 2.. AVERAGE ANNUAL GlOSS I ENTAL '--------[):; "' Atr.40UJoiT OF IE:LOC&TION ADJUSTMENT .. OF' RElOCAnOh P.AHoHNT '--------1;; z /! (f()O Z61fN FP/bA ;J$"(),00 1Nl enr.t .J ft? LS U liP 7 I '1./..!l "' ___________________________________________________ N011V::>0131:l lN3NYIIII!:t3d ..:l:..:N:..:l:_o!l'-----+---=9.:cN:.:.I <:..-n:.:.O::..:..c>'_ ... :.:.u::....:.L:.;"',::?:..:):.:b:.::;:.:":... 3 S :: D 1 : I Y5&65U PERMANENT RELOCATiON 33-05 ADDREss 4000 W. Conejos, I #1 II'RIYAT RENTAL I SALES HOUSE ::: o STANDAID Sua-STANDARD c;,._ b._IENTt W/0 UnUnU S ____ 1------100. I ____ d. L.PA IEFUID D SELF IELDCATED D -I'IICENT SPEIIT-IIOUSING "------------2. PUauC HOUSIIIG nOJECT NAME ..-r-: : o"' ,: 'I '" .. Ol I MONTHLY: INCIUS S ft,/ID DECIUSE '-------, .... _! .. E O.U.R.A. FINANCIAL ASSISTANCE GRANTED > gj ... 1. MOVING EX .. ENSES-CIRCLE ... _, o UNDER $ ZO b ( 3)-.t5 ... !18 e lt-71 S 72-Bl ... 96 S 10 W/0 rURN l 5 INDIVIDUAL Z. AVEIAGE ANNUAL 51055 RUITAL '--------l. AMOUNT OF RELOCA110N ADJUSTNlNT PAYMENT s .. AMOUNT Of" aUOCA110N PAlM[Nl I /elfl." ll'Tll.6. TUt1' lNINTW{,f l' U.III'J. lz;,..,:(?l :;;:, 0' ''" :.):D! '-l'-1"' ;,..i"'tl nl !'" zl-. ... 0 i"' .. t!-0 .. ... .. ... ._) __ ... .. -{--: ... .) ...) c ,_,.,_J z ... :r -'" .,J .. ... ... __..,....) Z1co '"I :::1-1.. -

    PAGE 103

    ... .. N .. z. 7. f) ... .. ,_ .. .. Ill .. ZIIWII 11. ... 01 MOlE OTHU INCOMEo MONTHLY ... 1. A.D. C. z. O.A.r. J. G.A. .. 5.5 ll2 !. R.R VA. 7. A.firf.O PRESENT HOUSING INFORMATION 1. OWNU J{ TENNANT C:: 2 NO. Or ROOMS ={p NO. Or 8DROOMS __ 'fL.. __ 3. AMOUNT Or MOJiTHL Y REfrllll WITHOUT UnLITIE:S 1---::-----,=AMOUhl Or MONTHLY PAYMENT INCLUDING P.I.T.I. I GROSS INCOME SPENT ON HOUSING '1.------:-::cr--i. YEARS LIVED IN DENVER ____ rRUUT -RUS:;aLO PUBLIC HOUSINGo APrLIED FOR 0 ELIGIBLE FOR C C. RELOCATION TRANSACTIONS 1. DATE OF ACDUISinON ____ 2. DATE 3. AMOUNT OF MONTHlY RENT PAID TO D.U.R.I. LENGTH or TIW TO RELOCAT Af'TER DATE OF ACOUISITIO._. 1 ___ ADDRESs____lo8l..,l""-"'1---.lc ... 3. URIAN AREA CIRCLE 1 2 3 A 5 A. ETHNIC COMPOSITION CIRCLE 1 2 f) 5 6 HIGHEST GRADE ATTAINED IN SCHOOL Cl RCL 1 2 5 & 7 I I 10 11 1Z 1J 1 15 11 SEX. MALE ;( FEMALE-----------AGE OF MALE 7 FEMALE OVEiil _____ I. MONTHLY EARNED INCOME CIRCLE 1. I 0.01 I. I ZIOZM UNIEPORYED INCOME 2. 50-19 7. Joo.ut I ______ J. 100-1'9 no.JM .. 15CH I AOG-419 zoo-ut 10 SOC OR MORE .. OTHER INCOME MO .. THL.Y ANIIUAL A.D C. z. O.A.P. GA. .. s.s Lf5.DO R. R. VA. A.h.D. OTHER 'J5.1/0 PRESE"'T HOUSING INFORMATION OWNER 41 NO OF ROOMS or BEDITOOMS _. .. ._ __ 3. AMOUNT OF MONTHLY lENT WITHOUT UTIL.ITIES S ----,:-:-=AMOUNT OF MONTHLY PAYMENT INCLUDING P.I.T.I. S /U fiJJA GROSS INCOME SPENT ON HOUSING 9ii ______ ':"'WI""'-YEARS UVED IN A-ESS Jli:L 7. PUILIC HOUSING ELIGIBLE' FOR APPUED fOI C RELOCATION TRANSACTIONS r 'T.::l 1. DATE or ACOUISITION l DATE MOVED _______ ___ AMOUNT OF M()f!IITHL" RENT PAIC TC D.U I A. S -----LE .. GTH OF TIM[ TO REL .OCAT AFTER OAT[ Of ACOUISITIOtf ___ :.:.";.',-.. .2 7.: crs 1.. 4110YIIIG .IIPIMI .QIICI.E D. SID b. INZ c. JJ..t! d.. ... ,, 2. AYEIAGE ANNUAL g()SS RENTAL '-------------'7z.e:J g. -h. S 10 W/0 FUIN. S I tDIYIDUAL J. AMOUNT OF RELOCATION ADJUSTMENT PAY ... ENT '--------------C AMOUNT OF IELOC.TION PAYMENT '------' PRIVATE = SALfS HOUSE a. STANDARD ft' SUB SIANDARD b. lENTo w/0 UTILITIES 5--;:;-::=---C. PURCHASE PRICE 5 f,5"Q MO. d. LPA REFERRED :; SELF RELOCATED e. PERCENT SPENT ON HOUSING % _________ Z. PUIUC HOUSING PROJECT NAME-----------3. RENT SUPPLEMENT E 1. MOVING EXPENSES CIRCLE o UNDER S 20 b zo-:az c 3)...1!1 06-51 e !9-71 1. AVERAGE: ANNUAL GlOSS RlNTAL '------'7ll ... H 97+ AMOUNI ___ __ Ss v..'o FIJRN 510 WIFURN 3 AMOUNT Of RIE:LOC:ATIOfril ADJUSTMIE:NT PAYMUfT 1-------RUOCATION PAYMENT .. N w .. U' .. .. .. .. N ... .. .. .. ..

    PAGE 104

    -i----------__ :._ ______ _._ __.__: ... -'-[. _-_ ;. "' ct.:ow.:. ... p. .... Stella 170 Raleigh oo .. -. 1159 11th Street .,..,. u 140"" I UI8AH AIA CIRCl.E 1 B ) 0 !i I 0 ST&.DAID $U8-STAIIDA1tl -------;, I A. llWIC CDMI"'StnOII DKU 1 t.() t ,. 0-.HIIt: WI'O nunES siiD.tJQ W1TM L------1 i ... ,, ,... :: : ;-: il't ''),.!) 1. HI: flf A PIU.H 01P "; tWuc--: -Y -.UftEIIUICOIII: .aiCU _,.. _..._-..;. ____ ...;;. __ -;;::;;.-..nr------------Jl::l"" 1. "-,_ -tUWit VlltrPelt'lh .. COIIU -Y: iiiQilAil' W.IIJ DECitEASE I l. -G) _3 .. JI}I E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ,.. J. 110-1 I. JI0-399 1. MOVIMG lXPllt5S CIICLE 'T1 -f1 .C. 1!0-1H t. t00-4H Q. WND S 10 '7Z..a3 0;01 !i. IOG-Zt 10 100 OR MORE b. 14-l6 '-" OTHU INCOME: MONTHLY AIINUAL t. n. I 10 W/0 fURN. >I .. 10:1 1 A.O.C. '6:GQ d. e6-!18 S 5 INDIVIDUAL ri leo l. O.A.P -R-71 G.A. 2. AVEIAGE AIINUAL GlOSS IENTAL v;!b! I s.s. s________ .., -,.,. R R 3. AMOUNT Of RELOCATION ADJUSNENT PAYMENT i i VA S________ '"'I .. .. .. \ .. .. .. N 11;: AN 0 j AMOUr..T Or RElOCATIOrr.! PAYMENT wj'-'J B. PRE$ENT HOUSING .... C: .. OWNER A..-....-..-.:1. J ___ HO OF ROO"'lS ;;L NO. Or BEDR()()II.S !TI!z OF MONTHLY RE"'l UTIUTIES l J{) 0 1 '::J" N A"0U" 0' .,ONT"L' PAl.,ENT INCLUDING P.IT.I z' I::; I ... 5. INCOME SPENT Olti HOUSING ; __ ... __ __._!_.-111,[1 c c!!!r 33) I DATE OF ACOUISITI0h __ -'!.;;-',.2"';;i,_ .. I 2 DATE .. OVED 1.'7 I' OF MONTHL' PAID TO D.U.R.A '------10 LENGTH OF Tlrrr.t[ TO RELOCATE AFTER OAT Of ..., I ACQUISITION i"'i-10! j .. !' to-1 I ; ltD ____ I I t "' "' 'A"''LY COMPOSITION & SOCIOECONOMIC DATA ----.. ;;:::: ADDRESS __ n--=g'--S_t_r_e_e_t ____ ... '-.A.,, --::C:-:a=-t=.:h:.:.Y"'--:--=-M:;_;.'----0 .. "' .. -.. "' .. <> f ., "' 0 ... ... .. "' "' ... "' "'I :f I ., .. gl 0:1 .. .. I I -N I ::0 ... z r .. i L::> o,_ N ,.. zl z.., ... "'"' i;J,< ... a:i .. t ... i "' .. l .A--' DoaEss 91 7 Champa Street 3. A !ilEA -CIRCLE -1 a 3 (!) 5 6 THNIC COMPOSinON CIRCLE 1 2 r; 5 6 5. HIGHEST GlAD AnAINED IN ICHOOL 1Y HEAD OF fAMILY ORCLE I l 3 5 6 7 10 11 G 13 ,. 1S 16 1 6. MUMBU Of CHILDREN IM IIOUU-.!1 7. AGE OF MALES OYU IS FEMALES O'IU I. MONTHlY EARNED INCOME ClltCL 1. IW9 l.3. 100-1j9 no-1M 5. zoo.zcg OTHER INCOME. 1. A.O.C. 2.. O.A.P G.A. 5.5. 5. R.R. 6. VA. 7. A.N.D. ). B. 3!10ll99 .. n 10. 500 OR MORE MONTHLY 8. PRESENT HOUSING INFORMATION UNIEI'08TED IIICOM I. OWNER 0 TENNANT 'If l. NO. OF IIOOMS .. 110. OF 3. AMOUNT Of MONTILY HNT WITHOUT UnUnES $ 1. AMOUNT OF MONTMLY PAYMENT INCLUDING !'.l.U. S. &1055 INCOME SPENT i11N 110111!116 t. YUIS UVED: Ill DIIIYER--'l.-I'HIHT ADDU IS"-""= 7. IIOUIIIIC: A!'I'LIID TOll 0 I:UiiDLI f'Oit 0 C. RELOCATION TRANSACTIONS 1. DATE Of' 'f.i;::l.i"r------1. NT -IED _____ _____ S. AMOUIIT Of' _,._, .lilT PAID II) D.U .A. 0. UIIGTM OF ftllE 10 ILCICAtt: APTIIt NT "' RENTAL = SALES liOUSE I( jAo STANDARD SUI-STANDARD i: b_ltENT. W/O ununEs l WITH I I'" d. LI'A ltEFEIItED 0 SELf IELOC:AT[D 0 .. ''"' <-!'UitCHAS PRICE$ t1cf4#.0t' MO. I' 111. S /#2.,f -I'IIICEMT S!'ENT ON -SING' -, 1. PU.UC HOUIHIIG !'IOJECT IlANE -__ _; MOIITILY: IIICIEASE S DECitEAS S -, L D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;.. '" 1 MOVING EXPENSES-ClltCl.E N o. UNDER S lO S J2.8J )>!-o! b. ZO-ll ; &...96 c. lWS t:. S 10 W/0 FUJtN. );! d. ti-58 i $ 5 INDIVIDUAL tell >j':!l e !t-71 j "'I"'..., l. AYE.AGE ANNUAL GlOSS IENTAL --------S. AMOUNT Of aELOCAnON ADJUSTM[NT PATMENT Z '------.. .. "' AMOUNT OF OA!'j .. T .. co o o ..... __ ,:6 : .: n ore ,, 21 .. .. '" tS 1:40 .. "' .. _, :::::::::::_: __

    PAGE 105

    -----:r N N ... N .. .., N .. .. = "' ; I N .., '" 0 ... .. __ ..... : ___ ___ -....:__ --.... l hRCH P.., I: utili a ocRL .. r.._ex.;.e._t ___ UIIA" AIEA CIICL : Z l A 5 6 t. ETHNIC COMPOS!TlOfr!l: CIRCLE' Z (j) 4 5 I 5. NIGHUT GUDI ATTAINED IN SCHOOL CIICLI I Z J 5. I 7 I (i) 10 11 12 U U 15 II SCUt"!! ,,., Denyer, '"" -..--'-I i Colo. "':rr: 1 PR11oA."!'l -!.A .. E.S HOUSE I( -STONDAIO I!J SUB STANDARD b. liNT: W/0 UTILITIES S WITH 5....,...,...._-C. PURCHASE PIIC $ 1'rn MO. P.I.T.I S J t .' .,n 6. su. MALl I HMALE-------....,.......,,....-7. AGE OF-MAL OYU 62 ____ d. lPA IEFURED = SELF RELOCATED 'If C. PERCENT SPUT ON HOUSING 9&----------l. MONTHLY EARNED INCOME' CIRCLE. I. S 0-<9 6. I U0-2H 2. 50-M 100-1tt 1S0-1M 5. 100U9 t OTH[R INCOME 1. A D.C Z. O.A.P 3 G.A (!) s.s !. R R VA 8 OTrHR 1. 300-UI 350-399 ,00 ... 19 10 500 OR MORE MOhTHL'f !lfi.OO PRESENT HOUS!NG t. DATE MOVED UNUI'OITED INCOME '------ANNUAL AMOUNT OF MONTHLY RENT PAID TO C l} fi A 5 LEhGTH or TIME TO RELOCATE. AF'T;;: DAt Of ACQUiSITION AURALRIA I 503! SWOOil 2. PUIUC MOUSING PROJECT NAME----------liNT SUPPUMENT HOUSIG-------------MOiiTHLT INCREASE 5 _____ DECREASE [_ D.U.R.A FINANCIAl ASSISTANCE GRANTED 1. MOVING EXPENSES CIICU a UNDER 'ZO b c lS..'! "'-511 e 59-11 2. AYUAGE ANNUAl GROSS RENTAL g c 55 w/0 f'UAN S1o w/FURk 3. AMOUMT OF RELOCATION Si ______ I :_ :: .. IJ.V:>0131:1 J.N3N't'llll:l3d !.,. Q1S, !)I'
    PAGE 106

    ... N .. .. N :: .. N .. ,... ... ----------c.. ', ::. 1. l ....... 1110.1ft 10W49 I. OTHER tNCOM E I. A.D.C. 1. O.A.P. l. G.A. i.S. R.R VA A.f\.0. 7. -e-10. 110 01 MOlE MONT"LY d.DO B PRESENT HOUSING INFORMATION ANNUAL 1. CWiNER C 0{ NO OF ROOMS f NO OF BEDOOOMS_-:i.3lf-..-c..---AM0UNT MONTHlY A'Etrr..,. 'hiTHOUT __ 4. Atr.40UNT Of MOHTHl..'l' INCLUDING P.I.T.I. $ _____ 5. GROSS INCOME SPENT Ofri HOUSWG .. ------.,.-YEARS LIVED: IN OEHYER___.lLPRESENT ADOAS_.a.2.__ 7. P'UBLIC HOUSING APPLIED FOR C ELIGIBLE FOI 0 C. RELOCATION TRANSACTIONS DATE OF ACCU1Sin0k ____ "'71:-:-;-=...--------z DATE MOVED ______ .... 9c...."lMIE.:...7.uoJO..__ _____ l. AMOUNT OF" MONTHLY RENT PALO TO O.U.R.A. '-------4 LENGTH OF TIME TO RELOCATE AF"TER DATE Of" ACOULSITIOI'ol. ooREss 8 32 Perry I. P .. V&U IUTAL 1( SALlS -Sl <>. -24-o.:.. Street 1. :1111'1 .. 10 UPDISU QICLI ---!w a. VMDIR IH b. u.:u ,_...., d. Z. AYUAGE HIIUAL GlOSS UNlAL '-------!. s JZ.al g. -h. I 10 W/0 FUIN. I 5 tNDIYIDUll 3. AMOUNT OF RELOCATION ADJUSTMENT P-.YMENT 4. AMOUNT Of RELOCAnON PAYWENT '-------- ... .. z: I.,;" "' INIAITJtJ.Y hrs 1 71.db) r, .. q ::-JS.: iZt..;.. ., I --------------------------; w 0. .. cc '2' I<; ,.. t;l lc: '"' "'I"'! 10' "' .. I N "' N N :: .. "'i I j I I \C 1""1 I::E, O ,.... a: I"' I "'' I I I I NAME ARGUELLO E Frank ADDRESS 12 4 8 12 h S t 3 URBAN AREA CIRCLE 1 2 3 4 5 6 ETHNIC COMPOSITIOh CIRCLE 1 Z (!) 4 5 6 5. HIGHEST GRADE AnliNED IN SCHOOL CIRCLE -1(!) 3 5 6 7 8 I 10 11 1Z 13 U 15 16 6. SEX' MAL .,.,_ FEMALE-----------1. AGE OF MAL OVER 6Z _____ FEMALE OVER 62 _____ 8 MONTHLY EARNED INCOME CIRCLE l. S o..t9 6 S Z50-199 Z. 50-99 l. 100-149 I. 150 5 20C-U9 9. OTHER INCOME 1 A.O C. L 0-_ F l G .a. s.s. s R R E. VA c::J l.N.O e OTHER 7 l00-349 8. lSOl99 9. oo-499 10 OR MORE MONTHLY ?1. 00 PRESENT HOUSING INFORMATION UNREPORTED INCOME '---------------ANNUAL :: T[NNA"iT .1! I D NO OF ROOMS NO OF lhfOUNT Of MONTHLY RENT WITHOUT UT1UTIES $ JJ". Q Q AMOUNT OF MONTiotLY PAYMENT INCLUOitiG P.l T.l $---GROSS INCOME SPENT ON HOUSING %-------..--TEARS UVD IN DENVER ____a__ PRESENt ADORESS_.;o;J __ __ 7. PUBLIC HOUSING ELIGIBLE FOP = lPPU FOR !J ,f, 3 Z. DAlE l AMOUNl OF MOtrriTHLY REa.!T PAID TO O.U R.l S _...;-=..._...')___ LEIIIGTH OF TIME TO REl.OCATE AFTER DATE OJ" ACOUISITlOti D. PERMANENT RELOCATION 20-09 ADD RES CitY Denver STAT Col a ZIP...2.0.2 1. PRIVATE RENTAL OJ SALES HOUSE :::::: a. STANDARD A, SUB STANDARD b. c. d. e. RENt, W/0 UnUTIES $ ________ WITH $' L QQ PURCHASE PRICE 5 MO. P.I.T.I. $ ______ LPA REFERRED .. SLF RELOCATED C PERCENt SPENT ON HOUSING %---------C .. I 1.. Z. PUIUC HOUSING PIOJCT NAME------------. 5 ""' l. RENT SUPPLEMENT HOUSING ;t) ;;! MONTHLY INCREASE $ DECREASE $ ___ 1";;:"' D.U.R A FINANCIAL ASSISTANCE GRANTEO ., .. .. l. MOVING [XPENSES-CIRCLE o UNDER SZO. S 7Z-Sl a-H t ZO.lZ ( Jl-t5 d. 06-!Se e 5-71 Z. AVERAGE ANNUAL GlOSS RENTAL '---------------97+ AMOUN1 ----; "'I Ss w/o FUR. r ;:! "" S1o w/FURN >-3. AMOUNT Or 1LOCATI0ti ADJUSTMENT PAYMENT .. ______ AMOUNT OF IELOCAnON PAYMENT ___ .. .. .. .. .. TZifP 7. 9 q 0 1-+----:.'f, '4 a .. o/ N JIJ.oo I io .... ---------------------------------------------------1-

    PAGE 107

    ... .. .. ... ... fit 0 ... Cl .. "' VI o : I I 1 I IC)i "'" !%': lzj '01 ; ,.. -------i::':: I.l.-I. lto-109 110 1. I. OTH INC:OMEo 1. A..D.C. Z. O.A.P. 3. G A s.s :-! t' ---------.!!' __ .... ---------------:_: __ t.,..r,.:-___ .. __ :_ __ 6. SZI0-111 1. _,., I. 1!16-llt ,_ oiOWit e 500 OR MOl MONTHLY AHUAL C Rh.OCJ."!'I('. 32-2 3 MCIIITILY: IMQEASE S MCIIAJE 1------iZI::l L D.U.R.A. FINANCIAL ASSISTANCE GRANTI:D ;..lgl"' 1. MOWtltG IIPENSE5 ClltCLE S Tl a. UIIDEI I ZO b. 16-IZ g. Nll i!;, c. IWI h. S 10 W/0 FU.N. j;_ d. I S INDIVIDUAL r-:1 1 e. st-71 tn-r Z. AYEI:_G_E_A-NN_U_A_L_G_R_o_s_s_R_ENTAL :.-.... 3. AMOUNT OF ADJUSTNENT PAYa.tENT !Z'!: .... ... .. w .. S. A R VA A "-r-'---------,r, .,. 1.., ____ .. AMOUNT OF RELOCAnON PAYMENT IC'! > = ::t < '>!" B. PRE$Ef\T HOUSI"JG c 1. OWNER C JNNUIT NO. OF 100"'5 __ ..;.#/.L-__ .0. OF AMOUhT or RfJoiT WITHOUT UTILITIES AMOU'-T OF" PAYMENT lhCLUDING P.I.T.I. 5. GROSS INCOME SPENT Ofri H01i, YEARS LIVED IN DENVER PRESE .. T 7 PUBLIC HOUSING: APPLIED FOR 0 [LIGIILE. FOI C RELOCATION TRANSACTIO"S I." .l 1. DAT[ or ACOLIISITION _____ DATE "OVE0 _______ 3. AMOUNT or MO'-"!HLY RENT PAID TO D.U.R.A. '------4. LENGTh OF" nM TO RELOCATE AFTER DATE. OF" ACOUISITIO'-jz: : ... __,Jf'-'t.""'!f""S....._. _,g...,_,6)t("'""":otOLr=-:.... /lssuM&J) JOIMJ 't J$"0 .. =-1,.. -------------------------'::0," ,,.,: '"' .. w c. "' .. ... .. .. .... !1 u .!. J IC. i', A. FA..,ILY COMPOSiriOP> .> SOCIOECONOMIC DATA D. PERMANENT RELOCATION 2 7-0 8 ., i 1.. t (, z .. 0 t !. ... .. N ... ... 0' "' "' .. = .. VI ol "'I "'I ., I I I I lEI ... ,g: I I a:l I I .. 1 z "'" o,.. '"Z l!lol ...... a: ... .... .... v-.. :. z !I a: IL .... E __ __,A;R:..::Gf-7Ut:.=E....,L""L"-10,..,._,J=-'R'-*'' z. __ 3. UIBAN AREA CIRCLE 1 (!) 3 0 S 6 -ETHNIC COMPOSITION CIIC:L 1 I E) S 6 5. HIGHEST GlADE AnAINlD IN SCHOOL IY HEAD OF FAMILY CIICLE 1 I 3 5 6 7 I I 10 11 II 10 II 16 I. NUMIEI OF CHILDREN IN HOUSEHOLD ---7. AGE OF MALES OVER 61 ,, FEMALES OYEI 6Z ,Q f I. MONTHLY lARNED INCQW[ CIIC:LE I. S6. 1156-Zit I. 50-19 l. 4. 150-191 5. ZOO.Z69 OTHEJ INCOME: 1. A.D.C. O.A.P 3. G.A 5.5. 5. .. 6. YA. 7. A.N.O 7. J00-3 8 3!10 __ (2) 500 OR MORE MONTHLY B. PRESENT HOUSING INFORMATION ANNUAL 1. OWNER ::J TENNANT Jf 1. 110 OF .-s 1/ o. OF 1. AMOUNT OP MON114LY lENT WITMOUT UTIUTIES I ., 00 AMOUNT 0P MONTHLY IIICLIIDING 1------1. GIOIS IIICDM 011 IIOUIIIIIG t'o------;;r--1. YEARS UYED: Ill -1151____ 7. PUIUC IIOUSIIIG: FOR 0 IUIIIIL Fa. 0 C. RELOCATION TRANSACTIONS 1. DATE OF ACIQUI51110N ____ 1. DATE J..,jJ'-''-'LI:L-.. ___ 3. AMOUNT 0P MONnLY UIIT PAID 10 D.U.I.A. 1'-------&. LENGTH CW 11M 10 IELOCATE AFTEI DATI CW AC:OUISI-. AooREss 3202 W. Iowa Avenue I 'U' I. PRIVATE RENTAL C SALES HOUSE I( ... b-IEIIT: W/0 U11U11l5 1-:----=c=-----WIYH -::::-:--:=--1 W .... ; a. STANDARD a SUI-STANDARD o I <-PUIICNASE S PfO MO. P.l. T.l. S /.J, .J/e d. LPA REFERRED 0 SELF IIEI.OCATED 0 N -' N -' e.-PEIICliiT SPEIIT ON HDUJIIIC"'-------------I. PUIUC IIOUSIIIG PROJECT IUIME -.. ._) ,._. MONTHLY: INCREASE S BECIUSE 1------jlC -:...bi.,. .. E D.U.R.A. FINANCIAL ASSISTANCE GRANTED n 1. CIRCLE 1 S 7Z.a! z!"':"' N b. 16-11 g ..... .. '"' c JWS h S 10 W/0 FURN. 1 d. -.11 ; I 5 INDIVIDUAL j ao e ... J > Z. AVEaA5E ANNUAL GltOSS aENTAL t UIIO, '--------l. AMOUNT CW RELOCAnON ADJUS ... ENT PAYMENT nl .. l .. ---------------' .. .. ........ ___ .. ... ... 0. AMOUNT OP RlLOCA11CIII ---------------. .. filii d15"DO -.. UNP Jto ZIIHPSOiq z.-Jto..J 0 -. .;,.. .,) Cl : 7 _; .. .,J .. ; Cl ...;., ..; "' ... ... -....;.

    PAGE 108

    ------..:z l, ... .. ... N ... N ... "' = N z .., l"'i N "1"'1 "'I I : : z io .. .,. Michael aDDuu 104 0 Law ence Street .. c. V8AII Aa&A CIIICU I(; J (!) I I. ... ,. .. .. .. I. -., L 7.-.. -e 1111 01 MORE( flO) OTHU INCOME: MONTHLY ;11-UAI. I. A.D.C. z. O.A,P. 3. G. A. .. s.s R. R 6. YA. 7 A.N D PRnEo;T HOUSING INFORMATION l. OWNER C TNNANT NO OF ROO"S NO. OF BEDROCIMS_,-,i.,.;:;;.,.--AMOUNT OF MONTHLY RENT WITHOUT UTILITIES S--'IU'C:.::c'..:ll:.._ __ AMOUNT Or llti!ONTHLY PAYMENT INCLUDING P.I.T.I. '------5. GROSS INCOME SPENT ON HOUSING 11>-----:;;:-;,---6, YEARS UYED' IN DENYER ____ ,RESEMT ADDRESS..J..i___ 7. 'UBLIC HOUSING' APPLIED FOR RELOCATION TRANSACTIONS D EUGIIU FOI D DATE OF ACOUI SlnON-'I/IA'"-'-----,""""-;.,.--------DATE MOYED _____ __,l...,lc.. .. L ... 3. AMOUNT OF MONTHLY RENT PAID TO D.U.R.A. --------z. ADDRESS ___ 3. ARE CIRCL.E 1 3 {!) ETHNIC COMPOSITION Cl RCL.E .( Z l 5 & S. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 Z 3 '. i I 7 8 I 10 11 (!) 6. SX, MALE ;I( FEMALE-----------1l 15 11 7. AGE OF MALE OVER 62 "0 FEMALE OVR 6Z _____ 8. MONTHLY EARNED INCOME CIRCLE 1. I ... 9 6. l1!50Z99 UNRE,ORTED INCOME z. !50-99 10C U9 tSii-199 5. ZOG.i:49 7. 8. 10 301).309 3!50-399 OTHE P SOt-OR "tORE WOhTHL'I ANNUAl.. A.O.C 0 G A s.s R R. YA 7. &.L.F. 12a oa O.L-PRESEN1 HOUSING INFORMATION OWNER = TENNANT fl I NC OF NO OF OF MONH'' Y WITHOUT UTILITIES S J(,'i AWIOUNT or MONTHlY PAYMENT INCLUDitrr.G P 1.1.1 S ----GROSS INCOME SPENT ON % ______ 7r __ YE.ARS LIVED. IN DENVER PRESENT ADDRESS 410 7 PUBLIC ELIGIBL.E FOR APPUED fOR RELOCATIOP< TRANSACTIONS IJ.If, 1.r: DAH or ACOUISITIO .. DAll A Of MOhTPil.,. RE N'!' PAID TO 0 L; R It LGTH Of TIM TO RU.OC.AH AF'T[IJ DATE Of ACOviSITIOh. ,QWK.S E. 25-11 ADDREss 1026 South Percy I. ptiUTE UIIT&I. C 1.11.11 IIOUll r( 11-ID f/li-IT-AID C 1 M0G llii'INHS CIIICI.E o. IINDII IU b. zwz <.u-.s d.- .... ,1 Z, AVERAGE ANNUAL GlOSS I!NTAL f. -11h. Ill W/0 FUIN. i. t I INDIVIDUAL J. AMOUNT OF ULOClTlON ADJUSTMENT PAYMENT ------ AMOUNT Of PAVME.Nl '------.. ,.. .... I 3249 i' ADDRESS .. m.l.l.._' CITY STAT ('Q]C. 1. PRIVATE SALES HOUSE -8. STANDARD SUB STANDARD b. RENT: w/0 UTILITIES s llj_ /Jb WITH ( c. PURCHASE PRICE S NO P.I.T.I s d. LPA REFERRED [j SELF RELOCATED :J e. PERCENT SPENT ON HOUSING % Z, PUBUC HOUSING PROJECT NAME 3. RENT SUPPLEMENT HOUSI"G MONTHLY: INCREASE s n DECREASE s __ D.U.R.A. FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES Cl RCLE 0 UNDER S ZO s 7z.eJ b ZO.li. 9 ... 9E ll-'5 97+ Ah40U,_l ---d 06>8 Ss w'O FURh e S9-"'1 510 w.'FURh z AVERAGE A.I\INUAL GROSS RENTAL $ 3 AMOUNT OF IELOCATIOh ADJUSTMENT PAYMENT AhtOUNT OF J, 9 /A.frrt. difi4M,. 1'-P/ Dlt TIJ.IP 3 77., f .Y IIF 711. ... .. .,. ,. ... .. .. .. ".. .. ; --! ; I"' ... .. .. --.. .. IJ: .. .. .. -.. ... ... -<; "" -;.; .. .. j ... .. ,.., l11,. .. il --4iUI -.. c. Z; "i=-, -.... ..... :c; .. 1 ... 1:!!:

    PAGE 109

    ... ----:-: ... .. ... ... RD ... .. -... -... .1:5 UR8Ah AREA CIRCi..E 1 (i) l (} 1 IN1AL. P" SALES ttOUSf w N .. .. '-ETHNIC COMPOSITIOfrrf CIRCLE Z J I S I frt11 (" N("' : l..,i;,, a. SUHDARD STANDARD I. MU;HUT GlAD AnAIHID IN SCHOOl. b. lENT. W/0 UTILITIES 5 // WITH 5 ___ CIRCLE I Z S I 7 I I 10 II U IS 10 IS II i' e. 5 -----MO. 5-----.--I 6. SUe "ALE------FE"ALE __ $,_.0.._________ d. LPA RFRRD 0 SELF RELOCATED :::J ,. -AGE DF "ALE OYU 6l ____ FE .. ALE OYll 62______ e. NT SPENT ON HOUSING .., 11)1 ., I. MONTHLY EAINED INCOME CIRCLE l. PUIUC HOUSING PIOJECT NAME. ;.,. 2 ..., w C! 1. I o..tt I ZSOZH UNIE'POITED INCOME RENT SUPPLU4N1 HOUSING _____________ ._ ,. S0-99 7. 300.C9 MONTHL'W'. INCREASE DECREASE $ ___ !" 171 .. .. I I D.U.R.A FINANCIAL ASSISTANCE GRANTED ., .. l. 1 00I.Cg I. UO-Jt9 MOVING EKPENSES CIICLE Ul I I 1 t:SiiJ> llts-s. .oo .. ., UNDER SZO S 72-BJ zi-'1-,.----"' i"', 1 s. zoo-z' 10. soo oR "ORE zo-Jz ..... n 9 OTHERINCOM MONTHLY ANNUAL t ll-.S 97+AM0UNT ____ ;;:1%1 : 1.: .11 ::: : G A AVERAGE ANNUAL GROSS RENTAL tnl !t $.s ;:! I Ui R R 3. AMOUNi OF' RELOCATION ADJUSTMENT PAYM[NT zl VA 17-DtJ l--------:i .. A 'J. 0 0 .. AMOUNT OF' RELOCATIO" PAYMENT C') C'l! lC "I" OTHEJr ) Z PRESENT HOUSING INFORMATION I :: .. own = ,E ... 1 ____ 8 i: "tO or 1110 OF' B[DR00"'45 ......,-=-----f= -.jUt AMOu" or MO"HLY 0['' UTILITIES 5 AiE,fOfl ""'.,2,U,., 0 1 J--AMOUf'liT OF MOJo:HH.Y I!IICLUOIIIIG P.l T.l GRoss co"E sPENT o %------=r--ffiiP I 6. U'YEO lh OENYEfi ___ PRESEfliT Z1 7 PUBLIC HOUSI'G ELIGIBLE FOR = FOR ::::: lfi1J6/'f11Lt f.Mf'S 0E #zi,I)Q RELOCATIOIII TRANSt.CTIONS J DATE OF --mot.. Nt;. '-'h" z i! :10: DATE .. OVE0---4''-'''--"-'-''<....jYt-:-=...Z,....i.___________ AMOU!Ii'!' OF' MO\'!Hll REN'!' PAlO TO O.iJ fi'.A LfNGTI1 OF" TIME TO RELOCI.H AF'TER DATE OF' ACOUISITIOh j;; "tJ! .. ------------------------------------------------13: .., n1 ------------------------------------------------1 NOI.l.Y.>013H ... .. .. .. "' =-" .. .. .. lN3"'ajl 110 lN3!1 !)NisnaH No r:>ll3d I! "': i n I' n i' 1 /_ j "dl !1: !i! l l it : t1 -i-.,; i i-,1 ,i 1 ,* 'ol .-1 ,. :f .z ,:, .I t ..; .,. '. ,-.; r.l: 1:' ovn v I j v TI I. : 11-1 I v u. D 1 r r 1._ ,..I N rJo-li OTH. INCOME : MONTHLY INCOME EAR" U + = i I j A. FAMILY COMPOSITION 1> SOCIOECONO .. IC OAT.\ D. PERMANENT RELOCATION 3 7-11 '!"' ------fz, I i I. HA .. AooREss,_-=4"'0""3::.::1=--0=-=s:.:a:.;g;;Le=--=S'-"t"" .__----1 .. ., ... .. ... ...... ... ... lA Q "' ... ID N Ill ::E 0 ., "" '.J l. ADDRESS 9 58 J ] tb Street I. PRIVATE RENTAL 0 SALES I'IOUSE }C i5 3. URIAN AWEA CIRCLE I t1) l fJ' 5 6 a. STANDARD )C SUI-STANDAaD 0 w &. E,_C COMPOSinON CIRCLE I Z J@ 5 I b-IIENT: WJ'O ununES $ WIJH 5. -liT AIIDE AnAIIIED IN ._ ay MElD Of' F-.Y 'r <-PIIIICKASI PIICE S ,, MO. P.I.TJ. $ .Lf'll. .. _; .. _-CfiiCLE t Z S & I .I 7 I I It tl U U U II llrl--.tl. LPA IEFE81ED C IIRF IIEUICa1ED D I. IWIIIIEI OF CIIIUIIEN Ill -IE-.D .-cJYL--IIal -PIKEIIT IPEIIT Clll -SIIIG '10------------1 ,_ AH OF MALIS OYEI .. "EMALIS OYII II 1 PU8UC -IlliG PaDIECT IIAIIE I. IIOJniLY OICLE T. -I. I 210-111 UIHPOIITD 1110111[ z. ,_ ,.1 .. U0M 5. ZIO-Z'I I. OTHER INCOMEc I. A.D.C. l. O.A.P. 3. G.A. s.s. 5 ... I. VA. 7. HO-JOI ;;.'-==---------
    PAGE 110

    .. -.... : ..... ,..-' ;g 21-D..2... A;li)R[;; 1246 St0'1T C::7-CIT1 STAll raJa' I 3 UlllAfrf AI[._ CIRCLE -1 {!) 3 (!) 6 fTHNIC CIICLf IJ l J 5 I 5. HIGHESt GlADE AnAUU:D IN SCHOOl 1 PIIYAll RENTAl fiiit" SALES HOUSE = a. StANDARD li!""'SUB STANDARD b. lENT. w/0 UnLITIES S $D,tfl WITH $ ___ CIRCLE 1 l J & I. I (!) I t !D 11 1Z 1J U 15 11 c. PUICMASE PIICE $ _____ WO. I. $--..-6. Sl WALE FEWALE-----------7. AGE or WALE OV 62 JO HWAL OVER 112-----d. IHEIRED 0 SELr RELOCATED 0 PERCENT SPENT ON HOUSING 9!>----------.. 21 e. '": .. 1. WONTHLY EARNED INCOM CIICU 1 S 0.&9 I I ZSOZ.tl INCOME "' Z. PUIUC HOUSING PROJECT NAW 0 "" 3. RENl SUPPLEMENT HOUSING _____________ w N "' I "ol ,a:, m I I : I i I i l j..-' S0-19 3. 100-1&9 150-119 5. Z.D0-249 9 OTHER INCOME. 1. A.D C 2. O.A.P 3 G.A s. s 5. R R VA A fii.D 6 OTHER 7 300-J., 8 350-:nt I. &00_,19 10 MORE MONTHLY ,,_ .. /3&J,OO PRESENT HOUSING I"'FORMATION '------ANNUAL MONTHLY INCREASE 5 DECREASE $ ___ ;.;;;a-. N E. D.U.R.A FINANCIAL ASSISTANCE GRANTED :!! 1. MOVING EXPENSES CIRCLE Z -< Ul a UNDER lo ZO b. Z0-32 i g 72 :.1-1-------.. c n-u h Ss w/o FURN r-,.. "' S10 W/FURN !!! "'""I ;'" d ol6 .. e. 59-71 l AVERAGE ANNUAl GROSS RENTAL '--------------3. AMOUNT OF RELOCATION ADJUSTMENl PAYMENl .. C\ C'. '------" AMOUNT OF RELOCATION PAYMENT .. I:E:z B l OWNEF-= I j zZI -__ ____ ;;1 11 c "I lc:::t I I o. I I .. 1-+---'PfHP "nc.IJo 'il1.= : l'nrrs oF #1'7-V =-"' lfNA/UJtL ;! I lgi ::r:! 1!0 .. hC OF ROOV.S NO OF BE:OROOMS--4--::..,..--3 AM0tJNT or RENT WITHOUT UTiliTIES S f'!i 4 AMOU"iT OF MO ... Toot;.! PAYMENT lfri!CLUDING P.I.T.I S ----S GROSS INCOME SPENI ON HOUSING %------=---6 YEARS LIVEC. IN DENVER ADDRESS _..z...,.__ 7 PUBLIC HOUSi,.G E:.JGIBLE FOR APPLIED FOR C. RELOCATION TRA ... 5ACTIONS DAH Or ACO"ISITIO 7-/3" 73 i DAlE MOVEC i-1 7J 3 Alrto40UI\": or MO ... irtLY RENT Plo.ID TO D.U R A 5------OF TIME TO RELOCATE' AFTR DATE OF ACOUISITIOh ---------------------------------------------------1% .. ____ __ .. ,_._:_:-_. __ i i -N01J.Y.l0131:1 .1N3NVWI:I3d ---------------------------------------------------1 oi .. w -' "' .. c COY .. 3S3!jd !j]'t.;3C 5!jV3A S03S 5"'0011 CllS I J.N3 .. Hd !j0 J.N3!j : !)NISOOI< NO J.N3:>113d L...:=:....:===..,!r:.::...., __ ..::.::....;.='-"':.;...:;.:' ; J 135 1 I 7 t" z l l l I QJ.S I l ,. z .. t .L z l 'td1 II ., I .: l [ I I I \ II i. :A UNRELATED INDIVIDUAL 0 PERMANENT RELOCATION 20-11 .. ..M, t 2 Aomss6ari r #10 3 URBA AREA CIRCLE I C J f 5 E ADORES c1n Denver, sTAn CoJ o ziF-0.21 PRIVATE RENTAL SALES HOUSE CJ .. .. w .. N "' A. ETHNIC COMPOSITIOh Cl RCLE 1 Z G) 4 5 I !. HIGHEST GRADE ATTAINED IN SCHOOL B. STANDARD S SUB STAND.RO b. RENTe W/0 UTILITIES $ 1 /If' WITH $ ____ N .. N ,.. .. CIRCLE 1 Z 3 A I 7 8 I 10 11 12 13 U IS 11 6. SEXo MALE 4' HMALE---------7. AGE or MALE OVER 62 ____ rEMAL OVER 112------1. MONTHLY EARNED INCOME CIRCLE 1. S ... 9 6. S250-ZH 2. S0-19 3. 100&9 4. 150-1i9 5. ZOO-ZA9 9. OTHH INCOME 1. A.D.C Z O.A.P. 3. G.A 4 s.s. 5. R R t VA. 7 A.N.D. 8. OT'IER 7. 300,.9 B. 3S0 I. 40G-4199 1o.Gr oR MONTHLl' PRESENT HOUSING INFORMATION INCOME '------ANNUAL 1. OWNER = TENNAJrjT l( 2 NO or ROOMS I NO or 3 AMOU"' or MONTHCY RENT WITHOUT UTILITIES $ /?ffl# AMOUNT Or MONTHLY PAYMENT INCLUDNG P.1.1.1. $----S. GROSS INCOME SPENT ON HOUSING 9!)------,r--6. YEARS UVED: IN DENVERJ._"RESENT ADDRESS ,.., 7 PUBLIC HOUSING EUGIILE FOR :; APPLIED rOR 0 RELOCATION TRANSACTIONS / l3 1 DATE OF ACOUIS.ITIOh 2 DATE MOVED :Z.,.jll,-7 3 AMOUNT OF MONTH .. Y PAID TO D U II A 5-------' LENGTH Or TIME TO RELOCATE AF'TER DATE Of ACOUISITIOh C. PURCHASE PRICE $ WO. P.I.T.I. $ ___ d. LPA RErURED 0 SELr RELOCATED Q CD PERCENT SPENT ON HOUSING 9!) __________ !=I Z. HOUSING PROJECT NAME-----------0 ._ 3. RENT SUPPLEMENT HOUSING l:J MONTHLYo INCREASE S _____ DECREASE 5 ___ ;,.. ;;l"' E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED '01 "" 1. MOVING EXPENSES CIRCLE Z !:: Ut ... e. w N a. UNDER IZO b Z0..32 '72 n '" .. t 3J..AS 97+ AMOUNl -----d. ol6-58 $5 w/o ruR. e. 51 $10 W/FURN. Z. AVERAGE ANNUAL GROSS RENTAL '------3. AWOUNT OF RELOCATION ADJUSTMENT PAYMENT ,, ______________ __ OF IELOCAnON PAYWENT ,.. .... > >, .. .. z:Hf---.. rii! ... ... zZ ... .. ---. ----.-----N ..... Mo/M '.:).;,A O .. .to -----------------z ll .. .. ..

    PAGE 111

    N N .., .. "' ;;: ; N z 0 N N :: "' ,.. N ... .. .c "' ,_ .,, i I I .,g lVI! I::Ei lc: c: I : ::: ;2 i:l; 6 < '=:l t..1 0i -tzi 'z ..... : h .. : I of' ja:: .. 10:, : : : c 1'-'l !5 i% !Z! !Cj 12, ,_ .I.,;. :a ic:: -'-: UIBAtrr. APE A CIRCLE i ) t 4. [THirr!liC COirriiPOSiTIO,. CIIC .. E 1 Z U A 5 I S MIGHEST GlADE ATTAINC IN SCHOOL CIICU 1 Z J {f) 7 I I 10 11 12 U 16 11 11 SEX MAL ffMALE--------,--.,..-----1. AGE OF' MALE OVER 6.i: FEMALE 0[1 6Z 7 I. MONTHLY EA.NED INCOME CIRCLE 1. ,_ t. 1150-119 50-49 100-149 a. lSC-199 ZOC,-ZI9 OTHER INCOME 1. A.D.C c:::90 A.P S. G A c;, ss P.. R VA A fiCo 100-3'9 350-399 &OG_.I9 10 SOC OR MORE MONThi.Y 'i'f.OO 7L.,D ''l'l .(to PRESENT HOUSING INF"OPHw1.C.T10"-UNIPOITD INCOME ANNUAl 0WEO = I! Jf!!'" ""'t NO Or ROOV.! ? OF BEOPOO""S !C., AMC\L!foi'T or llE"'' LiTh.!TIE$ S I:i.()Q olMQUr... QC .,. YloA! -..'1' PIT I GROSS 1"-COM SP""' Olio %------.=-YE.IdiS L.IV '" OE ... A0051ESS __ '7L.. __ 7 PUBLIC HOUSING ELIG1GLE F'OI" APPU[D rOR [: RELOCATION TRANSACTIONS cTE OF ACOU:S:TIO ____ ?L,!- DATE ____ or ltotO"""!'HL\' iH ''l' PAit' TO U.U R A LEPIIGTH Or TIME TC Pi..OCioH Jqp: DATE OF' ACOUISIT!Oh .!.--35-03 ::-:->\ 1825 ,... Denver sm Col a ,.,2.Q.2 Pi\'AH Rf \TA. SAL[ S 8. STAfriDAIC JL SUB STANDAilC slr(..oo N b. lENT. /0 UT1L1T1 $ ______ .1TH C. PURCHASE PIICE S MO. P.I.T.I d. LPA ruED w su IELOCATD o 1 .n e. PEICENT SPENT Oh MOUSING 96----------1. PUIUC HOUSING PIDJECT NAME 0 _,' w'"' lENT SUPPLEMUH HOUSING MONTHLY INCREASE S tC:.S!QQ ))CREASE 5 ___ ,.. ;;l"' D.U.R A. FINANCIAL ASSISTANCE GRANTED -., "D MOVING E:XPENSES CIRCLE Z Ul UNDER SZO Z0-32 '72.-8! 84-tE n "' -:Ill t 3).45 06-58 e 59-71 1. AVERAGE ANNUAL GlOSS RENJAL '---------97+ AMOUJriil --Ss wlo S1C1 w'FURh 3. AMOU..-1 Or RELOCATION ADJUSTMENT PAYMENT AMOUNT OF' RELOCATIOh P"'f'Mf:fiiT :.,,., ,.. r-.. -i I"' I n,., -I UD 0 UNDER '20. 'll-83 .. ZO,ZC9 SOC' OR MORE b ZO.JZ g U-96 .. .. OTHER INCOME. MONlHLV ANNUAL t 33-CS .. 97+ AMOUNl .. 1. A.D.C. s d. "'-58 Ss /o FURh. w 2 0 A.P. 5-71 S1o wiFUR,.. "f' N l G.A 1. AVERAGE ANNUAL GROSS RENTAL s.s I -i'-< -. > "' R A 3. AMOUiiil OF RELOCATIOtt ADJUSTMENT PAYMENT z 9. i i Jii WIC)' :f!S! ll:t;:r.J 'l' z ..! Ia:-: I li i I I I I C. lc.:d I .!j I t;, ic: .%, 12' 0' ... I :z: VA ... 7 A.'-.D. .. AMOUNT Df IELOCATION PAfMENT "'" 8 OTHER ::0 ,. .. .. :.z RESENT HOUSING lo:jFORMATION zZ N 5MrzA. 1 0\ffN[M -TE lf i;; I 2 NO OF ROOMS NO Of BEDROOMS "10. 00 &DAN 1(1, 1$0 .... .. 3 AJrotOUNl OF REt..:l WITHOUl UTi:..ITIES S 4 AMOUN'l' or PA'I'JrotfNT INCLUDiNG P.IT.I s lt 5 GROSS INCOME SPENT o HOUSING % 0 YEARS UYED. IN DENVER ......2...!t...PRESENT ADDRESS 110 ::5 -' Q.. ... 6 7 PUBLIC HOUSING ELIGIBLE 'OR ::J APPUED FOR '--' .. -ELDCATION TRANSACTIONS lW P'./._!. u.o 1. DATE or ACOUISITIOI'i DATE MOVED /,jQ.73 "'.-. 3 AMOUJWl OF MONTHLl RfN':" PAID TC D U R.A s LENGTH OF" TIME TO IELOC..ATE. AHEA D'-TE OF ACOUIS1TI0h z .. _. f r i: t. : ... z p R

    PAGE 112

    ---. -------------.. ---------... -----..-..!.:...2:-r--' __ .,_ ,. -------'z 35--Q-3-......... ____ .. ... .. N ... : .. ,, z.-J. 1 ... 1. 110 zoo..t I. cmtER INCOME' 1. A.D.C. l. O.A.P 3. G.A. 5.5. 5. Jl. R. 6. y,. A P..O .. 7. ........ -to. CliO 01. MONI'>IU B PRESENT INJ:0Rh4Aii0N IIIII VAL 1. OWNER C TENN .. T V 2. NC. OF ROO"'S y NO. OF AMOUNT OF MOhTHCY RENT WITHOUT UTILITIES :.....:....__ I. P .. VATI lllllAL YI.U 1Qj5[ .._.. ..-'-.&J-n c --IXPUUS aiCLI a. VIIDEW 5 10 c:. u..t.S d.-. .... ,, Z. AYEIAG OIIIIUAI. 511015 REIII'AL g. h. 1 n-13 I II W/0 FUIII. 5 S IIIDIVIDUAL 3. AMOUNT OF RELOCATIOh ADJVSTMEN! PAYMENT '-------. AMOU .. T OF RELOCATI()Irll PAYMENT '------i IU' ICl>la; .2. __ '.,. l%1! IMiti-/Dif I"'' .. .. ... .. .. .. At.40UfriT OF PAYMfNT INCLUDING P.I.T.I. '-----,.:..L---F--II 5. GROSS INCOME SPENT ON HOUSING .. -------,.--r 6. YERs LIVED' IN DENVER ____ PRUENT ADDRESS-=.,z=: ____ ___ .! .... _____ 7. PUBLIC HOUSING APPLIED FOR C EUGI.LE C ---.....,r---:-:----,-.....,,-----.--r-_,:=-::::-----C. RELOCATION TRANSACTIONS Dpu!lf/tAfiiiiKT 4 D 13. 00 I ... '' .,.. '"' 1. DATE oF ACOUisono II l. DATE MOVED--.. ------------------------1:;1 AMOUNT OF MONTI'tl't' REtriT PAID TO O.U R.A. '------C LENGTH Or TIME TC RELOCATE ArTER DATE OF ::::-OCOUISITION. 1;:: I .. ;.. .. ----.. 1 A filA ld' C !:)J," I, "'' c .LN3Nlilltl3c! -... .. ... .. c ;. cr. --.. .LN3wu .LN3!! !>N!snoH No .LN In!! 3d I(; i : I l [ I II .L i r. 11 \ z "' L I l I t L l L .,. L l 'Z' [ QJ.SI L z "' I L 7. I 1,. I 7 ... I I' .L z. .. ..,, 1!, Clflil r i r r I l'i I ( I i I I URBA1 I I INCO .. E "'0NTH:,Y II>CO .. E EARN :i -"-111.. ___ !: A. UNRELATED INDIVIDUAL 7 _..._.= ; D. PERMANENT RELOCATION 3 8 O 6 y ------,z. ig; NA .. E B.'3,LL,r., Jaccueline ADDREss 1155 Sheman #40 .. ::5: z ADDREss __,9::..,:5=.t.'--__, ... ... t.l::..____ c1n Denver. mTE raJ a 3. URBAN AREA CIRCl 1 (j; 3 (; 6 1. PRIVATE RENTAL li"" SALES HOUSE = c. ETHNIC COMPOSITION Cl RCLE .(!J l 3 S 6 &, STANDARD Vsua STANDARD I 5. HIGHEST GRADE AnAINED IN SCHOOL b. RENT, w/o UTILITIES s ft:J.IXI WITH s ___ CIRCLE 1 Z 3 C 5 6 7 8 I 10 11 0 13 U 15 16 C. PURCHASE PRICE $ _____ MO. P.I.T.I. S ___ "' "' w I 1-.. d. I 6. SEX, MALE------HMALE--------. ....... --7. AGE OF MALE OYER 62 FEMALE OVER Sl_...Jiu/ __ LPA REFERRED 0 RELOCATED 0 PERCENT SPEN1 ON HOUSING %---------C .. .. e. I. MONTHLY EARNED INCOME CIRCLE 1. S D-'9 SZ!IOll9 l. 50 3. 100-149 150-199 ZOO-U9 OTHER INCOME 1. A.D.C l. O.A.P. G.A. s.s. 5. R R. VA. 7 ..... c 8 OTHER 7. 300-3C9 8. 350 9. C0Cr..C99 10 500 o MORE ._.ONTHLY /to. PRESENT HOUSING INFORMATION UNREPORTED INCOME '--------------ANNUAL 1. OWNER = TENNAN7, il" 2 NO OF ROOMS --..L. 1 ___ NO or __ AMOUNT Or MONTHLY RENT WITHOUT UTILITIES 5 __ AMOU,.T Or MONTHLY PAYMENT INCLUDING P I.T I. 5---GROSS INCOME SPEN1 ON HOUSING YEARS UV[D 1'-D"-YER ___ PRESENT 7 PUBLIC HOUSING ELIGIBL FOR ;: APPUEO FOR -: RELOCATION TRANSACTIONS 1 DAlE oc:Q"I5TIQ* Ne4.": .1-.23-73 DlTE MOVED Ifz :r 3 AMOUhT OF MONTHLY IE. NT PAlO TO CUR A 5------LENGTH OF' TIM TO RELOCATE. AF'T[;; OAH OF ACOU!SiTIO" l. PUIUC HOUSING PIIOIECTNAME------------IC 0"' 3. RENT SUPPLEMENT NOUSING ;a ... MONTHLY INCREASE S DECREASE 5--;;: 00 .. E. D.U.R.A FINANCIAL ASSISTANCE GRANTED :!! ;:! MOVING EXPEffSES CIRCLE a UNDER SZC s 72-83 .. __ __ ---!, .. b ZG-32 c Ss w.'o FUIN r-"""' S10 W/FUih d ol6-51! e H-71 Z. AVERAGE AtrriNUAL. GlOSS RENTAL '------!. AMOUNT Or RELOC:An()tl ADJUSTMENT PAYMENT '-------'-AMOUN'!' OF RELOCAnON PAYMENT I ,,.,...,.., "' t !irf I"' z:H---:O"""' ,..z zZ -1:zotl' ,.,,., cz .... I: 0 :::z .. ., .. ... .. .. .. 'lQ-"' "' '": ... 1-10

    PAGE 113

    ..... ,.. .. .. .: ::. .. .' :.=:. -------z N "' "' .,; I IC I I II>' I I :::-; -------tz .. .. .. ... .. ....... Q .. .. .. "'I ... "' ::E 0 ..... ... IO I; IU = Q ... J. -:.. -:- ____ :-:: I aoDuss ..i.. J. L La:l ; .:; + -uRI!'N AlE A CtRCi. 1 (!; l (!) !: 1i t. rTHfriiiC COM!tOS.ITION CIICLE 1 l Cj) S 5. HIGHT GUDE AnAINED 1 SCHOOL CIICL 1 G> 3 I 7 I I 10 11 t.Z U U 15 11 UX MAL FIMALE------------AG OF MAL OVER 6Z 1 FEMALE 0 _____ I MONTHLY EARNED INCOME CIRCLE S 0-' 6. S U0-299 UNREPORTED INCOME: o-ts> () 30G-m 5:l0 100-Uiir 150-199 S. OTHER lhCOht A.D.C. O.A P G.A s.s 6 lS0-399 t0010 500 OR MOR MONTHLY ANNUAL I= t. : .. :) ... 2( :.. : CLn DE:. "l0;; suu Cn 1 '4 I r ltRIYA':'l IH IIILTA._ I{ SA1..H HCkJSL &. STUDARO Jl SUB b. RENT W/0 UTILITIES $ II.IQ WITH$ ___ c. PURCHASE PRICE S _____ MO. P.I.T.I. $ __ ,___ jd. LPA REFERRED :; SELF RELOCATED :i PERCENT SPENT ON HOUSING %---------:a 10 ----------o_ e. z. PUIUC HOUSING PROJECT NUH -3 RENT SUPPLEMNT HOUSIPofG ;o MONTHLY. >NCREASE '' .1/0 DECREASE S ___ ;JI' ;;:I" CE GRANTED i !luo I o UNDER S 20 t e 51-71 Z AVEIAG[ ANIIILUAL GlOSS '-------I 72-83 Z I ---!Jizl W/0 FUR!\ .,I S10 w/ruRh Ul-" ..... ... w'", N .. w l"' Zl---3 AMOUNT OF ADJI:STtr.tfriT PAYMENT VA .. c Cli-'EFr PRESENT HOUSING ... > z: zZ AMO:J .. '! RELOCATION N ('IW ... EI\ = 1( r...:-. ROO""s I ...-c BE CROOMS __ AMOU'T Or M0 ... 1''1i.' i.'lL-'11ES S fi.l& -----=-..1 -----__ "' __ B'/DA ao r-c ;( MQt,;T!-H.Y F: T L GKOS5 LP'rtCOh.At SPEh'! 0"" HO,ING YEAPS LiVED '' DEVER PRESENT ADDRESS ,If,$. PUBliC HOUSI"G [._1C,l9LE F"OP. APPLIED FOR = RE<.OCATIO'I TRAI<;SACTIO'. j;;:o __ ,-, .. .. 7 .. -: ... ... ,, -..... 'JiO;',. .. .::;.:. ;.;:!!'""-. ----..

    PAGE 114

    ___ :_ ______ -. ,F .. := ,.. : _____.,_----...:" __ ---" .... EAF.R:.:O, Jc-::: R. AooF>rss 445 Inca .. .1 ADDOH 12 L Q 1 Q t!-. !::; tree t 1. ,., .. n UNlAL .. SALES IIOIJSl :: i i ----:;::-1. UHAN UU CIRClE 1 4) J e 5 i 0 SJUDAID W' llla-SJANDt:: "' ... .. -F __ .. .. .,. ., l. 1 ...__ $ D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;.. g ... .. .. .. !. 1110-10 I. Uo-!19 1. MOYINIO UPINSI5 CJRCU '"I!; Jlalt i"' 01 110-1M G ....... ..... D. UtiDEI s ZD .. ... "' :r, 0 ... 0 a: 5. ZOO..Ztt 10. 100 01 MORE b. g. 1&-16 "' I. OTHER INCOME. MONTHLY AMUAL c. U...S ;,_ I 10 W/0 FUIN. ;:;i-!---1. A.D.C. d. 611 $ 5 INDIYIOUAJ. r-,,.,1 Z. O.A.P. e .... ,, I. IO.A. l. AVERAGE ANNUAL GlOSS RENTAL iijli; i il !,_ s. s.. 1 3 AMOUNT OF RE.LOCATIOh ADJUSTMENT PA'UUNT Z',. I ln:""";c.r. lr1 ,. IIi 0 AMOUJoi"!' OF' Ri..OCATI0h PA.YM[frll.. ; .. .. !!: ...:! 8 HOUSING '--------r-l2 1. OWNE p = Ttlii\AI\T X ____ NO oF Roo.,s _.iL----o o BtDROOW5--:::-::ii.l.i=:..-.-___ __ .. .. or: UTU .ITIES __ 't.,S,E..:.,.D'-'QL---;c--n:::. nli!g 1 AMOUNT or MOJ.'""HL'I' PAYMEf\T lfriiCL.UDitliG P.I.T.I. S ______ .. !!L--..:!!!!:z:...."J..:.r:...::::..... ______________ l \z I 1.-i.'" v. 5. GROSS IHCO!Iot SPENT OJ. HOUS.ING 'i------.--,"'i:=! YEARS LIVED IN DENYER ____ mSENT ADDR_j__ rlllfP .2J 6 VQ li C 7. PUBLIC HOUSING. APPLIED FOR 0 ELIGIBLE FOI C -------------------------0 1 -__ ... __ +-i. I --'"T'"T,;C"r>Tl ... n-,....----.--.--..,. ..... __, ... ,_.,....,,.-\---1 RELOCATION TRANSACTIO'IS lj'. f/F A-JIO'-II?'j 1. DATE o ACOul5ono---"'.J::-.::../ .,......,_....!.....--""'OJ'-',..J'"' _...._ .. ____ 1 jj J: ___________________________ 'Z\ 2. DATt MOYED I ,..,. l l AMOUNT 0'" MOP'fTHlY RENT PAID TO C.U.R.A. '---------------------------------1 1"'' 1 LENGTH or TIME To ucocATE A"' oAT or I I:;'"' iii I ACOUISITIO -------------------------F=l =!!=:::.;.t==== .... 1 IE1 1 A.! ,:io,J .. .. .. aow Sc:..i Nl 50iS OlS! lN3W.I.Yc OC !>NISr.OH NO .:11 C" 3S.' .. i 1:----:-I -' :V(1il:0"'. I : 1 I, t L OT>l INCOME MONTHLY INCOME EARN ALPHA CODE ; I A F',t.MILY 0 SOCIOECONOM!C DATA D. PERMANENT RELOCATION -------;'zl 24-01 .. NAMt =-=A::-:1:.:-e=-:::::x:..:a.;.:;n.r.dr-=r-=i:..:a-'-----.. .... .. "' ... .. N .. l., ... i-_: _,... ... .. .. t l .. "' 0 "' .. .. .. "' :1 0 .. 0 a: IO! ;:I ... ... 2. ADORE ss _,l"'l,_,l.,_,B'--"L...,.,a,...w,_,r"-"'e:.O.n...,c=<->=e:........!S.._t .......... ___ !. URIAN AREA CIRClE 1 (J)l tl 5 6 ETHNIC COMPOSinOI< CIRCLE -1 Z (p I I S. IDIOHEST GRADE AnAINED IN SCHOOL 1Y HEAD OF fAMILY QRCLE I Z S 0 5 I 7 I I TO 11 ll IS I& 15 II' I. NIIMBEI Of CHIUIREN IN HOUIIIG.D on__ .. ._,_.__ AlOE OF MALES OYER IS .21 FEMALES CIU R ,, 7. I. MONTHLY EARNED INCOME CIRCLE 1. 1-I. Sl-1.7.-3. 10D--1G 8. J5DaJM 110-1H I. oiiiO-OH 5. lOG-Zot I. OTIIER INCOiol, I. A.D.C. l. O.A.P 3. G.A s.s. 5. I.R. 1 .. VA. 1 .. A.N.D. 10 500 01 MORE MONTHLY .!IS: oo PRESENT HOUSING INFORMATION ANNUAL 1. OWNEI 0 TENNANT l. NO. 00" IIOONS !{' NO. or s. AMOUNT OF MONTIN.Y RENT WITHOUT UJIUJIES S--4fl:UI.._,0:,0:o:,. __ '-AMOUNT OF MONTHLY PArMENT INCLUDINIO P.I.J.I, 1------1, 81015 INCOME IP EN T 011 HOUSING S. 'rEUS U'fED: IN DENYEI _____ PRIHIIT -RIIS__L_ 7. PUBUC -SIIIG: APPUIID FOI C IUIIIBLI .FOil D C. tlELOCATION TRANSACTIONS 1. DATE oF AC:IIUismON '-.:II ZA Z. IAJE MOWED z1/-z.s I. AMOUNT fW MO!m&.Y HNT PAID 1D D.U.R.A.. 1--------4. LEHTM OF JIMI 1D IIL.IICIIJE AFJII DATE CIF ACDUIIITION. E 1. PRIVATE RE"tTA;. fl" SALES HOust = V SUB-STANDARD = a. STANDAID b.-RENl. W/0 unUJIES I UNitl/tHII WITH I <-PUICHASE PRICE I loiO. P.I.T.I. S d. LPA REFERRED c SLF RELOCATED c 0-PEICINT SPEKJ ON HOUSING 'llo l. PUIUC HOUSINIO PROJECT NAME --y, INCREASES DECREASES D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a. UNDER $ ZO b. Z0.32 t. Jl-.'5 06-SI e l!t-'71 Z. AVERAGE ANNUAL 101055 RENTAL 7ZB3 "-!16 110 W/0 FURN. 5 INDIVIDUAL l. AMOUNT OF IELOCATIOflf ADJUStMENT PAYMENT -------. AMOUNT OF RELOCAJIOI< PAYMENT I I' X3f..oo -:tr.til!. .. i i'"' ... i .. N N ..... i::;,.,. '" :Or-... .. .... .. .. 1 ... I"' I s_, 0 < _,,._...) z C'l '" :r _.,.. .._) .. '" z.,_.cr.._, "' .. "' ...._, .. -.J ..

    PAGE 115

    -. -----------_______ 25-09 ..... c BERMUDEZl-Daisy A 0.,.,55 1220 Lipan Street Aocuu 1154 11th Street ,_ m wrNu. 5ALU -n c J. UlltAN AliA Clltl.l 1.0 I G ... -ti-TD .t..Z-C.a:lll--.iHC&I J. a;t.,\. ,, ..... -t--U Of 'CIILDIPI .. ._,.EIIIILD IO'ra..::J-;..; .... ';{f., ..:.. ..... t :ur .M 1. _,.._, uan _, c:IPCLt I. 1z.J. 100.1 .. t. 150M 5. 100-Z.ot I. OTH[R INCOME; 1. A.D.C. Z. O.A.P' G l s.s VA "'-D I. I UOZM 7. !00.:149 I. liOJ99 D0-4t9 10. 500 OIR MORE MONTHLY .,,, UUlPOittD IMC!IIIf ANNUAL g[CIUSE ''------1 E. O.U.R.A. fiNANCIAL ASSISTANCE GRANTED 1. MO'IIPIIO txPENSlS C11CLE o. VIID S ZD O.J2 c .. J)..ot5 d .... .. ,...,, 2. AYEIAGE ANNUAL. 6 RENTAL '----------------SJZ..al -S 10 W/0 'URN. S INDIVIDUAL 3. Atr.tOUJirlll or RElOCATION ADJUSTfrotEJriT PAYMENT '------or RELOCATIO!, j e INJ:"ORMI.T!ON owEO o: """..,' ./ I $ ______________ '" ia. .... !: .c:::: a:n ... ,[ __ : __ -+! i c N -' 11'1 I .J .. ; I : "'1., ,.. i: -; .,i ;..-- B NO 0'" ROOMS ,I foiC or SEOROOII.S-,--...-=,..---OF Jto40""lHl'r RfN" W1THOL. UTIL:TIES __ OF !'AYM[NT f'.l T.l l _____ GROSS INCOME SPE"''! ON HOUSING YEARS L.IVED IN DENVER ____ PRESENT ADDRESSA:.t!.Zl..._ PUBLIC HOUSING APPLIED ELIGIBLE FOR iJ RELOCATION TRANSACTIONS DATE ACOUISiTlOh ---,.-,..-,=-:..---------DATE "'OVED _____ -4,<-'':..J'L..':...'JL!O:J'-----------Atr.40U!'i";' Of h'ONTHL.,. REh':' PAID TO 0 U.R.A. 4. LENGTto QF" Tlfrri.E TO RELOCATE U"TE!f DATE Of ACCUIS!TIOh I l I I TNCOM[ ,, BIEBER Robert ADDAlSS I or 9 Champa Street URSA"' Ali( A .. CIICL. 1Q J{!) 5 6 ETHNIC PosmoN ct tcu G 2 3 s 5 .. HIGHEST GlADE AnAINED IN SCHOOL IY HEAD OF FAMIU lzt,J,, r-,z NfflJ/ J$"6.10 !; ---. ........ !"IJ/l J"tb cpp j ---------------------------------------------------' --------------------------------------------------' 0 34-05 AooRESS1700 s. Irving Street Rf"U" -:: SAL. HOI!SE 1C' o STANDAIC 1t SUB-STANDARD = !;I !""'l-OJICLE 1 Z .J 5 I 7 I I 10 H 15 11 I. OIUNIU M CHILDREN IN HOUSEHOLD 7. AIOf M MALES OVU 15..,5.L_fENAU5 OYEI ll_,$.,."0.1'----1. MONTHJ. Y EARNED INC004 f CIICLE b._tur, W/D ununu WITH <-utcHasf PIICf I .. 5Q'd'" NO. P.LT.I. 1 d LPA I[Ffii[D 0 SELf IELOCATED 0 I -PtiiCEIIT SPENT ON HOUSING !lt------------1 Z. PUIUC HOUIING PIOJECT NAN[ 1. ,._. I. 2 ...... 100.,.9 1S0-199 20i).la9 7 300 UNilPOITtD INCOO.f C'THER INCOME A.D C Z O.A.P. 3. G A S.S >A. A.H.O 8 310-399 s I.OO..tt9 (D 5tO oo MONTHL.'f' ANNUAL PRESENT INFORMATION I. OWNER !: TENNA:J: /( 1.. NO. OF JIOOWS NO. BEDJIOC)IIoiS u AMOUNT Of MONYHLY UNT WITHOUT UTIUTIES 1 so:oo AWOUHT OF YONTHLY 'AYMENT fNCLUDI"G P .. I.T.I. '-----GlOSS INCOME SPENT ON HOUSING !lt-----::=--6. nus UYID; ADOJtfSS S()MA 7. PU&UC -liM&, API'LJEg FOil 0 IUIIIILl FOil 0 -,_ RELOC-TlON TRANSACTIONS 1. INIT OF ACOUISI110h ___ z. OAT NOVlD=::--:-:--'. ..Ju ... llNLI{L---------3. AMOUNT OF" MONT"'--T .ENT PAID TO D.U.I.A .. <4. LtMGtN OF nMI: TO UOCAT AFTI:t DATE Of ACOUtStnQfr!l .... .,. ...... o UN!:IEI S 20 c u-.u 16-51 @ Jt.-71 Z.. AYEaAGl AN .. UAt Glt05S 1NTAL ----------------' 72-8j ..... \ 10 'W/0 FUih S S lfiD;VIOU4l 3. AMOUit OF IELOCATIOtll ADJUSTWENT PA't'W[NT -------. AMOUIIT Of IELOCAnON 'AYMENT '1/..SOO oo J.:>') .. .. ... .. .. .. ... .. .. ..

    PAGE 116

    N .. : .. .. .. "'/"' 0. .. I ., I I I I I ., I"'' ::, O' ,.. lo: Ia:: ., I i I : I c IZ1 l UIIAJili AUA CIRCLE 1 l l 4 6 ETHNIC CIICL( .Q 1 J S I I. HIGHEST GlADE AnAINE:D IN SCHOOL CIICLE. l 1 J 5 "I 1 I I 10 1t @ U U 15 6. SX MACE tfl FEMALE-----'-------7. AGE Of MACE OYER 6Z _____ FEMAL OVEI6Z _____ I. MONTH!.. Y EARNED INCOME CIICL. 1 s D-49 6. s Z!I0-119 S0-19 J. 1oo-ag I. 150-199 9. OTHER INCOME A.D C Z. O.A.P J G.A s.s VA A N D b QTM( R 7. JOO-Ui 10 !00 OR MORE MONTHlY PRESENT HOUSING INFORMATION UNI,01TNCOME s -ANNUAl.. OWNER = TEN""" ,115./ 0 NO OF NO OF BEDROOMS-=----=-AMOUNi OF MONTML'f REIIj1 WITHOU1' UTILITIES 5 / :2..0 AMOUNT OF MONTHLY PAYMENT lt-.iCI..UOING P.l.l.l S -----GROSS INCOME SPENT ON HOUSING %-----....---::--& YEARS LIVED. IN ADDRESS .3t!tti.S.. 7 PUBLIC MOUSING ELIGIBLE FOR .-APPUEO FOR RELOCATION TRANSACTIONS ., r l DATE OF /c. I I 1.1'1. DA T MOl' D-------------'.L..:"'-'!"-:;,-?'._.,:,_ AMOUNl OF M0N1HLY RENT PAID 10 DURA S --==-.. c:;;"'-'_:;,__ c"' Denve.,r 1 suTL Co 1 a zr...lL 1. ltiiVAl iNU1.. SALES HOUSl SfAJIOARD II SUI STAIIDAID b. IT: w/0 UTIUTIES $ ________ WITH s U,k, niCE S 1110. P.I.T.I. $ __ ,...._ ,. .. REFERRED 0 SELF IELDCATED 1iJ! f"':, II'EICENT SPENT ON HOUSING 5t----------lc d. e. 1. PUIUC HOUSING PIOJECT 0 ...,. .RENT SUPPLEMENT HOUSIHG _____________ P, MONTHLY: INCREASE 5 _____ DECREASE S ___ ;-. CJl D.U.R.A. FINANCIAL ASSISTANCE GRANTED b 1. MOVING EXPENSES CIRCLE Z ...c Ul o UNDER SZO b. Z0-32 c n-u d 06-58 e. 59-71 AVERAGE ANNUAl GROSS RENTAl I g h g, 97+ Ar.tOUNl ____ ; :CI ;!' "' .. .. .. AMOUNT OF RElOCATIOitrl AOJUSTJwtENT PAYMENT ZH----I I 1 il" __ "' _____________ I AMOUNT OF REi..OCATIO"" PA'fMENT .. .. .. :t;i (X'oo:i 0. [:0 H"-_.-.. 0 < z -c: I iz; LENGTH OF' TIME TO RELOCATE AF'TER DATE OF' ACOUISITIOh __ ... __ 1 I 1,.:;, Tc ___ ; A c %!{/ s ; Tc?;;J ;; -._ ... ---l N_U_IJ.Y:J013ti -. .. a a !N3S3bo Sl:,_ I:IHN30 N: 51:1.31 r 5038 SWOOb O..S 1 ____ __ ;1 ;: .. s..--=-;:-:9 =:;-L----.-8 :a"'[ I : I 13s -------,:> :;. I ;, 'I' :;. i> :'"'1 :. 'I' ;. ': '' I ,' I l"f' '::: I I' _j ) li URBAN II -. I I '"I INC 0 M MONTHLY INC 0 ME EARN li -'->-----+cs \r, --;-E:;T;:;H;:;N-;;1 C:--i!-, :-:. ,,.-. ..L __ ___ "' __ UNRELATED INDIVIDUAL 0 PERMA"lENT RELOCATION 38-06 N "' N N .., ... :g .... ,r Elizabeth I:C!::;:I, l ADDRESS 95.d Oth St. I #316 3. URBAN AREA CIRCLE 1 0 3 tP' f 4. ETHNIC COMPOSITION-CIRClE 2 l I 5 6 5. HIGHEST GRADE AnAINED IN SCHOOL. CIRCLE -1 2 3 t 5 6 7 Cl) 9 10 11 12 1l U 15 16 6. SEXo MALE HMALE--------:::--:----7. AGE OF MACE OYER 62 _____ HMALE OYER 6Z-<1161L<'---8. MONTHlY EARNEC INCOME -CIRCLE l. s Z. 50-99 100-119 150-199 200-249 9. OTHER INCOME A.D.C l. O.A.P G.A. s s ... A.N.O. fJ OTHER 6. S l!SOl99 7. 300-319 8. 350-399 10. 500 OR htORE MONTHLY 'PRESENT HOUSING INFORMATION UNREPORTED INCOME '------ANNUAl.. 1. OWNER = TENNAN!@"" I l NO Of ROOMS ---oi'!..----NO. Of BEDROOMS-:::.,.,...,,.....=:3. AMOUNT OF MONTHLY lENT WITHOUT UTILITIES 5 110 I AMOUNT Of MONTHlY PAYMENT INCLUDING P.I.T.I 5----S. GROSS INCOM SPENT ON HOUSING %------:::-'7].--6. YEARS UYED IN 0NYER _____ PRSNi ADDRESS .::z '/a. 7. lltUBLIC HOUSING EUGIILE FOR ;.,..... APPUED FOR 0 RELOCATION TRANSACTIONS 5 A 1. DATE OF l DATE NOV ID 3 AMOUNT OF NONlHl'f RENT PAlO TO D.U R A 5-------LENGTH OF TIME TO AEI..OCATE ArTER DATE OF il204 3805 W 26th Ave em Denver' STATE Col 0 1. PRIVATE RENTAl li"' SAlES HOUSE ......., &. STANDARD liii!"suB STANDARD b. RENT: w/0 UTILITIES S f1t11J WITH S _____ C. PURCHASE PRICE $ MO. P.I.T.I. 5 ____ ,_ e. d. LPA REFERRED 0 SElF RELOCATED C) PERCENT SPENT ON HOUSING % __________ 0 .. l. PUBUC HOUSING PROJECT NAME------------. 5 3. RENT SUPPLEMENT HOUSING MONTHLY, INCREASE 5 _______ DECREASE S ___ :-D.U.R.A FINANCIAL ASSISTANCE GRANTED -., -c 1. MOVI,.G EXPENSES CIRCLE Z> o UNDER 5 ZD i 5 7Z-83 I g 8'-96 i!; Ia. t Z0-12 ( 33-,5 0 ... 58 e 59-71 Z. AVERAGE ANNUAl.. GROSS RENTAL ... 97+ AMOUNl --->"I Ss V/O 510 W/FUR'-1 (1)1:::' (f) 't!:C': .. .. .. .. .. .. '-------3. AMOUNT OF IELOC.ATIOJ-1 ADJUSTMENT PAYMENT u;! ::I i! Ul zl-'----:im '---------------(;) "I ;o>.., >zl /_ j Z zi I AMOUNT OF IELOCAnON PAYMENT .. .. /INA, ri.. ;;: -.. # lfi>7D.O 1--l-' ---1nu. y or .:l.v D i/Q. 110 I'IIIT.r. F Olf(.a. S"D ;! .. ..

    PAGE 117

    : ------z 1SE?eet UIIAh AltA CIICL 1 (!) J ()! 6 THNJC CIICLl C> l J I I. NIGHEST GIADl AnAIUD ICHOOL CIICLI 1 Z S I I 7 I I 10 11 11 1J 0 11 11 I. S 7. AGE Or MAL OVU II FEMALE OYIIIl I. MONTHLY EARNED INCOME CIICL 1. I 0.01 I. IIIOZM I. !10-99 100 7. JOG-J&I I. 1!10..111 UNREPOITED INCOME 4. 1SCI-1t9 S. ZOO.Ut I. .. II 1C:s6C o Mo!!P S / J. DO I. OTHER INCOME A D.C ANNUAL Z O.A.P. G.A. 5. 5 \A 'c !! 0TH[ R PRESE'IT HOUSING INFORhUTION ow = TE_.,,:: I!( or ROOh'S NO. Or AMOUNT or MO .. t1THOU'! Ul!:..!TIES L,4 AMOL'fli' OF MO .. il1i.Y INCLUDING P I.T I S ------5 GROSS "COVE SPEN! 0' HOUSING 9!: _____ --:=--YEARS LIVED' DEhYER _____ PRESEhl ADDRESS_,.'f;a.,. ____ 7. PUBLIC HOUSihG ELIGIBLE FOR APPU 'OR = C. RELOCHION TRANSACTIONS L 1: DAlf OF ACOUIS:TIO ---=---==----------DATE MOVED ,_ J,Z.7 3 or MO"-THU liE !'Ill PAID TO O.LI :..E "GTM or TIM 10 AE!..OCA'!' AFT[R DATE OF ACOI.IISITIOfli '11 'II 'Z 'Z I H [ ---------...... "'' i c::=>Hs; 60i c:ai-.. '1 ct 1 CP Deover STill Co 1 0 z,.-0.3....., 1 P'RIYAT( IENTA" .-. SALES liOI.iSL !., .. a. STANDARD SU& STAIIDARC b. lENT w/o UTIUTI 5 JJ! tJO WITH $ ___ I N ('IH(1 c. PUICHASl PRICE S ______ MO. P.1.7.1. $ ___ ......., __ d. IEFEIRED CJ SLr IELOCATED r. PEICUT SPENT ON HOUSING 9!:----------Z. PUIUC HOUSING NAMl--------------IENT SUPPLlMENT HOUSING------------------MO .. THLY. INCREASE DECREASE D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIICU UNDER 110 I!>JI (. 66-51 e H-11 AVERAGE ANNUAL GlOSS IENTAL ..... 97+ AMOUNl ---55 wio ruRN S10 w/FURN OF' I(L.OCATIOh AOJVST!Ifll(lli'r PAYM'-IT AMOUh'! or ltEl.OCA':'!Ohi ....1 A4Y2ts4. TltB P 'P zs-.;. a a z ------------------------------------------------------------------------;., L I l I I I 'II URIAN ')I I r-t"' ... .. .. .. .. .. ; _,.. OTH INCOME 1: MONTHLY II'; COME EARN. -SEX I ETHNIC H AREA llll10<1l ALPHA CODE .., .., N "' .. z z N N "' N .. ;.A UfiiREL.ATEO INOIVIOUAL BOWLES Paul H .... __ I. 3. URIAN AREA CIRCLE -1 t!) l (!) !5 6 ETHNIC CDhiPOSinON CIRCLE {!)I 3 5 I 5. HIGHEST GRAD AnAINED IN SCHOOL CIICU 1 Z l 6 7 I I 10 11 1Z 13 0 15 11 6. SEl. MALE HMALE------------7. AGE or MAL OV 61 HhiALE OVU ll------1. hiONTHLY EARNED INCOME CIRCLE 1. S 0.01 I. SZ!IG-ZM I. !10-M l. 1D0C9 U0-1H !. ZOD-U9 I 07HR INCOME. 1. A.D.C. Z. O.A.P. l G.A. 's.s. R R. I. VA. 7 A.N.D. e OTHER 7, JDO-Jt 1. uo-m I. .. II 10. SOC OR MORE MONTHLY /S5,DD UNREPORTED INCOME ---------ANNUAL PRESENT HOUSING INFORMATION 1. OWNER C TENUNT /fi!!!' 1 NO or ROOMS / NO OF IEDIOOMS J AMO"NT Or MONTHLY REN" WIT>IOUT UTILITIES $ JZ AMOUNT Or MONTHLY PAYMENT INCLUDING P.I.T.I. $ ---S. GROSS INCOME ON HOUSING %-------:::--' YEARS UYED. IN DENVEI _____ PRESENT ADDRESS k 7. PUILIC HOUSING EUGIIL OR ::J APPUED FOI C RELOCATION TRANSACTIONS 1. DATE or H'P111SO'-.J I 13 Z. DATl MOVED Z-! 3 AMOUNT ()f' MONTHL.r; RENT P'AID TO O.U I A $ -------- UNGTH OF TtflillE TO llLOCATl AJ'TEI DATE Of ACOUISITIOh ----------------------0 PERMANENT RELOCATION 38-06 AooREs< 1725 Shennan St. 1 #101 CITY Denver 1 sTm Colo. ZIP o 3 .. 1. PRIVATE RENTAL fil' SALES HOUSE :: .. a, STANDARD iY' SUB STANDARD b. RENT: W/0 UTILITIES $ /b.S: WITH $ _____ .. c. PUROIASE PRICE S -----------MO. P.I.T.I. S ___ ___ LPA IHEIRED ::J SELF RELOCATED CJ PEICENT SPENT ON HOUSING %----------1:J 1. PUIUC HOUSING PIOJECT NAME----------------. G., 3. RENT SUPPLEMENT HOUSING ;c d. r. .. .. .. .. NONTHLY. INCREASE S $ _______ ;.;;(I"' E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. NOVING UPENS CIRCLE c UNDER iZG 5 7Z..fJ ; ---d .._58 Ss w/o FURh ; ; ...,. e n -' S1o r.n E; t8: Z. AVEIAG ANNUAL GlOSS IENTAL t !!! -:, 11>-c -----------;! I" 3. AMOUNT or IELDCATION ADJUSTMENT PAYhiNT Z s,________ :;l AMOUN7 or IELDCATIOI< / / L--i M ..... .. .. .. .. .. io viO _,

    PAGE 118

    N N "' on. I ,.lv; ,.. lo !Q:l c! i ..... :z iZ-I i:[ '"' ill:.., IC ,...:;_ ,z ':i' :z !C > .. ----ua"' AlilJ C:PC ... I 0? (/) t ETHNIC CO,..P'OSI'l'IOP\ CIICi..E 2 3 A i !. HIGHEST GlADE ATTAIIIi IN SCHOOL CIRCLE I 2 3 A 5 6 7 I t 10 11 (! U U 15 11 SEX. MACE FEMALE __ 7. AGE OF MALE OYER 62 ____ HMALE OYER 12------1. MONTHLY lARNED INCOME CIRCLE: I 0.49 i Z!O-ZH S0-99 l00-345 J e 350-399 150-199 coo-n; ZOCI-249 OTHER INCOME 1. A.D.C O.A.P G A s s p VA lilt' 0Hij: 1C 500 OR MORE M0Jr.iTr1LY PRE.SEf,l HOI.;SI,.,.G UNR'0RTED INCOME ANNUAL o 'f'. TE ,_..,.1 V / NO or ---'-'-----NC OF S -:::-::;;''7--;-AMO:J'. 0 0 ... .. .. AMOUN .. Cf RELCCa.T!ON .. lMfi. IIIU ,, :c "' ______ .z -c' Z :tC -----------------------------------------------.. .. tir ,. ;c.. I ---------------------------------------------------1 NOilVJ013b .!.N3NVIIIb3d .. __ ;..' ____ N:.:.:::.:l=tl.:.3d;:._, 1: j s 9 L s lsnsl ,_. --.I 1 .-i i z' l i i ; iT L 2. i: 1 [ .z 1 i :(" I; I L z r. r .., : II' "z i 3 -i 4 7 J r:,d, i i ,+. OTH INCOME 1 MONTHLY INCOI>IE EARN YS8658J .. -------i.z r: ... f ; .. .. .z -: .. ., ... .. ... .... ., .z t! ... Ill c .., ,,. .. .. !O 1;:: ::> c "' tD .. 0 .. .. A. FAMILY COMPOSITION & SOCIOECONOMIC DATA "AM[ BUSTILLOSf z. ADDms 10Q:5l: -_lth Street 3. UIBAN AREA CIRCLE 1 fV 3 (9 5 6 0 PERMANENT RELOCATION ADD RESS 1749 w 35-04 36th Ave 1 PIIVAT RENTAL ;:: SALES HOUSE a. STANDAID P""suA-STANDARD c b_.ENT: w10 ununEs s WITH S J ;eo i "' ..,. I I --I .... i .. ETHNIC COMPOSITION CIICL[ -1 z CD I. 18GIIIIT GlADE llnAIIIED Ill IC:IIOOL IY HEAD f1lf flliiiLY CIIC:U 1 Z J 4 I I 7 C)1 1D 11 TZ U U 1S M..,..._, ..._: ,.,_; <-.PUac:NASE P .. CE I f"!IH.MD. P.I.T.I. 5 .. I.<&' I. IIUMUI OF CIIIUIUN Ill -SEIIDLD 7. AilE OF IIU..S O'lt:l II Jf fiMALES lifO t> n a. --Y &AlliED IIICOM E CIICI.E 1. ,_ u-z.7. --3. 110-1., 150H S. 1110-lOI t. OTHU INCOME: 1. A.D.C. l. O.A.P. 3. G.A. s.s. s. 1.1. I. YA. 7. A.N.D. I. 3!10-Jit 1D. 5410 DR MOlE MONTHLY !So Ulll-.n IIC .. IE /IllS. WI F. I. PRESENT HOUSING INFORMATION I. o.n C RIURT fJ1"' :: ::RJ .. ;..::;. __ ._ AMCIUIIT til' -PAYI!iiiNT .. Q.UDIIIG P.J.T.I. 1-----.. --.lilT Dl IIOUIIIIII [ ... -.;nau .UftD: f ...UC ---; n;. c AJCn&t-.. .c nWriACTIONS 1 ,,.,____ :/ ... 'c%. Mll_....n. L.jl, "-Q 0 I. .. ,......,. ....... y ...... ............. .. lllihK _,,. annu .. .-: :"' .;. ::-.". d .LPA IIE?'IftiD D SELF anoc:& TID D e-HIC:EliT SPENT ON -SING.._ z. .. IUC -111111 PIDJECT o1 --= .. ClOSES llEC:I&5 5 D.U.R.A. fiiiANCIAL ASSISTANCE GRANTtD 1. MOVING EXPENSES CIRCLE a. UNDEa I ZO I 17Z-83 b. ZD-R 9 14-96 c IJ-45 h. s 10 W/0 Fuaw. d. <16-51 ; s S INDIVIDUAL .. ..,, j l. llYEIAGE AUAL GROSS IENTAL s .. AMDUII1' Ill' ADJUSTMENT PAYMENT s .. AMCIUNT Ill' IIEI.DCAnON PAYMENT I d k-' !:1!2 IW ., .r';Aft ... r ., lfi_tf!.. lfl(l, -pcU .. .2, '.JZ zs::.. arc s: ... ,.. l>tiiJjlemr I;( We. edT 41 ,;1$C. S"t> .... : N --._j -' 0 "' 21..-n" .. >i:! ... .... .. .. N Jllol"'l .... @!:I .. z, .. .. ----: .. ;--! .) i _;,._ _; a .... -'" J .. .. .. .. ..J,..J ja ._; .. .. ,_

    PAGE 119

    r L r .. N .. 1;;;: ;5j I I. z.J. 100.1 .. lllltt 5. 106-UI I._,... .. -.. --10. 110 01 MORE t. OTHER INCOME: ANNUAL B I. A.D.C. I. O.A.P G. A. s.s. 5. R R 6 VA 7. A."' 0. jj.110 >iOUSING 1. OWNER 0 TENNAMT A 2. NO. or ROO"S NC or BEDROOMSri:'-::-.::-3. A ... OUI\Il OF MONT"'LY RENT UTtUTtES $_:.fr:;DKo-'b3a .n ,o. j' "' II ;-: W"l'l:;== I i li X3"0L 1)" ALP>iA COOE PERMANENT RELOCATION 37-11 AOORESS 2811 W 27th Ave CITY Ilemz:e:t:. SlATE. Colo I PRIVAlE RUiilAL iZ SALES hOUSE -a STANDARD iii' SUB STANDARD b. RENT: w/o ununEs s WITH s c. PURCHASE PRICE S wo P.l T I. s d. LPA REFERRED '-' SELF RELOCATED ::J e. PERCENl SPENT ON HOUSING % 2. PUIUC HOUSING PROJECT NAME 3. RENT SUPPLEWENT HOUSING MONTH:... 'I. INCREASE s DECREASE s __ D U.R A FINANC:AL ASSISTANCE GRAPI:TEO MOVING EXPENSES CIRCLE 0 SZC S 7Z-1!3 Z0-32 ; -96 : 33-.tS ; l:t+ AlrloiOU"'l ---(j 06 S:-"' 0 FUR"' 59'1 S1C v.. 2. AYE RAGE ANNUAl GROSS RENTAl 3. AMOUNl OF lf.l.OC.ATIOt.r ADJUSTMENT P"YMf.hl Of PAYMENT L 111-e./a.R-., .-":)l_.S: ., -r ;r l#ii ------------1 i--= ----------------------------=l=!_=e=====

    PAGE 120

    -------------;, N .... .. \Q ill)! I::E; tOi c! i c -------. -. : v :. ;'" -. URIAN ARE" CtiCLE fl> J (D ETt4NIC COMPOSITIC>t\ CtiCL[ tr> Z 3 6 I. HIGHEST GRADE ATTAINED IN SCHOOL CIICLI -1 1 J s I 7 I t 10 11 U 1J U ,5 cS> SEl MALE f[MALE---------.,..--7. AGE OF MALE OVU 62 FEMALE OVER .. St.....,D.,e._ __ I. MONTHLY EARNED INCOME CIRCLE 1. S0..9 z. 50-99 100 150 5. ZOCi-249 OTHER INCOME A.D C. O.A.P G A s.s VA 'c OTHE.i( SZI0H ., J0()..369 3!10:199 &00"""'' HI 500 OR MOR MONTHLY 15"3. PRESENT HOUSING UNREPORTED INCOME ANNUAL ; = o or ROOMS I o 0' BEDROOMS () o ..-o"t-t .. 't RENi wnHOui l_;ilL'TIES S /:l s; Do OF MCtr."l"ioiLY PAYMUi1 P.ll.l S ----GJiOSS INC0'-1[ 0111 HOUSING LIVED lfi OEhV[R ADDRESS s: PUB;.IC ELIGIBLE FOr.: APPUEO FOR = IIELOCATIOr. TRANSACTIONS 1 1 OAH OF ACOiJ!SI":''QII,i ,.:r 4./l,ft (f 2 "0iEC //). 73 AMOUt..i"! Of MO!Iei""l Y FAIC TO t: LfojG-H QJ" AH.OCUE ArTER DJTE. OF" ACOUISIT!ON -'-'" ... :__:...:_ __ _l,_l __ -.. r. -C"I LPA REFERRED :J SELF RELOCATED 0 cor e. SPNT ON HOUSING %----------C l. PUUC HOUSING NAME-----------: 5 ..., r .. ..-, 3. RENT SUPPL[NEtiT MOtiTHL'Y. INCREASE ----DECREASE $ ___ cr N D.U.Ii.A FINANCIAL ASSISTANCE GIIANTED .., "1 1. MOVING [IPU.SES CIRCLE Z ::; "' UNDER S20 S 72 .. >-'"' '"' ,.,.., ... 97+ AMOUNl ---Ss w/o FURN e st-71 S10 W.'FURN AVERAGE AliNUAL GROSS RENUL .. Ah40U"T OF REa.OCATIOt.i ADJUSTMENT PA'f"h4EhT ,, _______ c,? .,.,... ..... < /te-L..-#rryp .. r C Zl Jl'lij4A l,;.;iQ Do 1-----:::i., UHf DYP. /ltut'TliLY I "YJ s=o "i V"!-I ic = --===============================================I z i.., CJ t r -:--: ..... ______ :u, 'l -. "' ..... .. ... : CiQ-; SC!.;.' N1 Sl::!l'3A 5039 I OJ.S __ n .. 3s\i -i ;t I-I r f I i I z z I' I l ,II OlS I l z t I l' ,. 11 n==....l.--==,....,.="'1,_ ____ -_---1 INCOME ;! MO>;THLY INCOME ;, ,r-SEX li ETHNIC II A IlEA UX310<'1 ALPHA CODE_ ... 'A UNRELATED INDIVIDuAL D PERMANENT IIELOCATION 2 5-Q l ........ .., N N ... N = ... N ... "' !C i= <, lUI 1::1' lo! "'I ., I .. 2 ADDms J l 4 5 1 at>, '-=:treet, l. URBAN AREA CIRCLE I CD l CP s 6 ETHNIC COM POSITION Cl RCL[ 1 2 <2) 6 !. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 2 l I (i) 7 8 9 10 11 1Z 1l U n 11 6. SEX, MALE FEMALE-----------7. AGE or MALE OVER 62 FEMALE I. MONTHLY EARNED INCOME-CIRCLE 1. 6. 12!10-ZH l. 50-H 3 100 150-199 5. 200-249 I. OTHER INCOME 1. A.D.C. 2. O.A.P 3. G.A. s 5. !. R R. 6. VA. 7. A.N.D. 8 OTHER 7. JOO.l<9 8 310 MONTHLY PRESENT HOUSING INFORMATION UNREPORTED INCOME --------------ANNUAL 1. OWNER L....." T[NNAh"! p-"' I 2 NO or ROOMS ,4 NO OF BEDROOMS _,_ ___ l. A"OUNT OF MONTHLY REOT WITHOUT UTILITIES 5 ,. Of MONTHLY PAYMENT INCLUDING P.I.T.I. 5---!. GROSS INCOME SPENT ON HOUSING %------.,---6. YEARS LIVED IN DENYER ___ PRESENT ADDRESS_J.(:._ ___ 7 PUBLIC HOUSING EUGIBU FOR = APPUED FOR C RELOCATION 1 DATE OF ACOUISITION 31 73 2. DATE MOVEO 9 S ZJ 3 AMOUNt OF MONTHLY RENT PAID TO DURA S ------ LENGTH OF TIME 10 RELOCATE AFTER DATE OF ACOUISITIOh ADDRESS 444) 'J:'j)))'!J0.,..5 Cln Denver, sTATE Co.Lo. 1. PRIVATE RENTAL .., SALES HOUSE = ... .. a. SfANDARD -STANDARD b. RENT' w/o UnUTIES 5 '" N N c. PURCHASE PRICE S WITH$ ___ P.I.T.I. 5 ___ ,_ -----'loiO. .. d. e. 0 .. LPA REFERRED 0 SELF RELOCATED PERCENT SPENT ON HOUSING %----------C l. PUIUC HOUSING ".aJECT IIAME------------i:: 5" J. RENT SUPPLEMENT HOUSING ;c ... MONTHLY' INCREASE S -----DECREASE $ ___ )o;:;! 0> .. E. D.U.II.A FINA,CIAL ASSISTANCE GIIANTED ::!!\; 1. MOVING EXPENSES CIRCLE z-<1'-" >HI'-o UNDER SZO. lO.l2 s 7Z-8l 84-96 .. ( 33-&5 d 46-$8 e 59-71 Z. AVAGE AIIINUAI.. GaGSS RENTAL '--------t'+ AM0UN1 ---wto FuRr. SIO WiFURN 3. AMOUNT OF RELOCAnON ADJUSTMENT PAYMENT ''-------' AMOUNT OF RLOCAnON PAYMENt 1/.zJCoo ::.i -1. luo Cl '"'I :o>.., > z, z zj .... .. "'..,. cz ..... 3: 0 ::5z t:>l:r ... N .. N .. ,.. ;li' z!'JI:., e-"'' "'I .... !0 .. --------------------------. ...

    PAGE 121

    N .. 18: I Ill 4= .. 1 "' I N ., t I .. c N I "' Ji' I 1c: .,1 i I I ., I z -----..., -. .... --------. --, -'----- c; I ) ---------. -:.-.------. -. ,;,: .:. 7 ,:,. : --' ,...,":' ""-.-. 1 ..,::-.. "'' .._ :-':_"":.. -'-"--::--c---.1 1_;:,. ::_. 't_ ;;. .:... :; UIIAh AREA CIICU: 1 0 :a {;)! ET"NIC COMII'OSITI()h CIRCLE __ Aa.40UP-i1' 0'" MOPI.TH:....-PAYMENT INCi..UDIJrrf\: P1.1'.1 GROSS IIIICOME SPE"'T ON HOUSihG ;;t' -----.,..---LIVED IN O[NYER ___ PRES ... 1 AOORESStlt ,., 7 PUBLIC ELIGIBLE FOR = APPLIED DATE OF" ACOUlS'!'N RELOCATIO,; r_ 73 2 OA!E MOV 7 A"40U ... T or MOf\THL'f' IH,"''T PAit TO D.U R.I. 5------LESG.TH Of TIM[ TO RELOCATE AF"TE; DATE OJ" ACOL:ISI':'IOh _I .< CL"l:.V Ra1.-,'n ...... E-1 ... !:'' ooRESs I 0;; ::. ... out St. ;:2 3. URBA AREA CIRCLE I 3 CD s ETHNIC COMPOSinOh CIRCLE (!) Z 3 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 Z 3 J..,!_ I 7 10 11 1Z 13 1.& 15 11 6. SEX. MALE :t' FEMALE-----------7. AG OF MALE OVER 62 ____ FEMALE OYEI liZ _____ I. MONTHLY EARNED INCOME CIRCLE 1. SG-<1 6. S Z!IG-ZH UNREI'Otll'ED INCOME 2. 5D-99 r. J00-3<9 s ________ 3. 100-149 4. 1 S0-199 S ZOOZ 9. OnU R INCOME 1. A.D.C l O.A.P. G.A s.s S. R. R. e. 'VA. 7. A.N.D B c:5liJ' oo-419 10. 500 OR MORE MONTHLY B fiWJitf:y .,.,, ... PRESENT Hi5"USING INFORMATION ANNUAl. 1. OWNER Jilt I NO Or lOOMS _....,.:z ____ NO OF 3. OF MONTHLY RENT WITHOUT UTILITIES $ __ AMOUNT OF MONTHLY PAYMENT INCLUDING P.IT.I. $---GROSS INCOME SPENT ON HOUSING 11 YEARS LIVED IN 7 PUBLIC HOUSING ELIGIBLE FOR 0 APPUEC FOR :J RELOCATION TRANSACTIONS 1. DAU OF ACOUISITIOh 7 7.3 DATE MOYED--IIf.::..fo..::.-_.7._]..._ __________ Or MOOTHLY RENT PAID 10 D.U I. A $ -----LENGTH OF TIME TO RELOCATE ArTER DAT or ACQUISITIO._ E. I -1 r ,t I m_,..QL I :::. ,,_,.,-::c:-':.."' '.:.:-'.:. _,\_' ,.::"'=-=::-':--sa a y C. .;,. C.: PRIVATE RENTAl li"""' HOUSl a. SIAWDARD Vsua b. lENT: w/o ununEs s ______ WITH $ _____ 1 C. PRICE $ WO T.l. $ ___ d. LPA REFERRED 0 SELF IELOCAT[D iJ CO .. r, f PERCENT SPENT Oli HOUSING 9'6----------C :D z. 0PUIUC HOUSING PROJECT NAME I .. 3. RENT SUPPLEMENT HOUSING n MONTHLY. INCREASE -----DECREASE 5 ___ D.U.R.A. FINANCIAL ASSISTANCE GRANTED "'I"" MO'VING EXPENSES CIRCLE ?;1 .. o UNDER SZO S 1ZB3 b Z.0-32 c; c ll..S 97+ AMOUNl ____ >1XII <6-SB S W/0 FUR' '"., e 51 SID wiFURN. :: Z. AVERAGE ANNUAL GROSS RENTAL Cii '---------.. 3. AMOUNT OF" RELOCATIO't ADJUSTMENT PAY.,.Uil '---------------AMOUNT OF RELOCATION PAU.tf:NT z Cli "1 ::CI"'" >-Z! z z. .. .. .. .. &E/aA 6'.;,3S: o '" Tl(llp t-1 It--.. lN3NVWtl3d AODI!ESS 1825 l z l I I l L I L i ;:Jet:, CITY Der:sz:er:, STATE L...,n:o ZIP__Q2 1. PRIVATE RENTAL l!t SALES HOUSE -a. STANDARD SUB STANDARD ll1i. ., WITH b. RENT: W/0 UTILinES s s c. PURCHASE PRICE $ MO. P.I.T.I. s d. LPA REFERRED 0 SELF RELOCATED iJ e. PERCENT SPENT ON HOUSING 9'6 z. PUBLIC HOUSING NAME 3. RENT SUPPLE .. ENT HOUSING MONTHLY: INCREASE s DECREASE s __ O.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCLE 0 UNDER SZD '71-83 b Zf>-32 ; 14 c 33 97+ AMOUNl d <6-SB Ss wro ruAN ,.., : SID WiFURN. z. AVERAGE ANNUAL GROSS INTAL 3. AMOUNT OF RELOCATION ADJUSTMENT PAYMENT $ .. AMOUNT OF RELOCAnOh PAYMENT / 3 ... _.. *en "7 f ,--2.3.!':: 7'1U6' o Nu, Mr.s. IF IUp. =:!=->' .. zl .. J ... .. .. -4 XI .,-, "'"' cz ..... .. "..,I-M! ..,. cr. "'' .... &.nj-. .. _. c .. ..

    PAGE 122

    .. N -------... ----------::.----;.-_______ ... >. _______ ._____ -----' .. UIIAfirll lilA CIIC..f. 2 l .t. ETHNIC COWPOStnOh CIICL[ 0 Z J C S I I. MI&HUT GlADE AnliMID IN SCHOOL ::J I ei I a:q OICLI Z J .1-1(!)1 I 10 11 1l 11 1 11 11 6. SU MALE X HMALl-----------7, AGE Of MILE OV 62 rMAl.VIIII _____ I. MONTHLY latHED INCOME CIICU I. 1-I U!IO-l" UNtEPOITU INCOME 1514 c"' De'iver 17th St. #306 \o,H X S '"'L _-J("..J.0_,__ ____ 2 'Jl.2..__ sA.n :lOUsE :. .. SUNDAIO X SUB STINOARO b. ltlNT. w/o ununu s WITH s96 .0(1 c. PURCHASE f'tiCE 5 MO. P.lll. s d. L'A IHURED 0 SELF IELOCITED -'-' ... I 1-1 .. e. f'EICENT SOENT ON HOniNG liE c::ol F z. f'UIUC IIOUSING f'IOJECT NAME ol"' :0 3. lENT SUPPLMNT HOUSING MONTHLY: ltiCREAS[ s DECREASE s __ ., I i -----+-' li -100-1tl -150-199 1. I. OTHER INCOM I.D.C 7. JDC-J.t9 I J!I0-3" I. &00-619 10 500 01 MORE D.U.R.l. FINANCIAL ASSISTANCE GRANTED ..,1'" _,. I. MOVING EIPENS CIRCLE 0 UNDER 'ZO ; '72 >j I b U-32 g ... !Hj z n-., 97+ ... g; I = I .. i i "' O.l P G A s s VA A D OTHEJ: 143.00 PRESEN' 110USI"G INORMATION ANti.UAL OWJrriB = X NO or ROOMS _,,_ _____ NC OF BEOROOWS Or MONTHLl" REtlii UTI ... TIES S __ 3..._. ........ 0'-'Q...._ __ AMOUf\T or MOhTHLY PATMENl INCLUO'"G P l T.t GROSS IOCO"E 5PEN1 O .. OUS"G % ________ __ Y[,t,RS LIVED lh DENVEP ______ PRESE"'T ADDRESS ____ APFi.J[C FOR = z 3 33! d 06-11 S!. w/o 'fUR-. -l"'ol 510 ./FURh ,.;: H-71 I ..,,: AVERAGE A .. NUAL GROSS R[r.UL tnl 1 ..... ,., AJiltOUNl OF ALOCATI0fll -DJUSTMUiT PJ.YM[t\t z t"')I;J.o' ,..,1< AMOU$03 ::tJjl .... ... olz. 'l'ltlU" i3:-iol lli ETI1NIC AREA X310'a ALPHA CODE UNRELATED lloiDIVIDUAL 0 PERMANENT RELOCATION .... Charles ADDRESS l 9 l th s t o 3. URIAN AREA CIRCLE 1 2 3 5 6 -ETHNIC COMPOSITION CIRCLE .Ci)z 3 5 I 5. HIGHEST GRID AnAINED IN SCHOOL Cl RCLE I Z 3 I 6 01 I 10 11 1Z 13 1& IS 11 1514 17th St:t #306 CITY Denver STATE Co o 211() 2 s 9b 00 1. PRIVATE RENTAL Jl SALES HOUSE a, STANDARD SUB STANDARD b. RENT: W/0 UTILITIES $, ______ WITH c. PURCHASE PRICES _____ MO. P.I.T.I. S _____ __ ( .... (1 r -C" -'"' "' "' -.. ;,; "' -.. ... "' -"; =-:-.. N 6. SEX: MILE .r FEMALE----------------------7. AGE or MALE ovu sz 5 I FE MAL ovER &Z _____ d. e. LPA REFERRED :J SELF PERCENT SPENT ON HOUSING liE----------C 111 .... I I I I N--l I I : c "'I .. lgi ..,.ur.j ... .. .,, 1 c. zl ,1 N = .. I. MONTHLY EA liNED INCOME Cl RCLE I. Ill-oil 6. U!IO-l" ;.,_., So.tt 7. JOO.Jtt /1/J,ODr, 3!10 .. U0-199 I. 5. Z00-2 I. OTHR lhCOME. 1. A.D.C Z. O.A P. 3. G.A. ... 5.5. 5. R.R. I. VA 7 A.N.D I. OTHER IC. 500 OR MORE MONTHLY PRESENT HOUSING INFORM All ON UNIEPOITED INCOME '----------------ANNUAL 1. OWNER = TENNAN! l 100 or ROOMS NO. or IED-S 3 AMOUNT or MONTHLY RENT WITHOUT UTILITIES 5 AMOUNT or MONTHLY PAYMENT INCWDING P.I.T.I. 5 ----5. GROSS INCOME SPENT ON HOjliV',G, %-------..,..,r--6. YEARS UD IN DENVER ADDIUS IIJ 7. P'UBLIC HOUSING EUGIILE FOR 0 APPUED FOI 0 RELOCATION TRANSACTIONS J ,.. 1 DATE OF ACOUISITION z. DATE MOVED /C ,.., 1 l AMOUNT OF MONTHLY RNT PAID TO D.U R.A 5------ UNGTM Of' TIME TO IELOCAT AFTER DAT Of' ACOUISITIOh A Efllllill: _. "*"'.H A Z. f'UIUC HOUSING 'IOJECT NAME C b -.. "':_ 3. RENT SUPPLEMENT HOUSING--..-:--:=--------:tJ nl MONTHLY: INCRUSE S Cf6o.OQ DECREASE $ _____ N E. D.U.R A FINAI\;CIAL ASSISTANCE GRANTED "'''D 1. MOVING EXPENSES CIRCLE !';I"" o UNDER 'ZO S 7ZB3 -b 10.32 g l,c...H !o:-: : E ... Z. AVERAGE ANNUAL GROSS RENTAl t C" ,,____________ -1. ""I"' S, AMOUNT or IELOCATION ADJUSTMENT PAYMENT Z ,.1 ----------------' Z zi -1 FP/08 001 .. iRBP 977. 9:20 6!.m S I SO fins J LumD Sum z N .. .. N

    PAGE 123

    ---------i IZ 14 ____ __.-.. tQ.:= 1 .... 12 I"''"" : c..l I : I I -----h, lc JL'< j : tri .. :...:.. i.: ... f _" -;:-...: ;: -.,..---=--.:..' -:--.;,--.::"''----::--------, .:. .. +-nEr''!"er, rto. ] URIAh AR[A CIICL (i)! IP to -E THJIIIIIC COMI'OSlTIOh CIICLE -o 2. 3 I S MICiHfST GlADE AnAUII[D IN SCHOOl CIICLE 1 Z 6 7 I t 10 0 12 U U U tl 6 SEX MAI.E HMAl[ __ _.l(,._ ___ "'T'K __ 1. 0' MAI.E OVEI 61 ____ ,EMAI.E OYEI 8 WONTHL'f EARNED INCOME. CIRCLE 1 S 0-49 6 I UO-Z99 UNRPOITD IMCOWE 2 S0-99 7 8. U0-!99 t 400-491ii ------------------2 100-U9 Z00-2&9 i OTHER INCOME 1 A.D C Z O.A.P J G A s .. t VA D b OTH' 1Q 500 OR rr..40R Y t3f. (0 PRESEI>T HOUSING INF)?RMATION ANNU&.L. AMOU""T Qr MONTHLY F-AYME"tTINClUDI"'G PIT.! 5 GROSS INCOME SPENT Oh HOUSI"'G 1E -----,.-----,,---f: YEARS LIVED IN OENVEil ___ PRESftll AI>DRESS I .... Fl ; PUBi..lC HOUS:foiG ELIGIBLE FOR = APPU!.[I FOR = RElOCATION TRANSACTIONS : OAH or ACOu>SITIO' 12.. Os s __ 5LC.....__'.__, ___ C:c.lc:, 1 I'IIYATl &. STANOARC. SUB STANDARD b. lENT w/0 UTII.ITI[S S .J!o, 00 WITH C. PURCHASE PIIC 5 WO. P.l T I d. li'A REFERRED C SELF RELOCATED :J .-. PEI'CENT SPENT ON HOUSING %----------_ s .,, ,. s ___ e. Z. I'UIUC HOUS.ING II'IOJE:CT NAME !=llo!_ w 3 ltENT SUPPLEMENT HOUSING ::C WONTHLY INCREA!E s..JQ.f'P DECIHASE --;:lcr N D.U.R.A FINANCIAL ASSISTANCE GRANTEO "Til"' 1 WO\IUfG EXPENSES CIRClE Z !lv ,_! o UlriDEA S ZO t ZO-JZ ( JJ-.15 d <6-S6 e. 51-71 Z AVERAGE ANNUAL GROSS RENTAL -------I S 7l-8J ..... 9?+ --w/o ruP"' S1o ] AMOUNT or-RELOCATrO"' P.loYio(\T -------mDiilmr emr.s oE z. -.,.i>J ,. "::' :.. lz i IOi i :;: 1 z,-.: i .._i _____ A_ _:_l_{_r..::r::...: .... =., =.. ..... ....... .. IJ_."'I ... d:..:..:3:...---!'-,E;Cs:..:c:.:3:;:::...+-, lf\; r. c .&. ,.. ? t: r<.: r "c .1. N 3 :t c: c. rl r i J !'_; : i r ;: 1 ___ c_....;l l Z L 1 r: l r ; 0151 l r .t 1 l. CTH INCOME [ .. ONTH.Y INCOME EARN SD, U ; ; A UNRELATED INDIVIDUAc ------l:z: 15 ::>' el "' "' mE CONLEY, Harrh 2 ADDRESS 952 lOt street URBAN AREA CIRCLE (J) 3 G 6 ETHNIC COMPOSITION CIRCI.E .(i) 2 3 S 6 5. HIGHEST GRADE AnAINEO IN SCHOOL CIRCLE 1 Z 3 & 5 (j) 7 8 9 10 11 12 1l 1& 15 16 SEX: MAI.E 1(7 FEMAI.E-----------1. AGE OF -MALE OVER 62 ____ FEMALE OVER 6l _____ 8 W.ONTHLY EARNED INCOME CIRCLE 1. SO..t9 6. SZ50-Z99 UNAEPOITD INCOME ARE COO ,/' 3 8 0 6 ...-I Ill .. lj: 1-.x;.;c.:., x V PERMANENT ADDREss 14 4 0 Vine em Denver, ''ATE colo. 1. PRIVI.H RENTAL V SALES HOUSE = a. STANDARC STAND.RD (l;,e, ...... .i) b. RENT. w/o UTIUTIEs s ZOO.IHJ w11H s ___ C. PURCHASE PRICE 5 MO. P.I.T.I. S ___ d. ZiF...l.Q__ LPA REFERRED 0 SELF RELOCATED = J cr: PERCENT SPENT ON HOUSING % __________ C Z. PUBUC HOUS.ING II'IOJECT NAME-----------C 01...,. 3. RENT SUPPLEMENT HOUSING :tl e. ... "' 2. S0-99 7, 300-309 '::---------3 IOO-U9 8 fl!&jpi.37S. .. MONTHLY: INCREA.SE S DECREASE S 1. MOVING EXPENSES CIRCLE Z 50-199 i 10 .&00 ... 9SI D.U.R.A. FINANCIAL ASSISTANCE GRANTED --..,,.,1 o UNDER 520 S 72-eJ 1: U-ll &.&-9 : <= ZOO-l49 OTHER INC0h4 E A.D C C.A P J. G A s.s R R 6. VA 1. A.N.O & OTHER SOC OR MORE MONTHLY PRESENT HOUSING INFORMATION AMitiiUAL 1 0WN[Ji = TENNANT V 1 NO OF ROOMS __ .,!./ ____ NO 0' l. Alw40UNT OF lw40"'THLY RENT WITHOUT UTILI'l'J $ ..... f.it''IJ.II!::.,;:Oe,:D"'---AMOUNT OF MONTHLY PAYMENT I"''CL.UDING 1'_1.1.1. $ ____ GROSS INCOME SPENT ON HOUSING 9[------:::-77""-.t?i 6. YEARS UVED IN DENVER ___ P:RESENT ADOR$5 7 PUBLIC HOUSING EUGIBLE FOR APPU FOR 0 RELOCATION TRANSACTIONS l DATE OF ACOUISITIO /,}.-IS73 DATE MOYEV __ AMOUNT OP MONTHLY RENT PAlO TO 0 U R A S -----L.Eti!IGTH OF TIME TO RELOCATE AFTER DATE OF ACOUISITIOh 97 ---.. S5 ,.... 'o FUR?>. --Slt\to'FuR.., z. / / / '-I -il :z:' :__ "' __ -_ IIIE/nA 41 ..?;u,.oo ..e ,._,, AVERAGE ANNUAl GROSS RENTAL ------3. AMOUN1 OF RELOCATION ADJUSTlltENT PAYJI.ENT '---------------I. AMOUNT OF RELOCATION PAYMENT ANIIII{AL "''-. c. ... I c ..

    PAGE 124

    -------,.. N : .... _______ Dol s 5 __ LiiBAiill AREA ClftCL.E 1 l A !I &. ETHNIC COMPOSinOii CIRCLE .(j) 2 J & 5 I I. HlliHUT liiADE lnAIUD IN SCHDOI. CIRCLE 1 l J & I 6 7 I t 10 11 1l Ji710 11 0 UX: WALE FlWILE _.x..____.l'-'--------7. AGE 0< WALE OYU FEMALE OVUIM _____ __ I. MOffTHLY EARNED INCOME CIRCLE S 0-otV 6 I Z.!0-219 UNII''OITED INCOME -15CM I OTH INCOME 1. A.D C Z. O.A P G. A. s.s R R VA A N D 7. 300-lt9 3!10:199 10. 50( OR MORE. MONTHLY AMNUAL 88.00 oTHE 245 00 (f;r::om ;r::Qnt) PRESENT HOU51NG INFQR.,ATION = H""hfi'! 2{ o Of ROO"' 5 __ _,0"------NO Of BE DROOI>I S OF "! AE NT W!THOUl UTIL.ITI. S __ AMOU""l or MONTHLY PloYM[NT P l.i.l GROSS '"COME SPENT O HOJIS)J'G % ______ .......,,...., ___ U"'EO lfll DENVEP __ lt __ tJ __ PAESNT 32 PUBLIC HOiJSihl-:. L.!';IEif FOJi" APPLIED FOii RLOCATI0" TRANSACTtO"S DATE Qr ACQ!JS;TIO'II DA'E A QF" AEN'l' PAW TOt; L: ------i..EIIIGT"' OF riME '!0 AEi..OCATE AF"HR CATE OF ACOUISiTIOh A n r: .. : ,;,:.:. 15th !=:t. san CO ltf-=o: X. SALES. MOUS. a. STANDARD SUB STINDUD b. .ENT W/0 unums 5170 e OOwtTH c. PURCHASE PRICE $ ______ WO P.IT I d. e. LPA REFERRED C SELF IELOCATED CJ 110 PERCENT SPENT ON HOUSING l. PUBUC HOUSING PIOJECT NAME CJo'" 3. RENT SUPPlEMENT HOUSING ::C '"'' MONTHLY. INCIEASl 5 95 00 DECREASE S _____ > .... E. D.U.R.A FINANC;AL ASSISTANCE GRANTED ,., 1. MOVING EXPEtrr.SfS CIICL Z -<'UI UNDER s 20 s 72 I zo.12 e'-96 n c SJ..'S 9'+ ---<16-58 S! w;o u r-1-1 )> ... S1o wlFUAfli ::-v;; >; e. 59-71 AVERAGE ANNU-'i. GROSS IHNTA;. .... r ... c. r.-r. r" "' .. AMOUtri'!' or RE1.0CATIO"' AtJUSTU[fri'! r""'l!:.. .., c::: AMOUatl 0" RE.i.OCATIO._ $4,500.00 ---=F:=:P:-/r-D::-:A:---------::.:$'""5"'0"0.--. o=o--c! TRHP $4,000.00 RiriS 3 Bdrrns 1 Lump Sum Dave Jacops 3:;o: ::::!z. ,. ;;'Tj:o': j..!'T ,;; I 1-,: --------------------------------------------., :... ::. : 1 S S 8 Br'IS l .. c I L I i z I I I L [. Wd"' ;: -: z l. 1 ; OTH INc 0 ...E 1: M ON T ... h ., INc 0 ME' E Aq t.. ,:-= F--"-.::"A=:;:::;::-::'--+ :'A UNREo..ATED -------,z! 10: 1;:, I! N """"=z;=="':==-1 I II ="=;= .., I .. iiii I N N ,., .. "' .. on i I I I lj .. "I&. ; I I i Ill : 1 NAME :'JJP:L:?. r ;.Tnt[.i,iC. 2 ADDREss Street 3. URBAN AREA CIRCLE 1 (j) D ETHNIC COMPOSITION CIRCLE .(j) Z 3 5 6 5. HIGHEST GRADE AnAINED IN SCHOOL CIRCLE 1 l 3 I 6 7 I I 10 11 1l (} 1& 11 11 6. SEX: WALE _______ 7. AGE OF WALE OYER FEMALE OVER til ______ 8. EARNED INCOME CIRCLE 1. S 049 E. S 250-ZH UNREPORTED INCOME l 50-t:l 100 5. zoc;..zt 9. OTHER INCOME 1. A.D C. 2. O.A P. 3. G A 5 s. I P 6. VA 7 A.N.D. 8. OTHER 7 300 !. 350-399 9 600-499 10 SOC OR MORE MONTHLY PRESENT HOUSING INFORMATION '-------------1. OWNER = l NO Of ROOMS ___ ...... _____ NO Of BEDIIOOWS....,.&/-:=----3 A .. OUNT Of .. ONTHL > RENT WI THOU' UTIL:TtES 5 __ 3._,"1U'..,J"'7._ __ a. OF MONTHLY PAYMENT INCi.UOING P.I.T.I S ------5 GROSS INCOME SPENT ON HOUSING %------::::----6 YEARS UYEC lh DENVEI ______ PRESENT ADDIESS ,Z.. 7. PUBLIC HOUSING ELIGIBLE FOR -; APPUED FOR ::::; RELOCATION TRA .. SACTIONS 1 DATE o ACOUISorto 1:::1. If' M 2 OAT MOVED a-+4 73' l AMOUPiiT OF MONT"'LV REfrril PAm TO 0 L: R A $ ______ LE"GTH OF" Tlt.ll TO IEL.OC.A Tl AF"TE R DJTE Of ACOUISITIOtl D. :::::NSENT Ill: -:----CITY Denver, s'>TE j o 21-l.-a-i 1 PRIVATE .. SALES HOUSE I lw a. STANDARD VSua STANOARD ,. b. RENTo w/o UTILITIES S J/S.DO WITH S N C, PURCHASE PRICES ______ MO P.t.T.I. S _____ __ d. LPA REFERRED CJ SELF RELOCATED ::J e. PERCENT SPENT ON HOUSING 9l----------l. PUBLIC HOUSING PIIOJlCT NAWE 3. RENT SUPPLEMENT HOUSING ______________ MONTHLY. INCREASE S OECREAS 5----;a-;;:leE. D.U.R.A FINANCIAL ASSISTANCE GRANTED ::!!;':! 1. MOVIfrliG EIPEhSES. o UNO[ R S 20 S 72 ----1----t 10..32 U-9E CD 3S..AS AMOUN1 ---w .. d .... 56 w/0 FURN e 5t-71 S1G cr Z AYE RAGE ANNUAL GROSS I ENTAL t '---------);!; z Cl'"i IIIE/NIJ ., .a.ac." c II 3. AMOUNT OF IELOCAnOt. ADJUSTMENT PAU.U"'T '-------------... AMOUNT OF RELOCAnOh PA'UUNl "' .. .. .. :; .. --------------------L'

    PAGE 125

    .. l ... .. .. .... N N .. N L c -----------. --' :-. ---------...... ___ __:_:_:..:: ----------,., o, ,... 0! It I .. I I.z.3. 100.1. I. 150-IM 5. ZOIIHI .. ,.._ UMIEPOIII'ID INC:OWE I. OTHER INCOM L 10. 500 01 MOR MONTHLY ANNUAL B I. A.D.C. 2. O.A.P 3. G.A s.s. I.A. 7. "-" HOUSING I. OWNER '.t II!"' .L NO _!f._ NO OF" BEDROOMS __ _.PL"------Ah40U"iT or Rflo;T "'ITHOUT UT!LITtES 5----:=--.=-orv ... AMOU,_T OF MONTtil.Y PAYMf.frrtl !fltCL.UDING P.l T.l. I 417 1f1' 5. GROSS INCOME SPENT ()trrj HOUSING 6. YEARS LIVED 1._ DfNVER _______ PRESENT ADDRESS ______ 7. PUBLIC HOUSING FOR 0 EUGIBL.E FOR !:) RELOCATION TRAII!5ACTION5 1. DATE OF Ac::JU!SITl0"------------------------------2. DATE MOVE0------------------------------------3. AMOUNT or MO'-TH:..l RENT TO D U ri.A. LE"''GTH OF" TO RELOCATE AF'TER DATE OF" AURAR lA _.. 26-ll D. UMDEI I 20 b. ZO-JZ c. ll-45 d ..... -11-71 2. IYfiAGE ANMUAL GROSS I[NTAL J ______________ __ g. I 7Z-Il IU-16 I Ul W/0 fUitN I 5 INDIVIDUAL 3. INOUN"f Of ILOCAT!O,._ AO;USTMENT C AMOUfil OF RELOCATIOh PAYMEtt! o0231 I I """'it..,.-....,V..,,....E ... NOilv:>0131:1 lN31-3Jt:13a 1 .:="1 ::J : ... ... ... ... ... Q. .. ... I I i i z, r, I I I. r, ,;., .... ,;wcr'l:,allilll:::::::: L ?. L_ j I. ;,1_ <, L, : I_ z. I' l... I I, t. II !.. I i li I __ ......,K, !' ij;;::.: '!.'. v __ I I; .. '' ,. A FAMILY coMPos"'o" & soc:oEccNoMc o.rA D PERMA"E"r RELOCATo" Aurar ia -------.z :g 1 .... ECORBINf Esther ADDREss 201 W. Bellview aooms 952 Oth Street .. I PRIYAT IENTAL :: SALES HOUSE ::: II ; ... .. "' .. '::>' 0 .. 3. URBAN AREA CIRCLE 1 2 l 6 I. ETHNIC COMPOSITIOio CIICLE I Z 3 I 5 I 5. HIGHEST GlADE AnAIIIED Ill SCHOOL IY HEAD CW FAMIU CIICLE I Z 3 I 5 I 7 I I 10 II IZ 13 11 15 II I. NUMUI 0' CHILDIEN IN IIOUSEHOLD IOYS------GIILS---7. AGE o MALES OY I! _______ ,FEMALES OYER IZ-----------1. MONTHLY t:AIN ED INCOME CIRCLE I. 1-I. IU6-!H Z. SOoll 3. 100.18 no-tH 5 zowu t. OTHER 1. A.D.C. Z. O.A.P. 3. G.A s.s. 5. .. I. VA. 7. A.N.D. Joo-3 MOfrfTHLY II. PRESENT HOUSING INFORMATION I. OWN 0 TENNANT 0 INCOME I ANNUAL 2. 110. CW lOOM!> 110. o IEDIIOOMS---------3. AMOUNT o MOIITHL Y lENT WITHOUT UTIUnES 1------------1. AMOUNT o MOIITHLY INCLUDING P.I.T.I. 1------1. GIOSI INC:OWE SPt:NT 011 HOUSING UUI UYED' .. DEIIYEI _____ .. ESEIIT ADDUSI---7. PU8UC IIOUSIIIG: APPLIED f'OI 0 IUGIILI FOil 0 C. ltELOCIITION TIIANSo\CnONS I. DATE OF ACDUISIUOII----------------------------1. DATI MOYED------------------3. A-liT CW MONTHLY KilT Ulll TO D.U.I.A. 1----------1. UJIGTH CW UME TO ID.OCIITE AFTU DATE CW .ACOVISinON. I .. D. 51AMDAID C SUBSIANDAID :1.. : b._IENT: W/0 UnUnES 1--------------WITH 1-----------<-.PUICHASE PIICE I MO. P.I.T.I. 1-------d. LPA IEFEIIID 0 SELF IEUICATED 0 e PUCENT SPENT 011 HOUSING 'lo Z. PUIUC HOUSING PROJECT IIAME MOII'IIII.Yo INCIEASE I ECIEASE E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;.!gl.,. I. MOVING EXPENSES CIRCLE .. D. U"DEI 11.0 b. Z0-32 C. 33 d.. ,._,. Z. AVERAGE UNUAL GROSS RENTAL --------I 7ZIl 14-!16 110 W'0 ru. 5 INDIYIDUAi.. 3. AMOUT OF n.ocAnON ADJUS'IIU:NT PAYMENT -------. AMOUN1 D IE&.OCAnON PaYMENT --------11-.. ... :_: ____ .. __ .... .. en-.""' .,,,..: :;fj .. ... .. ... ... .. ---------------------------L-------------IZ! -------------------. l!l'" .. ------11 ;!=-I;I!C ._,:v....., I l"'l ._,c -

    PAGE 126

    -----_;.__-___ ---. : ) ..... v-..-----.. .. .. N .. ... ... .r ,_ -= ic 'Uj ::> 0 ... I<.:> ;V'II !g: hA..,r CORD:!\:-A De lo:::-es z. ADDnss ,_ ,11\'Al[ lfNTAL )C. So ALl 5o MOU Sl :. 3. UnAN AIU CIICL Z 3 4 S I a ITAifDAIID )C IUISYAIIDUD S,.. !-"' ..,; ... ._ -COitPOai1IOII .CIIC&.I .t4D :.!f. ;,. e.. ..ll ...ut: WID1mi111U I 1/l -.. ._ ____ t. lllliMn .. ..,. .... 111 ._ .... .. IIIICZ' ,. 110. _____ 1 .., .... ,. ii.S-149 t. OTHfR INCOME A.D. C. Z. O.A P. 10 100 OR MOU MONTHLY ... DNIII'OliTID INCOMI s ANNUAL -----------------------li::"'. MONlHLY: INCIUS I DfCifAS[ '-------:0 E O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOYIMG EllP'EMSES CIRCLE o. UNDEI S lD 1 72-83 ZO.J2 1-.!K t. JW5 I 10 W/0 FUih. d. ... I S INDIVIDUAL Q) e ,., 1. IV RAGE ANNUAL GltOSS IINTAL ,...,. '---------------,;,.-. AMOUNT OF I[LOCATIO .. ADJUST,..Efri' .. .. .. .. 3. G A 5.5 R R VA A c ,-c. '--------------1'*'-----B DFH!iENT HOL1S1N(, 1. 0rhR C TENh!T II. 2. NC Of ROOMS f_ NO OF SECROOMS AMOUNT QJ MONTHi..'r PAYM["r':' IJrr.CLUDINC. 1 T.l $ _______ GROSS I"'COME SPENT Oltt HOUSifliG ... _____ -:->r--rURS LIVED 1 ADDRESS::z= PUBLIC HOUSING APPLIED '01t C ELIGIBLE FOR iJ RELOCATION DATE OF ACOUISinQh AID.,. ltC. f. DATE .. OY Z'Z.! AMOU"'T OF MO,.THi..'l' A!.N" F-Ait TO ti.U.ILJ "---------LENGTH Of TIME TO IELOC.A"!'E DATE 0' ACOUIS.I!IOt.i !t .>'" AMOUN'l' OF liiLOCAT10"" PAYM(t.i':' '------,t. / "' 12,..1...: :-)IJh)P AJDNTJIL)I AMrs. liE "'R3 u .,.:.. .z ..:. -.r oc ... ;; ---------------------------------------------------izi : A AURA RIA N 10:! J ; I:O..'"'Iiolrf NOIJ.Y.>013!:1 J.N3Iol't'W!!3d ..i.N3vt.A.'fd tiC .i.h'3tl __ I I I i 4, !. i: t '-i: t l r, C SOCIOECONOMIC DATA 1. NAM CRISTOBALh ADDRESS 1132 -9t URIAN AREA CIRCLE 1 2 3 5 6 4. EJHNIC CIICLE I l S I 5. HIGHEST GRADE An AlliED IN SCHOOL 1Y HUD OF FAMILY CIICL I Z 3 S I I I 10 II IZ II 1 II II 6. NUMIU DF CHILDUN IN IIOUSEJIOU) IOYS...L__&III.S 7. AG or MALES OYER 15 f4LFIMALES OYU ll I. MONntLY EARNED INCOME CIRCLE 1. S 6. S Z!IOZ99 z. S0-19 7 300 8 3!10-399 INCOME 3. 100 150 S ZOo-2 G 400-499 uo I. OlHER INCOM 1. A.D.C. 2. O.A.P. G. A. s.s. s. R.I. I. VA. 7.-----10. SOC OR MORE MONTHL't' .,. '' JiMJ 8 PRESENT INFORMATION ANNUAL 1. OWNER TENNANT 0 Z. NO. OF lOOMS f. 110. or IID_I_..J.:a.-. __ J. AMOUNT OF MONI'HLT tENT WITHOUT UnUniS 1-"'"ln..-:lllllllr--. AMOUNT Of MONTHLY INCUIIIIIIG I ,..,, 5. GlOSS INCOME SPENT ON -SING 'lo-----,..--6. -ruts UYED: 111 DllfYII SD PIIIIIIT -u::Z::: 7. PWUC -SING: A""-JED FOR D 1:..-t: Fill D C. ltiELOCATION TRANSACnONS Z. UTE MOYD _, :.-.r.a:: 1 .. DAlE OF ACDUISiftON "'d ,:,2 J. AIIOUIIT OF IIIOIIntLY IEIT PAID 10 : "-------._ UIIGIM 8F ftllll 10 REI.DCAll AFTU DAR OF &QIUISI,_. -----.---0 PERMANENT RELOCATION 27-07 AooRrss 805 South Decatur PRIVATE RENTAL = SALES HOUSE )(' I ,,.. ....: a. STANDARD C SUB-STANDARD :J ,. L' b.-lENT: W/0 UliLints I WITH S il"' ., <-PURCHASE PRICES '1J.f1J/I,IIJ..o. P.I.T.I. d$9)J'Iti d. LPA IEFEIRED 0 SELF IELOCAJED 0 I .. .... _. -PEitC!In SPE.IIT ON 1 --z. PUIUC HOUSING PIOJECT NAM[ I '. ---------------. .. MOIITHU: INCIEAS S DECREASE E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I 1. MOVING EI.PEMS$ CIRCLE a UNDER ZO 20.32 d ..... 58 e.,._,, Z. AYEIAGE ANNUAL GlOSS RENTAL 72-83 ., .. $ lC W/0 FURh $ 5 INDIYIDUAL 3. AMOUNT or RELOCAnON ADJUSlMfNT -------If;,: ...... '>';!!' U):!"'" c .... .... i CJ'I 4. AllDUNl OF -'LOCAllljl!. s !>'"" LJ. .. ll!...'---i..i ----"'lz' C \.,. ,1;:: ,.,., Bl.ll il-.. .. .. ... --_,

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    ... N = ... ... N ... N ... "' 0: 0 z. ;2. :;: ... j;i !C; "' \..' : "' I I z !1: c "' .,I "" ... ID, I "' i I I N !Oi ... ia:: .,. 1.,: !I-I I" l::l!:z t> -C l"'':t o ; I I j.,l I!:, .,. c I !:I' IO' !: "' :z ,c. J. .. ...... .. -5. II. MOU .. OTMll INCOME: MOHTHI.Y I. A.D. C. O.A.P. 3. G. A. .. s.s 5. R.R. 6. VA. 7 A.h.:l PRESE"'T HOUSING I"'FORMAToON I. OWNER TENNANT ., Z. NO Or ROOMS .._ NO. or IEDROOMS_...,;,/,...,_-=-c::3. AMOUOT Or MONTHLY RENT WITHOUT UTILITIU S-4,._.:.2...,..;0=0=--. AhiOUNT OF MONTHLY PAYMENT INCLUDING P.I.T.I. S. GROSS INCOME SPENT ON HOUSING 'lo-----=--6. YEARS LIVEDo IN DENVER ____ PRSET ADDI-47. PUBLIC HOUSING. APPLIED FOR C EUGIII.E FOI C C. RELOCATION TRANSACTIONS I. DATE Or ACXIUISinON 7-13 7s Z. DA7E MOVED /{) S'2 3 ]. OF MONTHLY RENT PAID TO D.U.R.A. '-----. LENGTH OF nau TO RELOCATE AFTER DATf Of' ACOUISITION. Richard Deem .. AocEss __________ J. URBAN AREA CIRCL.E 1 2 3 5 -ETHNIC CIRCLE (!) 2 3 .t 5 6 HIGHESl G,ADE ATtAINED IN SCHOOl CIRCLE 1 Z 3 5.6 7 8 t 10 11 12 ut!j)1s 16 SU. MALE v HMALE------------AGE Or MALE OVER El FE"ALE OYER &Z ______ __ 8 MONTHLY EARN INCOME CIRCLf s o50-99 100 150 ZDOZA9 6. $ UOZM 7. lDG-3 8 lSD!i 9 oo10 500 OR MORE UNREPOITED INCOME 9 OTHER A.C C. Y (l AMNUAL ;..___CJI-'0::...:.'--' rlJ, 0"17 O.A P G. A s. 5 R.R. VA A N.D. 8 OTtiEJO t9fl, ltl PRESENT HOUSING INFOR .. ATION OW.ER :: TENUNJ,., V i NO or ROO"S 0L NO Or BEDROO"S=--... ..-.--AMOUNl or MOhlHt 'I' AENl WITHOUT UTILITIES 5 {) () Ah110UNT OF MONTtfL l' PAYM[Nl INCUIDING P.l T.l S ----GROSS INCO"E SPENT Oh HOUSING
    PAGE 128

    ... .. -. I .. .. N ... ... : I I I I I I I i I I I I Ill"' 1>'2 iu. ..;.: ,z .a:::: N p .. .lV'I; B y,. -. -------4-----------lJI.. .. .. .... ..,:. 1. --1.-J. 100.1. (9 "Mil I. 1110-ZOI OTHER INCOME. 1. A.D.C. Z. O.A.P 3. G.A. $.5. R YA I. &1-7. _.., I ls.-:nt __ 10 100 OR MORE MONTHLY PRE ::OEh"' HOU SlfllG AnuAL OWflt[R = TEhhAI\" 1( 100 OF OF BEDIIOOMS--;_l.-.1;-::,.---l AMOUN' O'F REfrriT W!tiOU'! U'l'U.ITIES 5-lll:uo....._,l...:l,_ __ AMOUN':' OF MO-.Ttoii.'l PAYMENT INCLUDING P I.T I Kentucky Av_e-'-" 3. AMOUN"!' OF RELOCATIOh ADJUSTMENT PAYMENT '------C. AM0UIIr.! PA't'MEI\T --------------v-... .. .. ... c. ----+i--i'-': 12 I GlOSS lfiiC.OM[ SPEN' 0,._ HOUSihG 6. YEARS liVED IN 0NYER___I__PRtsEN1 ADDR ___ __ 7. PUBLIC HOUSING APPliED FOR J( ELIGIBLE fOil t( RELOCATION TRANSACTIONS _.._tiJI_,_,p"--_ ... .r. .... 'N""""'""'"-'-'''-L'-4 .. 1. ... .__ ______ 13: N ... I !o i i:::: 1------;;:::: IU jc: DATE OF ACOUISinOIII ____ DAT MOYEO ______ ______ A .. OUN'! OF' M0!rrtTI1;. 'I REfo;T PAlO TO D U II. A. LUIGTH OF nME TC RELOCATE AFTER DATE OF ACOUISiTIO"'AURAR lA :,. ---------------------------iz:i: .. N jiL __________________________ at .LN3S'3od sa.o. 1 5038 : "'' ,::3s !; 1 L c ., ... z I .. .. ., "' c ... .. N :J .. .. I n "' "'I .. .. """' I !! L t-f;;: c II::Z: c,_ t.. t .. ; r __ l--"-"""...,; "'Z z.., ..,.., "'"' if .. 1 l ,. 1:, MONTHLY INCOME EARN 'j on,_ INCOME A fAMILY COMPOSITION !I SOCiOECONOMIC DATA HAME __ z. ADORE ... 3. URBA AREA CIRCLE -1 @ 3 Q:) 5 ETHNIC. COMPOSinON-CIRCLE 1 z(j) & S I 5. HIGHEST GlADE AnAINED IN SCHOOL IY HEAD M FAMILY QICLE I Z J A I I 0 I I 10 11 IZ U 1A 1S II I. IIUMBEI OF CHILJ)IEN Ill BOYs...L.,_GIILS---7. AGE M-MALES OYEI 15 .2fii:LnMALES OYU a_,!l .. ,l._ __ I. MONnLY EUNED INCOME CIIC:LE 1. 1. sz-" l.-7. J00-10 3. 100-1. UNIEPORtal INCOM I .&. 1-1H I. Js.-:nt f.. I G;ir f/IJO, S. OTHEI INCOME: 1. A.O.C 2. O.A.P 3. G.A. 5.5. 5 ... I. VA. 7. A.N.D. 10 500 OR MORE MONTHLY B. PRESENT HOUSING INFORMATION AMIIUAL I. OWNER l. 110. M -110. Of BED-S-o;ia.""''-:-:--1. AMOUNT Of MOIInii.Y UNT WllMCIUT ununES S-I, .. J1;o..:..;;----AMOUNT M MON-Y PUMEIIT INC:WDING P.'-1.1. S-------1. H05S INCCWIII SPENT ON HOUSING '-------:---1. YEARS U'f!B: Ill DINYIR----PUUII'I' -RIIS__J__ 7, P118UC --: APPUD POR D -IIUGIBLI D C. RELOCATION TIIANSACTIONS I. liAR OF ACIIUISI11011 21.! 1. DATE MOVED z3tJ 73 J. U-T M --y RINT PAID 10 D.U.B.A. 1--------o. UIIIIIM Of 11111 TO BIUICAR Ann IIATI KOIIISI-. A II a a D PERMlNNT RELOCUION 24-01 E ADORES s___...:l=5.....:7....::6:o-..:P=-=e-=r'-=r'-'y..__S=..:::tr:=....;e::...e:::.t_:::_ __ 1. PRIVATE RENTAL I( HOL:SE = o STANDARD Jl .. b._IENT: W/0 UnUTIES I WITH S <-PUICHASE PRICE I MO. P.I.T.I. S d. LPA RlfEIIED c SELf RELOCATED 0 0-PEICENT SPENT 011 HOUSINGS L PUBUC MOUSING PROJECT NAME MONTHLY: INCREASES DECREASE I D.U.R.A. FINANCIAL ASSISTANCE GRANTED .. MOVING IIPENSU CIIICLE o UNDER I ZO c. J).S d. 06-51 e .... ,, g h ,71-aJ -I 10 W/0 'UIN. S S INDIVIDUAl 1. AVE.AGE ANNUAL CROSS ENTAL s. AMOUNt OF RELOCATION ADJUSTMENT PAYMENT I .. AMOUNT M RELOCAnON PAYMENT I ,.._...,..,., IIJa 7%.NP .#f' I .6U) .'A :cr .,. .. .. .. N _; -i:::::a .. lDr... n ..... ... J.J .. .. .. 1!:!';.. .., _____ ;. >2J! 1"'11!!11"' .. :.OI"DI Zl"' n!.oe "' il: )ooC\ "' :a '" :!l .. a:--" .. .. .. .. I ... .._) "' '3 ...;." .J .. .. "' Ze> """ ...... ; .. ..Jo.J !Jr ....

    PAGE 129

    ... .. .. .. N .. .... N ... .... N ::> ..... "' ; .. -----.z .. ... N z jl: 0 o:; :c 1::: "" i:5: "' I I II .. ;; ..... -_____ .......;--cnrcuut -----J!"'I!:I .;... _______ ...;--" 'V.U.IU. 'FINANCIAL a$SISTANCE GRANTII) :t. _,. .. --.. 110'" .. -zo 10. !110 01 MORE .. 01MIIINCOME: MOIITKLY IIIIIIUAL I. A.D.C. z_ O.A.P. 3. G.A. l" ?J"O -s.s. 5. -C-ITY :f.' 7)?) 6 .. 7. A.t
    PAGE 130

    ;.;..,., _: ... ::" Y: ,Oa:' .... Di::LEO:.;, Eugene 5412 Shos!1o:1e ,::; .. aoouu 1023 Ninth Street 1. p ... .,( alonaL c. uLnMOUu ,..._ 3. W .. &N CIICI.[ l Z J 5 I o. IJbiiAIID )( IUa-Sf&NDAID C ._ .. .-c COM'OSI-- (9 1 :.. ... ;.,;; .. ..... ,_;, ) .. :1 .--.... .. -....... : .......... J'l6 ...... f';Lf.l -----1 .. .. ... .;."" --______ ._,:..._. __ e I. t. INIIPlintD .. COMl .... _11LY: IKHUE I HCIEISE S lo ... .. .., .. & t I N .. N .. -. ID 1. -7. -18 I JUI.R.A. FINANCIAL ISSISTANC GRANTED a. JM-JM 1. ow IIPIKSIS-awcu ... ..... .. ... .. .. .. ::: I ... I i I .. c, I I I ti0-111 o. '" 'Jl-13 .. I. ZIO-UI 10. 110 01 MORE b ZWZ CL. .._.. I. OTNU INCOME MONTHLY AIIIIUAL c. -S 10 W/0 FUIN. > 1. &.D.C. d. -S S INDIVIDUAL I"'"IICII ,. "'' Z. O.A.P. .. 71 111 1.., 3. G. A L AVIIAGE AlllfUAL GlOSS I ENTAL .. s s, N 5. R Iii 3. AMOUNT OF" ADJL.IS,1.-NT PA'YMf.NT 5. VA !1'1. B A 1\ to AMOUNT OF RHOCATIOh PAYM[h1 PRESPJl loiOUStNG INFOPMATIO,.._ '-------1. OWhER W' ... :: (,-' :z -... ,.... .,. I'Jtt.N' .,. Tvr. .. 0 OF ROOMS. __ _...,(otll!-'---"'0 OF 8DROOMS______ -I 'C""" p ,0,z AWOUNT MOIIiTHLY REfill WITH0C1 UTIL.ITI[S 1-------........ ___,;:r-..,..---------------------l :xo =' OF MOlliTHLY PAYMJriT INCLUDihG P I.T.I. '-----l'lC ()If 5. C.ROSS INCOME SPENT 0 .. HOUSING "'-----6. YEARS LIVED llri DNVER ____ PRE:SMT ADDRESS ___ 7. PUBLIC HOUSI .. G: APPLIED FOJi C LIGIILE FOR 0 TRANSACTIONS '7 .. DATE or AC:OUIStnOh _____ '!(0"'-_,.;2.::....;____,'--'2...=:-----2. DATE M0V[D ______ ........ f4""-'_"""/--'3.._=-'-'7'-=2-=o......,....,.......,:---AMOUNT OF MOJriTHi..Y Rh1 PAID TO D.U.R.A C LENGTH OF nME TO RELOCATE AFTER DATE OF ACOUISITION t-t. c'f'= C 3; 3>) 1!:1-lzl-" ,,!=___________________________________________________ i i;, :..., 111'1! !>NIS('IO._. kC J.N3:>tl3d .::>i 3S I' .. N .. ... ; ,,. .... -':Ci"-== N ... ADDRt __ UIB&N AlE& CIRCLE 1 0 3 0 5 5 ETHNIC CIICL[ 1 Z c 5 I I. NIGHEST GlADE AnAINED Ill SCNOOL IY HEAD Of FAMILY CliCI.E 1 Z 3 S I 7 I I 10 a 12 11 1 15 II I. IIUMaU OF CHILDIEII Ill NOUSEIIOLD lOY 7. AGE Of MILlS OVEJ IS EMALES 01111 IZ--'-"'"'IIIE---I. MONTNLY EAINED 1NCOIIl CIICI.E 1. sz.100.1 t. 150-tH 5. 100-2 6. S ZIIO-ZII 7. _, .. 8 S!i0-399 UNIIPWTID IIICOMl I I. OTHEI INCOME 1. A..D.C. (!) ....... 4UI9 lO. 500 OR MORl WOHTHLY B Z. O.&.P. 3. G.&. t. s.s. S. R.I. 6. VA. 7. A.II.D. PRESENT HOUSING INFORMATION 1. OWNU 0 Tlll'tANT I( Z. 110 OF lOOMS 110. OF ED-s.,....,.-.::;.:L:.,.--S. AMOUNT DF MOIITIILV UIIT WITNOUT ununn I 6f.f0 &MOUNT OF MOIITHU PAYMENT IIICI.UDIIIG 1------1. GIOIS INCOME ON IIOU51NG 'lt------:---1. YIUI LIVED Ill Dt:IIYEI .J0 'IERIIT -ua--l._ 7. PUIIUC IIOU51NG API'UID 1'011 D IUSIIIU 0 C. RELOCATION TRANSACTIONS 1. DATE Of .z. DATE MDVIII 1.1!11 S. AMOUKT OF MONTILY KNT PAID '1111 D.u.al------. LIIIGTH Of DMl TO lt:L&ICATE AnU DAti r". ACOUISI110N. : :.-."-! [. ADDRESS, 1 PRIVATE RENTAl 1( SALU HOUSE :: 0 STANDARD 1f SUI-STANDARD 0 WITH IM.DD b.-liNT: w'o ununts s <-PUKHISE PIICl I MO. P.I.T.I. $ d. LPA IEFIIIID 0 SELF IELOCATED 0 -PIIICI!IIT ON IIOUSIIIG ._ 1. PUauC IIOU5111G PIOJICT IIAME __ ,, IIICIEIIE I DECIUSE I D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. z. l. .. MOYITIG CIRCLE a. UNDE. S ZO b. ZO-SZ ( JJ..ol5 d.e. 11-71 AV[IIGl &NIIUAL GlOSS I[NTo\L SJZ-113 S 10 W/0 FUIIll. s !I INDIVIDUAL j AMOUIIT Of lt:L&ICADOII ADJUSTIIENT s AMOUNT OF IIEUICADOII s f...._. Nl,p.A !!I l-i.ll. IA:w} l;lflll lll.lfiZl""-lfiWr.i if ts.l .... I .. I ... I I .. N N C::: zl .. 2J ;. oJ.,. ... .. n: N r-: :CD .. .,,c. ..... -,01 .. n(', .. I'll .. .. ,. a. ... ... -""-' .. -...;...) ....o.J .. ,.. --._,; .. .,. _..,J -'Ill -.,;. .J. ....;..

    PAGE 131

    I' ... .. ., .,.. ._ "' __ ,.. ... 'I..(.J .... :_ i .,. '7. .. ... I.--i-f! 'IJI:HAW\ lCUASf .,;_ ________ FtNAMCJAL AHISTANC GRIUITED J. --e -'" 5. Zto.ZOII I. OTHU INCOME' 1. A.D.C. Z. O.A.P. 3. G.A. s.s .. 6. \'A A 10. 1100 01 WOI MONTHLY HOUSING INFORMATION ANIIUAL 1. OWNER D TNN:.C,1( 2. NO ROOMS NO. OF BE01t()()MS_10-"'""';-,;r3. AMOVhT OF RENT WITHOUT UTILITIES $ _,_,._,r.....__.D..,C._ __ AMOUNT OF MONTHlY INCL.UOING P.l.T.I. $ _____ 5. GOOSS INCO .. E SPENT ON HOUSING '------::-:-c:-:-:-'I'EARS LI'IED IN DENVER ____ PRESENT 7. PUBLIC HOUSING: AP'PLIED FOR 0 ELIGIBLE fOR 0 RELOCATION TRANSACTIO'IS AMOU"'T OF MONTHI.. V lENGTH OF TIME TO AFTER DATE OF ACOUI SITIO"' 1:---nNsn .. ctJCL o. UIIOU lB b. Zll-32 c. JWS d .... 11-11 Z. lYUAGE ANNUAL 61055 IEHTM '------' JZ-13 g. 1&-16 l 10 W/0 ,UIN. i. I I INDIVIDUM. 3. AMOUNT OF IELOCATION ADJUSTMENT 'AYMENT '------4. AMOUNT OF RELOCATJOh PAYM[h'T '--------'i!D0/1 Uill' -1 i,..., N ll.V:>013!:1 l.N3NVIII!:l3d ., .... .. .. .. oo" .l.N353tfc: StL;. t:B'-.N30 SY-tOOt:l QJ.S lN31t'\:A'I'd tiC lN3t:l NO !N3Jt:l3d .:I"' C7l 35 [i N l :r-:' < L. t_ ll z. ats z n t_ L ll t z._ 0 t ,_ j II ar -1 I 1. I 11, :: ;; I""""' ...:... : X31C,, lX A.LPHA N z 0 N I'-' :z 10 UNREW:.TED INDIVIDUAL c _____ mm 9 52 1 Otb Street URBAN UfEA CIRCLE 1 (D 3 () 5 4. ETHNIC COMPOSITIOh-CIRCLE Z 3 4 6 !. HIGHEST GRADE ATTAINED IN SCHOOL CIRClE 1 Z 3 4 5 6 7 8 9 10 11 12 13 14 15 9 6. SEX' .. AL[ ___________ 7. lG OF MALE OV 62 ____ FE .. AL OVER 62 __ 11-IC-ot'""L---8. EARNED INCOh'IE CIRClE 1. S 0-49 6. S Z50t. UNREPORTED INCOME 50-99 '---------100-149 5C ZOC-Z4S OTHER A.D.C O.A P G A s.s A R VA A S OTHE,; 8 350 9. 400-499 10 500 OR MORE Y PRESENT HOUSING INFORMATION = TENNUii P"' ANNUAl NG OF ROOMS NO 0< BEDROOMS --"'7"-=:--MONT..,lV RENT WITHOUT UTII.IT!ES S lf/I'J o AMOUNT OF PAYMENT INCLUDING P.I.T.I. S -----GROSS INCO"E SPENT o HO??G %-------:-::--YEARS UV.0 IN OENYER PRESENT ADDRSS / l) 7 PUBLIC MOUS!h(; ELIGIBLE FOR APPU FOR C RELOCATION TRANSACTIONS /J 1 DHE 0' ACOuSrf}tl:: 2 DATE MO't'EC Qf" RENT PAID TO 0 UP A S ------TC RELOCAH OAT OF ACOU!SITIO"-' D PERMANENT RELOCATION 38-06 ADD RES S ....... _,_,.-:!:::..' .... J.....,.... __ CITY UP'"'VO! STATE !'Ql0 m.....Q..3.__ 1. PRIVATE RNTA!... v' SALES HOUSE ;....i &, SU.NOARD STANDARD b. RENT' w/o UTILITIES S IDS: tit> WITH c. PURCHASE PRICE $ _____ .. 0. P.IT.L d. e. MOVING EXPUiSE.S-CIRCLE o UNDER SlO t; 33-45 06-SI! (' 59-71 AVERAGE AHNUAL GROSS REirriTAl '---------------s 7Z-83 84E 97+ --Ss w/o FURh $10 W/ FURh 3. AMOUNT OF RELOCATION ACJUSTMENT PAYMENT 4 AMOUNT OF IEI..OCAnOH PAYWENT I 1>-.. ... ... .. "' N ..

    PAGE 132

    z ,, _____ ::; !C:: c :, .. z: ;:;., _____ z jc rlT..,...2 ::;:, .. ... -street __ L!R6'-"" .U!tA 0 (1'> COMPOS,ITiO'CIIC:.. J E HIGHEST GlADE ATlAIH lh SCMOOi. CIRCLE 1 2 l .& i 7 I 9 t D 1 I U 1IJ 11 SEX. MALl _______ 7. AGE Of WALE OY 62 HWALE OVU '<------1 WONTHLY EARNED INCOME CIRCLE 1. I G-49 I '1--291 -100f9 154 s .zoo...in OTHEP INCOME A !::.C C.A F' G.A 5 5 VA JOO..JC9 8 350-399 t. 10 500 05i MORE MONTHLY PPESEI'I.IT HOUSING INrOPM,t"T;(l..._ it"' UNtE-nD IMCOWE ANNUAL 38-06 :> o E "--=--'-] :a..u.n ..L.; .aa .,., < -. Denver .-. --1.!)_ J:JII\'l'l Rlitt'" v b. R. a/0 UTILITIES s .. WITH s ,UIICHASE PRICE S wo P.I.T.I s d. L_,A REF'EIR :; SELf RELOCATED e. P(ltCENT SPENT ON MOUSING !if; z. PUIUC HOUSING PROJECT MAME 3 RENT SUPPU .. ENT HOUSING 0; <:-MOHTHLY INCREASE s OECREAS s > FINANCIAL ASSISlANCE GRANlELl .., I MOVING EXPJr(SS CIRCL.E :z 0 UNOUI SZO 12-83 > z b ZO.li ; 84-0E n ( J]...&!i 97+ AMOUNt----> ..... ""/0 FURl\ r-S10 Y.,/ FURh >. Si-71 z .AVERAGE ANIIIUAl GROSS REfill TAl .... )> J AMOUN'! OJ IE. .. OCATIO"-AOJ!.:STMUil PAY..-Etrril z n: "' AMOUNT OF RELOCATIOII. PAl ... E:JrrOT ., ::::::;: :>: / L /.. Z' ....:J .A ..., ...., z z :-c ..;zo. !;, "'0 or ROOW.S ---<----NO or BEOitOO,_,.S --:-L..::--:--1-: u-Of S ,,, f/ r I..MOJt-.1 OF MO"-lH .. 'I' I ... :LUDt1'11G F 1l t "' __ __ l -0"" MOUS.:'"'" -------,,--4'& HAR5 U\1[0 I" OENVER__j_J_PIHSEh.": ADDRESS /)Mf PUBLIC HOUSIIIIC. ELIGIBLE = APPLIE[i FOR :: :: RELOCAliON TRANSACliON5 I"' DATl Of cou""'o' 12 ---------------------1 '-D"' ..,onc __ ________ I"--1..1.4C>UNO Of lrr.lONi,, Y H -ro C U d ..... OF i:Ml TO RELOCAH CAH or ACCU!SITIOI'. r> 1" --=: +..J-, ------------;I; ........ \... ....... ... =-t L b L I l E 3 2 1 r L 3 2 1 i 'I 4 t It>; b b !< L< ,, LV a 'I J' b I .. II b II c URiAN li 1 i I L 1 I I I ; I "' 8 .. CD .,, "'' i. t; I"- z c "' :g 1.: I I I i i I I I i I I i : i i I I'-' !2' 8 !"'I '"" ____ ......,,:, IZ ;61 !: :z "' lit z: I v.: "'' c ::r :z iC c 1NCOME MONTHLY INCOME EO 1 .,. ll SEX UNREL.O."!E8 !"lDlViOUAL D Dietz, Mildred 9 52 Tenth St. Denver 3 URBlh. ARE.l CtRCi...f 2 3 5 6 4 ElHNIC CIRCLE ': 2 J 5 5. HIGHEST GRADE ATTAINED SCHOOL CIRCLE .. 1 2 J 5 7 e 9 10 nxz 13 ,. 15 16 SEX. MALE. FEMAlE 58 7. AGE Or MALE OVER FEh4ALE 0'1 6Z e. MONTHLY EARNED INCOME-CIRCLE ..... S Z!IOZt9 UNIEPOITtO INCOME 2. ..... 80 7 300JC9 s J 10C 8. 3!10-399 E. .. 400 ..... 99 ZCC-249 10 SOC OR ... ORE OTHE F I NC0h.4 E ... Oh"!HL 'r' AINUAL A "c 2 0 A.P 3 G A 5 5 ... .. VA 7 A h.O ]55.00 OTHE Ji PRESENl HOUSING INFORMATION 1 0WNQ = 1 2 hO or HO or BEDeooMS 36.37 3 AMOI.i""T or h40,.THLY REN'l' WITHOU'!' UTIL.ITJS S AMOl:"'IT OF MO,..lHLY PAYMENT INCLUDING P.I.T.I s 5 GROSS INCOM SPENl Oh HOUSING 2 YEARS dYED lh DENVER ___ PIESEWT ADDRESS PUBdC HOUSING ELIGIBLE FOR APPUED FOI :::J RELOCATION TRANSACTIONS 11/13/73 OAT[ OF AC0UISITI0h 11/20/73 OATl t-tOVEC J A Of h/IONlHL Y RENT PAIC TO C.li lit A s Lf,..GTI1 Or TIM[ TO RELOCATE ArTER DATE Of ACOUISITIOh abollt ] month, .Ian HHNIC __][ AREA ___U_X310.! !). ALPHA CODE PERMANENl RELOCATION 1273 Cook #10 ADDRESS CITY Denver STATE Colo ZIF 8 a 2 1. PRIVATE SALES HOUSE -8. STANDARD SUB STANDARD b. RENT: w/0 UTILITIES s ]45 WITH s c. PURCHASE PRICE $ wo. P.I.T.I. s d. LPA REFERRED 0 SELF RELOCATED IX e. PERCENT SPENT 01\1 HOUSING !if; z. PUBUC HOUSING PROJECT MAW 3 REKT SUPPLEMENT HOUSING 12 MONTHLY: INCREASE s s __ D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCi..E 0 UHDER S IO I 72-83 b ZO-JZ 9 ..... c ]) .. 5 97+ AMOUN1 d 46-511 Ss wto FURN e. 50-71 .. SlO W/ FURh 2. AVERAGE ANNUA:.. GlOSS I ENTAl ) AMOUNT OF IELOCATIOfoi ADJUSTMENT PAYMENT s .. AMOUNT OF IELOCAnOIO PATNENT 3 Rms.-1 Bdrm. Moving Expenses TRHP (Mon'Enl::) T I t ----.... "' ... "' "' .. .., 0 .... "' ,.., ,. )..-t(l'l "' '" ..,., -> Z"'"' -> .. "' ,.,;I '-;cr-"' tn ..... 1 ... -,.., .. C\ "I ;c>.., "' N -3:1.. "'" "=-,., ;::I cr, ... io "'-.,. ..

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    ------7 a: c N, "' N N .,, .. r. \,.1 181 m! ... i "'1V"i lo: .... !0: llt' : I Cl; 12' a::u ... j i ![i I I i !;n; :t. c 0 _: ____ J_ t !------950 lOth St:reet. #114 ADDREss 2626 .King Strest i1 : .. em Denver, sunCOJ.O. ZIPil_ .. ... ... UI&A-. AIU.A CIRCLE 1 {j) l (j) !o f ETHNIC COMI'OIITIOOI CIICLI ..(j) I !. HIGHEST GlADE AnAINED IN SCHOOl eracu 1 2 J 1 1 11 u 11 '" '' 6. SEX MALE f( fEMALE------------7. AGE or MALE DYU 61 "4, fEMALE OYERIZ------I. MOI'IITHLY EARNED INCOMf-CIICL[ $ 6. $ Z!ICOZt9 \10-99 100 4. 1SOlt9 7 JOOl B. J!IO-Jt9 t. UNREPORTED INCOME 5. ZD0-249 OTHEP INCOME. e SOO OR MORE 6'7:J. 1. A.D C. 2. O.A.P G A s s R o A. hi 0 0"'1-iH MONTHLY PRESEr;T HOUSING INFQRMATIOI< AlfNUAL OW"-E'" .. A .... I NO OF" ROOMS NC Of BEOIOONS __ AMCU" OF "O.rH.> RE'' WlrHOWT UTILITIES 5 JS(),IQ OF MOt<.Htu PAYMENT INCLUD:t.G P 1.1.1. s ___ GROSS INtOME SPENT 01\c HOUSING %-------:---LIY ,_ DENVER ___ PRESENT PU6dC HOIJSihG ELIGIBL.E FOR = -"PPL.IEC fOR Cj RELOCATIOI> TRANSACTIONS U/Jt 1 OA:[ OF ACOUiS'T;ON __ /.'':2::0"':J:"lll":','ll7r;211f"'----0A'!"f to40YED----------L--U_t.;;jL;J,.....Z...-----AMOUt<.T OF MON!ML '!" REM F-AIO TO C.iJ R A. S -----L.ENGTH or Tlt.A[ TO AF"TER OI.TE Of ACOUISITIOh 1 ,RIYATl RENtAL J SALES HOUSE JC a. STANDARD 1C SUB STANDARD b RENT. W/0 UTIUTilS S WITH S c: PURCHASE I'RICE $ ap MO. P.I.T.I. d. LI'A REFERRED 0 SELF RELOCATED ::J e. I'EICENT SPENT ON HOUSING %----------':.!'""\ Z. I'Uauc HOUSING I'ROUCT NAME------------3. RENT SUPPLEMENT MONTHLY INCREASE S -----DECREASE E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE a UNDER '10. I b g ll! d 06-58 e H-71 Z. AVERAGE ANNUAL GROSS RNU.L '------'71-83 U-96 97+ AMOUN1 ---Ss vr/o FURN $10 W/F'URt\ AMOUNT 0'" REi..OCAT!Oh ADJUSTMENT PAYMJriT AMOUNT OF' AL0CAT10fll PAYMEJriT IIB/M IC 1.., ---------------------------------------------lz ,... "' .. .. "' .. .. ... 10:: NOI.l'Q013tl .lN3NYII\Itl3d I I ... .. c L I_ z .. I .. z [ T F 7 I 4 2 t I i tvT-I c: ,... j w.r. .. :; 7 .4 ., i I L .. II'!A UNRELATED INDIVIDUAL M 6 2 5 7 4 2 7 N N N "' = "' = .. .. ., lei ..... I ig: !c: jtJ: 'i5i ... NAME __ ..:. ___, ___ ADDRE ss __ ... ..,hL.JSioL.Iot...;ro..:e!Oi..liei..Jt ___ URBAN AREA CIRCLE T ( 3 C) S -ETHNIC COMPOSITION CIRCLE T I J S. HIGHEST GlADE ATTAINED IN SCHOOl 6 !' CIRCLE I Z S 6 7 B I TO 11 Tl U '' 15 II ? 6. SU; MALE FEMALE-------.r::,....---7. AGE OF MALE OYU 6Z ____ __ 8. MONTHLY EARNED INCOME CIRCLE I, S 6. 'Z!ICIZH Z. S0-99 l. 100-,.9 150-119 5 200-269 9. OTHER lffCOME 1. A.D.C. l. O.A.P. G A s.s. 5. R. R. 6. YA A.N.O 8 OTHE rt 7. 300 B. l\10-!99 10. 500 OR MOR MONTHLY PRESENT HOUSING INFORMATION UNREI'ORTED INCOME '---------------owNu V' I NO OF ROOMS NO. OF BEDROOMS AMOUNT OF MONTHcY RENT WITHOUT UTILITIES $ tf/(. ,, AMOUNT OF MONTHLY PAYMENT INCLUDING I'.I.T.I. $------5 GlOSS INCOME SPENT 001 HOUSING %------._,..,.._ 6. YEARS UYED. IN DENYER ____ PRESENT -[55 ., K 7 PUBLIC HOUSING EUGIIL[ FOR C APPUED FOil 0 RELOCATION TRANSACTIONS 1 1. DATE OF ACOUISITIOfrf rtt"'ft C Z DATE MOYEO JtJ 73 AMOUNt OF" MONTHLY RN! PAID TO D U I A LE'-lGTH OF" TINE TO RELOCIITE AF"TER OAT or ACOUISITICf D. PERMANENT RELOCATION 38-06 2825 W. 32nd Aye. c1n Denver, STATE Colo T. I'RIYATE RENTAL fl!' SALES HOUSE 0 8, STANDARD fli'SUI STANDARD b. WENTo W/0 UTILITIES S as:.. WITH $ ___ C. PURCHASE PRICE$ MO. P.I.T.I. S ___ __ ... .. "' .. d. LPA REFERRED 0 SELf RELOCATED 0 PERCENT SPENT ON HOUSING %----------C e. Z. I'UIUC HOUSING PROJECT 0 "' 3. lENT SUPPLEMENT HOUSING .. MONTHLY INCREASE S -----DECREASE S ___ il" ;;l"' E. D.U.R.A FINANCIAL ASSISTANCE GRANTED ::!:! : "' 1. MOYING EXPENSES CIRCLE z -ciUI a UNDER SZO b ZO.JI c. 33 d 06-511 e. st-71 2. AYEIAGE ANNUAL GltOSS .ENTAL '------i g S 7ZBl 80-96 97+ AMOUNT----Ss w/o ru STO W/FURN !. AMOUNT OF RELOCATION ADJUSTMENT I'AYMENT ,, ______ AMOUNT OF RELOCATION I'AYMENT ,,a, ,, lfft "' ,..1--1-----i!i .. .. Ul ..... .. ... i! .. Z'l-+-- ... z :c 0 .. ... S.... z C" ... "' ..

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    .. :. __ .. ... ___ ....i....'--'-------. ,..... .. _': ;_:.. .. ,,.;.. :. .. '-r:. "'-D\ .:: ------;: ___ N N < ..0 n ....... "':' .... T:-"r"'r:-:.......,. ,. ..... ....... -..... -.--::-:--,---.,-;------AODRm 9:>2 ..LOt:1 Street UIIA. AREA CIICLf 1 (i) l (D f -UHNIC COio4POStnCIN CIICLf -c l I 5 5. HIGHUT GlADE AnAINED IN SCIIOOL ... c .... SALES HOI.ISE. StANDARD 5118 STANDAID .. n .. n b. -:...n CIICLE -1 1 J I I 7 I t 10 11 1Z 1J 1'1 (i) lENT' W/0 IITIUnU $ !S:Oti WIT>I S----1 _____ WO P.I.T.I. 5----.,-c. PU ICHAS[ PI ICE S "'. I I 1Q tVII tC: ,.. lo; ID:i 1 I cz:! I 6. S[l, WALE HWALE------------7. AG OF WAL OYU 6Z 5'0 FWALE OYER toz ______ __ I. WONTHLY EARNED INCOW -CIRCLE 1. 'G-ot9 6. s zso-1n 1 S0-99 100 t:jfjJJII /:lO. e. 350-199 U!I-1H .00_.99 S. ZOOZ49 I. OTHER INCOME l. A..D.C. O.A P G.A s. s VA 10. SOG 01: MORE MONTHLY UNRPOITED INCOW ANNUAL '0 QT"[> nNS/ON I.J,/I.oo ____ HOUSING INFORMATION ow-r = TE._.:. f!l"' NO or ROOM5 --4----NO or BEDROO"-S AMOUS! Or MONT foiL 'I RENT WITHOUi UTIU'TIES 5 AMOL!Ni OF MONTHLY PA'YMENT INCLUDING P I.T I GROSS INCOME SPE'1 ON HOUSING % _____ """'1;;---YEARS LIVED lh DENVER .....:l.._PAESENT ADDAESS __ i';a,_ __ PUBLIC HOUSING ELIGIBLE FOR -APPLIED FOR = RELOCATION TRANSACTIONS J 1 D.H OF ACOUISITION :7721 4 C, e+f 1 <. DATE MOHO /tJ 3 or MOfi:Tr-! .. Y REh':' Plo.IC TC D.U R A LEfiiGTH or TIME !0 RELOCATE AF"!.51 DATE OF" ACOUISITIOIIf d. LI'A IHEIItED Q SELF ltELOCATED D e. PUCENT SPENT ON HOUSING %---------z. PIIIUC MOUSING PltOJECT NAWE _____________ Fl RENT SUPPUMENT HOIJ$1NG _______________ I INCRASE DECREASE E. D.U.R A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EIPE:N$ CIICLE UNDER S lO Z0-32 c n06-58 !1-71 Z. AVERAGE ANNUAL GROSS RENTAL '------'7Z-Bl ... 96 97+ Aloi0UN1 ---w/0 FUAh. $10 w/ru AMOUNT Of RELOCATION ADJUSTUENT PAYMENT 1-------4 AWOUN1 RlLOCATI()fj PI'I'ME,_T ,o ,. z "'I"' ---------------------------------------------------<1 '"' OOf 5;,;, Ni 511' 5036 SWOOtl O!S! !'131'1AYd !10 !N31:i !)t;ISOOH 1110 !N3)!13d .. .. .. ,.. N .. .. N I I il :;! z !i I z z E i O!S I z z L li I z z Yd1 lj .. !!; I! I i II I 1 n 11 uouN 1; 1 1 1 .. 1! ;;:--u-NREi..ATED INDIVIDUAL D. PERMANENT RELOCATION 2 O -11 fl' :gi wE __ ADDREss 3150 \'J. Ariz.Qna N ., N "' .. = ... .. l\5! z. AoDuss_ ...... I ..... l .... 2...;;o4____....L"""a ..... r.._i.....,m ..... t.._._. ..... i,.....2'---c1n Denver. suTE Colo. 'iS I 3. URBAN AREACIRCL 1 2 3 4 5 5 1. PRIVATE RENTAL_'( SALES HOUSE = .. .. "' ETHNIC COW POSITION CIRCLE 1 Z 5 I a. STANDARD V SUB-STANDARD 5. HIGHUT GlAD ATTAINED IN SCHOOL b. RENT' W/0 UnllnES S /(fl .Q() WITH $ ___ N N, CIRCLE 1 Z 3 5@ 7 I I 10 11 11 11 1 11 16 C. PURCHASE PRICE S _____ WO. P.I.T.I. $ ___ I. SEX' WALE >( FEMALE----------d. 7. AGE OF WALE OYU 6Z JL{, HWALE OYER toz ______ I. WONTHLY EARNED INCOWE CIRCLE 1. z. 10" l. 100 150 s. zoo-ug I. OTHER INCOME A.D.C Z. O.A.P I G.A. s.s 5. I.A. 6. VA 7. A.N.D. 8. OTHER 6. S Z50-Zt9 7. 300-3.9 6 350-3t9 I!) WJI) 10. 500 011 MORE MONTP'fLY PRESENT HOUSING INFORMATION UNREPORTED INCOio4E '-------ANNUAL 1. OWNER C TNfi!AIIIT J/ (J I NO OF ROOMS I NO. OF IEDROOioiS :-.-=,,.,.--3 AloiOUNT OF WONTHLY REN' WITHOUT UTILITIES $ "'"(} AWOUNT OF WONTHLY PAYWENT INCLUDING P.I.T.I. S ----5 GROn INCOME SPENT ON HOUSING %------..---6. UUS UYED. IN DENYER...3.._PtE5ENT ADDRESs _.;a.._ __ 7. PUBLIC HOUSIIrrtG ELIGIBLE FOii APPLJED FOI L:j RELOCATION TRANSACTIONS 1. DATE OF ACOUISITIOh z. DA T ________ l. AWOUJrijl OF MONTHLY RUn PAIC TO DURA 5------A. LlNGTH OF TIM( TO RU .OCATf AFTEJr DATE OF AC:OLriSITIOh e. LPA REFERRED :J SELF RELOCATED 0 PUCENT SPENT ON HOUSING %----------C "'.._ I. PUBUC MOUSING PltOJECT NAWE------------C b .., 3. RENT SIIPPLEWENT HOUSING ljo WONTHLY INCREASE S 7/f. D() DECREASE 5--1'" j;l "' E. D.U.R.A FINANCIAL ASSISTANCE GRANTED .., z > I 1. MOVING EXPENSES CIRCLE c. UNDEI $20 t ZO.ll .. 3:1-45 d. 06-58 e. B-71 I. AYEIAGE ANNUAL GltOSS RENTAL '-------s 71:1 97+ ---5; y;lo FURN S10 W/FUAN I ;; > iii,., :=-
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    ,... .. ,... N .. c N z "' 0 .z .c. ;;:; i"'' ... ,Uj I". ol .. "'i I i ... I loP L,...! i 1:!", ;c ,... iO. I"' I I .. .. -,_ 1. 7. ---!. ,.._ .. a. --.. 156-'" .. 5. HW (!!) NO Olt MORE OTHER INCOME MONTHLY AUAl 1. A.D.C z. O.A.P. l. G.A. l:J. .. s.s 0 A YA 1 A.h PRESENT HOUSING INFORMATIOF-1 1. OWNER 0 Jt NO OF AOO"''S 3 NO. or BEDROOMS-:-=J!'=-,t.tr.tOUN'! Of MOhTHLY liltN'! W!THOUT UTILITIES S S:IJD ... AMOU"il Of MONT>i:..Y PAYMEhiT INCLUDING P.I.T.I. $ _____ 5. GROSS oCO"'E SPE.T OH HOUSING "'--------YEARS UYED IN DENYER ____ ,-,RESENT ADDRESS ___ 7. PUBUC HOUSING APPLIED FOR C lUGIBL FOI 0 RELOCATION TRANSACTIONS OA TE OF ACOUI so no -="'-'A-'----=--,,-,..-...,..------Z. DATE "'0VEO ________ ... ____ AMOUNT Of MONTHL'f RENT PAID TO D.U.R.A. $ ______ LENGTH Of' TIME TO RELOCATE AFTER DATE OF ACOUISITIQ,.__ .... IY'Hr;r,rrs To"' ooRm 1l23 Lai"l2;er St, URBAN AREA CIRCLE 1 G) 3/!) 5 6 ETHNIC COMPOSITION CIRCLE 1 2 (!) 5 li HIGHEST GRADE ATTAINED IN SCHOOl Cl RCLE 1 2 3 4 5 6 0 8 9 10 11 12 1l U 15 16 SEX, ... LE X fE"'ALE-----------7. AGE OF -"'ALE OVER 6z_,.4'-'(,._ __ FE"'ALE OVER 6Z _____ 8 MONTHLY EARNED INCOt.tE CIRCLE s 1).49 6 s 250-29! UNREPOIT INCOME 50-99 7. 300-349 100-149 8. 350-399 .. S0-199 400-499 ZOO-l4S 10 SOC OJI MORE OTHER INCOME MO"'THLY ANNUAL 0 c .24/ co O.A P G A s.s ta R R VA A Jrri.D E. OTHER PRESENT HOUSING INFORMATION OWNEP L TE"'lNAN7 X NO or ROO.,.S NO or BEDROOMS:-::,._,=:----AMOUNT Or MONThL" RUIIT WITHOUT UTILITIES 5 J5.DO AMOUNT Or trr.40NHRY PAYMENT INCLUDING P.l T.l 5---GROSS SPENT Oh HOUSING 9t ----------YEARS LIVED IN OENVEIO' ___ PRESENT ADORESS 7 PUBLIC HOLtS!NG ELIGIBLE FOP = APPLIED F'OR RELOCATION 1 DATE OF ,i,C.QU:SiTJOf\ < om MOro Jf' 73 .1; -DI'EIIH5 CHCI.t ..,-sn b. all 111.61111 .. _.,, 1. AYUA5E AMIIUAL lltiOSS UNTAL an-G g. -h. s 10 W/O ruN. S 5 IIIDlVIDUAL 3. AMOUNT Of RELOCATION PAYMENT -------4. AMOOhT OF RELOCATIOW --------2 ADDREss 1859 LincoJE c:t, coT! Denver, sTT,o1o. PRIVATE RENTAL I( SALES HOUSE a STANDARD i( SUB STANDARD b. RUT w/o urouToEs S 40. DO WITH c. PURCHASE PRICE 5 _____ MO. P.I.T.I. d. LPA REFERRED 0 SElF RUX:ATED 0 e. PERCENT SPENT ON HOUSING %----------l. PUBUC HOUSING PROJECT NA"'E-----------RENT SUPPLEMEJoil HOUS"IIG __ -=-:=-ac:;;;---------1::" MONTH:.Y D.U.R A. FINANCIAL ASSISTANCE 1. NO'Y'ING EXPENSESCIRCLE o UNDER So ZD t Z0--34: 33--t5 66-58 E 59-71 AVERAGE ANt\IUAL GROSS RhTAL 72-83 84-96 97+ AMOUNl --Ss w/o FUPt.l SHl 3. AWOUNT OF REL.OCATIOh ADJUSTMENT 'AYWENT '--------------' AWOU"T OJ RLOCAT10'-PA'f"4ENT -I ... "' .. "' .. .. .. ... .. :r. le -..

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    ... .. .. N ... ... :: "" ... z I: 0 N N .., ... "' "' ., ., ... "' "' ... .. ;: j; 18i II j., 18. !CCl ; i li: lc. ;c, 10: i i i i c jet. t:. !C t:. .. B 1. z. 3. .. s -1 ... 1. UOItl lDD-28 .. --7... ,_ -@ 100 OR MORE -j.:J().D{) OTMU INCOME MONTHLY A-AL 1. A.D.C. $ z. O.A.P. G. A s.s. ... .. A.t...D PRESENT INFORMATION OWkER Jl" TENN .... T = NO. OF ROO"'S ___,'f,_ __ NO OF BEDRO()MS _,..;;J""----AMOUioiT OF MONTHi.'Y RENT UTIL.ITI $---"'""'""--"'-AMOUNT OF MONTHLY PAYMENT INCLUDING P.l.l.l. $_;-"'-'0""-'=---S GROSS INCOME SPENT Ok HOUSING "------=6. YEARS LIYD' lk DEkYU-.LS:...._PISENT 7. PUBLIC HOUSING: APPLIED FOR 0 UGIIL[ FOI 0 C. RELOCATIO" TRANSACTIONS 1. DATE or ACilUISinON ___ DATE _____ AMOUfrriT OF MOIIITHLT RE.-T PAID TO O.U.A A.'-------LENGTH OF' TIW.E TO RELOCATE AFTER DATE Or ACOUISITIOIII --------... c .... !,. .:. : : .3/-0(, MCIII'IMLY: -..u I MCIIIUE L------(!'l'l'tl .. !l.U.It.A. FIJIAftCIAL USISTANCt GltANTED l. IIIOI'IIIG tii'PRS DIQ.E a. UND!I I Z1 b. lt-3Z c. IW!i d.e ... 71 Z. AVERAGE AIIIIUAL GIIOSS RENTAL '---------------t s n.aJ a.h I 10 W/0 FUWN. I I INDIVIDUAL l. AMOUNT 0' RELOCATION ADJUSTMENT PAYMENT '------4 AMOUNT OF RELOCATION PAYMENT '------.. .. .. .. w .. cr c .. .. .. DUKISH Victoria C. 4ir-2""1TQM2 ADDRESS 124 Q c,. Denver, 3. URBAN AREA CIRCLE 1 l (!) A. ETHNIC COMPOSITION CIRCLE C!> 2 3 S i S. HIGHEST GRADE ATTAINED IN SCHOOL 7. B. CIRCLE 1 Z 3 C 5 (!) 7 B I 10 11 11!3 1C 15 16 SEX. MALE-____ FEMALE AGE OF MALE OYER 61 FEMALE OVER 61 _____ MONTHLY EARNED INCOME-CIRCLE 1. O-ct 6. S ZSOlli 50-K 100"' 1SCI OTH R INC OJ.! E A.D C O.A P G A s.s. R R A N.C. 8 OTHE 7. 300-3'9 8 l50H 9. 406-'99 1C !DO OR t.tORE MOfoiTHLY /30.110 UNREPORTED INCOME AMNUAL. PRESENT HOUSING INFORMATION 1. QWN[F = T[NfriiiAN':' p1' NC or ROOMS I NO o BEDROOMS ..,..J.L;,-=_.-AMOUNT OF MONTHL'f RENT WIT ... OUT UTILITIES 5 3' s7 AMOUNT OF MONTHLY PAYMENT INCLUDING P'.I.T I 5---INCOME SPENT ON HOUSING YEUS UYEO lh D[NYER ___ PRlSlNT __ PUBi.IC HOUSING EUGIBLE FOR = APPLIED rOR ;:: RELOCHIO" DATE or ACOU'S'TIO /iJ, /5" 73 DTE 2/Z,3 OF WC"ohiL Y PAIC TO C U A A UNCTtl OF Tllrr .. l TC REL.OC.ATf ArTlli OATl OF ACOUISITIOh PRIVATE RENTAL SALE!, HOUSl ""-' a. STANDARD liil' SUB STANDARD b. RENT: W/0 UTILITIES 5 f()$. .,. WITH $ ___ r. PURCHASE PRICE 5 _____ MO. P.I.TI. d. LPA REFERRED = SELF RELOCATED e. PERCENT SPENT ON HOUSikG %----------... PUBUC HOUSING PROJECT NAME-----------3. RENT SUPPLEMENT HOUSING ____________ MOIIITHLY INCREASE P\; 0 V.R.A. FINANCIAL ASSIST Alii CE GRA..,TEO MOVING EXPEJCSES CIRCLE UhDE R S .ZO l 72-83 t: .Z0-32 IC-!16 c:i 46-!18 H-':'1 AVERAGE ANNUAL &ROSS R[IHAi. '-------AMOUNT Of REi.OC:JTIOtr. ADJUSTa.tE,_"! PAYirlot[NT '---------------PAYM\T .. = ... e .... "' ...

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    = .. "' N "' N "' I "".. ----------"11, ... ,. ,_ ... 111 .. --I. HO-le u. NO 01 MOlE OtHU INCOME: I. A.D. C. I. O.A J. G.A. s.s. R.R. 6. YA 7. A.h.D wile-#Ill. t9 PRESENT HOUSING INFORMATION 1. OWNER C! TfNNiWit ., --AL ,. 112. NO OF ROOMS $' NO. OF IEDROOMS_-:'.:z.!!!''--:o-::3 AMOUNt OF MONTHLY RENT WITHOUt UnLITIS AhiOUNT OF PAYMENT INCLUDit.IG P.I.T.I. '-----5. laOSS INCOME SPENt ON HOUSING .. -----:::-':"'-6. YEARS LIVED: 1 DENVU ____ PIUIWT ADDIS.....IJl_ 7. PUIUC HOUSING: APPUED FOR C EUGI.U POl C C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISinON /0 !'" n DATE MOVED tD-'-AMOUNT OF MONTHLY lENT PAID TO D.U.I.A. '-------- LENGnt OF' TIM TO RELOCATE AFTER DATE: OF ACQUISiTION .... [ ADDRESS 0 t.fl treet 3. URIAN AREA CIRCLE 1 () 3 5 ETHNIC COMPOSITION CIRCLE Cf> 2 3 S I 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 2 3 5 I 7 I I 10 11 12 13 U 15 16 (' 6. SEX. 7. AGE OF MALE OVER 6Z FEMALE OV 6l _.aa.Ja...._ __ I. MONTHLY EARNED INCOME CIRCLE 1. 50..1 6. s Z50-l99 UNREPOITED INCOME 50-99 7. 300-3<9 100 e. 350-399 U0-199 oo-t9 5 200-ZC9 10 500 01 MOlE OTHER INCO._,E .. ONTHLY ANNUA:. 1. AD C. 0 A.. I'. G A s s fl. 5. ... VA tz. .. A.h.C OTHER PRESENT HOUSING INFORMATION OWNER = TEfrfNAN"! f?"' NO OF IOOM5 OF BEDROOMS-!/:-:--:--:--AMOUNT OF MONtHLY IE_, WITHOUT UliLITIES $ _...Ji#-Q 00 WITH S ___ c. PURCHASE PRICE S ________ ,MO. P.I.T.I. S _______ d. LPA REFEIIED ::J SELF RELOCATED 0 e. PEIICENT SPENT ON -SING %----------Z. PUIUC HOUSING PROJECT NAME------------3. RENT SUPPLEMENT HOUSING--------------MONTHLY: INCREASE O.U.R.A. FINANCIAL ASSISTANCE GIIANTEO 1. MOVING EXPENSES CIRCLE o UNDER IZC b. l0-32 t 33d "-58 e. 5-71 Z. AVtiAGE ANNUAL GROSS RtNTAl '---------I 7l-83 N-K 97+ AMOUNT---Ss w/o rURh Sto wiFURN 3. AMOUNT OF IELOCATION ADJUS111ENT PAYMENT AMOUNT OF RtLOCAnOH 'AYMEJii'J .. .. -.1 .. .. .. .. .. .. .. .. .. .. .. ''" .. .. "' .. .. .. .... ,._

    PAGE 138

    z 0 "' I I ., I I 10 I ; ""'l"" :::r; 10 ,.... 10. 10:; I .,. z : .-,:, 2 I '::!:" !c ____ _,z; .'-'"' jC:: .. .:_;;.:-. ,-7---=--=---A t c [ s s s 2. AI A ..... 1--, ::: t r--. UIBAI'II AIH.l loRCU 1 0 J t [THiirlll( C0li4POSITI()Ii. CtiCLE .(} z J 5 HIGHEST GlADE ATTAUUD IN SCHOOL 2 3 A ., 7 :[: ... :: 11 12 1J (U 1! 16 AGE OF Jo1AlE O'HR 6Z FU.Ua..l OVER 6.Z liD 8 WOHTMLY f.ARNEC INCOM-CIRCLE l 6 S UO-Z9ij sr--ts 10CI-ug 1 lOCr-243 OTMER A DC 0 G s 5 300-349 B no-199 4.00 ... 99 10 SOC OR MORE MO ... TtL .. Y tSI-I'C UNREJ'OITtD INCOME ANNUAL OF lo.4':' ... GROSS IN(OMl 0"' HOUSINC %-------:-:-:-:-::=-YE;.RS L1VH1 IP.. OENVEFc ___ ADDRESS If lffl.. FIJBliC HOLSrt.,G U(;.1!iLl FO;;; = .C."PL![[i FOh REL..OCt."TrOf\ o o' cou '1 .o. c .. vcm ZJ ,. : -l-.. -___ ... r S03E OTH INCOME INCOt-4E ;. UP\REI...ATED N I ===== I i I N --N N c M : :E3. UABAt-AREA CIRCLE 10 f ETHNIC COMPOSITION CIRClE 1 Z 0 6 5 6 5. HIGHEST GRADE ATTAINED lftt SCHOOl CIRCL.E 1 Z 3 4 5 15 7 8 I e 1l 1Z 6 SEX1 MALE >( FEMALE-----------13 u 15 16 7. AGE OF hiALE OVER 6l J.3 fEhiALE OVER 6l _____ 8. MONTHLY EARNED INCOME -CIRCLE 1 S 049 6 S ZSO-Zt9 UNR[POITED INCOME Z S0-99 7 300 ---------------3 100 8 350-399 4. 150-199 9 400-499 ZOCI-l49 OTHEJi INCOME e 500 or. MORE MOI'iTHi..'r ANJrfUAL 1 A.D.C l O.A P 3 G A s.s. R 6 VA 7 A.N.D. E OTHER PRESENT HOUSING INFORMATION OWNUi = TEIIIhANl IC NO or 000"5 ,2 .0 or BEDROOMS...,,../'-:,...---AMOUNT OF MONTHLY RENT WITHOU UTILITIES 5 1/.;1.00 AMOUNT 0'" MOIIITHlY PAYMENT INCLUDING P.l T.l 5----5 GROSS INCOME SPENT ON HOUSING 6 YEARS UV '"' OEHVEP ___ PRESENT ADDRESS_.J/1--7 PUBLIC HOUSI"''G EUGIBLE FOR = APPUE:D FOR RELOCAT!Oioo TRANSACTIONS DATE or ACOU"ITIO Z DATE MOVlD ________ ... ].._ .. .tiJO.._ ... ___ J AMOLIN'T OF Y RENT PAIC TO 0 U S --------------------------------------....... ... I ,7"" -.v .. ,->-..J...,: PI1YAH RlN"!A, SAd.::. &. STANOARI:' If SUB SUNCAA:" b. REHT w/o UTILITIES S 'f/IA{)"' WITH c. PURCHASE PRICE 5 c UNDU 5.20 t ZO..JZ JJ-s 0 46-5-8 e 59-'l _____ MO P.l T I 8'-9i 91+ AMOUtr.; --/0 FUii." S1c AVERAGE GROSS RENTAL 1 : II I ;; I .. __ /_q_1_6,_(J_':"_;z; __ -i NOilVJ013!1 lN3NVWtl3d '.J D. PERMANENT RELOCATION 25-01 ADDREss 15 3 3 Tennyson Street ern Denver I STATE Colo. ZIP 0 4 I PAIVA'! AUilAL SAHS. HOUSl -a. STANDARD I( SUB STAND .. D b. RENT! w/o UTILITIES s 1M: DO WITH s ___ C. PURCHASE PRICE 5 hiO. P.!.T.I. S ___ d. LPA REFERRED = SELF" RELOCATED :J ,! CD PERCENT SPENT ON HOUSING % ___________ 0 ;'I t. Z. PUBUC HOUSING PIOJECT NAWE-----------bi-.J 3 RENT SUPPLE:M[ftoiT HOUSING ;tJ MONTHLY INCREASE S S --;-. D.U R.A FINANCIAL ASSISoANCE GRANTED r ... f" _...., I ., ..., =-,.. N .. -_ N _I I. MOVING EXPEfrtSES. CIRClE Zl-cltll -c UlliDER $ZG ; S 7l-83 >1-. t. 20-1z ; u-96 zt icc c H-45 r 9":1+ ---: Z AVERAGE ANNUAL GlOSS IENTA.. ., >! ------------>I "' "' 3. AMOUNT OJ" IELOC.I.TIO'-i .I.DJUSNUIT PAYMENT ZJ----------------- AMOUNT 0'" RELOCATION PAYMENT C') C\1 I ___ ,3oL.J.4..frW....,..u-..:.. _.___.,..,_,,..'-IGI!Zlii!.I..JI.J _______ a :i .. ... rUP Pirs Dt 3I.Od)

    PAGE 139

    -----:r t". .. I. ... NI no-"' I. uo.z 7. .. -.. 10. 110 01 WOIE .. I. ctnlll INCOME: 1. A.D.C. WONTHI.Y -AL .... N .. 1. O.A.P aJ:1. .lJO 5. I I. E. VA. uo. if-be! qq.oo PRESENT HOUSING INFORM.TION I. OWNER C TENN-'11': ;t. -, Z. NO. 0> ROOMS NO OF BEDROO"S..,;;::;;--r;r...,....,..3 A.MOU._,T Of MONTHLY RENT WITHOUT UTILITIES sir.oo AMOUNT 0" MONTH1.Y PAYMENT INClUDING P 1.1.1. $ _____ 5 GROSS INCOME SPENT ON HOUSING 'lo-----..,..,---1. YEARS LIVED IN DENYER__..R.._PIESENT ADDRESS::::::z== T. PUBLIC HOUSING AP,LIED FOR 0 EUGIILE FOil 0 C. RELOCATION '7', _, I. DATE OF ACOUISITION r.l'f. .,L N .,. j I 1"': .... 8 i-!Z I jfi I I I I jc. j!: i I I Z DATE MOVED ______ ,,.._:...Z._,i._.,_7.._,3..__--,.,_ __ 3. AMOUNT OF MOtrfTHi."' RENT PAID TO D.U .. A. S __ -;;;;;.;0,.____ &. LENGTH OF TI ... E TO RELOCATE ArTER DAT OF ACOUISITIOh M c=-"h..,.a"""rd'f!'.r-7.----Aoorss IIOS Stout St., IIO URBAN AREA CIRCLE I CP l 5 C. ETHNIC CIRCLE 1 2 (J) C 5 I 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 2 3 5 6 7 8 9 10 C1) 1Z 13 1 15 16 su, MALE I/ FEMALE------------7. AGE OF MALE OYER EZ FEMALEOYEI&Z _____ 8. MONTHLY EARNED INCOME CIRCLE 1. 'o 6. S ZIOZt9 UNREPORTED INCOME Z. 10!19 1 OG U9 150-199 7. J00-319 8 lSDlt9 9. 5 20CI-H9 OT ... EP INCOME A.D C O.A.P. G.A s.s. R VA A D 6 OTHER 10. Olt MORE MOhTHLY PRESENT HOUSING INFOIIMATION AfriNUAi.. OWN = TE_.AN1 fZ' NO OF ROOMS ,1. NO OF AMOUNT Or MO"'iTHLY RENT WITHOUl UTIO...ITI 5 'GS. 0 0 OF" MONT"tLY PAYMENT INCLUDihG P l.T.I GROSS INCO"E SPUT ON HOUSING 91!\-------:,----6 YEARS UYED lh DE.NYER ___ PRESENT ADDRESS ,l ... PUBLIC HOUSING ELIGIBLE FOR = APPUED FOR :J RELOCATIO'-i TRANSACTIONS I DATE OF ACOU151TIO '! -13 Z DATE MOVED g. Z,!__ Or MO .. THLY REJrr;i PAlCo TO C. 1.. R A S -----LENGH or TrMt TO REo..OC.t.H AF'TEii! DATE Of AC.OUISITI0"' -JfiG t:XPI-st:S QIICU o. BIIDU Ill b. awz c. p...t! d.-.... Z. AVUAGE ANNUAL IIIOSS lf.TAL '------4. I 7Z-113 g. h. I 10 W/0 FUIN. I I IMOIVIDUAl 3. AMOUNT or RELOC:AnON ADJUSTMENT PAYMENT '-------' AMOUN! RE:..OCATIOfrl PAYII!NT --------ACORESS ) 34 2 Osage cnY Denve.J::.. sua Colo. PAIYAT FEhTAi. SALES. HOU!i.[ __: a. STANDARD STANDARD b. RENT; w/o UTIUTIES S S ___ e. PURCHASE PRICE S MO. P.l T.l. S ___ d. LPA REFERRED 0 SELF RELOCATED C f. PERCENT SPENT ON HOUSING 1. PUBUC HOUSING PIIOJECT IIAME-----------3. RENT SUPPLEMENT HOUSING ____________ MONTHLY INCREASE 5 ---=C.U.R.A. FINANCIAL ASSISTANCE GRANTED MO\o.ING EXPtNSS CIRCLE UNDER $2C 20-31 33 c 16 e 59 Z. AVERAGE a.-."UAL. GROSS RENTAL '--------------S! w/o S10 w 3. AMOLINl OF RELOCAnOh ADJUSTMENT PAYMENT '-------' AMOUNT OF IELOCATIOh PAYMIE:NT ., : .. ... .. .. ... .. .. ... .. .. .. .. ... .. ... ... .. ... "'. ...

    PAGE 140

    .. "'.,1 0 ... "'; ill'li ,.. lei ,... I !C:i t c; i '2 -::..:: ______ \JRFrA"" &.rEA. CRCd i. 3 t [lliNiC COirloiP05TI0 .. 1 Z (j; A I 5 MIGHlST GlADE ATTAitU:D IN SCHOOL CIICLE 1 Z 3 5 6 7@ I 10 11 1Z U U 11 11 SEX WALE 4+ HWALE------------AGE: OF MAL[ OYER 6 r[tr.IIAL.t OYEI 62 _____ I. WONTHL V EAINE:D INCOME CIICLE 'Gt9 6 'l!IO-ZH UNIEPOITED INCOME S0 100-1'9 150-199 ZOO-.Z.S OTHE Jt !,_.COME A.D.C CAP 3. G A s s v "' r 7. J00-3 e. 3!10 G> &00 ... 91ii 10 SOC OR MORE ANNUAL .z e PRESE'\'!" jC.. -:z o::a: i(... .. "' .. .. "' ... 0 ... ,. .. .. "' ol ... .. ::0 .. c or '-40 ... PAVV(N": "::.UOIIIG PIT I GPOSS I"'COME SPEhT 0"" HOL'SihG YE4F.S &..IV th DEhYER ____l_PR["1' ACDRESS_...;J::;.... __ PUBI..!C HOUSI,_,U fLtGIBL FOR APPi..1ED FOR RELOCATIO" TRANSACTIONS DAlE 0< ACOUISI"0' ___ ...;-?=...!... -'-'"'''-''0.:'::-i'r-----DATE '-'OVE o _______ ...,.._. __./UI!f'-=." A'-'Oul' OF "0"ti"\' Ri" PAID 'C 0 c. A $ ,, !'.C ,. ,_ u... Leandro z. ADDRss2 I 5 st. l. URBAN AREA CIRCLE 1 2 3 4 !i 6 ETHNIC COWPOSinOI< CIICLf 1 Z CJ S I I. IIHIHEST IIIADE AnAINED 111 SCHOOL 1Y HEAD Of" FAMILY CIICU I Z J I I 7 10 II U U 1 II M I. IIIIMUI M CNIUIIEN IN IKIUIEIIIIU1 fMJT'I--L.-ru--'-7. AilE Of" Mila& 0 II ____ _,DIALIS orll '------1. _.,._, !AlliED INCOME CIICLE I. 1-I.$-1.7.3. IIHI-101 150-1ft s. zow I. OTH INCOME. I. A.D.C. l. O.A.P. l. G.A. s.s. I. I.R. I. 'lA. 7. A.II.D. e. no-M ID. SDO 01 WOI MONTHLY AIIIIUAL 8. PRESENT HOUSING INFORMATION I. -IIEI 0 RIIIWIT ')t z 1111. Of" lOOMS II(). M UD-1------1. &MOUNT OF -11LT IDT WITHOUT tnWTIU t------. AMOUNT M llalmi.T PAYMENT IIICUIIIIIIG P.LU. 1------1. C-1 1110011! IPPT 1111 HDUIIIIG ...... ______ ... ""\'JAil LJ'IID, Ill _.,II NEIIII'I -US_____;.. 1 .. ,. ., IICIBIIIsmoa----..,.-------------t .. DATE __________________ fl/1 -1' III:IIT PAID W D.LLA. .,_ _.. __ ...., __ &. I.DIIi1K ar .0 HUICATI_ AFRI U"Q ., ---[. ., ; ;. ..,. ,;, .. : '\, .. a. 'IIA'a lf.l\llo. :..__ SUS 2G-09 v ; ..2.ll.! I i 1 .. 5-AL.[ SlANDAAO r N I I;" b. lfNl W/0 UliLITIES $ WITH S I c. I'UICHASE PIICE S .ii/JOQQ we P.ll.l S /,f.DO 1-. /' d. LPA IHEIREO ;:::; SELF I[LOCATED )/J (.NI)-1-1-! ,.-. -J:\--t. PCENT SPENT ON HOUSING 91: c Z. PUBUC HOUSifltG PROJECT NAME. : g """ ] RENT SUPPLEMENT HOUSING 2J .. 1 MONTHLY. INCREASE DECREASE S --;. tr D U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING (IPENS z,. UNDER SlO 72-13 H---l0-32 U-96 i!i !o: c n-s 97+ AM0Ufri1 _, <16-58 wio ru -e 9-71 S10 .... 2 AVERAGE ANNUAL GROSS RENTAL '---------------3. AMOUhT or 111LOCAT1011o P.lllotEhT 4 AJo40UioiT 0,. RH.OCATIQI\ PIY!rwiE-wT Vii!< lUI z. Cll "! ::c > z. z Zj 'F P-t 4 2..1. D ;ri 1lt1FJO f0'o(! o. STANDARD )( SUI-STANDARD i I :: i b_lfNT: /o unuTIU s WITH S .. t....PUIICIIAIE PIICE I l5; QQO 110. P.I.TJ. I .-2 cz 41. I.PA II!FEIIU 0 SELF II&.OCATD yL .. -PIKEIIT SPENT OH teiiSIII; -z. -c -IlliG-PIOIECT ct ._,.._,, IIICIEASE I MCIUSE S "' lllr-:...o .. D.U.II.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIIICLE ... a. UIIDEI I ZO I s 71-13 ,.,::, b. ZO.Jl Q -Zi-cj,. (. JJ-15 h SID W/0 FUIH. !:2, d .... 51 S 5 INDIYIOUAL 1,. "'I"'' -.. 71 j .. z. AVERAGE AIINUAl GIIOSS REIITAL ... s I AMOUIIT Of" ULOCATION ADJUSTMUT PAYMENT .. s .. :9r;:MENT ,.a, AH-nt.4 (3 .... ;, .. .... r .. .. "' .. ... .. .. ....;._i J .._) __ ; .. J ... -... ... .. -... ... _, .. _; 2.,......._. -a!Z pqp -..A ,J ; I: tlJE.iiA ., _.....;..J _. r .. Cl Tlfl/.11. :,. ..) '-'v_; "' ....io ...... .. ...,;.,. .. ... fli 1-

    PAGE 141

    ------.... ;1 f. .. .. .. ... '". -----""<: N -:2 I -iz: ,z; 10: "' i i .. -------,,z. .. ... .. .. .. :=> c ... ., ""' = .. ,s j ...... N .. .. !P" .I' ;' ... .:.. =---, ... .. I ; I L ._ : .. 1: -M.Y !AIINID IIICOME atiCLI 1. ,_ z. J. 104>-1. U0H S. .100-Ui I. OTHER INCOME 1. A.D.C. Z O.A.P. G A s s .. A "'-: s no-m l JOD-Ut I!IO.J91 ..... 10 NO OR MORE MONTHLY B ;_.:.. l. AMIIUAL 1. OWNEi ttl T.,.11111\,tti L. hiC 7 BEDROO,..S .J Afr,IIIQL!'T 0' .,.0"-'T.., .. UTh .. :'!'!ES S--::::-:=:--A,.,.Oulol':' or .. PA'fM'-i INCI.UDift.iG P: !.1 s!'W' 5. GROSS INCOl!.tE SPENT ON HOlJSING 6. YEAR$ LIVED IN PU8l..IC HOUSING APPliED FOR i: ELIGIBL rot C c RELOCATIO"' TRANSACTIONS .. J H, 71\ DATE OF ACQIJIS!Tt0"'----7r"-r.,.:.....,""'X .... '-'--------DA T M()VEC ______ f._,_/.___'f...:;;a:=-. _____ AlriOUN'! 0' h40 .. TH:..\ REh'": PAID TO C.i.J R 5 ______ LE,GTt1 or TO RELOCATE AFTER t:ATE Of ACOLHS:TIOfl. L z z T' INCOME CHILDREN A. FA "'.e Y COMPOSITiO"' o SOCIOECO"OMiC DA'A M< FA3IA:.:J, Victor B. 2. AooRm 1311 1Oth Stre.:>t 3. UIIAN AAE.A CIRCLE I G) 3 E> !S 6 -ETHNIC COMI'OSinOIO CliCLE 1 Z Q) 5 6 5. ..&HEST &aADE AnAINED IN SCHOm. IY HEAD II FAMILY CIICLE 1 Z J 5 I 7 I I 10 11 12 1l 1 t5 11 I. NUMIEI II CHILDIEN IN IOYS-51&5---7. ACE OF MALES OYEI 15 4f8 FEMALES OYU IZ_ .. .. __ L -TilLY EARNED INCOME CIICLE 1. ,_ 2.100-149 4. 150 5 204>-Z. 9. OTHER INCOME 1. A.D C. Z. O.A.P. 3 G.A. 5.5. S. 1.1 I. VA. 7. A.N.D. I. S l!it-ZH 7. _,.. a. no-m 10 500 OR MORE MONTHLY I. PRESENT HOUSING INFORMATION UNREI'OmD INCOME ANNUAL 1. OWNER C TENNANT Z. NO. II lOOMS .![ NO. OF 1. AMOUNT 11 MON-Y llt:NT W11'HOIIT ununu 1 ij:DD ._ AMOUNT Of MONTHLY PAYMENT INCLUDINc; P.I.T.I. 1-----S. 11110$5 INCOME SPENT .. "-----=-t. YEllS UI'&D: DINYU I"{ IEIUT -IEII_J'_ 7. PIIIIUC 110Uitll5: -API'UD FOil 0 W.ILI 1'011 0 1. DIIR Of' l:. ltELOCATION TIIAIISACTIONS ..._ 'fi l. NTE MOYID /, l. -NT OF -TilLY liNT PAID 10 D.U.LA. '-----._ U:IICTH 0/F 11M 10 IE&.OC:ATE anu DATE 0/F ACQUIII-. E D 1. MOYING UPENSES CIICU a. UND IZO b. ZO.lZ c J.3..45 d ...... ._,, AVERAGE ANNUAL GROSS INTAL I:Z-13 14-96 S 10 W/0 FUIN. I S INDIVIDUAL 3 0' ADJUST..,[N'! p,a, lrloi[NT .. 0' P.ElOCATIOtli PAT ... Eh1' i O.lS! '---------------r. z ALPHA COOE .... 1-f--.... ") .... .. .. "' N .. .. z ..:.. 'V'' PERMANENT RELOCATION 10-03 ,.. '" S 4715 Milwaukee Street '" 1. PRIVATE RUcTAL = SAL!. HOUSE tl a. STANDAID SUBSTANDAJtD :::: I b .JIENT: W/O ununu 1 WITH$ ... .. PRICE 1 17,$111.1Jp MO. P.I.T.I. I d. LPA IEFEIIED D SELF IELIICA TED 0 N N. -PERCENT SPENT ON IIDUIING"' z. PUIUC HOUSING PIOJICT NAME Ol: i::'"' .. .... MONTR.Y' INCIEASE S DECREASE I "' E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EUENSES CIRCLE ... a UNDUI I ZO Zt-ll c. n-s d ...... e ,_,., 1. A'EIAG A .. NUAL GlOSS RENTAL -------S 7Z-Il '' I ,0 W/0 FUitN S 5 INDIYIDUA'-3. AMOUNT Of" ADJUSTMENT PAYWEN! '------.. AMOUNT OF EL.OC:AnON PAYMENT I LIMN tl, ,li, .:1..3 1J:D. i z-M :,:11 l I "':.. .. "' .. .. .. .. .._. "--,,... ,.)

    PAGE 142

    N N ., IC .. !-1 .. i I i I "'i"'1 I fOI I ,:.: I I 1n j I .. i.,[ I::Eol ,.. I ca\ ,,.! :--;_..::._._ --c..:yi .. ___________ ---... ;, .... UIIAh ARIA CIICLl -' 0 3 I) S [THNIC COMPOSITIOh CIICL Cb 2. 3 !o I S HIGHUT GlADE ATTAINED IN SCHOOL CIICU 1 1 3 I 7 I I 10 (jj) 11 11 11 11 SD MALE FEMALE--------:,....----7. AGE Or MALE OYER 61 FEWALE OY(IQ_.,IILI/'-----1 MONTHLY lAINED INCOME' CIICLE I D-ot 6 S Z!ID-ZH !10-19 10C.-UI 150 ZOG-H9 I OTHE A INCOM .. A.D.C. Z O.A P G A s.s \" '0 0 OTriEg J00-349 8 350!1 &00 IC SOC OR MORE MONTHI..'f' 11"0 po PRESE"'T IN=ORMATJON O'lwhER = tz"' UNUPCMTED IMCOWt ANNUAL C 0' 000"5 __ lf-___ NO 0' AMOuN'! or MOPI.TMi..'t ANl W!THOUl UlLll1E.S 5 _,3oLJ]I!..!..Lz_.:s=!..-_ AMOUNT Or MO"-TMi..'l lhCI..UD!NG P.l T.l GROSS INCOM SPE"-T ON HOUSING YEAflS I..IV 1tr-OE"'VEC __ PUBLIC HOUSING ELIGIBLE FOR = APPL.IED FOR :J RELOClTICN TRAI -...i,.J ... .. illl '-.... 11:11

    PAGE 143

    .. N N .. .. "'-1C IV'; ':1' lo .... !0; 10: : ;z ;;,g s 1:1::: ;c .z .c. c :z-....... ....... __ .:::...,.___ ..... AREA G (!>!! (lH-.IC COMPOS!TIOJrl. CIICL[ 10' 5 HIGHEST GlADE anAINE.D IN SCHOOL ,, 11 CIICLE Z J' 5.1 1tf\t 1011 1Z U ,, SEJ MALE J( '(!'4ALE----------------------7 AGE OF MA.r OYU .; 7J FEMALE OYER&< _____ 1 MONTHLl' EARNED INCOME CIICLE 6 S 150-ZH UNREPOITE.D INCOME 50-99 10C:-U9 1S0-19!r .... ZOOZ49 OTHEfi I"'JCOJro!E A.D C O.A P G A s .. 'c C Clh[ P 7. 300-:U9 e lSo-:m '00-CI9 1G 'Ot-OR MORE MONTHLY HCWS,IP.,(: ;F\;J;OR"'!A'TIC .... ANNUAL ow.Ef' = TE.,. ... ArJ. 0 NO (I' NC 0' Of Hh": U'! S Ah40J"l or MO,Tt-t.,. P.AUA['tT f T.l GROSS Sf'flli"' 0!1. MCUSi"rG %-----------.. -YEAilS 1..1VEt' ___ PAESE"'I'! ADDRESS __ .J.:Z.tilo. __ PUB;.1C 1-tOLtS:..,G 'FOI{ = APP .. rED FOR o.rr o ACOJ'""'O' ___ ... oAH MOVEC OF" REI\.' "'rC C L' W A S----lE"iGit-1 OF TC liEl..OCI..TE AfTE;t DAH OF" AC.C, ,.......,. ::. '1.' ; : -. ;. StreE: I.:-.:. w f __ __ ..:, san Co C Plt1V':'! l[l\11t.. I( So\LS HO'J5.E -a. lliC b. tENT. w/D UTILITIES S 34, S'DwtTH 0 Dill I.,: r--n N = Ul --------------------------------------------------___ z, d'" [ r F" I !"" r 1.. N iii:: 51'1001:1 ... NC lN3JI:I3o I "-I,.;" '"-cc 9 8 !ansl : :13 \JI r. A l I l 1. I I i z i Wd' 'I; i 015: : ---7 :.; .. I r OTH 1. NA'4E FLORES, Ric.ha:rd ADDRESS 122..2. Fed era 1 Blvd 1 N i .. .. .. .. .. .. z = ... "' c ... .. .. I z. ADDRES$ lOth Street 1. RUHAl 7sALEs HousE = 8 URBAfrrt AREA-CIRCLE I(!) 3 (jJ S 6 1 i iA 4. ETttNIC COI .. OStnOO. ClaCL[ I l (j 4 5 I a. STAhDAI& fll" SU8TANDAR2ij i I b.-lENT: W/0 UDUTIES I l 0 tJ 5. HIGHEST GlADE AnAINED IN SCHOOL IY HEAD M 1'-ILY WITH I .. ... i <-PUICIIISE PIIICE I ClltCLE I .z I I I 7 I) I ID -II IZ 11 W IS tl I. IIIIMIU OF CHILDUII IN HIIUSIItCILD 7. AlE f11F MALIS OV'U IS '" '"!UI-n 71 I. _, EAnED INCOMECIIICI.I .............. I. 1-I. Sz.3. 1111-1 .. 150-119 5. Z00-209 I. OTHER INCOME 1. I.D.C. l. O.A.P J. G.A. s.s. 5. .. I. VA. 7. A,N.D. 7. ..... .. 11!1 -10 !110 01 MORE MONTHL/. 1 ,zr__, liZ 'tt'D 8. PRESENT HOUSING INFORMATION IIINUIL I. OWIIU D ., z. M -5 o. OF UDI-1 I. rUIUUNT M .._y IUt IJITMOIIr U11UDII'I,-.. MO. P.I.T.I. I d. U'A IEFE .. ED 0 SELF ULOCIRD 0 -P&ICIIIT IPIIIT ON HDUSING llo J. f'IIIUC tiOUSIIIG PIOJICT IIAME -TilLY: .JWCaEISE I HcausE D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING IIPENSES ClacLE a. UND[I S ZD I. S 7ZIl b. Z0-32 g. 14-116 (. JJ..ol5 I 10 W/0 fU.N. d. 46-51 I 5 INDI'i'IDUAL e. 11-11 Z. AYEIAG ANNUAL GlOSS IENJAL '----------------3. AMOUNT OF IELOCATION ADJUSNENT PAYMENT .. AMOUNt II' anocanON PAYMENT '-------.. i::a ,., :a.->.o.., n zl"'''" )r!;,l:l Zi-c! .. S! i "' -;N ..... .,_;-._ .w .. -.. .. _,. "' -'"'-.; .. z ...,Jr-, .-,.'t .. '+ .... ... .. --: _-.-.-: .. "',:.--:."'A_. .. _,.., ..... -. ...,- --. .... Ir! .. _.., -... ..... : ......," ,._; ... .. _,.. .J ...

    PAGE 144

    -----------,--.----------------------------.. I I ....... -----------"' ----------__ .....__:_------.. "' "' N ., ICI' :z ig' ;: -- FLYli:,SA, John 3 UIIAIII AREA CIICd 1 (l) 3 0 t. .6. ETHNIC CIRCLE -(j) 2 l 5 I 5. HIGHEST GlADE ATTAINED IN SCHDDL CIICL 1 Z S 5. 6 1 I I 10 11 U 1J 1 15 (J 6 5[l MALE ,...., HMALE----------------------7 AGE Of MALE DYU 6! FEMALE DYU il ________ __ I. MONTHLY lARNED INCOME CIICL 1. 16-" I. S 210-lft z 50-99 3. 100-149 150-1ti I. OTH R INCOME 1 A.D C Z O.A P 3 G A s. s 5 R R 6 .. 7 A C (I 7 JOO-Jt9 1C SOC OR MORE MONTHLY PRESES'T UNIEPOITID INCOME ----------------ANNUAL 4 AMQUII,'! Qr MQII,lt'IL'I' \hCLUDING P.! '!.1 S -------GP.OSS ON HOUSihG %------------:---6 YEARS LIVED lh ADDRESS ,? 7 PUBLIC HOL'SIIri!G ELIGiBLE FOR = APPLIED FOR = C. RELOCATIO._ TRA"SACTIONS DTE or aeaa s ; __ DATE MOVED_/,'1..:-::.....Zt.....:-==n:....t.;...,'-----------3 AMQ!JJ,;l OF RflliT TO CUR A S ----------- LENG":'H or TtV.E '!'C RELOC.IoTE. AF'TER DATE OF' ACOUISITIOh .[ ..... ,, ::--3s-=-o6-------v:;:;::-:;.;;:---------. i A!:)Oil(;5 1333 York St; il n1 I c"' Denver I Co i a: z-'1.6..... S.ALES HOU!H 8. STANDARD V'suB SlANDAID b. lENTo WID UnUTI S z:s':'t WITH $ ____ c. -----MD P.I.T.I $ ___ ... ,... (IN('\ 'i' .... jr. -('\ d. LPA I( f'EI.[D i...J SELF RELOCATED ::: I ,........ PUCE NT ON li!i------------------"l! ... e. Z PUBUC HOUSING PIDJECT NAME---------------------0 ._, '. ,."l 3 lENT SUPPLEMENT HOUSING ___________________________ MONTHLY INCREASE S ______ DECREASE D.U.R.A FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES CIRCLE a UNDER I ZO b ZO.ll c 33-IS d. 06-5e 51 Z. AVERAGE ANNUAL GlOSS REJrriTAL '------; g .. z """""'' -' 72-83 ,. 84-96 CD ,._ 97+ AMOUNl -----); 211 w/0 f'URN r-""' W S10 Ylilf'URN Cl'l t1' N v; -i i U! ] AMOU ... T Of RE.LOCATIOh PlYMEfriT n '-------4 AMOUh! OF REi..OCATIO"PAnot-..:T G")IC'll ; z z: -__ .... ;:!"' r I C Z1 N "'i"' ll1j4A ,g-c. 0 0 7/fiiP "' 4 (J o : I'M'D. c;P .,33.tJD ,., "'-= -:e ip ---------------------------------------------------z Z:b : .r :-_ .. =--==--==-==-==-==-==-==-==-==-==-==-==-==-==-==-==-==-==--==--==--==-==--==--==--==-i N 1 w N ;:; I i COt Stu 113' ... 30 51fY3 I 5030 S ... ODif !WS: i 'Z" I L l l i ; 'ClS i lN3,.Ud lfC 1N31f "'"-tL -: OTH 1: INCOME ,. I I I II URBA 1: ,. 37-09 l"' z a c "' .. = :I A. UNRELATED "A"' t Bertha C. AooESs 946 -ll_h Str<=>et 3. URBAh AREA CIACi.E 1 (!) 3 F) 5 E ETHNIC COMPOSITIOh CIRCLE -(!J"" 2 3 .C 5 6 S. HIGHEST GRADE ATTAINED IN SCHOOL Cl RCLE 1 Z 3 5 6 '1 8 9 10 11 12 13 16 15 16 6. SEX; MALE-----------FEMALE--------"'K._ __ -,..,..----AGE OF MALE DYER 6< _______ FEMALE OYER il __ MONTHLY EARNED INCOME CIRCLE I. 5 G-<9 6. 5 ZSOZH z 50-99 3. 150-199 5 Z06-H9 9. OTHER INCO-.. 1. AD C 2. O.A.P 3. G A s s 5. I R 6 YA 7. A N.D. 8 OTH P 7. 30G.l'SI B 350-319 9 oo10 SOC. OR M'ORE MOhTI'ti..Y PRESENT HOUSING INORMATION UNREPOITED INCOME '--------------ANNUAL OWN[rl = 8 r NO OF RD0"5 ------....!IL..NO. Of BEDROOMS _....,:;1:,_ __ 3. AMOUNl OF MONTHL'' RENT WITHOUT UTILITIES 5 ------------1 A.MOUN"'!' OF MONTHLY PAYWIIENl INCLUDING P.t.l.l 5------5 GROSS INCOME ON HI?_IJ.S'"G %------::,.,...--6 YEARS UYfD 1 DENYER..M....PRESEOT ADDRESS_. ... _,_ __ 7 PUBliC HOU$1 ... ( ELIGIBLE FOR = APPUED FOR RELOCATION TRANSACTIONS I. DATE O< ACDUISITIO ____ __./,.l.._ .. j,.__U_._ ______ 2. DATE MOVED--------------------------3 AMOUNT Of MOhlHLY RENT PAID TO to u.R A S --------I LfhGTw OF TIM[ TO RELOCATE AF"T DATE OJ ACOUISITIOh --------D PER .. A"'ENT REcOCATION AOORESS 139 0 Magnolia Street i .. c:n Denver, STATL Colo ZIF=a:Q22Di ... 1. PRIVAU SALES 8. STANDARC SUB STANDARD liN b. RENT; w/0 UTILITIES 1 WITH 5 C. PURCHASE PRICE 5 MO. PI U dt;Qf ll -d. LPA RErERRED :J SELr RELOCATED = e. PERCENT SPENT ON HOUSING 91:------------C Cit Z. PUIUC HOUSING PROJECT NAME-----------------------C 0 .., 3. RENT SUPPLEMENT .. MONTHLY INCREAsE 5 ____ otcRAsE s ___ ?-I;;:"' U CE GRANTED o UNDER $20 S 72-!l :Jii>r-i-1 ---b zo-12 g e-9E Z I .. c. n-! r-,,. -------c 46-56 S'='wiOFUP."-..... e H-'71 S10 W/F'URh c.n "'"'',tr z. avE __ s_s__E_NTAL t j "' 3. AMOUfU OF RELOCATION ADJUSTMENT PAY.-ENT Z 1---------------m AMOUNT OF' RELOCATION PAYWENT C"' '"'! ::tl ,..,o,j > Zj z"! w .. w --4..-,---,-...,.-.-.-.., ...... Jf'AIU---r--r.---.----,:--------lc .. H----ORHP JS:DOO oo 111) .... ...

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    r 60 r C. ,.. .... : :'"I.': ...---. ... ... ------;-FRES:!UEZf:: Linda PriscillaAooRm 840 King Street .. ... .. .. .. ,... I"! 1!1 :i ,... i!! 1ul 0.. 1 1 4 8 -9 h Street 1. ,. ... m uwrAJ. o ,AI.n 11011u )I( I .. z. 3 ........ 4. 1SD-1t9 s. 7. -MI 8.100 01 MORE ;.6,5.7.2. OTHE. INCOt.tE: fiiONTHL Y ANNUAL I. A.O.C. s 1$4"'00 z. O.A.P. l. G.A. .. s.s 5. R.R VA j u PRESNT HOUSING 1. OWNEO u 7NNA,a;1 Jl I. NO. OF POOMS hC OF 3. OF JwtOt-.THL)REhT WITHOUT UTiliTIES ,_.j;._.S:..._,(X?""----AfrwtOUN' OF MO"i'TI-ILY !I'AYM[NT INCLUDING P.I.T.I. !_____ !i GIOS!. SPENT ON HOUSING '1t-----...-""7r 6. YEARS LIVED lh DENVER--'---PRESN1' PUBLIC HOUSING: APPLIED 'OR ::J ELIGI8.1..l FOR C C. RELOCATION TRANSACTIONS I. DATE OF ACCUISITIO._.N,._,_ft,__ ___ --:--=...-------1. OAT MOVEO _______ /j,_'J-'-'''f.#."'-''-Jf."-':11=-----l. AMOUI'IIT Of" MO.,THLY RUil PAID TO O.U.R.A. '------4. LEHGTI-4 OF TI..,.E TO REl.OCAH AFTP DAT Of ACOUISITJOh : -y, -US$ CIUS ------f,illlj [. D.U.R.A. FIMIINCIAL ASSISTANCE GRANTED t. tiOYIIIG UI'UUS CIICU o. IIUIEI S !t b. ZO.ll C. U-45 <1.e. W.'T1 !. AY[RAG ANNUAl GlOSS 1NTAL '--------------S 7Z-43 g .... ,. h 5 10 W/0 fUlfill. I I IIIIIIVIOUAL 3 AMOUNT Of RElOCATION AOJU5lt.4[NT PATN[Nl '-------uJIIIV Wtlf)D TtiiP A.:R'O.do I 'It) ---------------------------------------------------:z:i ___________________________________________________ <. '"" """ NOilVJOl31:1 lN3N'O'I'il:l3d ... .. -' "' Nl J.h3WA'fd CSO !)r .. nsnOH NC .l.N3::>03c ;: 1 .. c z z I I r 1: I' I' 1 -t1.__on.j IN COME -'. z. N 10 "' c lo::, i I I l(li I I I I I "' I"' ., I "'I i j., I I I I I I I I I I I i i j i I I"' z' A. U r-;RELATED IN 9 10 11 1Z 1l ,. 15 16 6. SEX MALE fEMALE 7. AGE OF MALE OYER 6 t. F EMA.LE OYER 6l So a. MONTHLY EARNED INCOME CIRCLE 1. $1) .. 9 6. S ZS0-219 UNREPORTED INCOME 2 50 7. 300-349 s 3 1 OD U9 B. 350-399 50 9 40CI 5 200-249 10 500 OR MORE 9 OTHER INCOME Y ANNUAL 1 A.D C 5 s I O.A.P 3 G. A s s 5 ... 6 VA 7 A.,...o -. L3.5: 8 OTHER I I I r 1a,si1 1 ? 1 1: v I' 7 7 !"'iio> = I i J\ I! '! URBAN I! S>li AREA ll X:?' o.:. A:...PHA CO I 0 t 20Z g 84 .. 33--CS 97+ ----d ..... S-:: w/o ruP" ,.... .. 510 Vl-o"" l AVERAGE ANNUAl GROSS RENTAl v; s ;!: J ... 3 AMOUNT Of RELOCATION ADJUSTMENT PAYMENT z s .. AMOUNT OF RELOCATION PAYMENT '"' "i %1 .. > z, N l-IB 1zi PRESENT HOUSING INFORMATION 1 OWNER HNNA/ r!!""' l NO OF ROOM5 HO or BEDROOMS 3 AMOU,..T OF MO,..THU AE Nl WITHOUT UTII..ITifS S AMOUNT OF MONTtiLY PAYMENT INCLUDING P.I.T.I. 5. GROSS INCOME SPENT ON HOUStNG % Z zl ... "' t'JtJ tD s Tit.IJ.P ... GZ n 3:: 0 _, i i 1% lz !Oi i I ic I i I I TEARS UVEO IN DENYER _____ PRESfNT ADDRESS .a. PUBLIC HOUSING ELIGIBlE FOR :: APPUEO FOR c RELOCATIOI> TRANSACTIO"S .r ,./ 1 DATE or ACOU!SITIO"'-_...., PI!,..,.,.,. 2 DATE "'0Vl0 3 OF" MOhTI-tLT RENT PAID TO 0 U Iii l s l.UiGTH or TIME TO Rtl.OCAT AFTER D.ll 01" ACQUIStliOfot SIM c.. 11,5:0' ANNUAJ. htrs E ,..,, ... '" .... C' ""' IL iC I -----------11 ... : ..

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    .. ., I l I I i;l .. lc: i "l -,z .:::::;. !.:::::: I 35-04 G.!....:..:..EGOS, Maria C. o:-:. ____ 10 0 9 -..:.--rnn--str-eet Pl!.-n I[NIA.. rue[$ >t()USI = uaAh AIA CIJit.l.l 1 (J l (j) 5 i a 5TINOAID r"sua-StAIIDIID I. fi11111CCOioiPOSIDONCIIC:UI 1{11 I I .. b IINI W.-oltiUIIISI llS.tJI WITHI----_,.J .... ') .. :") I. -Tall.lllt anID taJCIIia.-'f .... .;:: .:c ... l f'.I.T.I. _______ .. ..;. ... .--_:._ .. -y DlltlD t-1 CIIICU i:::j:a I I. 1-I. I na-IM UNa!POIITID .. alllll --Y: .. CIIEA111------JJ"'ICIEISE 1-----JZ!!! I [. D.U.R.A. FINANCIAL ASSISTANCE GIUNTED jl.lg!..a z100-10 &. 150H ZOG-U9 t OTH tCOM 1. A.D.C. O.A P. 3. .. ..... s s 7 ...., .. JSo-110 -ID C: 0' H;;&;> .N. WOHTHLY ANNUAL I. MOVING UPINSES CIICLI "'!; z ... ;CP' a. UNDEI I ZG S 7Z t;. ZG-Jl g. .. .,. C 3J..AS h. 110 W/0 FUIJrc ;: lr d. AiSI S 5 INDIVIDUAL .... ,, .... Z. AVUAGE ANNUAL GROSS RENTAl \(!;:i;. ;...,.-!> AMO:J!tri'!' OJ" RnOCATIOh ADJUSTWU,1 .. .. .. '--------------.... ____ .... t .. ..,.VL"":, o ..... E;. : f1" a..c. or ROO..,!' hC OF ""':'L" Of ""'()"'-:"'.., .. Pi:._ P. TWO'-':' __ O __ IJrlrCOirrlol[ "OiJSiNt: "'-----------=---YURS L.IYED IJrlr ADDRESS__.l___ HOUSING APPL![O :; E:i.IGIBL FOR r""! ...... J> :; S" ,1) P7b1.4 d< z #' S'JO cz; OtJt>. D d c TRAN SACT!ON S ,z -----." '" :.. r 4 : o o 1-IV. ZY ; MQV([; j :s !....-OJ R!::J.i":' U R A l ___________ i..EhGJ._z 0" Tlt.IE '!'C o'f'TEii DII':'E or aco:..:s.:no"" i I i \ 2 i 1 "t-::,,:. 1b I' e 7 6 5 I! 1Z II 10 g 7 i! &! r 8 b 1.1 b 4 !! b uoi .. 4 -: ;->, OTH INCOME ji NCOME J:-!''-' --li--=r"'r'"'H"" .. .. .z -l i := ':1 t.:.. ;!" .... ... '" :s f_ .. -,_ z N zw &IIIlA "' .. A FAMIU" i> SOCIOECO .. OMIC OATA ..... ..... .. ... ... sut"'"r....,.e..,g.,_t..__ URBAN ARU CIRClE I 0 3 0 5 6 4. ETHNIC COMPOS!nON CIICLE I G 6 5. HIGHEST GlADE AnAINED IN SCHOOl. 8Y HEAD DF FAIIIILY CIICLE 1 Z 3 I 5 6 7 I I e 1\ U IJ 14 15 16 I. NU1118U OF CHILIIEN IN tiOUSfiiOLJ) 80YS-----GIM.S--L....__ 1. AGE or MALES on 11 .J I FEMAlES ovn IZ I. IIIONTHI.V IAINED INCOME CIICLE I. 1-6. ll!lfl.ltl z.3. 1D0t9 150-119 5. 200-Ut I. OTHER INCOME 1. A.D.C. O.A.P. 3. G.A. s.s. R.R. 6. VA. 7. A.N.D. 7. _,.., 8. JSG-399 t!) 400-IH tJ/,11 10. 500 OR MORE MONTHLY II. PRESENT HOUSING INFORMATION UNIEPOITED IICOIIIf I ANNUAl I. OWNII C TENNANT 11 I. 110. OF ROOIII5 NO. Dr J. AMOUNT OF MONTHI.Y RENT WITHOUT unum5 J,.olu, ... ,.fooQ._ __ 4. AMOUNT OF MONTIII.Y PAYMENT INCWDING P.l.l.l. 1-----------1. -INCOME Sf'EIIT .. -SINS 1f>---------------1. YUI$ UYED: Ill DUYER----I'WIIIIIJ -lllU-7. !IOIIIIUCIIOU-: IIPPUED POl D IUIIIILI fOil D C. ,RELDCAnOIII TROSACnGNS 1. IlliTE OF AOOVtSmON _________ z. n 1. -.n OF _,.._y 11111T f'AID 10 D.U.I.A. --------------- .1OF 111111 TO IELCICATE Ann DATE i1F &COIIJSIIJON. D PERMANENT 20-07 ... !' ". .,...;..-.T' -..... : .. -." ADORES s __ __ 1. PRIVAtE lfl SALES KOLr!r.E a STANDARD ::: SUISTANDARD ::: 1 .1! '1 :1 .. b.-lENT: W/0 UnunES $ ______________ WITH'------<-PUICHASE PIICE I 1110. P.I.T.I. I d. LPA IEFIIII:D C SElF RElOCATED C "' -PIICENT SPUT ON IIOU51NG!1o________________________ I .. N Z. PUBUC IIOUSING PIOJECT NAill Of-i +------------------------!= :al MONTHLY: INC.EAS S DECREASE 1-----------i:zl [. D.U.R.A FINANCIAL ASSISTANCE GRANTED ;.o!gJ..a 1. MOVING XPENS. CIRCLE 1-r'li!: llt o. UNDER S 20 t.. Z'-32 C 33-C! o. u..se e H-71 Z. AYI:RAGE ANNUAL GlOSS RENTAL '-----------S 7Z ..... S t(t W/0 FURl!i S 5 INDIVIDUAL 3. AMOUNT OF IELOCAnON ADJUSTMENT PAYMENT ----------- AMOUNT OF IElOCAnON PAYMENT I _________ n c.r ; r-: cr I .... jUI ... .. .. .. .. .. .. "' .,.0"""0 ------,liE I: tu1e 1.,., ,.,.,e ... ---------------------------------------------------1 iie>; :J:r Zlo; "'' ,_ I

    PAGE 147

    -----. -----------------. ::.. ___:_ .. __ .. __ __. --------, -\ :_ Jlo.-------z 2 50 6 -'.-:'!!: .. I I :::-, I i I l.-J ...... .. ... "' J. ltw t. OTMII INCOMo I. A.D.C. Z. O.A.P. l. G.A. s. s. 5. R. R VA 7. -.ut .. --11. 100 01 MOlE WDNTHl.Y AIIIIUAL &oDREss, __ .1. ---EIPUS C111CU o. 811Dla s z.o b. 16-J.! c. IJ-45 d. -.sa .... 71 1. AYERIGE AIIINUAL GeOSS RENTAL '-------sn ... h. $10 W/0 FUIN. S I IIIDIYIDU AL l. AMOUNT OF RELOCATIOJ.I AOJUSTMUIT PAYMENT li::\ i'l B ::i z; A h.:C # A,.OUNT or RECOCATION PAYWNT G'> PRESENT HOUSING '-------__ ,.. OWNER C .,., -d. NO 0< ROO"S J NO. or A"OUNT Or .. OhTMLY RE-' WITHOUT UTILITIES .. (?4: '.u.siji ; 1:,:"' lz '"'' """' .--4d... i):'-'UIUC HOUSING: APPLIED FOR 0 ELIGIBLE FOI 0 IO' ,.. I c RELocATION TRANsAcTioNs IIIIWHAL ,,. IOo. !:: --. 1. DATE or ACOUISITIO" "-/73 1 I z. D TE "OVD __,Zt...::-'-"-..._7L::.:.....LZ ... 3.._________ 1; i =-. A .. OUNT o MONTttLY PAT .. NT IIJITH MIUE LUCEo ... ... ,;:= .. -=-=.. ... =-=-=-=-=-=-=-=-='" Ol.l.V:>013!:t .l.N3N\IW!:t3d !N3"A.d t!O !'i31l !lNISnOH h0 !N3:l!l3d : ,;; :"' t / 9 l 8 ens i 35 !! "' I I i"l I iIFL I I I i J: I! ___ ________ .....,._r"'>--ff-, -C:cT:cH-:--:-IN"'C"'o=M-=E-11-JiM""'Occ,.c:T"H"L"Y,....,It;"'c=-o=M"'E-,E"A""R"'N,.-.-i .,- SEX II ETHNIC lf AREA lfX3'0"X ALPHA CODE ':;A UNRELATED INOIVIOUA. D. PERMANENT RELOCATION 0 9-0 5 -------,z: .. : !<' il I =======.., ___ .. ___ .. :::1 I I N I i I ID jVI I ., I I I I I .... GARCIA, Jose ADDREss 112 3 Larimer 3 URBAN AREA CIRCLE -1 Z l 6 ETHNIC COMPOSITION -CIRCLE 1 2 (!;)1. 5 I 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRClE -1 z 3 506 1 G:::h 10 11 12 13 15 16 6. SEX .. ALE !; r[ .. ALE------------7 AGE or "ALE OVER 6Z ____ FE .. ALE OVER"------8. MONTHLY EARNED INCOME CIRCLE 1. s o' s. z.so .. zM Z SO.ei J 100-149 150-199 5 200-249 S1 OTHER INCOME 1 A.O.C 2 0 A P 3 G. A 1. S. S 5 R. R 6. VA 7 A.N.D S OTHER 7. 300.30 e 350-399 a;> A00-499 10. SOO OR MORE MONTHlY PRESENT HOUSING INFORMATION UNRPOITED INC()I,f '--------------ANNUAL OWNER = TENNANT c I 0 NO or ROO"'S NO OF IDIOOMS """""'-=-:---At-40UNT OF MQJojlHlY RENT WITHOUT UTILITIES$ ctc.oo AMOUNT OF MONTHLY PAYMENT INCLUDING P.I.T.I. S ----' GOOSS INCOME SPENT ON % _____ --:'T"--6 YEARS UVEO IN DENVER ...l::J:..__PRESENT ADORSS_=a::;_ __ 7 PUBUC HOUSING ELIGIBLE FOR LJ AI'PUED FOI C! RELOCATION TRANSACTIONS 1 DATE Or ACOUSITIO (,/,? -' z DATE "OVEC 1(; 73 j; AMOUNl OF WONTHL Y RENT PAlO TO 0 U. I.A. S IJ,Q,QQ A L[JiiGTt-1" or 10 RU.OCAT AFTER DJT OF" ACOUISITIO"-"' -ADORES c1nDenyer mTE Col a z,::2TIAO PIUYAT RENTAl 8.. SALES HOUSE = a. STANDARD /il. SUB STANDARD b. RENTo W/0 UTILITIES $ _______ WITH $do OQ c. PURCHASE PRICE $ .. 0. P.I.T.I. $ ___ d. e. 1. MOVING EXPENSES-CIRCLE o. UNDER $20 b 2.G-l2 C. 3J..A5 d e 59-71 AVERAGE ANNUAL GROSS RENTAL '--------------& 3. AWOUNT OF RLOCATIOJr. ADJUSTWENT ltAU.4ENT ,, ______ j AMOUNT OF RELOCATION PA YWENT I '11 l 7JI I 900 q. I. ?'6. "' ): 0 c z >< 'II ::il "'-lO ------------------------------------------------17 N .. ... N .. .. 0: ..

    PAGE 148

    . .. .. .. .... "' ::> .. .... 1/'J: --------'""': ._,"" :. ,.., :--.--' ..... .. .. : = OAla 0 PfLOCAT!\)'\ 2 4-0 l Josie D. t.ooREss 3607 Shoshone Street R. s.un HOUSE J( 0 !. '1-.. 1. 7. -L. 3. ... ,., .. 310-:ln t. *"IN' EXPEHSIS QIICI. .. ,,..," .. Q UttDU S 1D S7l.a3 !. Zoo.l49 10. SOO o MOU b. -!l .. .... .. OTHU INCOOofE, MONTHLY AIIIIUAI. c. h $ 11 W/0 FUIN c c 1. A. D.C. "-1.1. 1. O.A .. GA. .. s.s l?lal_Q R. R. VA "D PRESENT HOUSING INFOP.MA.iiON OWNEP :::J TENNA?" .2. HO OF ROOMS. NO Of BEDROOMS.-..,;:,r=r-3. A.,OUT OF .. ONTHLY RENT WITHOUT U"LinES 1-..J'Lf,..._.l,_,fJ"'----4. AMOUNl OF MONTHLY PAYMENT INCLUDING P.LT.I. 5. GROSS INCOME SPEhl 0H HOUSING 6. YEARS LIVED. IN DENVER ____ PRESENT ADDIESS__iL__ HOUSING APPL.IEC FOR 0 ELIGIIlE rOR 0 RELOCATION TRANSACTIONS 1. DATE or ACOUISITIO,_.:;N'-'1\...._ ___ ,--:-:=:-.,_,.-------Z. DATE .,ov ED ________ 4/!L:.L/..;;.f_L..Jt.tJo:JIL. ___ AMOUNT Of MONTHLY RENT PAID TO C.U A.A.'-------4. LENGTH OF TIME TO RELOCATE ArTER DATE OF ACOUISITION .,, __ oDRE ss ....... ___ URBAN AREA CIRCL-E 1 (i) j 5 6 4. ETHNIC COMPOSITION CIRCLE 1 2. 4 5 6 !. HIGHEST GRADE AnAtNED IN SCHOOl CIRCLE 1 2 3 (!) S 6 7 8 9 11J 11 12 13 U 15 1fi 6. SEx, .,ALE X rEMALE-----------7. AGE OF MALE OVER 60: '5: FEMALE OVER 62 _____ 8. EARNED INCOME CIRCLE s 0-49 6. $ 250-199 UNREPORTED INCOME Z. 50-99 7 30GH9 1 OC-149 350 150-199 400-499 200-249 10 500 OR MORE OTHER INCOME AN-.UAL A.D. C. O.A P G. A s.s tJa ... 6. VA A h.D 8 OTtiER P'-ll.lllf J/4 QQ PRESENT HOUSING INFORMATION OWNER = TENNANT F r.1:, NO OF ROO .. S 5 NO OF AMOUNT Or MOHTHLY RENT WITHOUT UTILITIES S AMOUNT OF MONTHLY PAYtr.4ENT INCLUDING P.IT.I GROSS INCOME SPENT ON HOUSING 9(_------:-::-:=:rYEARS UVED '" DENVER ADDRESS Jfsl 7 PUBLIC HOUSING ELIGIBLE FOR APPUED FOR RELOCATION TRANSACTIONS 1 DATE or ACOUlSITIO,. DATE .,OVED _____ __;,L.:.L/.:. AMOUNT OF M0hH1L 'r' R( NT PAIC TO [) U R" LENGTH Of TO RELOC-.TE ArTEfii OPE or ACOUISITIOh .. d. ... .. I 5 INDIVIDUAL e. n Z. AVERAGE ANNUAL GlOSS RENTAL l. AMOUNT OF IEI..CX:ATIOh PI.Yiw![N"!' A AMOUitrt'T Of RELOCATION PAYtw!fNl '---------------AooREsb 900 Gro'le Stree-:. cm en v e r s,. ll......:C=o=<-=..._,_' 0 4 1. PRIVAH RENTAL _: HOUSE t a. b. c. d. STANDARD fit SUB STANDARD RENT: w/0 UTILITIE5 5 WITH PURCHASE PRICE 5 /7.5'(} 0 .. 0. P .IT.I LPA REFERRED = SELF RELOCAHD J.:JI e. PERCENT SPENT ON HOl!SING % _________ Z. PUBLIC HOUSING PROJECT NAME-------------3. RENT SUPPLMENT MONTHLY. INCREASE DECREASE E. O.U.R.A FINANCIAL ASSISTANCE 1. EXPEfriSS CIRCLE UNDER S ZO Z0-32 t 4l>-S8 e 59-7-: 2. AVERAGE ANNUAL GROSS RENTAL \ ;"2-83 84-% 9'!+ Atr.40U"'l --$5 w/0 FUR"" SIO .,., I FliA"" 3. AMOUNT or ADJUSTMENT PAYMENT A. AMOUNT OF RELOCATION .-, ... .. ... .. "' "' .. "' .. c.. .., =-0: :Q "'

    PAGE 149

    ,,. -..... -:' -------------------.... -37-ll .. _. ----,_:_,_. --------:.2 :;:: .... ( GARCI.;, Lorenzo ADDIIm 1600 South Feder,_,a,._,1.,_ __ .. '5i ADDius 960 llth Street 1. m n'"-,...umHOUsl :: ,.., .... I. UDNN AliA CIICI.l .Q I I ., S 6 .. o. -AID .,....;llti.IJUDUD C t:.-=SL .. _,; j;; .&-ews --... ,. .. )u ____________________ dl='--.1-.;....,...;;..;,,..;... ... ... N .. .J .. e 1. I-I. l-UIII-11D IIICOMI _TIL,: IICHASI t ICIU5 1-----;.:, .. ,. ., 1. -7. _,., 5 D.U.II.A. FINANClAL ASSISTANCE GRANTED 1. 1110-Mt 1. I. OVI115 UPUSES DICL IMIM t. .., UIIIIU t 10 f. $ 71-13 ,. .... I S. ZIO-Ia IO.c:e OR j!SiP b g "" zl?; OTHER INCOME: WONTHLY &DUAL c. J..., '10-W/0 FUIN. : .. I. A.D.C. d t 5 INDIVIDUAL ,..,,. 2. O.A.P e: .. '.., 3. G.A. I. AYUAG ANNUAL GlOSS RENTAL 5.5 '-------:::., A R: 3. AMOUNl OF ADJUSTMENT PAYtr.l[fH .. '-------.. 7. AMOUNT oc-RELOC:ATIO-. PAYWE.OT !(;') ,..(Z 8. F'RESENT HOUSING INF0Rh4ATi0fot s________ 1. OOiN ::: TlNN.u;T ii-z NO. or ROO"S NO or AMOU"'! OF MONTHLY RiT W:THOU'! UTILITIES __ .1_3--.fL..!!:()'-'-'-=D::...;o:._ __ 'riOIP ., ;;;. v. ,-u, .. ... ... .. .. .. .. .. .. 5 9 L 8 anSI' I I 35 : ,. ;1 i i' r. --___,L: z t t J J .< _t I J I t .1 'f. J L v I J i l't'l:o l e N I' ,_ r-.. --'r= ---.,----ii! i A. FAMILY COMPOSITIO"' 6 SOC!OECOt.;O"'IC DATA D. PERMANENT RELOCATION :. !f'f ,. r .. .. .. ... .. .. ... ., c "' .. .. .. N V> :1 c .. .. c a: .. :51 3. URBAN ARIA-CIRCL -I C) 3 G 5 6 a. STANDARD )I 5UISTANDAID c-A j "" "' 4. [THNIC COWPOSIDON CIICL 1 Z @ 5 I b_IENT' W-'0 unUTJ S ""'' lv WITH 1-----h 5. HIGHEST GlADE AnAINID 1N SCHOOL IT HEAD OF FAWILT c_I'UIICIIASE PIIC s ______ MD. P.I.T.I. _1 OICLE I 1 3 I I t 10 II 12 13 14 15 II d. LPA BEFEIIED D SELf I LOCATED D I. NUWBEI or CHILDREN IN IIOU5EHIIUI IIOYs_l__aas __ ,___ -PEIItt:T SPENT ON HOUSING"-----------7. AGE OF WALES OYEI IS ____ IfiWALES OYU R *" Z. PUBUC IIOUIIG PIOJECT IIAW I. WONTHLT EAINED INCOME CIRCL I. $-I. S IS..IM I. 7. 3110-Jft l. 100.1G 150-199 s. zoo.z 9. OTHER INCOWE.8. 350-399 t. ... 99 10. 500 DR MDIE WDHTHLY 1. A.D.C. t J.!l,flfJ Z. O.A.r.ltlnllli.lt.. 3. G.A. 4. s.s. 5 ... 6. VA. 7. &.N.D. B. PRESENT HOUSING INFORWATION UNREPOII11D INCOWE s ANNUAL IIGNTHLY: INCIEASE 1 DIE:CREASE S ,.., ._j -----;,. 5!.., ... : [. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ,...,,..,, 1. MOVING EIPNSE.S CIRCLE ,,_,i,. i .. a. UNDER S ZO JZ-83 z >l:i b Zt-3Z li '' Zl-c!UI --c. n .. os S 10 W/0 F'URN !:!1 I ,.. d. -.. I INDIVIDUAL r-1 i .. B-71 j .. 1. AVEIIAG ANNUAL GlOSS llNTAL .. ... J. A-T OF IE10CA,_ ADJUSTWENT PAYMENT s n1 .. --I'll I 4. g:J: .. ,..., I. OWNER D TIN&Nllf I. 110. OF -S L OF DED-5-r.! Of .. ... _)..i J. AIIOIINT OF WONTHLT IEICT WI'IHOUT unUTJES 1-;,:L-._.jiEIIJ--' AMIIUNT OF -THLT PAYWINT IRCUIDIIIC P.U.L 1------= -,;r; "RI.:IITa.Ru::C:: 7. tiiDUt __ APPUD FOil C WIUUF .. D C. 1tLOCltoTIOJI TIIANSACnON:iJ.& 1. n or .. "'-'-'---::--:-'llr--.IX------1. MT MIWIED--------''L...;'/.....,),__t_,._ ___ J. -T CIF -711LY eDT PAID 10 D.V .A. S---.,.,.----4. LIIIG1M CIF tiWt: 10 lt:l.IICA ft A FYI I DaTI GF IIINILV.. :. _..:_.-NE,fM f'CIII! L11121.Y .... .,!JO. .I, lil I'WT.S if llll ... --..... ... ';, .. "' --.. ; !-.. -./7 ..4J i" "'" "' _,+. ..; ... .. .,....,.,: 2111 .. ; -w .. ..

    PAGE 150

    ... r. .. ... .. .. "' .... .... N ... ,... ; ,, ..... .... I I I"' :'u;l o,::>, .. li lo; .... ; a:w I on' I l. 1.-s. ... ,. .. ta-1" -5. lDWG 10. 100 01 MOlE I. OTHER INCOME' MONTHlY ANNUAL 1. A.D.C:. l. O.A.P. I. G.A. .. s.s 5. R.R E. VA. A.r. 0 B. PRESENT HOUSING INFORt.tATIO"' I. OWNR 0 V NO OF ROOMS .:J HO Of 3. AMOUNT OF MONTHLY RENT W!THOUT UTILITIES $--''IQQ._D.;_,O __ 4. AMOU .. T OF MONTHLY PAYMENT INCLUDING P.I.T.I. '-----5. GROSS INCOME SPENT o HOUSING 6. YEARS LIVED' IH DENYER_a__PRUENT 7. PUBLIC: HOUSING, APPUED FOR 0 ELIGIBLE FOR C c RELOCATION TRANSACTIONS I. DATE OF ACQUISinOH;:-...... ______ 2. DATE MOYED __ AMOUNT OF MONTHLY RENT PAID TO D.U R.A. S _______ _. LENGTH OF TIM[ TO RELOCATE AFTER DATf OF ACQUISITION St!0: !I::;::Cl: .. N Q!S I ur;3.,AWd bO lN3b i::l I I n i I 'Z l' I I I, I l ALPHA D 38-06 \1 I ADD RES .... ....... u .... .:ic..;;9L,,,...2_' -.ga-tp ..,.LJ+ c"' nenve:t.., sm Colo_, 1 PRIVATE IENTA' ;;; SA.'[<-H.OUSE 1 I'"'" PERMANENT -. --a. STANDARD Vsus. STANDARD b. RENT' W/0 UTILITIES s WITH s r. PURCHASE PAIC:E 5 MO. P.I.T.I s d. LPA REFERRED :::J SELF RELOCATED !J e. PERCENT SPENT ON HOUSING % c I z. PUBUC: HOUSING PROJECT NAME c;.. .. l RENT SUPPLEMENT HOUSING MONTHLY ltriCREASE s DECREASE s __ D.U.R.A. FINANCIAL CE GRAr;T[l) .,.,, ... 1 ltiiiOYIIifG EXPENSES CIRCLE z --:-U' -c UNDER $ZC $ 72-BJ ,. : ZOlZ 0 84f ;o: .. 3J...C5 -!"'"+ AMOL:Nl -l:z:, ,.1_ '6-58 r.-IC FUiiil'\ "' 9-":'1 S1o "' 2 AVERAGE GlOSS ..... "" ->I l. AMOUfiiT OF IELOCATIO-. ADJUSTa.tE"T PAYMENT z s nr,. .. ,.,lc:= INOU .. T OF IELOCATIOh PAY .. EhT .. ,. .. z z. r 3 -c :::J.: "' A...,.,... .. ,_ oz 1IJ .Z..2Q r: ... -m.,11. Q" .. TLIIP .. .;J. I 'fl'.IY 3: C' :!:1::-.. Z' t!J. 0 ttl 'CH 1. 'f_ fiMrs. IF w f/5:.1! :;'tl::" .., m. ;-, ,.. 1' "'-"' C-.,. _i.,

    PAGE 151

    -----j i I GE.-3.::, Vir-ci:-.ia 3 UIIAh AREA CIRCL 1 CD 3 G>' ETHNIC CIICLE -(%) I 5 IMGHUT GlADE AnAINED IN SCHOOL 6 S I f CIICU 1 Z J a 5 I 7 I t 10 11 !:J U 11 M 6. S. MALE 7 AGE 01 MA:.E OYU 62 FE MAL OYEI tz _____ I MONTHLY EARNED INCOME CIICU 1 '0...9 6 I ZIOZM 2 50 3 100-149 .. 1!10-199 5 ZOG-Z49 I OTHER INCOME A.D C l. O.A P 3 G A s.s R 6 VA 7 ... c 7. JOQ.Jj9 8. 350 9 &OO..t99 10. HO OR MORE MONTHi.Y PRESENT HOUSING INF,PRMATION UNUPOITED INCOME '-------ANNUAL E ,:.. ....... :. :, em ;.Je:::l\'er....L, su" Colo. 1 PRIYATL 1[1\":'A., iiJr SAL[$ HOUS ........ a. suNDARt Vsue STANDARD b. lENT W/0 UTIUTIES $ u WITH $ ___ s __ I j..., .IN r 1-,. _,.. $ _____ 1110. c. d. L,_ IHURED SELl IELOCAlED :J :a I"'. ,.,... e. SPENT ON HOUSING "'----------oil Z. ltUIUC HOUSING PIOJ[CT NAME------------. ... 3. RENT SUPPLMENT :tJ gj..,. MONTHLY lfriiCR-SE S _____ DECREASE $ ___ N' D.U R.A FINANCIAL ASSISTANCE GRANTED "rJ., 1. MOVING EXIIENSES CIRCLE w zl::ai.. .. c lJ..A5 97+ AMOUNl ---; 2)1'" .. d .,._51 Slj W/0 FURfll r-1; ..,. w e H-71 S10 w/FUAN E! U) "'tt 0' N Z. AYAJ,Gf ANNUAL GROSS RfNTA.L v;, -------1 .. 3. AMOUIIiT or RELOCATIOh ADJUSTMENT PAYMENT --------""I 4. A"-tOUhT OF AEi..OCATIOto. c-.!C'I! ::ol' .... / / j .1_ --t :a: C': .. .... ,_. ___ 8 :z: :. Tf.t.I,..A"iTJi"' cr ROOMS I NO OF BEOROOMS_ .. t,_ __ """!UI OF MQI\jT!-ii.. Y P ,.., WllHOUT UTH.ITifS 5 00 I ,;lgD. o .. AMOU'IIT or MO"'THLY NT INCLUDifrltG P.I.T.I S ----> GR055 INCOME SPE_, 0' HOUSING %-------::--6 YEARS LIVED. lh ADDRESS s-, .1, 7 f,2. 00 7A.NP =-i PUBLIC HOUSING ELIGIBLE FOR :J APPLI!:' fOR 0 N,INNTS I RELOCA710N TRANSACTIONS 1 net .,,.,;r.J I DATE MOVED /D,l7-7! 3 AMOU'Ii, OF M0holt1L\' PAID TO D.U li A 5-------U1 .. .. ----; .. .z i i I J 1\ I I I I li I r I I! I I I! I! I I I i ::! II URIAN OT>< INCOME !I MONT"'LY INCOME EARN ,i!r SE> ETHNIC lf AREA fiX:!,Ota ALPHA COOE ; '/A. UNRELATED INDIVIDUAL D PERMANENT RELOCATION --I 18-07 .z -a: 12: I. NAME GIENGER, Mary ADDRESS 2593 Sm,t-h St .. .... -i 2. ADDRESS I226 lCEn Street CITY STATE rcJc ZIP-1.2..... ... Si URIA AREA CIRCLE 1 (i) l C) 5 w .. l. 6 1. PRIVATE ANTAi. -SALES HOUSE .. .. ETHNIC COMPOSinON CIRCLE (J) 2 3 I a. STANDARD Vsua STANDARD N N 5. HIGHEST GRADE AnAINED IN SCHOOL b. RENT: W/0 UTILinES s WITH s "' CIRCLE 1 2 3 1 I I TO ,ei]>u ,. 11 e. PURCHASE PRICE S z$"00 1110. P.I.T.I. $ .. N z 6. SEX: MALE FEMALE d. LPA REFERRED 0 SELF RELOCATED c .. 7. AGE Of MALE OYER 62 FEMALE OYER fZ e. PEICEMT SPENT ON HOUSING oil: .. z I. MONTHLY tAINED INCOME CIRCLE 2. PUIUC HOUSING NAME .. c. 1. s 0.09 6. s I!I0-119 INCOME 3. RENT SUPPLEMENT HOUSING :an "'' I ,. 111111' m\ z. 50-99 1. 300 $ MONTt'ILY: INCREASE s DECREASE $ __ ...... N I I "' E. D.U.R.A FINANCIAL ASSISTANCE GRANTED ...,., I l. 100'1 >J "'I 1. MOVING EXPENSES CIRCLE .. i .. -. I I .. 150il I ..... I I a UNDER S ZO I 11 "'1"': ZOO-Ut TC. SOC: OR MORE b 10.32 g 14-!16 .. ll!i oi I I. OTHER INCOME. MONTHLY ANNUAL (. n-s 97+ AMOUNT -:a ,.. oi I .... 1 A.D. C. d ..... Ss. w/o FURh .-....... w til ;,.. I t Z. O.A.P 51-71 .1 S10 w/ruR. .,: I !ail"' .. I l GA. z. AVERAGE ANNUAL GltOSS IE .. TAL I I .,,. .. s.s ;;! .. -.. R. 3 AMOUNT OF IELOCAnOh ADJUS'rMENT PAYMENT z I 6. s .. .. I 1. A.N.D .. AMOUNT OF IELOCATION PAYMENT Gl" r!, :a ..... .. 8 OTHER PRESENT HOUSING INFORMATION N 1 OWNER oJ .. It%! I. NO or IEDIOOMS .. 0 -! NO or ROOMS A1G7Dii "i79 >-z 3. AMOUNT or WONTHLY RENT WITHOUT UTILITIES $ Z"' s r r 3:1.. "'"' AMOUNT OF MONTHLY PAYMENT INCLUDING P.I.T.I 7Kile. Qtl/l., co It"' It .. GROSS INCOME ON HOUSING .. .:lit' "'"6 YEARi UVED: IN DENYtR ___ PitSEMT ADOIESS 7. PUBLIC HOUSING ELIGIBLE FOR :! FOI 0 Y.. i c. RELOCATION TRANSACTIONS 5 1 _73 cr1 DITf. OF ACQUISITION :::j I. DATE MOYED :>I "' .... o: 3 AMOUNT OF MOtriTHLY RENT PAID TO O.U.R.A. s 1%1 izl LENGTH OF TIME TO RELOCATE AFTER DATE OF ACQUISITIOirli 10' ... o' I -I N N .. ..

    PAGE 152

    : : _______ ;:::> d z ., w 0 .. ...... ____ __,;!E B := ;_ :z !:;;: IO:t'-'! Ia:: lc.i I I I !c .... : ----__,;Z, Ill:: !t:f .. c N I --"'----i: i lgj .. a ., ... .. ... .. z = .. "' 0 "' .... .. ... "' :1 0 "' ... 0 a: "'' I.) I :::> 0 ... .:. ...... : Marcus UIIAf!. ARl" CIICLI E r" ;. lrol L 3/-05 711 St. #230 c"' Denver smt Colo PRIVATI RE.-.TA. l$, HO!:Sf ; .. .. ETHNIC COM POS1 TIOh CIICLl (j) Z J 5 I &. SIANOAID IlL SUS SUNOAIO Nf 5 HIGHEST GlADE AnAINEO IN SCHOOL b. RENT. W/0 UTILITIES S ______ WITH CIICLf 1 Z 3 S I 7 I t 10 e 1Z 1S U 15 1t c. PURCHASE PRICE S -----100 P.I.T.I. 6. SEX. WALE FEWALE-----------7. AGEOF-WAU 0YER62 (p6_ FEWALEOYUI: _____ d. LPA RHfRREO = SLr IEL.OCAT[O Jil W, I. MONTHl'l' EliNE[; INCOWE CIRCLE e. PUCENT SPfNT ON HOUSING 91\__________ 211 2. PUILIC HOUSING IIIOJE:CT NAME g 5 ..., .. RENl SUPPL(Mil HOUSING :0 nl' 1 I 0 6 I l50-2M a;> S0-99 300-3 UNRE:POITID INCOIH WONTH.T INCREASE S. r:.oc DECREASE $ ___ > N 350-399 E. D.U.R.A. FINANCIAL C GRANTED .., ., MOVING lJPErr.SES. CIRCi.. Z Ul 100-U9 15C-199 ZOO-U9 9. UNDER l.lO Z0-31 72-83 >H----OTI1E'R A.C.C OAP G A ('Yss 10 50C' OR MORE MONTHLY INfriUA\. c 330 .. 58 AVERAGE ANNUAL GROSS RENTAL E 97+ AM0UN1 ---* 55 W.IO FURh. 510 W/FURN "' .. AMOU"-T Of" RH.OCA!IO"t PAU4ENT ):j-<;Ul Zf-i----nl>1 rT'It1.,. > z. FP. t; 4-110 0 1'10 OF ROOV5 ..... t.j(j 0!= 0' loAQ .. RENT ,\\iTHO:.!T UTt!..:TIES! AMOUI'I'!' 0' M0"t1H:..'t' PAYMENT INCLUD!NG PI 7 I 5 GROSS INCOVE S.P[loi"' %-----:=-'7::""1"" YEARS LIVED lh ADDRSsf1'7/ (LJ PUBLIC 1-tOUSI,.G E:..IGIBI..E FOP APPLIED rOR = RELOCATION c or ACOU! 51 Ti0' 0ATE ... o .. ro 'f r Of MO'-!HL1 PAID TO 0 lJ R A !fa .e:z:;, '-E'IIGTt"' or: '!':...,[ T(' "tl.0C4H AriER 01.!'[ OF ACOUISITIOh lli?ht ? ... MONTHLY INCOME EARN A FAMILY COMPOSITION & SOCIOECONOMIC DATA T H f D? (( C: D. PERMANENT RELOCATION GIRON, Ida N. 3738 Zuni Street 1. z. Aoouu 1134 11th Street 1. PIIVATEUNTAI. c umHOUsE )t: - 3 E> 5 6 a. STANDAID /f SUIITANDUD C ETitiiiC COMPOSinOto CIICL I Z e S I b._IEIIT: WJ'O ununrs I WITH -::::;,;.-;-r::;:-::::;:.1 I. IUGIIEST GlADE ATTA .. ED IN 1C1t00L aY MUD OF HIIILY .<-f'JIIICIIAIE PIICE I .J.S;.f'l#,l/) MO. P.I.T.I .., _,..&ILl<: CIICU I Z I I I 1 f)t 11 11 U U M U W d .. J.PA.IID'II-D Sill HUICAIDI C = "' N ..... .. ....; ,)NJ I. 11-EI Of" CMIUIIEN IIIIIDUIENCIUI -.OY' I -_.. io-PIIICiiiiT .... OtiiiDUSIIIG"------------7. AGE Of' MALIS OU II PIALES -a Z. -UC IIDUIINC PIIUt:Cf NAME ftiHf-----1. _,..,., t:AIIIED 1CIICI. I. 1-1. SIIWII z.l. 1110-1 .. UOIM I, 1110-Zft G -400 I. JSI-111 -10. 100 01 MOl I. OTH INCOME: MOIITHLY I. A.D.C. 1. O.A.P. 3. I.S. I. 1.1. __ _,r:s td' .. 7. -.IIHW.IMC _..,/$".,...:!,. __ 8. I'IUSENT HOUSING INFORMAnOII c. 1. a.NII l ... MAIIT D -. z. 1111. Of' _,_,..,._ _,110. M tiD--;Ji!i!,c,.. __ 3 .. "1. --Y: ciiAIE S !KCIIAS ._-----l!"'l'rl E. D.U.R.A. FINANCIAL ASSISTANCE GltANTED I. UPENSlS CIICL a. UIIDEI S 10 b. R-JZ c. IW5 d .... e. &71 Z. AIIIIUAL GlOSS IEIITAI. '-------sn.a g h. 110 W/0 PUIN. S 5 INDIVIDUAL .1. IIMOUIIT OF .ILOCA-AIUUITMEIIT PAYMENT .. N .. .... .. N ... -_; .._j

    PAGE 153

    -------z N N N .. !I.. t&) l'""t II i j 1 ; : ;:: z lw.!t.: ... .. __ ...... -_::::::::-_-_._. _..::'_-_,_.'-. ___ ... -----.;;.-:-___________ _.._ ____ ... ;;. -.:. 9 : : 3 UIIA" ARfA CIICi..E 1 2 l 6 c ETHNIC COMP'OSin(tfl. CIICL 1 Z Ci) 5 I 5. NIGHEST GlADE AnAINED IN SCHOOL CIICL. 1 1 l S.A 7 1.)10 11 u. 1J ,, 1! 11 6 SU IIALE ef!!t : RE-.r WITHOUT UTILITIES S s=o Q c AMOUNT OF MONHti..Y PAYMENT INCLUDING P.I.T.I. S ----GROSS INCOME SPENT ON HOUSING %-------,IC'"--b YEARS LIVED DENVER ADDRESS APPUEO FOR C I .c or TllwiE TO RELOCATE AF'TEP DATE Of ACOUISITIOh I !o I !:0131:1 .1.N3NVWI:I3d i"' .. I ao ti3Mo.3C Nl san swao11 an 1N3WAWo 110 1N31:1 !>NISnDH NC !N3:lll3d I .. I I I';. i r 'r" : -' : '' I' z II z [ I an! I l n l i I l v L I < n l i I 1 jd11i ; 3 I rf,_.! _-_ __ I' :A. UNRELATED INDIVIDUAi. D PERMANENT RELOCATION I 1-NAME Bill Gomez 2320 Eraporia St. 1' .. 1:;1 mms 9:52 lOth St. c1n Aurol:.a ___ stuE co 21 : URBA AREA CIRCLE I 2 3 5 I. PRIVATE RENTAL X: SALtS HOUSE --'"' N .. .. z I N N om" omo _, 0 -noO MONTHLY ANNUAL c JJ..&! 9' AM UfiriP ---;:l:i .. A.DC ci 06-511 S; wo rut 2. O.A p e W/FURI'Ir. G.A. Z AVIEIIGI: ANNUAL GJtOSS RENTAL iii ::. 3 AM0; .. -,-0-r_o_E_L_OC_A_T_IO-.-A-D-JUSTMENT PAYME .. T : t.r VA s,________ 1 0 a AMOUNT OF IELOCAnOtt FA,.MENt C')IC'!'; 8 $127.00 welfare $2,630.00 .... PRESEo;T HOUSING INFORMATION ::, owER :::; TENNAN'I, JltX 0 NO or lOOMS J. NO. OF BEDIOOII.$...,.-m,...--AWOUN1" or MONT Hi. '1' RENT WITHOUT UTILITIES 5 0 0 0 AMOUNT or MONTHLY PAYMENT INCLUDING I.T.I 5---GROSS INCOME S'ENT ON HOUSING YEARS UVED IN OENVER ____ PIEUNT ADOIESS _,O:S.:.., __ PUBLIC HOUSING EUGIBLE FOR APPUED FDI C RELOCATION TRANSACTIONS DATE OF ACQUISITIC>tr. --------------DATI. A-.tOU"'i""! OF ..ONTH;. Y IEfrll'" ttAID TO D.U I&. Lllr!IGTf-4 Of !1M TQ IELOCATl A.F"T(R DATE. OJ ACOUISITtO .. Pf"l! -=r'"'P'"'Z'"D ... A...-------..s ... 2 ..... 3....,o..--..... O""'e.---------lc :::j .. TRHP $2.400.00 Rms s Bdrms 2 Lump sum Larry .. .. .. .c._ ., .. ,c;: ... ---------------------------------------------------lz 4

    PAGE 154

    -.:;.---. ... .. .. N N ... j : ,,.-.. ,,.. .. 27-0S -' c __ AODR E> ,,___J8ioJ..2ik.W.C--"lNUieaw:L' __ ll3 8 th St. 1 n.van IENTAL :: SALlS MOUSL J1. l. UEA CIIQ.E 1 Z J e .a. IIAU .. D IJt SV .. STAIID .. D C ; n : ':s ;.:: .... u c ... _._ t. -TILY IAnED INCOME CIIC:U: --------------------------ii::"' .. I. 10.09 z. 10-99 l. 100 150-199 5. 2DOU9 sno-m 7. _, .. 8. SIOM a-10. 500 OR MORE UNilf'OIITID IIICOME s M-Y ltiCREASE I DECREASE 1-----!:0"' L D.U.R.A. FINANCIAL ASSISTANCE GRANTED ... I. MOVING EX,UUS CIRCLE a. UNDER S .ZO S U-83 :.o!"V; W i ... I. OTHER INCOME> MONTHLY ;;5B: : S rURN. B I. A.D.C. o .-.P. G A. s.s S 5 INDIVIDUAL .. e. 59-71 Cl'l!r-1.., Z. AYfRAG[ ANNUAL GROS!t JtfNToh s. --------__ v. 3 Or RELOCATIOPt .. T PAYMENT .. .. v s. _______ IMOUPiiT Of' RtLOC,.TIO'I PAYMEhT !n "' 'c PRE!.Hf"T HOU!:IINC Oy;hn = TENN""T :JI.. "t NO '!)F" ROOJ.I'S 'f NO or BEOAOOMS'7-:::.-<:::::::-:-:AMOOJPII':' Of MONJHLf RENT W!THOUT U!ii..ITIES S 4J'Q.t!)c;J Of P.I.T.I. $ _____ ....JFl-..!::..P-=-_____ "' s ______ .. T4R f!/0 z I"'' .. "'II ..... !tftiZ z "' "' "' .. i. 1 N .. N --.. .. --;., ) _; .. ._) --...J !;WS ::ei &-..)oJ 0 "/PPf i ...Ja.J C> .lri-38 .. ...;,;,.;) .. .. ..Jr.J Ze> .. ... .. ..;, i

    PAGE 155

    -------,,z .. .. !. ,;IF .. L --.., ; .. .. -------. ( ,:(l'"' ... :,."' GOYU:Z, l. s. ... ,. t50ft 5. 1 ...... I. OTHER IHCOM; 1. A.D.C. 1. O.A.P l. G.A s VA A "[; -U. 100 OJ MORE MONTHLY B F'RE$\:1 HOU51NG Louis F. ANNUAL 1. OWN[ A C TENfliiAPtiT I( NO or R00"'4S (, NO. or BEDROOMS AMOUNT OF MOr.THLV REh'!' WITHOll! UTILITIES AMOliJOT OF' MOhTI'IlY .. AYh4ENT INCLUDING ... I.T.I. S _____ GROSS SPENT OH HOUSING .. -----,.-,,---'rEARS LIVED IN DENYER ____ PIESENT 7 PUBLIC HOUSING: AI'PLIEO FOR 0 ELIGIBLE FOI 0 C. RELOCATION TRANSACT!? 1 DATE Of ACOUI 51110' DATE "0VEO ________ __ Or MONTHLY RENT PAID TO O.Uoll.A. S ______ LENGTH Or nME TO RELOCATE AFTER DATE OF" ACOUISI!ION c 33-12 ooREs ........ r ..... e...,e__._t __ 1. --OPENS II QKU a. -n 110 I .. IZ c. lWS d... 1. AVEIAG ANNUAL Gtt055 ltENTlL 17l.aJ g. -I II W/0 FUttN. I 5 INDIYIDUlL 3. AMOUNt OF aE:LOCATION AOJUSNENT PAYMENT '-------4 AMOUNT OF RELOCATIOh PAU.4[JrriT '------5/vJru.. .. .. _....,4..,:/J ... IfcuNl 1 &II Q C -c-.,.. .. I ... :0 r"li ,., ?> ;::lc. "' -1"'' -z: icr '" r;, :;;i::': r-1:-..... .. -1,. "'-i..., "' > z z Z' O,Z' IT' -'3: 5::.. z "'=-:I .., -e' =-VI:_ J!::

    PAGE 156

    ,_-;i 4 I '" :..... .. .. .. .. 01 "'' .. .. I .. I' : l Q: I I II ; I :. ,. -;:; .. .. ... -..... ...... _:_H':".. .. i. r.. \ ..... : ---------------. 26-lG ... 1 !:>avid L. 3526 Clay Street aoouu 921 Curtis Street ,_,.,van uu .. o saLEsiiDUu.lt 1 !. UDAN ARIA CIRQ.E ; 0 l (!) S I a. SfAIIDAaD J' -ITAIID .. D C tj 1 ._ 1--CIKU I I -t ,.. _,;::c,. :: ,_ ,.....,..i( -I -t --, 7 ......... .... : !At.!.. -tl-U'tl., .u:s it .. i'_ .... : .... "'-_-!. -.;r.-=::: 'l.-3. 1110-149 150-lft S ZOD-HI I. OTHEI INCOME. I. &.D.C. l. O.A,,, G A s s .. I. SZIO-m 7. JOO...J.CI I. s-.119 --0 500 01 WORE MONTHLY 113.QO PRESE:,_. ... HOiJSING UNIEI'CIIITID coon I OWNEP C TENNA.Hl I( NO 0' or BROOMS_,.2.""':,...., ...... ror \ Ji'[JrriT W'T'10UT UTIUTI, __ AMOU,_1 Of MOJroii,...,t PAYWEhT INCL.UDIJrfG "I '1'.1. '-----GROSS lhCOME SPE.NT Oh HOUSING r-----,--YU,RS LIVED lh .. t PUB .. IC HOUSif.tG -.PPLIE:t' FOR 0 ELIGIIL FOI 0 RELOCATION TPAN$.C.C'T10NS OAT (U' DATE MOVED to st-z!-!.:z...__ ___ II II 7..;.1....__ ___ AMOUNT or MO,.THLY RENT PJ.IC !0 D.U R.A '------I..EhGTt-1 or TIME TO AFTER DATE OF ACOJISITIOirrt .-., ...... -TilLY: ICilASl I "ECRlASl 1-----;II ::1 l. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1" g, ... 1. MOVING EXPENSES DIICLE Z"'i01 a. UNDER '2.0 b. ZD-IZ c. Jl-&5 d ..... e. Sl-71 Z. AVERAGE ANNUAL GROSS IUiTAL ,, ______ S 7Z-&l 10 .10 FUIN. I 5 INDIVIDUAL 3. AMOliJ\1 OF" IElOCATIO'II .._DJUSTIII4ENT P-.'n4EhT '------ AMOUt.tT Of" ,., .... z t:!i ... .. __ ':.:l:..:c:....:.':.. s f-l C" I ,q I 3 r ;z .r i-,_. i ;,"'::o== i II .r ,.-).. 07r-I"'CCY.E MJ"W':'"'il'" tNC0ME EARhl ETHNIC AREA itsa656l CODE FAM:LY & SOCIOECONOMIC OITA 0 PERMANE"T RELOCATION 32-17 '" -------:z i' .... E GONZALES-tJ. Arnold ADORES s. '"' ... .. ... ADDREss 1020 -9th Str..._..e .. e ... t_,__ __ 3. URBAN AREA CIRCLE 1 0 3 t!) 5 6 ETHNIC CIRCLE I Z (!) 5 t 5. HIGHEST GRADE AnAINED IN SCHOOL 1Y HEAD 1/W FAOIILY CIRCLE I Z 5 I 7 I t 10 II 1Z IJ s 15 11 6. NUWIU OF CHILDREN IN IOYS-l..:::.SIDLS----7. AGE OF WALES OYU 15 11\'EI ll d I. WONTHI.Y UINED INCOME CIRCLE .. i lk I. PRIVATE RENTAL ::: SALES HOUSE lr o. STANDARD If SUB ST ANDUD D b_RENT: W/O ununlS s WIYH S w .. <-PURCHASE PRICE $ .a itt fill MO. P .I.T.I. S d. LPA REFERRED c SELF RELOCATED c .. "N .,,, -PERCENT SPENT ON IIDUSING ll _, __ ; l. PUDUC HOUSING PIIOJECT IIAWE .... J .. N .. B 1. ... z. 50-99 1S0 ZDG-2 OT"'E A lflfCOM E 1. A.D.C. O.A.P 3. G.A. s.s. 5. R.R. 6. YA. 7. A.N.D. 6. I Z!IO-Z91 J00-3 8 l50-399 I G oo..,99 SOC O MORE MONTHlY PRESENT HOUSING INFORMATION UNRli'CIIITlD INCOME I. DWNU C TENNANT 'If Z. .0. Of lOOMS ,f' o. OF 3. AWOUNT OF WOOITHLY UNT WITHOUT UfiUfllS ._ AMOIIN1 OF WONTHLY ICLUDING P.I.U. 1-----S. GDOSS I.COOil SPENT ON HOUSING '"-L-----....,,--1. YEAU LIVID IN Dl.VU Q nm -Ins:.= 7. PUaLIC HOUSI.G: FOil C IUGIIIU Filii C RELOCATION TRANSACTIONS,.._ 1. DATE OF Z. DATl IIOYlD I:l.U Yu.!IL-----I. AWOUII1 Of MOIIntLY RENT PAID 10 D.U.I.A. 1--------& LEGTH OF' nM TO IELOCATE AFTER NTE OF ACIDUI SinO.._ E WO.TIILY: INCREASE S DECREASE$ O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOYING EIJ'f:NS CIRCLE o. UNDER S ZO f s 7&-13 b ZO.JZ g c n-s h S 1G W/0 FUIN. d. 6!18 S 5 IIIDIYIDUAL ... z. AYE.AG ANNUAL GlOSS IENTAL I !. AMOUNT OF IELOCADOh ADJUSYWENT PAYWEMT .. AMOUNT 0' RlLOCAnO. s -'J.IIMfA... IJIN tt fu.l! M#].D .. _ifD :..o,...., w :,j .. ,.I .. Zi!,111 !:!1 : ,. ... .. Cillo; -4 ... .... ,. ... ni "' '"t .... ... cz,., .. -"' "' .. ...) 1:-..) i z C\ "' -:r --"""-J ....... ..

    PAGE 157

    ------z r H ... N .. N .. < 15 ;;: z.-3 ..... ,. 110-t" 1. zeo.z I. OTHEI INCOME: t. I.D.C. Z, D.A.P 3. G.l. "s.s R. R. ... 7. _,. -IICI Dl MOlE 'f'l'f-MONTHLY A .. Uoll. I z L i I i h'ONTHL'f INCOME : A. UNRELATED INDIVIDUAL ----------z .. ;g Ar.rr __ GONZALES, Joe z ADDRESs --g:;;r lot., Street 3. URIAN AREA CIRCLE 1 t!> 3 {J 5 6 ETHNIC CO.,POSITION. CIRCLE 1 Z 0 5 6 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 Z 3 7 B t 10 11 13 IS 16 E. SEX MALE FEMALE------------7. AGE OF MALE OVU &z _____ FE.,AU OVU &Z _____ B .,ONTHLY EARNED INCOME CIRCLE 1. I 0..9 6. IZS0-119 2 50-99 150-199 5. 200-2Cil t. OTHER INCO,..E. 1. A.O.C 2 O.l P 3. G A s. s R R VA. 7. A "''.D 6. OTnE R 7. 300-349 8 350 t. coo-; 10 500 OR UNREPORTED INCOME s _____________ ANNUAL PRESENT HOUSING INFORMATION 1. OWNER = TEN"'ANT 6lfl" NC Of ROOMS NO O BEDROOMS -or,7'"-.;:""'J,..... 3. AMOUNT OF .,ONTHl' RENT WITHOUT UTILITIES 5 _,3::..;,=-::..al'-'7'--C AMOUNT OF MONTHLY PAYMENT INCLUDING P.l T I. 5-----5. GROSS INCOME SPENT ON HOUSING 6 YEARS LIVED: IN DENVER ___ PRESENT ADORESS _., __ 7 PUBLIC HOUSING ELIGIBLE: rOR = APPUED FOR :.... RELOCATION TRANSACTIONS 1 DATE OJ" 'f'iQ'I\5'719'" NEll:, z DATE MOVEO 16 31-Z.3 Of REN"! PAID TC D.u R A s ____ LENGT!oi OF TIM[ TO RELOCATE AJ"TER DATE OJ" ACOUISITIOh 25-0l aDDREss 39 3.2 W. :Lxposition Aye I, fi .. VIJ IUTAL t: UI.&S -Sl ,.. ITIUAID r/ ._.UO C .1, -UPIIIIES -.C:IIICLE a. tltiDU I 10 b. IIWZ c. Uo&5 d.- ... n Z. AYEIIGE ANNUAL GlOSS lENTIL '--------------f. s n.u g -h. I to W/0 FUIN. I I INDIVIDUAL 3. AMOUNT OF I[LOCinON ADJUSTMENT PAYMENl --------A AMOUNT Or REL.OCoiTlON PAYMENT -------' 7 i 4 2 1 l 7 ALPiofA CODE ./ J 2 D. PERMANENT RELOCATION 38-06 aoDREss 1295 Navajo St c1n Denver. sTATE Cal a 1. PRIVATE SALES HOUSE 0 a. STANDARD V"SUB STANDARD ZIP----0.4 b. RENT: W/0 UTILITIES $ ______ WITH $ ___ __ c. PURCHASE PRICE 5 .,0. P.l.l.l. 5 ___ d. w e. LPA REFURED 0 SELF RELOCATED :::J PERCENT SPENT 011 HOUSING 5\1 __________ Z. PUILIC HOUSING PROJECT NAME MONTH' INCREASE S -----DECREASE S _____ ... w N ... .. N w N 3. lENt SUPPLEMENT HOUSING %J gl D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. CIRCLE i I 7l-l3 t-; C. 3.).. h 97+ AMOUNT----)> -d ... sa S5 w/o FUR ... .. e lt-71 $10 W/FURN t Z. AVERAGE ANNUAL GROSS RENTAL !!! iJ ,________ .. i 3. AMOUNT OF RELOCATIOfrf ADJUSTMENT PAYMENT I ______ AMOUNT OF IE:LOCATIC* 'AYMENT .. ./ zZj ___ .... ___ a .. 'PfN.P ..... 1: 0 s ... z "'lao; .,.,_ ... N .. .. .. .. ...

    PAGE 158

    ... ... .. ... .. c z I< 0 z ,c rc IQ on i .., c, .. w, m! .. "' ::E' o' "' 0' a: c ... _..._ ________ ---._, ._ .: -=-'-";. : ,.:. __ O:;__'l.:.f...:' L P __ I :.. :; .., .:. .. __ l.-I. .. .. 1!10-191 s. --uo __ I .. I. OTH INCOOU' 1. A.D.C. MONTHlY aUAL c l. 3. .. l. O.A.P. G.A s. s p VA ,. ... o PFH!;.E,_T 1. OWN R C TUUIIJ'Il NO OF ROOMS 5 NO. OF BEDROOWS L AMOU.,T OF MONTt-iU' ltNT WITHOUT UTh..ITifS I ,,2.50 A .... OUN":" Of MQ!'IITfoiLY PAYMENT IJriCL.UDING II.I.T.L 5. GROSS INCOME S'Ehl 0.. HOUSING YEARS liVED IJ!I DEHVER ____ PRESENT ADDRESS__l!il__ 7 PUBLIC HOUSING A'PUEO FOrt 0 EUGIIL.E fOI Cl RELOCATION TRANSACTIONS DA T OF ACOUI SlnON_.....!:N::..:.A.!....._-;;;r-:;;::-:r--..c...------l DATE MOVEC ______ __,..._ .:111J,.._,_.'f. ... 3----A-..OUNT OF MONTHLY RN1 PAID TO O.U.R.A. 4 OF TIM[ TO RHOCAT ArTER DATE Of ACOUISITION AURAR IA GONZALES, Joe #2 95T lOL1 Street URBAN AREA CIJICL 1 t!> 3 5 ETHNIC COMPOSITION CIRCLE l Z () 4 5 6 HIGHEST GRADE ATTAINED IJrri SCHOOL. CIRCLE 1 Z 3 7 8 9 10 11 Cj) 1l 1' 15 16 SEX MALE FEMALE-----------7. AGE OF MALE OYER 61 ____ F[MALE OYER 6Z _____ 8. MONTHLY EARNED INCOME CIRCLE 1. S 0-49 S Z50Zt9 UNREitORTE:D INCOME .. !t0-99 7. l00-349 a l!KIm 1SC 200-H9 OTH! I "''C0t.4 E A.O.C O.A P G A s s VA A e OT!oiH 1C !IOC' OR MORE PRESENT HOUSING INFORMATION ANNUAL = r 2. friO Of" 0 NO OF 8 E DROOM S A"0UNT OF MONTHCT RENT mHOu; UTILITIES S _:.3::...W=..:.''-"3'-'7'--AMOUNT OF MONTHLY lfrriiCLUOfliiiiC P.I.T.I GROSS INCOME SPENT ON HOUSifrriiC %-----....,::---6 YEARS UVED IN DENVER ___ PRESENT ADDRESS _;?,_ __ PUBLIC HOUSI"tG ELIGIBLE FOR o.... APPUED '01 C RE'-OCATIO" TRAN5ACTIONS I" OAT OF .tCQTSIIAb-Nd. 1 ,2 ) Zi' l DATE MOVED /6-ZJ Alo40Uhl or M0NT!oil.1' RENT PAID TO 0 L1 R A LENGTH Of TIME TO RU.OCAH Af"T[R OAT[ Of ACOUISITION 1. -nwus QIICU a.-llH b. Z.l2 S7Z-83 g. c. JJ.e sl.-h. s to w/o rut. S I INDIVIDUAl .... 71 Z. AVERAGE AWNUAL GltOSS IENTAL '-------l. AMOUNT OF IEL.OCATION ADJUSTtr.IENl PAYM[frH '-------- AMOUNT OF RHOCATIOfil PAYtr.CEhT '-------.fiwu, 38-06 ADDREss 1295 Navajo St. c11r Denver. sTm Col a 1 PRIVATE SALES HOUSE a. STANDARD .... SUB STANDARD b. RENT' w/c UTILITIES S ______ WITH c. PURCHASE PRICE S MO. P.I.T.I. d. LPA REFERRED 0 SELF RELOCATED 0 e. PERCENT SPENT ON HOUSING 91:---------2. PU8UC HOUSING PIOJECT NAME------------3. RENT SUPPLEMENT HOUSING ______________ !,., MONTHLY INCREASE DECREASE D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE UNDER S ZD-Z0.3l n-s d 66-58 e 51-71 AVE'RAGE ANNUAL GROSS IENTAL So 7Z-8J 8'-96 S10 AMOUNT Of IE:LOCATION ADJUSTWENT PAYMENT '-------' AMOU'IT 0, IELOCATION ,.AYtr.tENT .. .. .. .. .. .. .. .. .. .. .. .. .. ..

    PAGE 159

    I ... I .. .. N .. It .. N N .2 .. 10 ... r "' 8i on Vl i i !i: c' ,.. IC' l:t: 1 '12 IC I: 6 1: .:-.:.".:.';_;;_ .. .:.::-_-_-_+-... .J .. A COMPOSiTIOI'Ir o S.OCIOE DATA 0 PERMANENT AELOCATI()tl. 1 .. 1. .. .. ._ --.I. -1 .. --' ., .... .. I. UN .. 11. 110 011 MORE OTHU INCOME; MONTHLY ADUAI. 1. A.D.C. l. 3. G.A. s.s. 5. ... VA. 7 N 0 PRESEioiT HOUSING INFORMATION 1. OWNER rt TENNIII}-:l '\ NO Or ROOMS NO. or BEDROOMS ... 3. Of Moar.THL'I' lENT WITHOUT UTIUTIE.S 1------. AMOUNT OF WOHTHI..Y PIYWEHT INCLUDING P.I.T.I. '-----5. GROSS INCOWE SPENT ON HOUSING .. ____ 6. YEARS LIVED: IN ADDREssAfiOJ, 7. HOUSING: FOI 0 EUGIIL FOI 0 1 DATE OF ACOUISIT10N ____ C. RELOCATION TRANSACTIONS l' li 2 D.ATE. MOY[D 3. AMOUNT OF MONTHL'Y lENT PAID TO D.U.I.A. LEfiiGTM OF T111U TO RELOCATE AFT DATE OF ACOUISITION. .... E __ ... ADDRE s s __:l'--Q::....;::;2.....;Q;___....:;9:;_::t;.;:.h=-.=S-=t:;.::r=..e=.=e:....:t=--. __ l. URIAN AREA CIRCLE 1 (; l (V 5 ETHNIC COMPOSinON CIRCLE 1 Z t:iJ S I 5. HIGHEST GRADE ATTAINED IN SCHOOL L CIRCLE 1 Z 3 U I 7 I I 10 11 12 1J 14 15 11 6. SEX: MALE FEMALE-----------7. AGE OF MALE OVER 6< FEMALE OVER 6Z _____ I. MONTHLY EARNED INCOME CIRCLE 1. 'o-.t9 l. 50-99 J. 100-1.9 6. I Z!IOlH 7 lOOSt B. 350 INCOW 15CI 5. ZCI0-249 OTHER IN COM [ I &00_.19 33 Otl 10 & ANNUA 1. A.C C. OAP G A s s R R 6. 't'A 7. 4 lr!I.D S OT.,_.E R PRESENT HOUSING INFORMATION OWNEfl v' -NO 0' ROOMS 7 NO or BEDROOMS_ .. + ...... __ "MOUhi or WIONTHL"t R[frlll WITHOU' UTIL.ITI[S S AMOUNT Or M()NTHL 'I' PA YME JtT INCLUDING P iT I. S#tlfJ-jtJ GROSS INCOME SPfOT ON HOUS,_G CJi: 3 13 ;;r-;;:Z%, YEARS UY '"' ADDRESS 37 PU6LIC HOUSING EUGIBLE FOI' :J APPUED FOR RELOCA110N TRANSACTIONS t 1 DATE or ACOU!SITIO'-' _Z:J I DATl MOVEC /,j AW0Uh Or R"- PA1C TO Coli R A '-.ENGTt-1 Of TIME TO Rt..OC.AH AF"Ti DATE Of ACOUISITIO .. -, ...._,, IIICUUI'S L-----"lii'IEI 1:. O.UJt.A. FlltANCIAL AISISTANC GlllAIIlUl 1 ... CUICL a: VIIDU Ill b. 11-1! t.D-&S .. _._ .. ,, l. AVERAGE ANNUAL GlOSS IENTAL f. tn.u II--n. 111 W,O FUIN $ I -YIDIIAI. 3. AMOUNT OF IELOCAnON ADJUSTMENT PAYMENT 4 AMOUNT or RELOCAnON PAYMENT '---------------.j-NQIJA-!ID.6D i AooREss 1042 South Eliot CIH Denver I STATl m_l9_ 1 PRIVATE RENTA .. _...7 SALES t40USE 8. STANDARD fr SUB STANDARD b. c. d. RENT w/0 UTILITIES 5 WITH 5---,,...--PURCHASE PRICE S -MO. P.! T I. S -0-LPA REFERRED C SELF RELOCATED e. PERCENT SPENT ON HOUSING '.it----------1. HOUSING NAME-----------3. lENT SUPPLEMENT HOUSIIH0--------------1:" MONTHLY lhCRASE O.U.R.A. FINANCIAL ASSISTAIIIC GRANTED 1. MOVING EXPEftSES CIRCLE UkDER SlO 20-32 c. 33-4!1 &6-51 e D-71 AVERAGE ANNUAL GROSS '-------' 1ZJ E 97 AM0Uh1 --s, w-'o ruR 51 a "II' AMOUNT OF IELOCITION ADJUSTMENT PAYMENT '---------------. AMOU-.T Of RELOCATION 'AYIE"'':" 61/DA StJ-. .. N ... .. N .. N .. .. .. _.,.'

    PAGE 160

    ro: '--.., ... ___ --IJ__ :"'':':=-M! ar.;:C.ME t:A=. tl :: i' It' ,,.,..,L, COitrlfPCs,"'" b o.na. .. .. aDDREss 86 80 Rich arc Road t. "'YATl ttlti'I'AI. c ALu -ilc.mi.Y: IIICRIAII1 ICUAIE z. J. ..;....----------._:D.U.R.A. niANCIAL ASSISTANCE GltANnD I. __ ,. I. .. ...... t I. s llaOIMOIE t. OJMII IIICOMEo MOIITHio -IIIIIIUAL ... "' .. 1. A.D.C. z. O.A.P. J. G.A s.s 5. I R. YA 1 A pr._c .UI. PRESENt HOUSING INFORMATION 1. OWN 0 IENN1r ( NO OF ROO"S NO Or 3 A"OUT OF WONTHLV REOT WITHOUr UTILITI[5 AMOUNT OF' MONTHLY PAYMENT INCLUDING P.I.T.I. 5. GROSS INCOWE SPENT ON HOUSING 'So------.;.-6. YE.AIS LIVED: IN Dl'NYEI--'._.PIESENT 7. PUBLIC HOUSINGo APPLIED FOR C ELIGIILE FOI D ... C RELOCATION TRANSACTIONS N .. ... N ;;; 0 "' -----z ... N "' .. 0 N .. .0 1:: ;<: ,... u, U) jS I I "'! I "'!"'; l:f' ,_lg! let': i i i l I I I I lz1 1 "'I" I 15; i:sl:! .. .. I .. i I I l I I 1., c. I"' I I lz 10 i I. DATE OF z OATE .. :!J.-. ____ 3. AlotOUNT OF MONTHLY RENT PAID TO D.U.R.A I ______ LENGTH OF TIME. TO RELOCATE AFTER DATE Of' N .... __ ..... -ooREss 1105 Sl:OUt S1:. #5 3. URIAh AREA CIRCLE. 1 2 3 5 6 A. ETHNIC COMPOSITION CIRCLE {i)z 3 5 I 5. HIGHEST GRAD AnAINED IN SCHOOL Cl RCLE 1 l J I I I 10 11 ll t3 11 15 11 6. SEX. MALE 5L FEWALE-----------7. AGE OF WALE OYER 6l FEMALE OYER 62 _____ I. WONlHLY EARNED INCOWE CIRCLE 1. S ... 6. S 110 UNREPOITED INCOME l. 50 10C-U9 150,9S 5 ZOG-2 9 A.O C 0 A P G I 5. s 5. R. VA J,.h.D. E OTHER 7. 300-3.9 8 350]99 9. oo-tt 10 SOC OR MORE MONTHLY HOUSING INFORMATION ANNUAL owro ::::: nA" Ji: I O NO OF ROOMS NO Or AMOUNT OF MONTI
    PAGE 161

    -----_______ .... -v Cl, ----------__ __ ._ --------------------. ----r.:.,. !' 1 t..'" .... "' :.:: &. lr .. -----7 r 3 ti I !_ --N N "' "" 1!:5 c "' I o' i I "" ... ""' l __ .... 11-r""'='"'. -=-":!:= ..:;!":,...;-':-' .;:._:;.;-:=::-;::=---__ l UIIAN AltEA CIRCI.. 1 3 !i 6 A. [THNtC COWPOSinON CIICL.E 2 J 5 I HI(;H(ST GlADE AnAIHED IN SCHOOl CIICLE 1 2 l 5 7 I G 1 12 1! ,. 15 16 6 Sf X MAlE F [MALE-----------7. AGE OF MALE OVER 61 ';r FEMALE OV _____ e. EARNED INCOME CIRCLE 1 0-49 2. 50-99 3 100-149 4 150-199 5. 200-249 9 OTHER INCOME 1. A.D.C 2 O.A.P. l G A s. s f I U0-299 7 300..349 s 350 9 400-499 10. Sot OP MORE MONTHLY YNRPOI"ED IHCOME s _______ ANNUAL 1 5 R R :z ;ci_l o-[ZI I .. I I i"i IC, l:r' c 6 VA A 'D 8 QTHE P HOUSING IN"()RMHION OWNER = NO OF ROOMS NO or AMOL'NT Qr MOP 3 AMOUNl Q; MONTHLY RENl PAID TOt A 5------AooPtss 17 4 5 Coro;-13 .... cnr De::1ver, su" Colo. 2,.:I1[0 1 PRIVATE RENTAL li" SALES HOUSE ...... .. &. STUDUD il" SUB STAND AID b. lENT. W/0 UTILITIES S uf. WITH S ___ c. PUOCHASE PRICE S _____ MO P.l T.l. S--''---,.. d. LPA .EFERREO 0 SElf RELOCATED 0 .. e. PEICENT SPENT Ofill HOUSING 0 Z. PUIUC HOUSING PROJE"CT NAME------------. 5 -..! RENT SUPPLEMENT HOUSING _____________ ;tJ MONTHL'I' 1'-CREAS S _____ DECREASE 5---;. 0'\ D.U R A. FINANCIAL ASSISTANCE GRANTED lri40YING EXI'EHSES CIRCLE 0 UNDER 510 I) c 3)...45 d 06-!IB e sg.71 AVERAGE ANNUAl GROSS RE"iTAL s ______ I g h ,!1"' 97+ AM0UN1 ----> w/0 FURN S10 W/FURt. "'"t)'(/" :;; >: 2 AMOUNT OF Rfi.OCATIOh PA.VMENT C) ... ::c.,.., .... s ______ 4 AMOUNT or REi.OCATIO"' PA'flro4Jrill > z, z Z! / / /-' .. M/DA Op fi'IPNri/LV tlztoP .. N .. .. ... .. .. =i2 : LENGTH or T!ME TO FtELOC.C.TE AF'iH DATE OF ACOUISITIO" jQ Ul i l \ : :_ .' ,..-. --;...._ _______________ ... ... .. .. .j I' NOI.J.Y.:>013i:j lN3N'f'lolii:j3d : OO !N:S3ao !l3,.N30 Nl S03B __ ll -i 11 r t s 9 L s 1 !, i : i I I 1 1 : 1 r ,-, -7%..L J.. : c ... ,i li i' t-4 J .f J i, .-i ,z .A l ,1. ,J ,.-!i .. 3 l_ u i i .. ""0 .. z ------',.; .J J }. ,I v "' A. FAMILY COMPOSITION a SOCIOECONOMIC DATA D i<> "' GUERRERA M 1 763 M 1 1 ;::: .. NAME 1.. anue ADDREssar1posa -2. ooRus 1145 1uth Street 1. ,.IVATUTALIII"'sAJ.ESHOU5E c i f r .. z .. 0 .. N .. "' 0 "' Ill e I. IIUAN UU CIRCLE 1 0 3 J S 6 G. STUDAIO ..... SU .. STA11DARD C 4. ETMIC COMPOIInON CIICU .. J (I I b..APT: W_,O IITIUTIIS 1--"-Z----wmt 1------l I. -ST SlADE AnAIIIED Ill liCIIOOL n MEAD OF PAIIU.Y OICU 1 1 3 a 7 4)1 II 11 11 U M 11 1. IIMn OF 111 -SEIIGU> .on-ILS 7. ASE OF M&LES OVU If 3 nM&UUI'IU R a. -liLY UINED INCOME OICU 1. IIIIIEPOIIlEII -E l.3. 100-1a e. l-!99 1S0..1tt .oo-&M s. JOO.Zot t. OTHER INCOME. 1. A.O.C. 2. O.A .. l. ..... 5.5. 5 ... I. VA. J. A.N.D. 10. 100 01 WORE WONTHL'f' B. !'RESENT MOUSING INFORMATION .UUOUAL 1. CMIIU 0 TDIII .. T z. t10. OF -s A= 110. o am_s__,l._ __ J. AMOIIIIT OF -liLY REliT vnUliU 1-...;-----AMOUNT .OF -TILT ANPT P.J.U. ._. ____ I -1 IIICOIU IPIUIT."OII-;., .. : YIA>U UYD: aiWH ..... -..;; _.,_ ....UC--: p-.... <-._SE PRICE S WO. P.I.T.I. 1------tl. LPA Uf'Eft[D 0 CEI.F .nDCATED D -PEIICUT lf!Et 011 -IIIIG"'-------------1. .PIIRUC IIOUIUIG-PIIOIECT -E lltCftASE s _______ HCUASE ""------f:"'f'" E. D.U.A.A. FINANCIAL ASSISTANCE GRANTED g "" 1. MOV111S XPIUlSE5 CllrCLE i o. UNDEI I 1t S 72-&3 )>o b. z-.:u g. .... ... c U-C5 h S10 W/0 rwn. ,_. d -S IKDIYIDUM. r-e 71 1. AYEIAGE AIIIIUM. GIIOSI IEIITAL '-------1. AioiOifiiT Of" UUICA,_ ADJUS1MEJIT f'AYIIIDIT -------6. -T OF IIEUICAnc.t P&YNPIT --,..-----.,,... ... !!! .. .. .. r.-60-..J ... .. .. .. c. MLOCA"TTON TRAHSAC1'1911S 1. T a ;I.. .J/-21 :: == ...... ,._....;,;..,...___ I 6. UIIGnt ., -E 10 aa.oc:w am un 01. ..... :: ,; .. __ .. !i? : .. >-... ""< -

    PAGE 162

    ---. .. ------'! "' .. ... ... i i I I -mi:Y IAHDIIICOiti;;; CIIIQ.I 1.J. ... ,. 110'" s. UNa I. 0114EI HICOM[o 1. A.D.C. c::!) O.A.P. 3. G.A. s s R .. 0 "C>-1.----10. NO OR MOlt MOIITHL .Jt,/$.QO PRESE!'I.1' HOUSING :NFORMAT!Ot<.. A181UAL OWNEP TENNANT NO If NO or 3. aMOUN':' OF' MO"''!HLY WENl WITH-iJTh.ITIES ,_.,.._,f.J..&.,_.(2; t. PRJVJTE A"iTA;. )t' SALES HOUSE f 1."' a. su....:oARt I( sus STANDAJiD J b. RENT w/o unums s/.0.110 wnH s____ IN C. PURCHAS[ PRiCE S -----WO P.i.T.i. S____ 1 -d. LPA REFEOO[D :J SELF RELOCAHD 0 PUC [NT SPENT ON HOUSING I'" l PUBLIC HOUS!NG PROJECT NAME ---------C ;;(I UNREPORTED INCOME w S0-19 l. 100 1SG-199 ZC.0-24;. JOO.J 8 JSO.ll9 G ,()(, .. ,. """ J. RENT SUPPLEMENT HOUSING MONTHLY: lhCRASE S ----DECREASE g 0' E D.U.R.A. FiNANCIAL ASSISTANCE GRANTED 1 MOVING EXPErr.SES CIRCLE ::!! N CTH R lhCOM E A.t' C 0AP G A s s A D OTHEJi 1C SOC OR MORE h40hTHL"t HOUS!NG ANNUA.:.. = ,If HC OF ROOMS >:'-I > Zi :: N a I' .. JM/nl Jill. do H---ZAJt..t&tB4 :i-,, ... : V), .... ... 'C"'. 0:. ...

    PAGE 163

    N z "' .< 1: 10. "' ... IJ I. ic;;: : : I lc ... 10' "'' .. j I :z; jO; --------________ ., .. '": --------. : .:.::: "&'-'l y 'rl.-. ; ADO.;;;1UL'1"sEreet l URIA AOA CllCLE (!) 3 {J S 6 (. [THNIC COMPOSiTION CIRCLE fP 2 J ( 5 l 5. HIGHEST GlADE ATTAINED IN SCHOOl. CIICL -1 2 3 s 6 7 (!') t 10 11 1.Z 1J 1& 11 16 6 5l WALE 7. AGE OF WALE OVER 6Z FEMALE OYER liZ q I MONTHL T tARfiiiEO INCOME CIRCL. I. S0-(9 6 :IS'OJJNREPORTED INCOME I 50-to 7 JOO-JO 3 100-149 '15C-1H s zoc.zs I OTHER INCOME. 1 AD C. Z O.A P 3 G A s s 5 R. E VA D E o'" r .sTod:::J 8. UO-J99 &00.-.99 10 SOC OR MORE MONTHL'r lfZ. lo PRESENT HOUSING INF,PRMATION ANNUAL owro = TEN'"'" 12" NO OF ROOMS I NO OF --,.2------or RENT WITHOt.: UTILirtES S t:J 0 AMOU"'T OF' MOI\THLY lhCLUDING -----! GROSS I NCO"' SPENT ON HOUSING 9fC --------=,..---. YEARS LIVED. IN OENYER ___ PRESENT ADDRESS ? 7 PUBLI= HOCSING lLIGiBLE FOR FOR C. RELOCATIOI< 1. 0' OSQ s 08 ,(;"-'0'=''"=---'3..._-'.2.._1..__.1 .. .. '----0>lE Or MOhTHU" RENT PAID TO 0 U q A 5 _____ LfNGT., o:-TIME TO RELOCATE ,atT[Ii O.llTE. OF ACOUlSITIO!'. 36-0G l: ... 222: h", 32. ..:: ;:.-,, c1n e:.ver. smE 1 PRIVATI I[NTAL iP.'"" SALES HOUSE :: a. SfAIIDAID ifo"'Sua STAIIDARD b. ENT. w/o UTILITIES S UU(I WITH $ ___ c. PUIICMASE PRICE $ -----MD P.I.T.I. $ ___ d. LPA REFERRED C SELF RELOCATED 0 .-1. e.PUILI;E.::.::P:.:J:;r :7.,s;NG % __________ .. ,. .-, 3. RENT SUP,.LEMENT HOUSING 2:J gl W MONTHLl. INCREASE -S------D-EC_R_E_A_S__5 __ -_-_-_-_ ;.ao (rl N D.U.R.A. FINANCIAl ASSISTANCE GRANTED :!! : 1. MOVING EIPENSES C1RCLE -c:jUI -o UNDER UO ; 72-83 -1-f----b zo-32 g .... 1 Cll 1--97+ AMOUNl ---:; "'I Ss wio FUR' :. .. $10 wlf'URh U1 !!! "'"' i!i' "' z .. c n-s d o16-SII e !11-71 2 AVERAGE ANNUAL GROSS RENTAL ______ ... .. AMOUNT Of RfLOCAnON ADJUSThtENT PAYMENT _____________ .. AMOUNi OF RELOCATION Cl "i I..AO>rt. iriil!:'" At'VJ'A I .2.o o o "' '-i r -------------------------.. ... f I ;.. ,. i "' = .. .. .. .. 1 c :: p F "';;i .. i ._i .., .. OTH. INCOME MONTHLY INCOME EARN FAMILY COMPOSITION & SOCIOECOO,OMIC DATA NAME HARDY, William M 1. ADDaus 1145 lith Street I. U .. AN AIU CIRCLE 1 I) I (j 5 I E1'1811C COMPOSinOII CIICLE I 10 I I 5. JIIGIIEST GlADE A nAIIIED Ill ICIIODL .y IIEI.D flf P AMILY U8658X AlPHA CODE D. PERMANENT RELOCATION ADDRESS 2510 w. 24-01 Caithness 1. PRIVATE IEIITAL 0 IAI.ES HOUSE a. STANHID tf SUB-IJAIIDAID 0 .. b...HIIT: W'O 1111UnES 1.-.,::-::=..,..,..---W'ITH 1-=..,.,-.. ... .. GIICU I Z I 5 l I 11 11 @> U M ft t..:PUIICIIASI NICE MO. P.I.T.I. s,_,/ic; -''---1 .d. IPA HI'UUD C HLf .ELOCII1'D 0 N ... #N_J ... en, Ci ''" .. Gl "'! .. I; ... .. I I, IIU ... U OF CHIIJIUII Ill HDUSEIGJI 7. ASE OF MALIS OVU 15 .JI. FDfALI:S OYD R fQ I. -y AlliED IIICOM acu 1. -. ,_ 1.7. _,., I. S!IO-J!II I. -.oH UIIIEI'OII1EDIWCOME s 3. 100-1t9 110M I. 10fi.U9 G soc OR WORE &()(). I. OTHER INCOME' 1. A.D.C. Z O.A.P. 3. G.A. s.s. 5 ... I. YA. J. A.II.D. MDNTHL Y AIIIIUAL B. PRESENT HOUSING INFORMATION a..PEIICU! 1 ... 1 011 -SIIIG.._,._ ___________ I __ I _______________ D_C_I__A_S_E __ E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ioo 1. MOYIIIG EXPENSl$ CIRCLE o.UIIDll f. IJZ-83 >""'DI :: :: S :-:/0 FU.... n(+ d. ... I I IIIDIVIDUAL .... 11 1. AWUA5E A .. UAL G.OSS UIITAL Ill _, '-------!l e .. ... 1. -T flf ULOCA,_ AIIJUS1MEIIT PAYMENT i"i '------------. ._ AMOUNT OF IIILIICA-PAYIIPT -....,----------J -'J ............ ; -...J .. ..):. _,..J

    PAGE 164

    -:-,.-N N .: .... ..... St.rePt l. IJIIA.h AI[CIICL 1 a> 3 ()) a. ETHNIC COMPOSTnOH CJICLf Z 3 _. 5 I I. HIGHEST GlADE AnAINED IN SCHOOL CIIClf 1 Z 3 6 5 I 7 I I 10 11 0 1:1 1& 15 11 SEX MALl FEMALE __ _.6._,0,_ ______ 7. AGE OF MALE OVU 62 FEMALE OVER r.;: _____ I MONTHLY lARNED INCOJwtE CIRCLE $ o-t E $ Z50-Zt9 UNREPORTED INCOME 10-99 300-319 .. ________ :. ___ : __ .. :. J;E,_:J.:_.c-,0;-;_.:__,_,;; i I '-L---cn Denver .(.QJ... __ 1 PRIVATE I(NTA. SALES HOf.:S.l a. UAIIDARD STAIIDUD b. Ulft w/0 UTIUTIES $ ps; WITH$ ___ c. PUIICHASE PRICE $ MO. P.l T.l. 5 ___ r .. d. LPA REFERIED SLF RELOCATED C 01" PUCUT SPENT ON HOUSING % __________ C;!!! Z. PUBUC HOUSTNG PIOJECT NAME------------. 61...," J. lENT SUPPUME.NT HOUSING ?J .. ONTHLY INCREASE ____ DECREASE S --?";;: <> ,.._ ,... w "' 3. 100-119 8 3!50-399 E. D.U.R.A FINANCIAL ASSISTANCE GRANTED :! -: N .., ;., .. :z; -.2 'l.l.:'lor. i : e iz :g :z. 0. ____ __,:i I"' i lc I! I"' = 15 ::z: c c. I. lSCi-199 S. ZOC-249 OTHER IJfCOME Ao: I. O.A.P. G A s s R .. A 1C SOD OR MORE MONTHLY ANNUAL !35.Do PRESENT HOUSING INF,PRM>TION owM ::. n/.r' _L_ lliO OP 'liO or ..... ...,._-:::--A MOL NT or YiiTHOUT UTILITIES s S' !17 AMOUP..:T OF ... PAYMENT I"'CLUDit.!G P I.T I GROSS lfoiCOMl SPE"'i 0"' HOUSING 6. YEARS LIVED lh OENVER.......z.;L..PRESEN"T ADDRESS _,/'---PUBLIC ELIGIBi..E FOR = APPLiED FOR :J RELOCATION TRANSACTIONS o.:E o-ou .,._, NIG OATL fl-.J.-73 or M0,.."!'1;.' FAit. "rO 0 Lt R A :..E"'G-:"1-i OF TI..,.CE 10 ri[i.OCAH Af"i:: DAH OF ACOUISITIOh z .. '. rr /. z I' 11 I CHI INC0'-'1.: !: II'IICOME EA.RN :: ; i SD UNRELATED INDIVIDUAL Louise 1. 2 ADDRESS 952 IOE.n StreeE 3. URBA AREA CIRCLE 1 G 3 5 6 ETHNIC COMPOSITIOh CIRCL.E @ 2. 3 5 6 s. HIGHEST GRADE ATTAINED 1 SCHOOL CIRCLE 1 z 3 5 6 7 I I 10 n(fj)u" 15 T6 SEX: MALE FEMALE AGE or MALE OVER 62 FEMALE OVER 62 MONTHLY EARNED INCOME CIRCLE I. ,._., 6. I Z!IOZI9 UNREPORTED INCOME <. !50-99 7 300-3419 -o-3. 100-1419 8 350-399 .. 150-199 I oo-499 200 10 500 OR MORE OTHErf INCOME MOPiiTHLY ANNUAL 1. A.D.C. z. O.A.P 3 G. A. .. s.s 5. R R. 6. 7. A.N.D 8 OT>I I zl ,. o. UNDER SZO b ZD-32 33-.5 d 06-58 e. 19-71 AVERAGE ANNUAL GROSS RENTAL '-----------S 7Z-I!Il 81-96 97+ AMOUN! ---Ss -,;!o FURtr. S1o w/Fu 3. OF RELOCATIOit ADJUSTMENT PAYMENT A.,_OUhl Of RELOCATIOJirl PAYWEiiliT !:! :o' v; l>l z "i "'I z zl ... w "' ... / ) -4%1,0' .. ... ""'I"' "' iO ... .. j:;:io: lN3N\11111:13d I-. .. !)NISOOH NO lN3:l1!3d I I II URBAN II ETt-INIC AREA IIX31G.! iX ALPHA CODE D PERMANENT 38-06 --1865 Larinert # -ADDRESS ... .., c1n Denv?, STAlE CoJo ZIP_!l2__ SALES HOUSE ,..-. w ... 1. PRIVATE RENlAL a. STANDARD ii""'sua STANDARD "' s lfJl,. (D "' b. RENT' w/0 UTILITIES WITH s c. PURCHASE PRICE 5 MO. P.I.T.I. S --d. LPA REFERRED :: SELF RELOCATED c 01 ... e. PERCENT SPEift ON HOUSING % z. PUIUC HOUSING PROJECT NAME !=5 w 3. REift SUPPLEMEift HOUSING ;gn ,. MONTHLY: INCREASE s DECREASE s __ "' E. D.U R.A FINANCIAL ASSISTANCE GRANTED .. 1. t.40VING EXPENSES CIRCLE -UNDER I lO ; '1Z > c z b ZO.ll ; U-96 n 01 ... 33-45 h 91+ AMOUN1 d 06-58 Ss .,;o FURh r-.... "' 5-?1 $10 wiFURN. I. AVERAGE ANNUAL GROSS RENTAL U') "'0 N r 3. AMOUNT OF IELOCITION ADJUSTMENT PAYMENT .. AMOUNT OF IELOCAnON PAYMENT ""' ;g ,.!... w >z t""" ,..,.; zZ "' / -i:o"' "'"' cz ...... Afc'4 8*:1o.e .. .. ..z,. ltl. Q,... zl l'Mn. tiE 4 7JQ.OO :,:r .... 'DI "'' ::ll-. .. !c;.... ..I i

    PAGE 165

    N N .. ... ;V\1 IC :o6# ll'i I : I I I 1Q lVI: ::r. IO! ,... :c; ur : .,, .., :g, .z :c: !-i ----......;!3: .. ;.._ ___ --1,2' ... N ; .. .. "' .. .. ,..., D "' .... !C I;: .cC "' ______ ---------------to. -----------------. .... -__::_:._'_ c ... :..: :::; ::...: _:_ .... : 3o.t UUA A-lO CIRCd 1 e l (D 5 ETHNsC COWII'OSITIO"'CIIC.L .() Z J 4 I 5. HIGHUl GRADE ATTAINED SCHOOL CIICLE 1 z 5 7 10 11 11 G u 1!5 SEX WALE ..:J./ F'EMALE-----------7. AGE OF MALE OYU 61 FEMALE OVU 1. MONTHLY [AIN[D INCOME CIRCLE S D-49 6. S 150-!M 1 SC.-199 9 t004ti 500 OR MORE Sl. OTHE Ff llriiCOJrot E MONTHL 1 1. A.D.C. O.A P GA. R R VA PRESEr-..iT INF'ORMATION UNREPORTED INCOME ANNUAL = H"-"'A)-: 7(. D 1 .. b. PAiVA![ RENTAL SALfS ftCI.iSf = SfANDARD llf SUB STANDARD UNT: w/o UTILITIES $ I.:Zf, WITH $ ___ : .. I .. c. PURCHASE PRICE $ ____ 1110 P.I.T.I. 5---.,.-( -!"' d. LPA IEFERRED :2 SELF IELOCATE.D :....J e PERCENT SPENT ON MOUSING __________ C Z. PUBUC HOUSING PROJECT NAME-----------. 5 3 lENT SUPPL[M[NT HOUSifr'IIG MONTHLY INCREASE -----DECREASE S ___ ;;ll"' D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE Z ...c Ul a UNDER lZO S IZ-Il 110 b 20-31 IIE J3 &c 97+ AMOUNl ---;; lC .._,; Ss w/0 FUAh. "' e 59-71 510 WIFURP; :o ,.I .. :J>o Zl / z z, _____ l;;l r J"l c zl r. .... .. .. ... .. ... .. .. At" 00 1-+---., h n ., : c or ROOto4o _,,,_ _____ NO or BEDROOM$_!.::;L:,...A.,-,""jr..::--AMO .. OF MOt.: TRANSACTIONS + DU or ACOuS!!:O _______ DOTE 7-AMOU"'-": OP RENT PA!O TO [I L'.R A. S -----LE"'GTH Of TME TO JiEl.OCA1'E OAT OF' ACOUISITIOh r-g ,. ,L-FA"'ILY COMPOSITION b SOCIOECONOMIC 0-TA NAME HEREDIA. Carmen ADDRml 059 9th Street l. URBAN AREA CIRCLE 1 3 (!) 5 6 ETHNIC COMPOSITION CIICLE I Z fJl I I I. IAGHEST GlADE AnAINED IN SCI900L Yv HEAD 01' PAIIILY CIICLI I Z J A I & 7 (9 t 10 II IZ 1J 10 U tl IIUII&II OF CIIIUIUN IN -SEHOUl IIOfl I .. PILS:;f'3._ __ 7. ACE OF II ALES OVER 85 EMALES Cl.1 "'"'--""'""'t----1. IIIOIITHL Y EAINED INCOME CIICLE I.,_ z.l. lD0-1 150 s zao.zs t. OTHU INCOME 1. A.D.C. Z. O.A.P. l. G.A. s.s. 5. R.R. I. VA. 7. A.N.D. &. IZIIO-Zit 7. -B. 350-311 i -. ---------------------NOI.I.\0013H 33-03 aDDREss 3131" W, Conejos Place PRIVATE RENTA' /1( SALES HOUSE L -a. STANDAID I( SUBSTANDAID i b ..UIIT: W/O ununu s IA4J, D W11M $ <-I'UIICIIASI PIICE $ 110. P.1.1.1. S .AI. LPA IIUIIIED 0 SELF IEUICATD 0 :,._-"EIICIJIT 'SPENt 011 -SIIIGS. L 1-HUC -- PROJECT IIAIIE __ ,, IIICIIASI I DIECIEASE S O.U.R.A. F'IIIANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCLE a. UND[I S 20 b. Z0-31 c 11-05 d ...... B-71 2. AVERAGE ANNUAL GROSS RENTAl ______ S!Z-&1 g. -"' S 10 W'0 FURN. S 5 IIIDIDUAL 1. AMOUNT 01' tiLOCAnON ADJUSTMENT PlYIIENT '--------------A. AIIOUIIT 01' IELOCATION PAYMENT -------I" .. .. .. C:::a "' :Or-;.o., n .. .. AMOUNT 01' -THLY I'AftiENT IIICUIDING P.LT.I. -----.,. RIJIM 54f). 00 z ..... 1. 'AMOUIIT OF IIOIITHI.Y !tENT W11110UT U11UnU ._.__,tl,_.,,.,0"----, C" = .. ... .. .., ..__, .. ,: -..)., _j .._f "'" .... .... ; N .. .. .. .. .. ... I. .ClOSS l-IE SPEIIT 011 -IlliG s. ruuuviD: J:: .. A 1.!lii.O_D r v ''" c. il .... -o 1. DAn 0' Amlll1111011 HI' !.:I tJO : ,. ,.A; .a .. DAlE .... .,., .. .. _..__ ...... ____ !:;; .a. .. 01' M-Y UIIT.P.IID 'RI D.U A. --------------------------1 ; .,.' J -A. LIIIG1M 1IF 'liME 'R1 ULOCaft APTA AJIE OF il: ...,.,._,..ACII_UISI_.,11-. ....,.---..------.,;...., _,j_j._-'_,,., ..... .,..,..---.;,.,_ ... .. ---.. ... .i;. ..

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    N N "' .. .. .. : ';::> IC. 1' I II "'; I "'i.,i I::! .. lg lit a)! j v: !Z' ,;;, c; :: 1z: I ;::' c ,. "': y:_ .. -.,. .... ._ ..... .. ... r .. :: ,_ utaAh ARIA. CtRctr CD l ., 6 fTII.oC COMOSITIOO< -CIICL[ 1 Z (I 5. ..&HUT GilD[ ATTAINID 1 SCHOOL CIICLI 1 .Z l ,} It/) I I 10 !1 1Z 1J 1 11 16 5[1 MALl f/w F[MAL[ ______________________ 7 AGE 0' MAL[ OYU Ol ______ FEMAL[ OYU "-----------fl. WONTHL'I' EAIN[D INCOME CIICL[ S 0..0 6 I Z50-Z99 UNilPOITED INCOI4l z. so-" l. IOC: UO-It'i zoo.zt 9 OTHER lfr!ICOME AD C. O.A P G A s s VA 'c B 350-:199 AOOti 10 SOO OR hiORE MOfHHLY PRESENT HOUSING INF,PRMATION ANNUAL CWPiiEk = hO OF OF BEDROO"'S ,"=='-==-AMOU!\-Y WI THOU UTt .. 1TIS S __ .l;.,2.._,.,_,$::...;D::;__ OF MOhtTHLY PA'\'MENT lhCLUOifr!IC PI T.r GROSS tCOME SPENT o HOUSING %------------:----YEARS LIV IN DE'VER ___ PRESr.T ADDRESS __ PUBLIC HOL1Sit.IG ELIG!Bl FOR APPi.JED FOR RELOCATION TRANSACTIONS DATE OF ACOcosno' t, -/ 73 oH .. ov;o 1'-i/-Z! AMCU ... or A(,.,. PAiD TO(l: R A LEtiGTH Qf r:ME TO RELOCATE 010': OF .USITIOf1o 405G S-=- err' ;)pplrer, sa"t ---!0 1 PIIYUl P.ENTAt. fil" SALES HOUSE a. "Aid>AID Iii' SUB STADAID .. ..... ..,.,... .. b lfHT. fo UnLITifS $ __,?'----ITH $ ____ c. __________ MO I.T.I s __ d r. UNDER I 20 ZO.lZ ( 13-.IS 16-SB e 59-11 AVERAGE ANNUAL GROSS RENTAL '------; 72-13 ., .. 97+ AMOUNT-----Ss w/o u S1o w/utN 3. AMOUI'IIT OF' RELOCATIOP'w ADJUSTMENT PA'fMhT AMOUNT OF' RELOCATIOh P,t.YM'-T ; .. .... .. .. .. n .. r. r,_,-, ,. .. N "' .. = ,_ !" "' ----------JZ: --r .. r ra t;r=. / ... S,. L ... ic .., .. ,... z -------------------------------------------------- 0; --------------------------------------------------.ow: IC..! i:z_ 0 N I"' "' N NOIJ.V:>013!:! J.N3NYI'NISnO" NO 1N3)1:13d 1 '!I! r r l r. 1 lj !i! '' I /. l i I I [ J i z II z L j I <:: L : I ? Wd1 i "I: I; -. h I : I! URBAN II ; I OTH INCO'I.E ll MONTHI.Y INCOME EAilN 5> ;: ETHN!C II AREA l:x;o"' ALPHA CODE :., NAME __ Aoo REss 8 0 4 W 12th Avenue i3; 2 ADDRESs 1112 Laruner Street iB c1n sTAT Colo. 11P::a:::4:: ... N N N N .. N .. N = I'SI 3. URBAN AREA-CIRCLE 1 G> l (!) 5 6 1. PRIVATE i !tALES HOUSE ;.,... -ETHNIC COMPOSITION CIICLE 1 2 Q) 5 6 a. STANDARD 0 SUB STANDARD S. HIGHEST GRADE AnAINED IN SCHOOl b. RENT: fo UTILITIES $ till/ WITH $ ___ CIICLE (i) Z 3 5 6 7 B I 10 11 1Z U U 15 11 C. PURCHASE PRICE S ________ MO. P.I.T.I. $ _____ .. ... .. "' N N' -' I j.,i :.I :rl I &. SEX: MAL[ ,/( HMALE------------d. LPA REFERRED 0 SELF RELOCATED :::J 7. AGE OF MALE OYER &2 5"() FEMALE OYER R-----------e. PERCENT ON HOUSING % ___________________ 0 .._ I. MONTHLY EARNED INCOME CIICLE l049 &. Z!I0-199 50-19 l. 150-199 I. OTH[R INCOME 1. A.D.C. O.A P 3. G.A s.s 5. YA 7. A.N.C. 8 OTHER 7 3110-309 B 350-319 I. >100490 G 500 OR MORE MONTHLY PRESENT HOUSING INFORMATION UN tPOIT!D INCOME '---------ANNUAL 1. OWNER = TENNANT 111 O l NO OF ROOMS ---------'-1---NO OF AMOUNT OF MONTHLY RENT WITHOUT UTILITIES $ _..f .... !JL.&:o:f_.Q.__ 5 AMOUNT OF MONTHLY PAYMENT INCI.UDING P.I.T.I S -------GlOSS INCOME SPENT Oh HOUSING % ________________ &. YEARS UYED. IN DENYU ___ .IESENT ADDUSS _______ APPUD FOI :J 7. PUBLIC HOUSI,.G ELIGIBLE FOR .....; C. RELOCATION TRANSACTIONS N! 1. DATE OF ACOUIS!'!IOh 1 DAY[ MOYED--------'l.._ ... :J._...,..7.3 .. ._ ___ __ AMOUNl or MO-.THi.Y RENT PAID TO D.L; R J s ____ LENGTH Of" TIM[ TO RELOCATE AFTEI DAH Of ACOUISITIOh -------... -----------1 UIUC HOUSING HAM<-----------------------. () "" 3. RENT SUPPLUUNT HOUSING .. MONT"LY: INCREASE S ----=---DECREASE $ ___ ,.. ;:;: 01 E. O.U R.A FINANCIAL ASSISTANCE GRANTED "'" 1. MOVING EXPENSES CIRCLE Z La N o UNDER szo 5 JZ.IJ :PHf-------t ZD-32 84--96 Cll t 3J.A5 0 ol6 e !59-71 Z. AYE"RAGE ANNUAL GlOSS RENTAL '------.,. AMOUN1 ------;;: "'I r-;: ...t w/0 FUih. )lo S10 "'/fURN 01 t U'l ""': i! I'" w N 3. AMOUNT Or IELOCAnON ADJUSTMENT Pl't'MENT Zt-+---.. ,, ______ __ AMOUNT OF tELOCAnON PAYMENT .1.J.J1ec4. ;aoao.oo nee 1:4 a;ne oo JIINTIILV PVT:S dt 4B oo a" ::u ... ,z zZ :a"' ...... z .... .. N L_ ______________________________________________________________________

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    .. N .... N z 0 N N .. N ... .... "' t:-7 i; : -4 Jib-... i _/ .... b :iATA 0 PEAMJ..t,;[NT Rh.OCATIOt2 7(: 3 .. ----------.... 'l"\ ...... ,. :.--'-': 1. -.. ,,_ z. 1.a. ... ,. ea-. ... at ISOIft .. s. ZDO.UI I D. 110 01 11101 .. OTHIIINCOME' IIIONTHLY AHUAL I. A.D.C. 2. O.A.P. 3. G.A s.s. IJ..D. R.R. VA A.N.O PRESENT HOUSING INFORMATIO" Ii i' 1 ;-:!:...L._OT;.. INCOMf ... Y INCOME EARN :A INDiVIDUAL 1;: ,Qt I "' I I I .., I' v.! O' ... ., ill'l: J:l'; IO ,... !o; j"'; GO j .A ... rt->e ...... r...,.a __ AODRE ss__,I"""'I..,2......,4,___.L"""'a ... ...... ----3. URBAN AREA CIIIICLE 1 l J 5 A. ETHNIC COMPOSITION CIRCLE I 2 G) 5 6 5. HIGHEST GlADE ATTAIN IN SCHOOL CIRCLE 1 1 3 5 6 7 8 I 10 11 12 13 1t tS 16 SEX' MALE FEMALE-----------7. AGE Or MALE OVER 62 6 6 FEMALE OVER 6Z _____ 8. MONTHLY EARNED INCOtr.IIE CIRCLE 1. o. 6. S 25DZ99 UNREPORTED INCOME 50 30G-U9 10C-1 !50-399 150-199 lOC-24 10 50t OR MORE OTHE 1Ht0hl[ MOHTHL'r A.D C. O.A P G s.s 5. R.R 6. VA A.N D e OTHER PRESEio;T HOUSING INFORMATIOt. OWNER :: :X NO or R00"'5 ) NO O BEDROOMS,..,,-_,.-:---AMOUN1 Of MONTkLY RENT WITHOUT UTICITIES S 2 6 a a AMOUNT or MONTHLY PAYMENT INCLUDING PI T.l S ---GROSS INCOME SPENT O YEARS UYED lh b PRE SEN. ADDRESS I 9 PUBLIC ELIGIBL F"Oii RELOCATION TRAI\OSACTIOio;S APPUED F"Oii DATE or ACOU! S'TIO ___ 3_,_,,1'-"J..,,f-/-]._3.._ ______ DATE MOVLt>-------------------AMOUN; or MO!'fTHL Y R .. PAlO TC C.!, Ji,. LENGTH Qr TIME TO RELOCA'H Ar'!R OJ.?( Or ACOUISlTIOJrio ..... io..li6.U-_.,So!..t ....... __ CUAH I MCIIAII ------P.Ift:f FINANCIAL ASSISTANCI GRANTED ;UPINI!S 'CIICLE o. IIIDU SIG b.IWl lt..JW5 ;d.. .... ,, 1. AEIAGE ANNUAL GaDSS RENTAL 111-13 g ..... h. I ID W/0 fUIN. I I INDIVIDUAL 3. AMOUNT OF RELOCATIOft ADJUSTMENT PAYMENT '-------4 AMOUNT OF' RELOCATION '------0 PERMANEI'iT REcOCATION ADDRESS -...... _.--::---CIH STAH l:F ___ 1. PRIVATE RENTAL SAcES HOUSE -a. STANDARD c SUB STANDARD b. RENT' w/0 UTILITIES s WITH s c. PURCHASE PRICE S MO. P.l 1.1. s d. LPA I[F[IREO [j SELF RE ... OCAT ;:::; e. PERCENT SPENT ON HOUSihG % 2. PUBLIC HOUSING PROJECT NAME 3. RENT SUPPLEMENT HOUSIIIIG MONTHLY s OECREA!H s ___ D.U.R.A FINANCIAL ASSISTANCE GRAf'liTEO 1. MOVING EXP[JiiSES CIRClE c UNCER Sic $ n.e; e Z0.32 61.-9f : 33 97+ Aa.-40!.!!\'. ---0 ...... w.:o .... 59: S10 ww/ruiii\ z AVERAGE ANIIIIUAL GROSS REhTAi.. 3. AMOUNT OF' IELOCATIOh ADJUSTMEN"' PoUM[tlll s AMOUNT OF' RELOCATION PAYMENT 1-I I !:. : ;.., I '" i 1-I '"' ;lgl--,.. ->' >! t z, n' "' .. :.n.:: :U! z ... .. .. .. .. :r .. .. .. w. ..

    PAGE 168

    N .., "' I "'i i I I f :c: cr: I I j i 'Z "" 8 ;:r::r ;c IC::: """' 10::. 10.' 1 ; : i i :c :z v:. ;::> "" ,:; iz: .-: -------..,'z URBA ... CIRC:..l (!) 3 G t [TMNIC COMPOS:TIO" ClltCL.l 1 Z J ? HIGHEST GlADE ATlAI.,.[O IN SCHOOl Cl RCl 1 (J l 5 6 7 I t 10 11 1l 1l U 15 16 6 SEX MALE------FEMALE -------r";l.------7 AGE OF MALE OV 61 ____ FEMALYU6.1_ ... l MONTHlY (.AIIrlj(D INCOME CIRCLE i S 0_.9 I S ZtoZM UNREPORTED INCOM z 50-99 7 lOG-H51 --------3 100-149 e 3SO-J9S 1 !10-199 9 40C-C99 S 200H9 10 SOt OR 11401 S OTHE P I E M0 ... 1'HLY ANNUAL A.D C .:. 0 A.P G A 5 5 5 VA IJZtJO *'f'.....C... Olff.IC 7 I-PAY'w4ES'i lhCi..UOING I S ____ INCO!vlE SPE N" QJI, HOUSING 1if --------::-r--YEARS LIVED IN OENVER ___ PRESEhT ADDRESS_.J/'..J.:-"ilo...._ 7 PUB;.iC HOU$1/IjG [LIGIBi..E FOR = APPLIED FOR --' 1 ; CAH or ACOU!S1T" ... ..,_ ____ i DAH "0>"ED /0 /t2 7 3 OF R[J\,"7 PA:C TO[) l.' R A 5------4 OF Tilrrt.ol[ TO KE .. OCATE ArTUi DATE Of." ACOU!SiliON === b. INCREASE S ____ DECR:EASE s __ 0 U R A FINANCIAL ASSISTANCE GRANTED MOVING XPNSES CIRCLE a UNDER 120 t. 20-ll d ( Sll-71 AVERAGE ANJilfUAL GROSS RENTAL '-------' 72-IJ U-9E 97+ AM0UN1 --w/o '"U""" S1o AMOUNT OF IHLOCAT!Oh AOJUS1Jofpr.T PAYMEfrH -------AMOUtr.iT OF PA'fME"'t II'" l-0 "' .. ---------------------------------------------------12 n:c: -!li.J.TiiN'>3'NN>fVi;illli>l Ci)5 ETHNIC CC*PO&InOfC CIICLE )2. l 5 I I. HIGHEST GlADE AnAtUD IN SCHOOl. .V NEAD OF JAMILT OICL I 2 J I I 7 I I 10 II C[Z) 1J 16 II 11 I. -lEI OF CHILDIEN IIC aOY$ ___ 511LS ___ 7. AGE OF MALES OYU II '-" fEMALU OWU lot Q8 I. MOOOTHLY UIIID INCOME CIICLE I. S-I. z. !MI-99 3. 100.1At U0-199 e. ,..,.,.. UICIEI'OittD IIICOOIE LANk. 5. 1C HO 01 t.tORE t. OTHER INCOME L A.D.C. Z. O.A.P :J. C.A s.s 5. I.A. 6. YA 7. A.N.D MOfrrwTHLY B. !'RESENT HOUSING IIIFORMATION ANNUAL :: :: )It o. OF UD-S S. AMOUNT OF Ml*t>ILY aut Wl,_t llliUTIU S.....l.tBis.QO.il!llliL--4. AMOUNT Of MONTHLY PUMNt INCWDIIIG P.I.T.I. 1-----1. DATE 0 ACDUISI1tOH ___ 2. S. AMOUNT 0 _,.._ .. e" P-AID TO D.U.I.&. 1>-------. LHnl OF -[ TO ltU.OC:ATE Anllt DATE fW AC:OUI11111011. ADDREss 6 0 6 Corona Street L PIIYATE lfNTAl ,C SALES HOUSE 0 a STAIIDAID )( SUDSTANDAID 0 b_eUT, W/0 ununu '------WITH s IC.S.DD <-PUICHASE PIIC S 110. P.I.TJ. '----11. LPA aEJEIUD 0 SnP lll.Oatn) J( -I'EIIaT IPI.T 011 -SING '!I. ___________ Z. -PUauC -11115 PIOJICT AM I"' I .. '. N .._}N, __ t' ----------:.-:;;;;-.,n..------------li:: z MOIITHLY: IIICIUSE I 85-QQ HCIEo\SE 1----E D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;.. :'" 1. MOVING Elf'ENSES oacu UNOU S 20 b. 2 .. :12 ( 3J..I5 d __ e. -.71 2. AYUAG AUUAI. &lOSS IEICTAL _______ g ..... t-s 10 wto rui'N. I S INDIVIDUAL l. UIOUin OF IEJ.DC&nOIC ADJUSTWDT PAYM _______ zl'"i"' "' ,., ... ; .. ... .. ,. .... -::lA..,,tA .... I-.,,.A ...... -..:..-,;;...;.;.;.;.;.;..;;;.,.;_c .--"' .. -. '(:'--:;. .. ;-.-..:-_-r: ...

    PAGE 169

    N .. .. c .. .. :_.. I I i I .., I ._, o 1 .... c::, I I ,'-.. 1 ADD, ______ 3 URIAN AIEA CIICI..1 1 ;: 3 5 ETHNIC C()lriiiP0SIT10.. CIRCLE .(!;);. 3 I 5 HIGHEST GlADE AnAIN[D IN SCHOOL CIICLE 1 1 6 7 I I 10 11 11 \!!1 '' 15 11 6 SEX MALE .a I FEMALE _____________ 7. AGE Or MALE OYER 62 r I MALE OYER 12--------e. MOiriiTHL Y EARNED INCOME. CIRCLE 1 s o6 s zso.ztt 1 !CIM 3. 100-149 4 150 s 2.00 9. OTHER INCOME 1 A.D.C 2 0' p 3 G.A s s 7 300 8 310 0 600 10 500 OR MORE' MONTtiLY PRESE"l HOuSING INFOF!I\IJATION UNR'E'POITE:D INCOME '------ANNUAL 1 = \ NC OF" ROO'S (:11.. o 0' BEOROO>'S Qj:" P[N'! W!THOUi I.JT.UT1ES s IS.C 0 4 AlotOUN"! OF" MONTHLY PA'fMENl F 1 T I S ----GROSS IN:OtwtE ON %------;---6 YEARS LIVED lh DENVER ----PRESE"iT ADDRESS ...:l.., 7 PUBLIC E!..!G .. E FOR = /I.PPL!ED fOR :: RELOOTIOt.. TRAN5ACTION5D. 31. 7 :! 1 Ot. TE OF ACOu:siO"__ 0 MONTHLY 1Ncns1 s S'D O(} DEcusE s ___ ;oo;;: "' N D.U.R.A FINANCIAL ASSISTANCE GRANTED ..,1.., $ 1ZI3 1. MOVING EXPENSES. CIRCLE o UNDER $2C 0 20-32 c n-s d 46-51 e 59-71 AVERAGE ANNUAL GROSS REiriiUi. ,, _______ 9 .. ---" Ss w/o ruoh rl;: ..., w S1o wiru"' 21 N -3. AMOUNT OF REL.OCATIOh ADJUSTMENT PAYII.IENT >I I ,, ______________ __ 4 AMOU"iT OF' RELOC .. "I "I :tJ > zl z zl ____ ;; <" N jt.Be Q20. O'..J """iUI ,, s:. 00 L5 = .. .. .. so;e 1 I SWDOi:l s L 8 ____ _____ .:.:N::;O...=,lTN::.:!:::::l::::tl.::3<:.....;' ;i I ;, 1 !1 ::- I I' .. z r I alS i l r 'Z t L ? r 'Z Wol i ---'-. u I[ u J a :t 1 1 I 1 U !f 8 1 7 j' 1 )-' OTH. INCOME 1\1101\:THLY INCOME EARN -1! :; :A. UNRELATED INDIVIDUAL 1 31Z 32 217 '' ''li 4 I .. ii 6 I 5 :c I! 6 4 II 2 1 l 7 4 2 1 I 7 4 2 1 I SEx II ETHNIC I! AREA llX310:1> ALPHA CODE l --------:z' N z J: 0 "' "' .. i : I i !C. i=: 1<: "'I j.,i _____ ..... ;: i5 i :-lz! ::. .. lll:i I i ,, I NA"' ___ ............ ...--2. ADORE ss _t#t_.l.b.J!;2;,__ 3. URIAN AREA CIRCLE 1 ) 3 (/) 5 6 ETHNIC COM PO SinON CIICLE "' 2 3 5 6 5. HIGHEST GlADE AnAINED IN SCHOOL CIRCLE 1 Z 3 6 S 6 1(J t 10 11 12. 13 1A. 15 Ui 6. SEX. MALE FEMALE-----------7 AGE OF-MALE OYER 62 63 FEMALEOYUil _____ B. MONTHLY EARNED INCOME CIRCLE 1. s 0.09 2.. 50-99 3. 150-199 !. 200 OTHER INCOME. 1. A.D.C. 2.. O.A P 3. G A 6. s.s. O.R. YA. 7. A.N.D. 8 OTHER 6. I Z!IOZI9 7. J00-3C9 8 350 9 10 600 ... 99 500 OR "'ORE MONTHL.Y PRESENT HOUSING INFORMATION UNIEPOilED INCOME s ______ UMUAL 1 OWNEO = ... til""' Z. Or ROOMS Or BEDIOOMS..,.S.'---3. AMOUtti OF' RENT WITHOUT UTILITIES 5 ...,s,.._ .. Q"-'H:::..::;;,__ 4 AMOUNT OF MONTHlY -PAYMENT INCLUDING P.i.T.I. $---S. GROSS INCOME SPENT %-------,---6 YEARS UYED IN ADDIESS _..z._.__ 7 PUBLIC HOUSING EUGIBLE FOR '"' APPUED 'DII 0 AELDCUION TAAIIISACTIONS l. DATE Or ACOUISITIO' DATEMOVED 1-16-a A ... OU"i; OF MONTHL't RENT PAID TO C C.R A. 5-----LENGTH OF' TIM TO RE:..OCATE AFTER DATE: OF ACOUISITIOtrr. D. PERMANENT RELOCATION 36-04 IADDRESS 1865 Larimer, #516 1 .. c1n Denver, suTE Col a z1F-D..2._ 1. PRIVATE SALES HOUSE L: a. STANDARD _.-SUB STANDARD w b. RENT' W/0 UTILITIES $ u1f #O WITH $ ___ N N e. C. PURCHASE PRICE S MO. P.I.T.l. $ ___ d. LPA REHIRED 0 SELF IELOCATED 0 PERCENT SPENT ON HOUSING %----------C Z. PUBUC HOUSING PIOJECT M&"'E------------1!= b..., 3. lENT SUPPLEMENT HOUSING ;II .. .. MONTHLY' INCREASE 5 _____ DECREASE S ___ 1";::!"' E. D.U.FI.A FINANCIAL ASSISTANCE GRANTED .., .., 1. MOVING EIPI.NSES -CIRCLE ?;!UI a UNDER SlO I l 72 -HI'-----b Z0Z g ... 96 1!i 01 97+ AMOUNl ---Ss w/o FURh. r r-..., S" W/FURN. t :i"' I .. C'ICI / zZ ,_ 111Ef.o11 DO N .. e 11-71 2. AVERAGE ANNUAL GlOSS IENTAL s ______ 3. AMOUNT Or RELOCATION ACJUSTMENT PAY,.ENT s, ______ .. AMOUNT OF IELOCATION PAYMENT .. .. ... .. IC --ur-

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    -----: .. .. "' .. .. ... IV Co '"t! ";"' .,. g ... .. ,..lol .JI I 1 !:::. lz. ..... r"'"l!' -----lo.,:;: :!r.:' i0itlc:i:::; ... ------------_:__:__..__..:.___ __ :.;----------':,t.:. ..... .;. r .... ,___ Ceci#, 5;)56 New-;:::;-.r1 St _.4,,_,-;..,h ... n;v&U V' ULU HOUSE ::: !. .., 3. U .. AN AIU CIICLl I {;) J fi)! o. ITANDAIO C IN-SIANDAIHI 0 '.. ,.._; ..... ,. !, :.:. .. '=f ; :::: .. I '1110 ... :: S-----j --... o-.. 1 a s8, e 11 :.a i I;!': '"'I !g; 12: ;c! It-, ___ _,il3i .. N N '" N .... -!, ... _. "' ., i-: !C..[ I I DATE "C>'' ___ ,-1--"-'-".:l,__,(,..._-_7.,.....3,__ _______ AMOUh':' OF MO,.,THi..Y RENT fAC TO 0 U R.A '------4. OF" TIME TO RELOCATE AFTE li DATE OF ACOU!SITIO"' !! -c: ... I MON"'HLY INCOME FAfvtiLY COMPOSiil..)l\ b SOCIOECOhiOJ.i!!C DATA ""'t HUBER Julius H. ADDR ....... __ -_ ... J _,O,_t....._.b.__.S...._,t_.r-'e ...... eo.Jt .... 3. URBAh AAE.t. CIRCLE 1 a> l G 5 ETlV 18-08 ADDRESS 830 So. 11-tSTJ.Ic( J.. A. 1. ,.I.ATE uN1AL v'suEs Housr = california! a. STANDUD 5U8-SlANDARU 0 b_CliiT' W/0 UftUftES l WITH 1------0 PERMANENT RELOCATION <-PUIICHA$[ PRICES MO. P.I.T.I. '-----d. LPA CEFECI[D 0 SELF CELOCATED C -PI SCENT SPEIIT 011 HOUSING fo------------z. PUCUC IIOUSING PSOJECT NAME !"""': ..... : :"' i, i IU' I I i I 1 .. 1: MCIIITHI.1: IIICCEASE l z:k DECREASE 1-----:11 ,. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. IIOYING EXPENSES CIRCLE z. 3. 4. c UNDER S 10 b ... ]2 c u-.s d .... !lt-71 AYUAGE ANNUAL GlOSS I[IITAL h j S 7Z-83 a-H S 10 W/0 fURN. 5 INDIVIDI.IAL. AMOUIIT or RELOCAftON ADJUSTMENT PA1MNT AMOUNT 0' aELOCAnOII PA1MPIT i7Qol2 .zi!J,. n I ;;:. ,..., I'" en-: .... "'jo: -4 ni-c'ua '"I I .. )ool"l .... "' :!!ioo .. "' .... .. ... : ... .. .. ... .. ..... .. _j ---1:1, '1.1M.o"Q t!: -......,.-' h/1.1. (. D. I. 'I.. u '1 v .. i .....ID.._, : ':1' -ln-' !IG ,_,r...; "' -'0....: -

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    N z .. 0 .... c "' < "' ... .. I 1 I I i "' I I 0, I 1::: I i W"' i I lvi I::E "lg_ 0: .,. '' I --------iz .. .. N .. .. lg lc ... .. "'"'"' '" 0 "' ... .. il 0 ... 0 It .. u ::> 0 "' ----.. ---v: .... ... :i' .:. __ .. A ==== 3 AREA CIRCLE 1 3 (9 5 ETHNIC COWPOSITlON CIRCLE -() Z J 5 HIGHEST GlADE Ut SCHOOl CIICLE 123.517 Q? 1J 1C 11 tZ \J U 15 16 SEX WALE ------EMALE -----------AGE OF MAL. OV iZ 1.'/ FEirro4AlE OVEI 6l _____ MONTHLY EARNED INCOitotE CIRCLE '0-49 50-99 10C-U9 15C199 Z00-249 OTH R INCOirol E A D.C. O.A.P G a s "' a 'D r 01''1 R $ UO-ZiS 300-349 8 350-399 9 10 40f.-499 SOC OR MORE MONHIL'r 6i'Ooo PRESENT HOUSING ll>;"l)RMATION UNUPORTED INCOME '--------------ANNUAL QY.,t-t = .. '/ I?" I p.,.Q Of ROOMS hC or BEDROO,_.S Ot P'-,T Ulii. .. ITi[S. 5 AMOU": or MONTHLY PAYM[t-;"i lt-.CLUDING PI T.l S ----GROSS iNCOME S!='E!I.T H4;tNG ;3t. YEARS UVEO I PI, OE"iVE r< PRESE,_T ADORESS _.,IL __ PUBUC HOL!SIIIoG E,.JGB;.[ = APPLIED FOR = RELOCTION TRANSACTIONS oH or """".s .. 3-i-"l3 DA'E lo40VED_4/LI_:-4-I.;oL:,-... Z:.....:3L_______ s _____ FAMILY COMPOSITION b SOCIOECONOMIC DATA NAME JACQUEZ -t Sandra z. Aooms 113A-J 72 l J th Street 3. URBAN AREA CIRCLE -1 0 .3 GJ S 6 4. ETHNIC COIIII'OSinON OICLE 1 Z (!) 4 S I 5. *GHEST &UDE ATTAINED IH SCHOOL IY HUll., 'UCU I l J 4 5 I 7 I I 10 II IZ s U U II I. 110 ... 0 rl' ICNILDUN IN -SDIIII.D 7. AGE fW MALlS O'lta u ______ _iAIIALlS-0 l. -TM.Y U .. ED IHCOIIIE-QltCU I. 1-& UIOollt z. HO-ut 3. 100.14!1 4. 150-111 5. 100-2ot9 I. OTHEI INCOME 1. A.D.C. 1. O.A.P. 3. G.A. 4. s.s I. 1.1. u. 1. A.II.O. I. UOJtt I. lC !iOO OR MORE MONTHL'I' 11;,. DD 8. PfiESENT HOUSING INFOIIMATION AMNUAL I. OWIIU 0 lEIIIIA? 11( l. 110. rl' NO. 01' J. or -ntu II!NT wrNOUr U11U111S 1 4r. DD 4. AIICIUtlt 110 IIDNTM.T PAntiNT IIICUIDIIIC P.LT.I. S------1, ta0$1.-1. VIIIT 011 -& .,,.._ ____ -:-..-. _.._ uI:D: a ..-.n-u:z:J&:: '7. .a8UC --: llf'PLIID C ... D C-HLOCA"I18tl TltANSACTlOIIS I. DAU l. a&TI: MOVIDI _______ J. --T ,_ tD P.U.U.L-------4 .. &.E-ll' 'liME 1D IIUICAI Anll IIAT'I ...... ,-J 3249 W Fairview Pl-. 11 I 1 .. .... o!:'IREs.s CITY Denver, STAT! cal 0 liP__ll I .1 PRIYATl P"' S.AU!t HOUSE. -I"' ... a. STANDARD .,..,.SUB STANDARD N ; ,..,..., b. lENT. W/0 UTILITIES S p WITH $ ___ C. PURCHASE PIICE S MO P.l T.l S -< _r'l d. LPA IEFEIREC ::::; SHf IELOCATED :J Ill PERCENT SPENT Oh HOUSING 2. PUILIC HOUSING PIOJECT NAME 0 ....., RENT SUPPLEMENT HOUSING lJ WONTHLY INCREASE S ____ DECREASE 5 ___ ;;i e. O.U R.A fiNANCiAL ASSISTA>ICE GRAI'ITED "T1 "" z MOVING EXPENSES -CtRCLE o UNDER 'lO s 71-83 ,..,._ ... '---84-96 I a: 97+ AMOUNl ____ t. 2C,..J;' ( $s w/o ru ,.. ,.1 S10 (f) d <16-51; e 59-71 AVAGE GROSS RENTAL '----AltotQUNl OF RELOCATIOh AOJL.STW.EH'! PAYt.4ENT ,, ______________ __ 4 AMOUNT OF REL.OCATIOh P.I.YiroAE,.T (/') -,:" Vi.!" I"' .. ,. .. > z: z Zj / 8j I" At 7DA # .:Z;?.o oo -r ,_ ... +RifP De z: PMn E J? 1.3. n ::;: ttf tNT/11. '( V'j c .. o PERMANENT Kalama 5; AODRESS __ I 1. PRIYAT RfNTAJ. I( SALES HOUSE :::i a. STANDAID J1( SU8TANDAID C IJ b_IEIIT' .,a ununu s NS'.I ... WITH S _____ <-I'UIICIIAS I'IICE J _______ MO. P.I.T.I. s ____ d. LPA IErUI C SELf ULOCIITID 0 .. N e.-f'EICIIT 51'UT Clll IIDU5111G 1. PU8UC _,IIIIC PIOJlCT HMI DECIU.S '----... E. D.U.II.A. FINANCIAL ASSIST AN C Gil ANTED ;.. :::: 'W 1 .. 1. WOYINC [IPNSS ClltCLE o. UMDEI S ZO b 20.32 C. 1l-&! d ... !II e. 5-71 Z. AYIIAGI ANNUAL &1105S IENTAL '------g h. S71..a3 14-t& S 10 W/0 FURN. S 5 INDIVIDUAL 3. AMOUNT IEUICATION ADJUSTMIIIT PAYMENT ,.,:1 Zj""'l"' n 'j;, : .. 4. or -:J;T !tlbT _......::l5:t..A.ftwad!!lllll!.. ..__ ... .., ... _; '----------------jC ... -,. _1 Ml IJII t-.J-J --AJ :r.J"...) 1rJ ------..-...;.,---------...--t l"i-q .._i .:' L

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    .. .. N ... N ... N .. c .::i..., D ... .. Ill :L :r 0 .... 0 It .. ;c. VI ::J' ---------4: a' ---------------------... .... -. : _____ ... _____ t._:_::_ __ z. I. z.a. 150-1H 5. ZN-U9 6. I ZW-111 7 ...... 1111).101 -10. 100 o MORE I. OtHU INCOME' 1. A.D.C:. MONTHLY """ l. O.A.P/ 3. G A s s ... -B PRE HOL.i 5.!NC, t.. 7!01\. c I. OWNER UNNU'! NO Of NO OF BEDROOMS __ AMOUPiiT or UOrtT.-ti..Y RE-.T WITHOUT UTIL..ITI[S l----,::-::,---,h40UNT Or 1110.-TiiLY PA'tlwl"-! lhCLUDING F-.1 T.l S GROSS INCOM SPEhT Oh HOUSING '--------....--6. YE.lR!. LIVED IN 7. PUBLIC HOUSI'-G. APPLIED '"OR C fLIGIIL FOJ C RElOCATION TRANSACTIONS DATE or AC:OU: SITIOh Z. DATI AMOUNT OF RENT PAID TO C LA A '------1. I.ENGTH OF TIME TO RE:..OCA.TE AFTER DAlE OF ACQL:IS!TIO"" E. :)2-22 A-DORES l. -van HlltA.l c 11111.15 -.u I( ;;a. ---n-ID D t. lliOYRIG EXPENSES QIICU a. uomn 1 zo b. Zt-Jl c.. u...s d .... ..... 7, 1. AV[II!GE ANNUAL GROSS IEIIfTAL '-------serr. 11QM I 72-83 g. -110 W /0 FURN I 5 INDIYIDUAL .... ,_ ..... ... w .. .. .. .. OCt SeA' .LN3nJ..Yd tiO lN3ti NO J.N3"Jt13d i .:1i "' 35 i .':s l .. r, .. f---,_ ;;:.__2 lbr" b :II r 1:.:: 11 lU ., j OTH : !N:OME. r:"' l! I L I I 'l .. ------1z I. f .. .. .. ., ... .. .Jo: = ... "' Q .. "' .c; l:5i Q "' A FAMILY C.OMPOS!TION b SOC:OECONCMaC OAU JIMENEZ Albert ... r ____ :: ::::: s:_RE_A_=:C:..:I:::RC..:L::.E-=. -1 -, -3-=,-=5=6_;::::..,,1;:;;:.==-=-----'-ETHNIC: COMf'OSinON QIC:LE I Z (1} I I !1. .. SHUT SlADE AnAINED IN IC:IIOOt. BY HEAD Of" FAMII.Y I:IIC:U 1 Z J 5 6 1 I I 9 11 1Z 11 ,, 11 11 I. IIUMI OF CIUUIREN IN HOUSEIIOUI 1. ASE OF MALES OYER IS sf FEMALU IIYU IZ--J.ta.aJ,__ __ I. MOHnti.Y EARNED INCOME CIRCLE z.-100-1'9 1!t0t9 ZGO..l&9 I. OTHER INCOME 1. A.D.C. Z. O.A.P. 3. G.A s.s. s ... 6. VA. 7. A.N.D. 6. I UIIZt9 7. Joo-3 8. 150-199 9 &go.....l9!!1 ) SOO OR MORE MONTHLY 8. PRESEI\IT HOUSII\IG lt\IFORio4ATION UNIEf'ORTU INCOME s INNL!AL I. OWN t{ TENIIAijT CO .:J., I. 110. OF OF BED_S ____ J. AMOUNT Of" MONTHLY RENT WitHOUT tmUtiiS 1------. AMOUNT OF MOHtHLY f'AYMl"T IIIC:WDIIIG P.LLI. 1------.1. li-S 111-E SPEIIT .. HOUSING "'------...--._ YUBII U' IN DEIIYIR REHIIT -l:ll::::z:= 7. PUBUC: -IlliG' At'NED FOR C IUSIIILI FOil C C. IIU.OCATIOI\I TRAt\15ACnONs I. DATE OF A.aiUISitiOio ___ 1. oATE MOYro ______ _,IK..::'.I.Z.I.'!...: .... @u'-------a. AIIIOUIIT Of" MOimL .liT PAID ft) D.U.LA. 1'--------. UIIGrH OF tiM 10 UL.Dc:ATl AFTlR DATE Df" .MXIUIIITION. b. 20.31 c. 3J."S de lt-71 I. AYUAGE AIIIIUAL GlOSS RENTAl I ______ '71 ... 9E S 10 W/0 FUR"-. S 5 INDIYIDUAL J. A.MOUNT OF RELOCAtiON ADJUSNNt PAYMENT --------------. AMOUNT OF ELOCAnDII PI,MDT I ______ I IUHP J"i11 10 !:" ;ll z., "' .. ... ... .. "'-....A.. ,J

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    .. .. N N L .. N ., .. .... N I I N -= -: '.;..... o =..!A"A JI.t-".ENEZ g Jose -th S'reet tiUU UU CIICU I l J f 6 -I., ... ,. .. .. ," I. 2110-UI I. OTHII INCOME' I. A.D.C. 1. O.A.P. 3. G.A. s.s. R.R VA A h.D 110 OR MORE .sao MONTHLY PRESEP\T HOuSiNG IN!='ORMA'!'ION &IOIU&L 1. 0"-'-EII :: 2. NO OF ROO .. S __,7p(II.. __ NO OF IEDROO"S--'.3!0<.. __ AMOUNT 0" MO,..THlY W!THOUT UTJ:.ITI 1-------4. WUNT 0" MONTHi..Y PAYME"'T P.l.l.l. I _____ S. GROSS INC01o4E SPENT 010 HOUSING "'------.--6. YEARS LIVED Ui DENVERJQ__PRESENT ADDIE.SS=-et:= 7. PUBLIC HOUSING APPLIED FOR D UGI8L FOR 0 I. DATE OF ACOUISinOh __ RELOCA"!"ION TRIINSACTIONS /lilt 2 DATE MOVED /1 '!7JZ 3. AMOUNT OF RENT PAlO TO D.U.R A.$ ______ LEhGTH OF Tllo4E TO RELOCATE AFTER DATE OF ACOUIS!TION. ADDI>ES s __ l. P .. VATl UNTAI. C iALU HOUU I( $JUIDAID f{ llla-IIAIID&RD 0 ... .. _.,._.,, MCIIIAH ----...;...P.'I!:I E. 'D.tl.fl.ll. FINMIICIAL ASSISTANCE GfiANTED I. MIWIIIG EKPENI OIICLE a. -ER 510 b. D-JZ c.u.u d .... .. ,...,, I. AVEIAGE ANNUAL 51055 RENTAL S7Z.U g. .... h. i 10 W /0 fUIIN. S S IIIDI'IIDUAL 3. AMOUNT OF ILOCATIOIII ADJUSTMENT PAYMEN"!' s ______ ... ... .. .. l OO s!l !l3M<30 N' St:A J! 5038 SWOOil IUS !N31UYd !lO J.N31l !lNISnOH NO J.N3:lli3d "' N r. ; 1: I II n J. j n j j---,1 1 z t L i t i : 7 I i l 1: l z L l [ i 015 I 7. I II 7 t I i I 7 I I' 7 ,_ : QUI ""' ,, -" ,j li I \1 II URBAN II .. -)>1 OTH INCOME I MONTHLY INCOME EARN ; + SEX i ETHNIC II 'REA x;::!a :! A UNRELATED INDIVIDUAL 1. NAME JOHNSON i David C. 2 ADDREss 10 35 Otb Stre::>t 3. URBAN AREA CIRCLE 1 (!} 3 ) 5 6 ETHNIC COMPOSITIOIII CIRClE E D.U.R.A FINANC:IIIl ASSISTIINCE GRANTED ., ., 1. MOVING EXPENSES CIRClE o UNDER I ZC t Z0-32 33--.5 ci .t6-58 e. 51 2. AVERAGE ANNUAL. GROSS IE,.TAL '--------------97+ Alo40UN1 --$5 W/0 FURN. $10 3. AMOUNT OF' RELOCAnON ADJUSTMENT PAYMENT '-------. AMOUNT OF' RELOCATION PAYMENT .J.J.#n,u. > I .. .. .. -<1 .. z I n,..! "'"' z N .. N .. N 2. NO OF ROOMS ---"g._ ___ NO or BEDIDOMS --=-'--3. AMOUNT OF REJrril WITHOUT UTILITIES S ------AMOUNT MONTHLY PA'I'Mf.NT INCLUDI"-G P.l.l.l. S ---GROSS INCOME SPENT HOUSING %------::-;;-.. .. 6 YEAIS UVED. IN DENVER ___ PRESENT ADDRESs_.J ..... ,j__,_ __ 7. PUBLIC HOUSING ELIGIBLE FOR !"'"o APPUED f'OR 1. DATE OF ACOUISITIOh RELOCATION f / ''f.i 2 DATE MOVEC f.jj 'f AMOUNT or MOhiTHLY RENT PAID TO D.U.RA 5-------. LENGTH OF TIM TO RELOCATE AFHR OAT OF ACOUISITIOh Ser. I!Oun J'Z. so 1: 0 Sz ... .. ..

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    .c -. -'-' --... ; ____ ---=--.. _. ,:;. ; ..:.. s a=::.-'2::: ..;.. 5t!!; ::. ___9_A_E__-=-9 t h S""' r ...... r:::: UIIIA"-' AHA CIIC:;.E- Z :! & "' ., I (Tfol .. l( CIICL 2 G 5 t GlADE ATTAINED 1111 SCHOOl CIICLE 1 Z J A 5 I 7 I t 10 11 1Z 1J 1 15 16 SU WALE 7. AGE Or WALE OYU 61 FEWALE OYER 6Z s.t MONTHLY lAINED INCOME CIRCLE b. c. d. r. UN!. w/0 UTILIIIU $ WITH $$........--; ,URCHASE 'IIC s J' Ot6 wo pIT I L'A REHIRED :J SELF RU.OCATED ,EIICENI S'ENT ON HOUSING 9!; ---------'UIUC !lOUSING 'R0JCT NAWE-----------N I "'' N O 9 "' .... o: ... .. .,. ; -: 1. s 0-19 SO-H 100-1&9 15C-19! 5 200-U9 OTHER lfiliCOME I A.D C z O.A.P. 3 G A s s 6. I Z!IO-ZH 1. JOO-JC9 8 3!10-:199 I ... ,, 10 !tOO OR MORE MONTHLY I 117.10 UNRE,ORTED INCOME RENT SU,PLEWENI HOUSING ____________ MOfriTHLl INCREASE DECREASE 5---D.U R.A FINANCIAL ASSISTANCE GRANTED [IPIU,SES CIRCLE 0 UNDEI IZO I S t ZG-32 g ANNUA:.. c 33-U 9l+ AMOUNl I d <16-!51 Yf/0 I !11-71 Sto l z AYE:RAG ANNUAL GROSS RENTAL I ; -' F 3 AMOU,_T Of IE'I.OCATIOIII ADJU$TMENT PATt.t(NT z "' "' : .. c = 6 .. ..... c :z .,:.; e ::i z B PRESE'I,''T ; -c 0Wh[f' X 1/ 1:r.z ; NO OF BEOitOOMS c:--z -A,_.OL''-Oi REfliT z, ... _! .... AMO'.P\""' Qf' MONTHLY PAYMENT .. G T.l 5 i"' -I i:X: GRO!.S tt-:::O...,l SPENT ON HOUSING 7! jll..l ; b YlARS L.IYEU It-OENVEft _g__PRE5EN1 ADDRESS LJ.. -. ; PUBLIC ELIGI&LE FOrr A PPLaED FOR -:c RELOCATION TRANSACTIONS f 7.2 ,..,. :!I i DATE I..COIJISITIO'I: CAH '" I 3 or ..-.O,lHLY RENT "'Q C '.J k lo s 0r Tl""'t: '0 AE.LOCATE AFTER [lA![ Of ACOUST/0'11 : I ., AURA RIA i ""' ICI: I lr:..: I OCr H!o sc, !o3AN30 SdY3A 5038 5"0011 I' 1: : ;; 1: [ 5 9 L t I n ... AMOU'II' or REOCATIOh PAYtr.4EI\' c;":' %.; ,., f.tJ40 UIIS DIF ;zLb 0 l!1STJ l'l QU./1. "} tlfbP&ttll.. fUMo:. ")!z1f18 1170.d7l I ClS: .. Ad 1!0 8 ans I I o.:.s' 1 r 'l i j 3: 0 < z "" ::;I 2 "' vi. F=F= NC i N3:)1!3d it z "o' -1 ,., ,.,jcr \ i' lr-Wd, !i ii '' t5 16ii e 7 6 5 li 12 10 9 e 7 !! ii 6 5 4 I "I! 6 5 I! 6 "Ri : .. 1 7 4 z : 7 4 u 2 1). .. .. i A. D. PERWANENT RELOCATIO'I 3 8-0 6 -----...,,z "' .. N N "' tO .... !U! i5i I"" I NA" ADORES s J URBAJr,i AREA CIRCLE 1 0 J 0! 6 ETHNIC COMttOStnON CIRCLE 1 2 (!)' 5 t 5. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 Z 3 5 6 7 I I 10 11 12 1l 1 15 11 6. SEX: WALE------FEWALE ___ ..J.)t"---.,..., .... ---7. AGE OF WALE OYER 6Z ____ FEWALE OVER 6Z_ .. ,f1LJ7.._ __ I. MONTHLY EARNED INCOME CIRCLE I. I D-49 6. I ZSOZH UNREPORTED INCOME '--------------100-U9 8. 3!10-319 4. 150-199 I "" iV'I: I 2o,.2.c9 i 9 OTHER INCOML 10 500 OR .... ;ol i 1'0:, I CD: I l i 1 I 11 : I t.,! I A.D C O.A.P G A s.s R.R :s:,_,1 e OTHE MONTHLY ANNUJil 73':00 73.10 I 7 ... D. PRESENT HOUSING INFORMATION -----1t11r I OWNER = z3 NO or ROOWS --L-'---NC OF 8EDROOWS ...,.,:--,!-1....,:-:::,-N I A"OUNT or MOTHLY RENT WITHOU' uT:UTIES AMOUI'IIT OF WONTHLl' INCLUDING P.IT.I $ ____ It S INCOME SPENT ON HOUSING o. 6. YEARS UYED IN DENYER ___ PRESENT ADDRESS /. lo 7 PUBLIC HOUSING ELIGIBLE FOR = APPU[D FOR = j C. RELOCATION TRANSACTIONS /A I 1. DUE OF ACOUISITIOh __ ... Hll.f,I;:I--,.---,,...,...,::-:;,..------N" l. DATE WOYED / ]/.,., LENGTH Of TIME TO RlL.OCAH Af'TEA CAT Of ACOLIISITIOh ADDRESS 1801 Larimer s-e:-96 :on Denver 1 suTE Colo. z--, PRIVAlE RENTAL 'If SALES HOUSE &. StANDARD fl SUS StANDARD b. RENT: W/0 UTILITIES $ ______ WITH c. PURCHASE PRICE 5 WO. P.I.T.I. 5 ___ d. LPA REFERRED fl SELF REI.DCATED :J w N r--.. e. ,ERCENT SPENT ON HOUSING %----------C 1. PUIUC HOUSING PROJECT NAME E) ..,. 3. RENT SUPPLEWENT H0USING __ .lfy'-'OI&JfD.. ______ :or.;;--!2J r> MONTHLY: INCREASE 5 ::--=--CECRE-.SE E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING EIPEhSES CIRCLE .. z -<.U' o UNDER i2C b 2Ci--lZ t 33'5 <16-!if .-H-71 2. AVERAGE ANNUA'GROSS RENTAL I ______ s 72 1' 97+ AM0Uh'1 --WIO f'IJRN 51C 'A' ;fURl\ t 3. AMOUNT Of' RELOCATIOh ADJUSTMENT PAYhUNT '------. AMOUNT OF IELOCATIOh PAYMENT >r+:!a -:1 tn !f 1 .. zi-t-,..z ... zZ J_,_, ..... J74.00 UHP ll: 0 z .,.1 :;:_. il &l. AWOUNT Of' MONTHLT REN1 PAID TO CUR A 5------; Li AURA RIA rl .:1

    PAGE 175

    --. --------------------L ,..,:: :.:.. .. ------;r .. fit c. -. .. .. .. .. -:; !1. E" ...... l :.. -'1-. E --lC'2S f5 c1n Denver, stan ..... cia N N = .. N N ... N fll') i" I 1 i I '"I"'' I "121 ., !"i I i I c 2 ;;;z """ l Uti; St,., #405 3 UIIAN AIEA CIRCLE 1 e 3 f f ETHNIC CIICU {!)2 3 I I I. HIGHEST GlADE AnAoNID IN SCHOOL CIICL I Z J !i 6 7 I t 10 11 1Z 1J U 1t .. 6. SU WALE n FlWALE------------7. AGE Or MALE OYU 62 HMALl OYII I. MONTHLY EARNED INCOME CIRCLE_,...._.. rI ,, tj I. S 66. S U0t9 INCOME 2 SOtll 7 J06-309 '--------100-149 Z00-2CS I. OTHER A.D C O.A.P G A s s ... .. .. "i c. e uo-m OOO.Ot9 10. 50C OR MORE MONTiiLY PRESENT HOUSING INF-"RMATION ANNUAL owE = TENNA\i !)( J.. /L. NO 0" L NO or BEDROOMS Atr.f01.!'11' OF MONTH:. 'r RENT WITHOU'l' UTILITIES S IJ4 tl. AMOUNT Of ._.O'IiTHLY PAYMENT INCLUDING P.I.T.I. 5---GROSS INCOME SPEFIIT ON HOUSihG YEARS LIVED. 0' DENVER ___ PRESNT ADDRESS __ ,'---7 PUB:..IC HOUSING ELIGIBL.E" rOFl = APPLIED FOR :::J RELOCATION TRANSACTIONS 0' T[ OF ACOUI SI!IO ,.--:-'et....,titu,,.....o&....,,. ...... '--------; DATE MCVm fr-7 3 1 ltiiYATE IENTAi.. SALES HOUSE 2 a. STANDARD jt SUI STAIIDARD b. REn w/0 UnUTIES S OO WITH $ ___ c. d. e. 1. MOVING EXPENSES CIRCLE o UHD S 20 t 10-32 :: 33-'5 d ..... e 51'1 Z. AVERAGE ANNUAL GROSS RENTAL '------I 72 10 97+ AWOUN1 --$5 w/o rURN S1o w/FURN 3. AMOUNT OF RELOCATIO._ ADJUSTMENT PAYME,_T '------ AMOUNT OF RELOCATION PAYMENT .. w r ... .. ( .. ('\ -r" ..... ,.. .. .. ... N .. N C" "' .. .. w 1N3WAYd l:iO 1N31i !)NISnOH NO J.N3:ll:i3d I ll' .. !I 5 9 I I 35 if-:.:.,.-:-:-N or.' I -z I! I l i I l E il+ '' '' I I '' IM I ,, ,! J UAI!At.i l L I r)!: QT..,. lfliC')ME Y INCOME EAJ:fN Sl. ET> 7 I I 10 11 1Z 13 1 15 16 6. SEX WALE HWALE--------,--r--7. AGE OF WALE OYER 62 ____ HWAL! OYER 62 _.6"-''---1. MONTHLY EARNED INCOW E Cl RCLE 1. s o..9 6. SZ!I0-299 ..... 100' 150-199 zoo-.2 OTH II INCOME ADC O.A.P 3. GA. s s 5. R R E. YA A Jr..D. 8. OThER 7 300-UI S 3SO-J99 c::::!:> Sot OR MORE MONTHLY PRESENT HOUSING INFORMATION INCOME '---------------ANNUAL OWNER :::: tr' 2. NO OF ROOMS ____ _.2_"--_NO o 3. AMOUNT OF WONTHL' RENT WITHOUT UTILITIES S __ AMOUNT OF MONTHLY PAYWENT INCLUDING PI T.l 5 GIPOSS INCOME SPENT ON HOUSING 6 YEARS UYED IN ADDREU_oii'IL.-7 PUBLIC HOUSING LIG18l FOR :: APPU(.D FOR :: C. RELOCATION TRANSACTIONS DATE OF ACOUISITIOh DATE MOVED j a .. t 2001'".' 9 OF MO"iT'"'l T RENT PAID TO O.U li A S ------UNGTH OF TIM TO REL.OC.ATE. AFT DAT Of ACOUISITJOfrrl R 551220 Ash ADD E CITY D&Ail.1 sun i:.olo z.P!fii;;. I I. PRIVATE: RENT A:.. SALIS HOUSE lw a STANDARD ... SUB STANDARD IN l'irJ QQ b. RENTo w/o UTILITIES s WITH s c. PURCHASE PRICE $ WO. P.I.T.I. s ,_ d. SELr RELOCATED 1( LPA REFERRED :1 m r. PERCENT SPENT ON HOUSING 2. HOUSING PROJECT NAME i: bl"" 3. RENT SUPPL[tr.4ENT HOUSihG ::c "I .. MONTHLY: INCREASE s 1/C.OQ. DECREASE s ___ >""'o' "'I D.U.R A. FIP l"; 59-71 SlO W/FURt. U'll., f:' 2. AYERAGf: ANNUA;.. GROSS RlNTAL. Vi ..-t. I"" 3. AMOUNT Of RELOCATION ADJUSTMENT PAYMENT .. A .. OUNT OF RELOCITIOh PAMf:NT Cl' I :a -;oo.,J ,.. 5!!/IHS o
    PAGE 176

    .. A c 2 c ____________ __,_. __ ._ _.__...!.: .:...': .. ____ _._.-':._:.:_.::.__ __ c.f----;_,. ._-...... ( !. .. .,...,----:::=J... ,.:. .. _____ ADDIESS gr::.2 10+-b, i21 2, 14 I J UI8Ah AlE CIICLl t t!> 3 (j) & -(THNIC COMPOSinDN CIICLE 0 Z 3 15 I. ..GHEST GUO AnAINlD IN SCHOOL CIICU -1 z J s 1 I B 10 11 11 ,. 11 ,, SEl. MALE ______ rlWALE ---4----,-,,----7. AGE Dr MALE OVER 6Z MALE OYEI Q...J.IIUOiL.--8. MONTHLY I.AINED INCOW CIICLE: S 0.09 6 UIOZH 50-99 100 150 5 ZDDU9 I. OTHER INCOME 1. A.D.C Z. O.A.P GA. 5 s 5. R R VA l.h.li OTHEJ: 7. 300-Ut 8. 350-JH I oo-499 SOC OR WORE MONTHLY PRESENT HOUSING INF.ORMATION UNREPORTED INCOME ANNUAL 0\'tr.ER = HNNANl._ .:l 1'110 or-3 NO OF BEDROOMS,_=:....-,.--OF MO"THLY REIIIT YitTHOL!T s 41/1. DD A-.tOU"'"' Of MONTHlY EN""' .. P.I.T I. GROSS INCOM[ SPENT ON HOUSING %------=--YEARS LIVED IN DENVER ___ PRESENT PUBLIC HOUSING ELIGIBLE C: APPliED F"OR = RELOCATION TRANSACTIONS .A DATE OF ACOLI!SI'l'IO"'i DAH MOVEt ________ 0'" MO'-Tiot;..\ PA:C TO D l.i R.A S ------LEhGTH Of l1M[ TO RELOC.t.TE ArTER DATE OF C ADD:ss Rr: .2 JOD:Z.A K a 5 fL z,, __ 1. PII'IATf uilAi. = $A.L[$ HOU!.E Jl. a, STANDARD I( SUI-STANDARD b. lENT W/0 UnUTIU _\. WITH $-=,-:--..,..,. c. PutcHul PllcE s Soo ..o P.I.T 1. s.i(JtJ .. d. LPA llfURlD 2 SEL RELOCATED 0 e. PERCENT SPUT ON HOUSING llli---------i1., r ,., w .. :1:1. !'*'\. Z. PUIUC HOUSING PIOJECT NAME------------C: 0 "' 3. RENT SUPPLEMENT HOUSING w MONTHLY. INCREASE _____ DECREASE $ ___ .. E. D.U.R A FINANCIAL ASSISTAIIICE GRANTED "1 '0 1. MOVING EXPENSf.S CIRCLE Ul -. o UNDER I ZD-S 72 ..,. b zo.12 &4-96 n ... c 33-65 97+ AMOUtrfl ---;;,;:,. .-.se Ss w/o FURh r--"""' w ,. .. e 59 510 W/FURtoi Z. AVERAGE ANNUAL GlOSS RENTAl (1)1-,; CJ'! N l. AMOUNT or-RElOCATIOr., ADJUSTMENT PAYMENT n I '--------4. AMOUNT OF" AELOCATIOIIi PAYM[hT C'>:>: :::c ;,.i...; ,. z, z zj NE/'DA .JsrJ.(J(J Tl.HP OtOO.dD 11,.-. !0 "' .. = .. .. p f ... "' ,__ --------------------------z ;gl ... :;-l '" = .. NOil.Y.>013t! J.N3N\IW!l3d i ... .. oo lN3531ld ll3AN30 '" SllV3A I 5032 S"'OO!l CUS lN3"'A-d llO lN31l ------4,_! I r j 1 i: I I o I t "., i E L ; I j t o:s < f z l r L I n L l c !! ; i N ... "' N N ., .. N : N .. N .. .. ,, )-I OTH i -II ii I! ,I I I n n I I -J' INCOME ; WON THL Y INCOME EARN U + i A UNRELATED INDIVIDUAL : ::::m 3. URBAN AREA CIRCLE I G 3 (!) 5 6 -ETHNIC COMPOSinON CIRCLE (!) Z 3 5 I 5. HIGHEST GlADE AnAINED IN SCHOOL CIRCLE 1 Z 3 5 I 7 I I 10 11 6) 13 U 15 II 6. SElo MALE FEMALE-------------7. AGE or MALE OVER 6Z "' FEMALE OYER Q ______ 8. MONTHLY EARNED INCOME Cl RCLl 1. S 0.09 6. SZSO.ZH 3. 100 150 5. ZOO.U9 I. OTHER INCOMEo 1. A.D.C. Z. O.A.P. 3. G.A. s.s. 5. R.R I. VA. 7. 300 8. 350-3H t. 1100 .. 99 10 500 OR MORE MONTHi..Y 1-17 7. A.N.D /2 0 0 0 8 OTHER PRESENT HOUSING INFORMATION UNREPORTED INCOME $-------ANNUAL z. NO or I NO. or BEDIIOOMS .,..4----T. OWNER U TENNANT (il"' f. 3. AMOUNT Or MONTHLY RENT WITHOUT UTIUTIES S ,1/,. 0 0 AMOUNT or MONTHLY PAYMENT INCLUDING P.I.TJ. S ____ 5. GlOSS INCOME SPENT ON HOUSING llli------:--6. YEARS UYEDo IN DlNVER ___ PRlSENT ADOIESS_.JLB!:...._ 7 PUBLIC HOUSING EUGIBLE FOR :: APPUED fOR lJ RELOCATION TRANSACTIONS 1. om or 4'11 1 1 N!. l .&.11 .. z) z. DATE MOVED ... L!-2) 3. AMOUNl OF" MONTHLY RENT PAID TO D.U R.A 5-----. LENGTH Of TINE TO IU.OCATE AFTER OAT or ACQUISITION D. PERMANENT RELOCATION 38-06 ... ADDR ESS;::-..::1:..4.:...:4..::5:.,_C:;.::O;.:r:..;O::.:,:n:.::a:-_--:------l ciTY Dppvpr sTAn Cole. z1....,.J,.i1. PRIVATE RENTAL .,: SALES HOUS!E ...J .. ... ... a. STANDARD iiii"""'SUB STANDARD b. RENTo W/0 UnUTIES $ /IS'. ()O WITH $ ___ C:. PURCHASE PRICE $ MO. P.I.T,I. S ___ __ d. LPA REFERRED 0 SELr RELOCATED 0 Ill e PERCENT SPENT ON HOUSING %---------. z. PUBUC HOUSING PROJECT b"' 3. RENT SUPPLEMENT HOUSING ;tJ w. MONTHLYo INCREASE S _____ DECREASE $ ___ ;too ;;l"' "' E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING ElPENSE5 CIRCLE __ -__ o UNDER S ZO I S 7Zl ':r b g. u-96 i!!; !111 ... c 33-.5 -97+ AMOUN1 ----;; "I d 05-51 w/o ruR-r,;:!,.., e st--71 510 W/FURN VI '-I .,. Z. AVERAGE ANNUAL GROSS RENTAL (;; -------;!: .. w .. 3. AMOUNT OF RELOCAnON ADJUSTMENT PAYMENT Z:l-+-----1--------... C\ "I ::o ..... ,.z -AMOUNT or IELOCAnON PAYMENT .. zZ .. Mq4A: ..... ft 31: 0 s; .... _. z =-'" ,_ .. .. ; CJQ .. cr--"' ... lit-.,-

    PAGE 177

    ___ .. _____ ::_ .. "': L. ... =-l _:."':I: '":: :-. :. .. ... l r:2-:.-""+ u+= 11 C! .... ree+-., .. .. c .,, I \&) IV1! :gi !"'I .. I I i I i ,oou ss. _, ...J.J. '-... lo.J '-= 1 URBA UEA CIRCLE 1 (V !(J) > fTHNIC COMPOSinOII CIRCLE {!) 2 3 5 I 5. HIGH[ST GlADE ATTAI!'fED IN SCHOOL CIICLE 1 l 3 5 6 7 I t 10 11 1J U 15 11 SEX MALE fEMALE __ ..;.'.z.....'IL _____ 1. AGE Of MALE OVER 61 ____ FEMALE MONTHL'\' EAINED INCOME CIICL[ s o>O!I'l 1oc.-1s 15{1-!99 '2>0-299 UN If 'CITED IN COM f 5 Z00-249 I. OTt-! P INCOME 1. A.D.C. Z. O.A P G A s.s VA A -...0 e O'!'HEii' 7. 300 8. 150 .OV ... 99 10 SOC OR MORE MONTHLY 1.3S. 0 Q PRESE>I' HOUSING ANNUAL 0\t\''\[Ji = o OF R00"5 --;/C...---NO Of BEDROOMS AMOUiriiT OF MOhlt-!i.' REhT WITHOU"! UTILITIES 5 _..,.i.._.'i.....,._.$"..._,,3..,__ At.ot0U!'I;T OF MOfi,TtiLl' PA'\'MEN1' PI T.l. S GROSS INCOME SPENT Oh HOUSING ;;t _____ """'::----6 YEARS liVED IPI. DE'-IVEI( ___ PRESENT __ PUBLIC HOUSP-tG EUGBLE FOR APPi .IEtl FOR = RELOCATION 1 WE OF-UIS .. Ib" Altl't#f>. $ .?f 23 om 111-.21-ZJ AMOUP\i' 0'" '10"-THL Y RE._"! PA!D TO D l! R A. lENG:T"f OF" Tl"-''t TO RELOCATE ArTEii CATE OF ACOUIS:TIOh i I I r!.: ...... ......, ...... ===:-::--::-:==:-::-:-::,.,--!' 1 INCOME MONTHLY !'0-399 9. &00'99 10. SOC OR MONTHLY PRESENT HOUSING INFORMATION UNREPORTED INCOME ANNUAL 1. OWNER TENNAJriT 2. NO OF ROOMS ')! NO OF BEDROOMS 3. AMOUNT OF RENT \I'ITHOUT UrrliTIES $ ...... AMOUNT OF MONTHLY ,AYMENl INCLUDifotG P.I.T.I. 5---S GROSS INCOME SPENT HOUSING -------.,....-6. YEARS LIVED Ifill DENYEJI ___ PRES>ENT ADDRESS ;J 7 7 PUBLIC HOUSING ELIGIBLE FOR = APPUED FOR = REi.OCATIO" TRANSACTIONS DATE or AEOUISIIIO< S::-I 73 DATE MOVEO __ l AMOUN'T or htO"-THL'l' RlN': PAl[: TO D.U R l S ------& LlNGTH or TIME TC REL.OCATE AFTER DATE Of ACQUISITIOrrc AD::>FIESS 1.;45 LOTQD1" C)+-CIH Dp'!""!"Jer, STATE :,..,a "1 a 1 PRIYAT RENTAL SALES HOUSE :: 1 .. ZIF_l..8_ ... &. STANDARD STAIIDAID b. WENT; w/0 UTILITl 5 liS: d .WITH $ ___ N,. c. d. e. PURCHASE PRICES _____ MO. P I.T.I. S ___ LPA REFERRED :J SELF RELOCATED 0 PERCENT SPEMT ON HOUSING c 2. PUIUC HOUSING PROJECT NAME------------0 .., 3. RENT SUPPLEMENT HOUSING _____________ :C (") MONTHLY. INCREASE DECREASE S ___ ;... D.U R.A FINANCIAL ASSISTANCE GRANTED ::!! : 1. MOVING El,ENSES CIRCLE Z -c: Ul o UNCER SZO S 7Z ,..,, b 2:0-32 M Ill 33 97+ AMOUNT----<06-58 Ss w/o Fu r "'I"' :.!: e H-71 510 W/FURt.l 13' AVERAGE AJHiUAL GROSS RENTAi.. ;!; U\ 3. AMOUNT OF RLOCATI0fri ADJUSTMENT PAYMENT '-------' AMOUN"! OF R[i..OCATIOIIi zl l"!": E. D.U.R A FINANCIAL ASSISTANCE GRANTED .., '" 1. MOV,.G 'EIPENS Cl RCLE c UNCER szo $ 72-83 z I t 20-32 li'H !::!1 .. 1"' t 33-S 1'1 97+ AMOUNl ---> d .16-58 Ss w/0 FUAIIi e St-71 510 W/FUR!Io C/11'0. 2. AVERAGE ANNUAL GROSS RENTAL. ,, ______ 3. AMOUNT OF R[LOCATION ADJUST>IENT PAYMENT ''-------. At.COUNT OF RELOCATIOtrr PAYMENT :=; '"' zl : Cll "I .. .. .. .. .. __ .. _______ ;l .... .. :s:f 0 i( "l:r :I ::: "'!-. c I I ....

    PAGE 178

    4 i!,' 'I.: .. -\.:.. -:.. '"l:. ":::. :. ;. .., ..,1 ;::.r. :: :.,e: i,tc I ct.') "' s. II/':,; J:,'-?.,. CIH _________ _______ ld --PIIYAll IEJr.U;.. ..... S.A1..S HOUSE .. N j"'! UIIAJ\ AREA CIICU G l 0 ETHNIC COMII'OSITIOfli CIICU G l 3 6 5 5 MIGHST GlADE ATtAINED 1 SCHOOl. a. STANDARD = SUB STANDUD j: !-b. w/o UTILITIES $ _____ WITH I NT N ... "'I I i lo: ,.... c: !a:. I I .,, I c CIRCLE Z J 4 5 E I I 10 11 tl U U 15 11 6. 50 WAL[ I( FEWALE-----------l. AGE OF WALE 0Y[I 61 ____ FEWAL[ OVER W _____ MONTHL'r EARNED INCOME CIRCLE 1. S 6. I UOZK 5DH l. 100-1.t9 5 200H9 OTHER INCOME A.D.C O.A.P G 5 s .. ... o ou .. Eii. JOOl 350-:199 1C OR MORE MO.,.THLY PRESEN'T HOUSING INFQR .. OWNfF :_ UNIEPOITtD INCOME ANNUAL c OF ROO"'S ______ hO 0' BD000"S -----AlrotOU'-.:T or M0hl ... RENi L:Tii.!'!"![S S -----AMOU,.T or MONTt1LY PlYM[M lhC'-.UDthG P.l T.l GROSS INCOM SPENT 0""" HOUSING 1c: ________ YEARS LtVEU !fl. OENVER ___ F-RESENT ADDRESS ____ ELIG1BL rOJ;: APPLI[[i FOR = OA':'[ OF ACOUIS!TIO' ---,--,-,.....,,---------DTE AMOU,._l OF MQr.."rMU" Fi!:.,.,7 Pl.:: TO 0 U A A LENGTH or TIME TO RELOCATE DATE OF ,. .. ,,. c. .. CE S _____ MO P! T.l. d. t. LPA REFERRED = SELf RELOCATED PERCENT SPUtt ON t40USING 9i---------CD Z. PUIUC HOUSING PIOJECT NAa.tE------------fC.=Io," 3 lENT SUPPLEMENT HOUSING :tJ n. MOtHHLY INCREASE DECREASE S ___ :. $,.-. D.U.R.A ASSISTANCE GRANTED 1:!! 1. MOVING EXPE'-SES CIRCLE S. 7lBl -ciUI s zo ,,.9f zf--'1'-..,--.. --c 33-45 ,,. AM0Uh1 ----.sa S5 w.to FUR"' r-1;: ..... e 59 Stc w1 FUAh V1.., .. w lYEP.lGE ANNUAL GROSS I ENTAL AMO;frH Or REL0C.I.lt0h AtJL:5Tt-4N'T PA'H,4 .. T ::c >z Z zl -4 %) ... !_ .. _. -Sf/Q, fll U.RP -----i'Z' lui I ;; -----------zli,., Jr-"';c ts C------------------ur, It: ; I NOIJ.Y:>0131:1 J.N3NVV111:13d '.J ,..., N "'.:.:' :.::"''---;:-=s:.:o:.: 3':::e'-+-r---'s-7:v.i"o'-'o"-"7---.rl 1 "-'C l"-3Jt:t3d -!'-::z' 1 au ii ; ; "' .. ... N .. ., l I i Z Wd'"! .' I I INCOME I: MONTHcT '"COME i .A UNREcATED INDIVIDUAL D. PERMANENT RELOCATION 24-04 :!? .,E __ ADDREss 18 6 5 Larine r s t z ADDuss __ .. I .. Z'-"2.._ __.i_l.....,t_b....__._s._t....,r-'e=e;;;..o.t_ c1n Qprve .... sTATE g 3. URBAN AREA CIRCLE 1 0 3 t) 5 6 1. PRIVATE RENTAL lio"'" SALES HOUSE -' #4!2 '" ETHNIC CIRCLE 1 z (!) 5 I a. STANDARD STANDARD 5. HIGHEST GlADE AnAINED IN SCHOOl. ? b. RENT: w/0 UTILITIES sJ.L!I'. WITH $ ___ CIRCLE 1 l 3 S 6 7 I I 10 11 IZ ll 1 1! 16 C. PURCHASE PRICE $ _____ WO. P.I.T.I. S ___ d. I 6 SEX: WALE------FEWALE--------:=.---7. AGE OF WALE OVER 62 ____ FEWALE OVER liZ _.'T-.. .. ._ __ LPI RErERRED 0 SELF RELOCATED 0 e. .. N m 181 I. WONTHL Y EARNED INCOWE CIRCLE 1. S G-49 6. S Z!IO-ZH INCOME PERCENT SPENT ON HOUSING %---------tl Z. PUIUC HOUSING IIAWE------------f."-15"' 3. RENT SUPPLEWENT HOUSING ;tel WONTHLY: INCREASE 5 DECREASE $--il" ;:;: cr. !"'I '---------z. !50-19 E. D.U.R.A FINANCIAL ASSISTANCE GRANTED ::!) j; N -w N ---.,!lj i I 3. 100'9 1S0M 5. ZOO-UI l. 300-301 350-3119 I. 000-'99 1. MOVING EXPENSES C11CL Z> "'I'" o. UNDER SZO I 512 1--i-----9 N ,_ I _"',II I II i -____ _,c :I -,"-Jol a: "I II: I .. ... .. I. OTHE A INCOM I A.D. C. Z O.A.P. G.A ... s.s. S. R R. 6. VA. A N.D B. OTHER 1D SOO OR MOR NONTiiL.Y li/'1 ... PRESENT HOUSING INFORMATION ANNUAL 1. OWNER C TENNAN\,f!"' Z NO OF ROOMS NO OF IEDROOioiS 3 AWOUNT OF WONTHLT RENT WITHOUT UTILITIES S 3Z AWOUNT Of WONTHLY INCLUDING P.I.T.I. 5----5 GROSS INCOME SPENT ON HOUSING !1-------,..---YEARS UV[D IN ADDRESS 7 HOUSING EUGIILE FOR :J ____ II C. ______ APPUED fOR C l OAT[ WOVED _.!!!_,._-.J.!L,I-;;;ZJ...._-------------1 3 AMOUNT or woNTHLY RENT PAID roc u. s ______ l.z! t. LENGTH OF" TI .. E TO I(L.OC:ATE ArTER DATE or ACOUISITIOH o! ------------.. C 3J..AS 1-. 97+ AM0UN1 ____ > d 06-!18 SS WiO FURN ,..,;:," e. H--71 Sto w/FURh AVERAGE ANNUAL GlOSS IENTAL t ,._. '-------ZH---w N 3. AWOUNT Of RELOCAnON ADJUSTWENT PAYWENT .... zZ .... ....... __ .. '-------.. -AMOUNT Of IELOCAnON PAYWENT .. l.3g.oo ..... .. 14 ,,, DO !llpJIITilj. v .. -

    PAGE 179

    ... .. "' II)! I N IQ ill!' ... Jc! 0: ao! ,_, z .;:;:.: :c -------,.-o---,--l 2; "da.,.. i fitf ,. c t i 1 4 UIBAI\ AliEA CtRCL( > 3 J t (THNIC COMPOSITI()fr!l CIICLE. 6" .i 3 5 fl 5 HIGHE$1 GlAD[ ATTAINED IN SCttOOL CIRCLE 1 2 3 C se 7 I I 10 11 12 1J t! 16 SX. MAi.E I( rE MACE---------------------AGE OF MAL OY 62 IO FEMALE OYUIZ __________ __ I. MOfliTHLV EARNED CIIIICLE c 1 0 -0E S 250i 2.. SC-99 100-1C9 lSG-199 zoe.ag OTH[ R INCOME 0 c O.A P G A s s A .... C f-QTo;fJ;. JOOl 8 oo10 50(1 OR MORE MONTH .. 'I INCOME ANNUAL PRE!tEt-.;; t,.;F",PRM,t.TtO"' = TE"'(..,or., f.iO or POOlr.l!: p.,c, cr AMOU-.T OF S .JQ .. AMOJ""! Qr llotO"'li-IL'I" FAYt..t[h"! IN:::.JC:f.ir, P 1 T.l 5-----GPOSS INCOME SP[,.,;':' 0" loH.)VS1J.t(, HARS LIVED "' OE,VR....JL.PREH_, lDDAESS /#,!f 7 PuB-IC ELIGI91..E F"OIC APf'UE[I FOii ... 5 IIJA. c,:.: r A :out sno" DATi hAO'EC '' 7, ,., A.MO:.... or 'l:E "'"7 PAiC TO C :,; /J or l!'-tE: TC. RE:..OClo;H ArTEF< or : -. :. ::. .. .e... = -l 5 C !-! e F-::-o.,'-?"-J.. __ ... .;envo:.::!:, SIATl ColO. z,.OJlOL PR;\o"ATl RE.NiA:. .. SAL.ES HOUSE. a. STANDARD SU& STANDARD ... b. RENT w/o UTILITIES S Sl .4D WITH $ ____ c. _________ MO PI T.l. $ ____ -r. d. e. LPA REF EARED C snr RELOCATED T m PERCENT SPENT ON HOUSING llf __________________ 2. PUBLIC HOUSING PROJECT NAME C:JSI..., RENT SUPPLEME"f' HOUSING MONTHLY INCREASE OE.CJiEASE S ___ :" ;:daD.U R FINANCIAC ASSISTANCE GRANTED :;:! \. MOV1fr!IG EXPENSES CIACL.E 2 """ t11 $ 7Z-83 ::Pl-L1--------&* z.c:,.. 9'+ A"'OU --:rl Ss w/o FURh r-f::!...,. !:!!;c-"''" "" < "' t'l l. A\IER.IGE ANNUAL GROSS RENTAL AUOUNT C'IF RE!.OCUIQII. AOJUShtE .. T P.AYMErr.T .. __ 8 ;, 1-!,. -' AMOU"' or RLO':ATIO" UHP 960 :.. C 1-o -----', .r r r --L z :::cr.t 1'-' :cr: W C. ,.,. jt ;, N 3S! L c : i? ;Ya":; ;! 4 4:. ., : i I .. l z 1 I ... .. z .. l t! I ... A FAMii..'!' COr.tPOS-TION 6 SOCtOECOI'vOMIC DAlA 1. NAME Z. ADDRUS 10 1 Ch pa J. UIBAk ARE:A CIRCLE: 1 Z l 5 I ETHNIC CDIII'OSinON CIRCLE .Q Z J I I I. .HIGHEST GlADE AnA .. ED IN IT HEAD t/11 FAMILY Qla.E I 1 J 5 I 7 I I ID II IZ U M tl G) I. NUMUI Of' CIIILDIEII Ill -S!IIQU) 7. AGE OF MALES DVEI II FEMALES CWIIIIZ n= I. _,.,, II .. ED IIICDIIE QICLE I. 1-I. IZM-iH 7. _,., Jll-:119 -Ullllli'OUEDIICOIIE s z. J. IOC.IG ,_ 1!0-1tt I ZOII-ZQ I. OTHEI INCOMEo {j) A.D.C Z. O.A.P. J. G.A. s.s. I. I.R. I. VA. 7. A.N.D. MONTHLY I&.T,po I. I'RESENT HOUSING INFORMATION I. Will D U .. AIIT :" tJ. z. 110. or .-s o or A-T OF -I'IIU UNT T UDUliU 1 #0.0Q D ENT 34-05 E ADDRESS 610 Corona 1. PIIVATE RENTAL fill. SALES HOUSE :: a. STANDARD JL SUSTAIIDUD 0 b.-lEn w,ro ununn s OS'. P 0 WITH S <-PUICIIASE l'ltCE S MO. I'.I.T.I. S d. LPA IIFIIIED D SELF IILOCATID )C. -PEICENT IPEIIT 011 HOUIIIIG z. IIUIUC -SING PIOJECT IIAM MOII1ta.T: IIICIUS S 5:'.[',GQ DECIUS S D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPEIIS -CliCLE a. UNDU I ZD b. ZO.lZ c. J)o.U d ... It e ._,, Z. AYEIAGE AIINUAL GIDSS RENTAL I 7l-13 g. .._IE h. S 10 W/0 FURN I I IIIDIYIDIIAL I. AMOUNT OF IELOCAnOII ADJUSN!IIT PAYMENT -----------------. AMOUNT or IILOCAftON PAYMIIrT '--------w : J ---i ;a. J .. '. 1: _, 1\. _: e:.,j. ... i .. .. ,,... .. .. .. ...

    PAGE 180

    ., : .., ,... : ;. E .... "" : --.. ----.. '-_. _. _____ .. -' ---------38-06 ...... i! 1865 Larimer #723 i j .. .., N N N .., .. = N ,, ., i.,.l !e, I !=i I In j I j I I l '"ji: I "18! lo: c 1 i I i I I i 1 ADDu ..... __..s,_,t...,r"--"'e'""e""t.._ __ u .... AREA CIICLE 1 0 J G 5 6 ETHNIC CIICLE CP I l I 5. HIGHISt GUDE AnAINlD .. SCHOOl. CIICLE 1 l J t !-I 7 I I 10 11 1Z 13 ,. 11 C!P 6. SU. MALE FEMALE--------r ..... --1 AGE O-MALE 0Y _____ I. MONTHLY UINED coM E CIICLE 1 $ 049 6. I Z5G-Zt9 2 !10-19 l. 100-109 c 1S0-1H 5 I OTHER ,.COME. t. A.D.C. I O.A.P l G A s s E H 7 A .... D 7 30C.-JC9 8 !50-ll'l 400 ... ,, 10 500 OR MORE MONTHLY E CTHEO t'.af.c-1.( '1 OD PRESENT HOUSING iNF.ORMATION UNifPOITID INCOME ANNUAL OWNER ;._ V NO 0' ROO"'S --L----NC or BEOROOMS...,....-!,-/-,::'"""-Of MONTHL.T RENT WITHOUT UTILITIES S 31. :r,z.. 4 AMOI.Jf\1 OF PAYMENT INCLUDtNG P.l T.l $----GROSS INCOME SPENT ON HOUSING 6 YEARS liVED IN OENV[R ___ A.DCRESS_,.i'tr=--7 PUBLIC HOUSING ELIGIBLE FOR :: APPLI[t FOR RELOCATION TRANSACTIONS ; DATE OF --IIID. J I 7,3 ; OAT MOVEC //-{. 73 3 J,MQU"1 OF MONTHLY REN1 PAIC TO D.U R A 5------l. LENGTh OF TIME TO RtlOCATE AFTEF. OAi OF ACOUISITIOh en Denver' SlAH Col a ZIO...Q2__ 1 PRIVATE. IU&TAL @' SAL So ... OUSl '-w ... &, STANDARD VSua STANDARD b. lENT. w/o ununu S HI. WITH s ____ N c. _______ looiO. r -\: d. c LPA REFERRED :J SELF RELOCATED C PEICENt SPENT ON HOUSING % __________ t7 i!! Z.. PUBUC HOUSING PIOJECT NAME------------. 6 ..., J. lENT SUPPL[MENT HOUSihG ;D MONTHLY INCREASE S ------DECREASE S _____ ;--C> E. D.U.R.A FINANCIAL ASSISTANCE GRANTED ::!! ( JJ ... 5 ... 97 IMOUNl ---;I :a I. ,. 1. CIRCLE S : : : Z. AVERAGE AllfNUAL GROSS IENTAL (ii '---------------l AMOUt Of RELOCATIOh ADJUSTMENT PAYM[.r .. : '" '-------ml 4. ANOUN':" OE" RELOCATIOh PA'UHh:l C') .... > Z: z zl _________ __ ......... 8 r f: /(IE/LJ!T DC I .':II !"ff () i' MNrlll.t' w N :c Ul .. w N i 1 s.,. so:;: S 8 ___ ....=!:..:N:!.3!:"'::A:.:;:d...:II,;O"-'!'-'N:..:3,_,11,_ __ !I 11, I ; I i I '"% .! I j 1 I _? ii I } J } _1 Z 1 Z ? E L ,._d' il ; !: -oT H c M i! ME t,_l_--------rf "'1 >--''--""7:L"P"'H":::-;c:-:o""o"'r"'' -_,----------;; = INDIVIDU<.L D. PERMANENT 3 3-10 fl' --------;.z i: 1. NAME ____ ADDREss 3518 Ra1r..ich I-I .. .. .., N N .., ... N = ......... 0: I< AcoREss __ .,l...,O""l.....,.:S __ ... 1._.r!.__.S"'-""t .... r ..... e .... DF>-cVF>.,... rnl n 1 ") ---------CITY STAT i,..,: J. URBAN AREA CIRCLE 1 z 4 5 6 1. PRIVATE REJrflAL _I SALES HOUSE v ETHNIC COMPOSITION CIRCLE -(!) Z 3 5 6 a. STANDARD V SUB STANDARD I 5. HIGHEST GRADE ATTAINED IN scHOOL b. RENT' w/o UTILITIES A WITH S CIRCLf -1 I l 6 7 B I 1D 11 G 1l 11 1S 16 c. PRICE s ''1-J (J(JQ. MO. P.I.T.I. s /.JJ. tl .. .. ,_ :1.1 o! 1 .. j 6 SU MALE )C FEMALE------------d. LPA REFERRED ::; SELF RELOCATED ::::! 7 AGE o MALE OVER 62 .2J. FE MACE e. PERCENt SPENT ON HOUSING %---------C .. 8. MONTHLY EARNED INCOME-CIRCLE 1. s D-09 6. 1110-199 l. 10 300-3.9 8. !so-m UNREPORTED INCOME '------------Z. HOUSING NAME------------1 g" 3. RENT SUPPLEMENT HOUSING S ;.._ ;,., MONTHLY INCRUSE S ::--=--DECREASE ... E D.U.R.A. FINANCIAL ASSISTANCE GRANTED ----:!! 3. 100 .. .. ... w .. 150 200-2 e) oo..,.ggi/JI" 1. MOVING EXPEN!.ES-CIRCLE z,. -<1'" o UMDEA szc '7Z-s;; HI----t. 10-32 co 9 OTHER INCOJw!E 1. A.D.C Z C. A. P l G.A s.s R 6. VA 7. A.N.D 8 OTHE5t 1D OR MORE MONTHL' PRESENT HOUSING INFORMATION ANNUAL OWNER rl' 0 81 2 NO o ROOMS L NO. OF 3 AMOUNT or MONtHL' RENT WITHOUT UTILITIES S Ia DO AMOUNT or MONTHLY PAYMENT INCWDING P.r.T.I S ----5. GROSS INCOME SPENT ON HOUSING 6. YEARS LIVED; IN DENYEP ____ ADDIESS_,J_,,._.l.._ __ 7. PUBLIC HOUSING ELIGIBLE FOR -, APPUED FOI 2 RELOCATION TRANSACTIONS DAT or ACQUISITION OATE AMOUtf! OF MONTHLY RENT PAIC TO D.U R A S -----L'-GTH OF TIME TO RELOCATE AFTlR DATE OF ------c Jl .. ,5 t g-;- AMOUSl ____ ); z! d 658 W/0 r"URN e ,_,, Z. AVERAGE ANNUAL GlOSS lENTIL $1c wiFUAN t "';c-Ui >; I 3. AMOUNT OF ADJUSTMENT PAYMENt '--------"'!
    PAGE 181

    -------__ -----,-... ... .. ... :C ,;:: io 0 .. ,_ .A .. -:---z. Aooms ] J 41 11th Street 3. URBAN ARA CIRCLE 1 (j) 3 Q 5 6 [lHIIIC COMPOSinON CIICL 1 zl) 5 6 5. NIGHEST GlADE AnAIMED IN IIY HEAD M fAMILY CIICU: 1 Z 3 S 6 1 I E> 10 11 1Z 1J. 1t 15 11 I. IIUWUR or CHILDIIN IN HOUUIIOLD IIOT5__.__81U+= 1. AGE M WAL OYEI 15 fWAUS OVU .... -1. WONTHLY U .. !D INCOME CIRCU: 1 ..., (!) SG-99 '/ 3. 100-119 150-199 S. Z00-2C9 9. OTHEFI INCOME. 1. A.D.C. l. O.A.P. l. G.A. 5.5. I. 1.1. 5. VA. 7. A.M.D. z'-J00-149 e. lS0-399 9. 10. 500 OR MORE W::=Y /H_.QO II. PRESENT HOUSING INFORMATION IIICOW auAl 1. 01111!1 0 TINNANT fl z. NO. M -S NO. CIT II!D-S a. AMOUIIT or lfNT 111-T ununn 1 J5: 0 4. AWOUIIT OF WOIITHLY l'AYMfHT IAI:UIDI11G f.LU. .._ ____ P:: .. 25-ll .,c... .. ADO. I. PttVAT[ RUTAl C SAlS 1101/5 ,II. a. UND I 10 b. Zt-ll c. IW5 d. 66-!18 e. ,._,, AVERAGE ANNUAL GlOSS RENTAL S7Z-8l ..... S 10 W/0 FURH S 5 INDIYIOUAL AMOU"'T OF ADJUS'M(HT --------... .. ... AMOUt.;T OF 1________ 1;;; F f lJ 4 Jf3D.()O jz ,. ., -T;'"""Jl ... H""P""'/.,..,0"".-----.z...-.'f ...... tr...-. rl!..----:; ---.. d5 3, II! 18 7 ZMS ;:!=-_,J..._.,s ...... eos_._ __________________ A OORESS 1454 So. i PRIVATE RUnAL II( ---t. = SAlES HOUSE ,. a. STANDARD t( SUISTANOUO c I b_IEMT: W/O ununu s WITH S l'f .. .. __, c_I'IIICIIASE P11CE s.,a,Q, wo. P.I.TJ. $ d. LPA IEFUI!D 0 IlL' IELOCATED c .. >N...._! e-I'EKENT IPEMT 011 NCIUSIIIG,. -1 ... / z. PIIMJC _,IlliG PIOJ(CT IIAW .. _.i MONTHLY INCIEAS S n[CIUSE S O.U.R.A. FINANCIAL ASSISTANCE GRANTED ... .... E 1. -.tOYING EXPlNSES CIJtCLE ., :.: z .. a. UNDR S ZO ; 72-83 b 111-lZ g ..... n "' s;o...os $ 10 W/0 FUIN. I c )> d. 5 IIIDIYIOUAL r-1 'm )> B-71 ) "',..;'"' .. z. AVEIAG ANNUAL GlOSS IEWTAL f s .. 3. AWOIIIIT M ULOCADON ADJUS'IMT PAYW!NT s .. j .. -.. AMOUNT Of I'ELOCI?Q_AYMET :l .. ,_ ,., z. "' .. VJIIN 't DJ4 21 ,., .. --" 4. IJIC:OWI IP(IIT 1111-'!' -1. :YU.U IJYP: Df..,fll -nut J .nuc __ -...,ua rea -a M.! .. t'f.tJ J: --... I C. RELOCATION TIIANSACTION'S :: :o::"._51_11011_:::_::::'"' .. :::::::= 1. -"'or .._. ftllt ID 10:o.a.a.L ------ UWI1tl Of 11Wl !0 ULOCil'ft A"t: oDAJ! W -:" -,:. .... ....:;___ ; '"-:-' J. 'l!.lfl!. ;. :.... ..... _._. 0 < -z '" ;;r _:n..) )( ., .. ._)rr-' Zoo "' "' "' .....;o-

    PAGE 182

    ------.. ., ., ;., !:Z =? ICi '-' ::> .... !? .... i .... ; 1-12 r,. .... -' 1. z.!. 110-119 ... 110 I. 6. S ZIIO-ZH 7. _,, B. !!16-:IH .. 10 50<1 OR MORE t. OTHER INCOME 1. A.D.C. MONTHLY JiU.Io AIIIIUAL 6 z. O.A.PlSS G 4. s s p VA A PRESEN.,. HOtJStlf\'G-OWNER II TENN""T ::-NO C>t __ or AMOUN! 'r WITHO\.o": UTII.ITI 1----------AMOUflt.T Of M01rri1HL-. PAYMENT INCL.UDIJtiG P I.T.I S. GROSS INCOME SPUi1 Oh HOUS!NG ':c---------:-;;;--6. YEARS LIVED IN PUSI.IC HOL: SING APPLIED FOri :J ELIGIBLE FOR = ... I : I _____ _.-il C PL S D>TE Of cOUI 51110 N ... -----;'Z DAT UQVEC ________ AMOUNT OF Y P.E!i":' PAID TC D U.R ll '------------LENGTH OF Tlro4t. TO RELOCATE DATE OJ couTio,. II ia'iS t"t;;v;..-.. b. ( 3J..&5 d. <16-58 E' 51-71 Z. A'tEPAG ANNUAl GROSS RENTAl ;. 84-96 S 10 W/0 FURh i 5 INDIVIDUAL Ot R .. OC,t.TIOII. ; ',. y ______ ,. ryi"tf """ .. .. .. .. .. .. Z l i l Z O.LSj 7. V i. :, Z Wtli ii Qt.:i e=== i II i li I I! 7 OTH. Jfoi;CQME !< CHiLDREN ETt-IN( A;..PHt. COCl "' .i;r. -.. ME __ --=---AooREss __ l_6_1_0_-_1_6_1_2--,-I_r_v_i_n----"'g_S_t_._ l:::!l 2. ADDRESS 1 111 1 1 th Street 1. PRIVATE RENT&. ::: SALES H0115E J{ I I:'> ._. -liz "'zl 0 "' ZIAN lilll "' "' .. .N '. ... .. .. .. -.. ... ... --S. AMOUNT Of MONTHLY lENT WITHOUT UftUftES 1-----------. AMOUNT OF MONTHLY PAYMENT INCWDING P.U.I. 1---------1. G-5 INCOME IPEIIT 011 HOUSING to-----::11'---1. UAII UYED' IN -IESS::::a=. Pn = zl. ...a ._., 7. PUBUC -..SING' APPUED FOil D niiOIIILI F. D C. RELOCATION TRANSACTIONS I. DATE OF ACIIUIII11011 ___ ,:./IL.:.'.I'L;..' BATE MOED----------------------S. AMOUNT OF -ltEIIT PAID fO D.U.LA. $--------._ I.INGnt OF ftME fO B&UICAJE AFTII BATE Of MZJ2a .g(l ,WI!:::. 0 < .... _, i ... M :r "' ...-J z .. ... ... .. ......

    PAGE 183

    -------.. .. v !C: ., I'" I I ,. I I \C )1 l:l'f IO ,...;o ., !"' ,..,. ::z. :;..:., ... [ LO?LZ ,_ L:-.r:::.::.;.::--ootLss_ 1132 Larl+rc:::-Stre:-t AREA ccu. G J e! [THNIC COMPOS'TIOfrll CIRCLE l f!) 4 5 6 1. HIGHEST GlADE AnAINED IN SCHOOL CIICLf. 1 2 3 4 5 '6 7 I I 10 11 1Z U U UX. MALE .!(' FEMALE-----------AGE OF MALE OVER 6< .!)"J FEMALE OVU62 _____ MONTHLY EARNED INCOME CtiCL S G-49 6 S. 250 50-99 l. 100-149 150-199 5 ZOO-"!t OTH[fi' A.D. C. 0 A.P G A s s VA '0 CT"iEJI J00-349 8 350-399 400-419 10 500 OR MOPE MOPI.H-h.'f' PRESENT HOUSING INF,PRMATION UNREPORTED INCOME ANNUAl. OW"'E" = lfPrr,O,I. ... ": X 0 ""C or ROOMS NO OF or Y.ITt-tOi.J'! UT!i..iTIES S J!. IC AMOUt.T or-MONTHL'!' P.l'YMEt.,!'! IPIICL.UOING P.l T.l S ---GAOSS INCOH SPHT ON HOUSING 9!-----....,.....,.--\'EARS LIVED IN DENVER ___ PRESET ADDRESS /. (, PUBLIC ELI:;.!!!:..r FOR = APPUEO FOR = C. RELCCATION TRANSACT:ONS DUE OF ACOU'SITIO' --O.t..TE MCV(C AMOUN"': OF MQr,TH!..'t R[f\01 TO 0 l!.ri: A CF" iiM[ TO RELOCATE AFTEii DA':"E OF _: .. .:.-____ ... e-. ... ..L..:.... C" '' 51ATL II''!'. ., ..... ,. PRIVAU SALES HOUSE --: -a. SUIIDAID SUB STANDUD b. lENT. w/0 UTILITIES s WITH s .. c. PUICHASE PRICE S MO P.I.T.I. s 1d. LPA REFERRED SELF ULDCAT[D 0 e. PEICIUfl SPE:NT Oh HOUS1 .. G % 0 2 PUBUC HOUSING PIOJE:CT NAME i:::: 3 RENT SUPPLMffril HOUSING :IJ MOfltTHLY. INCREASE s DECREASt s __ ,. D.U.R.A. FINANCIAL ASSISTANCE GRANTED .., I MOYING EXPENSES CIRCLE z 0 UND(I S20 i s 72-83 ,. z c 20-32 -96 ,., lJ-.&!1 h 97+ AMOUNl > d ... 51! wiO FUAIII r- 5-71 S1o ,. z AVERAGE ANNUAL GROSS RffrriTAl -< ,. 3 AMOUNT OF RELOCATIOt-. PA"t'MENT AMOUirriT OF Rl0CATI0f\ C' lu. "'lJo, (rlAU;SH;e_J ,.. .. --.. _... .. I _.........._ _L_::..:...__' ________ I! c s :r : .. : t_ :z .. ,.. .... -'"'-' ---\11, N 1 ------; I "' N : .. .. ... .. .a t! ..... c "' .. Ill N f 1. z.!. TII0-101 150" I. ZDO-ZOI 7. -8. -(!) 100 OR MORE I. OTHER INCOME: MONTHLY 1. A.D.C. 2. O.A.P. !. G.A. s.s. I. I.R. I. YA. 7. A.II.D. 8. I'AENT HOUSING INFORMATION 1. DWIIII Jl fEIIIIAIIT C z. tiD. GF ao. or o-s,.....;wil-..rl!'---s. A-liT OF -y IIPIT -T 811U'IIU I I. .-DUIIT OF MCIIIntLY "AYMEIIT IWCUIIIIIIC P ... f.l ... nt .... .l"3..,;;.yd tiO .lN3tl NO L D PERMANENT RELOCATION __ 1. niYATE RE.TAL :: SALES HOUSE 'If( D. STUDAID '1( SUBSTAIIDAID 1: b..JIIUT: ununEs s:.-..., ..... .----c"'PUICtiASE ,...CE 1 4 lfiJ d. LPA UFI!IUD C IEI.F III.OCATED C -"ICIPIT IPEIIT Clll -SIJIIIS, __________ l. Na!C -- .. IO.IIC! UME MIIJIIntLT: IIICIIIAIE I DECIUSE 1-----E. D.U.A.A. FINANCIAL ASSISTANCE GRANTED 1. MOYIUG EIPSES CIICU D. UWDEI S 21 b. lWZ c. :U..5 d.e. Z. AftiAG[ UWUAL IIIITAL ,, ______ f. 7>-83 g. 14-16 h. S 10 W/0 FUIN. I S IIIDIYIDUAL J. II' ULDCATICIII ADJDSTMIUT PAYMENT ,. ______ .. :.d.,,: _; N -.. .... --.: ... __ ; .. ... .. N .. .. .... -'&...)

    PAGE 184

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    PAGE 185

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    PAGE 186

    -------;... !<.. ICI N. 10 ''"'I I z II': :v-! c ,. !CDI "'' i !v.! I::E' "jg: Cl)! ,.,. j;' 1-..: I::E IZ. B c. .. !-:z 12'110.. j!Alllrl : iG. i i z i I .., ... .. .... f: ... VI c "' N ... 0> .,, N .., u :::> c .. c ........ '. ::.:; 21-01 / ""i.. :. L. ':. .... LO\r"ELL, CHester AooEs. 1200 Larimer UII.IN AIEA CIICI.f 1 l 3 t (J"NIC COM!tOSITION CIICL[ 0 Z 3 & 5 I ,_ HIGHEST GlADE ana IN ED IN SCHOOL ,. 15 ,, CIICL 1 Z l 7 I I 10 11 13 SEX MALE $"'!;;! 'fMAL<-----------7 AGE 0' MAL! 0[1 61 rEMALE 0 "------MONTHLY EARNED INCOME CIRCLE 1 0-&9 6 1 Z50Zt9 UNifPOITED INCOME 50-99 10C Z00-2&9 OTHER INCOME I A.D.C O.A P G l s s A t 300 e. 3!10-399 0'00-499 10 SOt OA MORE MONTHLY PRESEN':' O\"fi!EFf :=-... ANNUAL ( hiC OF NO OF Or "O"HL' REhT ..,...... ('l or lro40NTMi..V PAYMENi INCi.UDIN( P ll.l. GROSS INCOM SPENT ON MOUSING 1(;------.,.,..--IEARS LIHL "Ol.VE<...clPRESE-' J Y PliBLIC HOUS.t-.G fOP APPL:ED f"OR TRA";ACTIONS '-f./,' 7'/ l OATL Of ACOUSdTIOI\ OA ![ -.'.-Or llhl![ TC REl.OCAH AF"TER D.CH or z l l E A FAMILY COMPOSITION II SOCIOECONOMIC DATA LOZOYA Juan :: J. UIBAN UEA CIICLE 1 tf> J C) S I MNIC COMPOSI110N QIICI. 1 Z (I) I I 5. IR&HEST 81ADl AnAINID IN ICIIOOI. 8Y HEAD aF f'IIMILY QICLI 1 Z 3 A 5 I 7 I I 11 11 1Z 'J..;M 11 I. IIUMUI OF CHII.DI Ill IIOUSEttiii.D .... 7. All OF MAI.IS OVII 15 fl "'MAI.ES CIII'D R ..a_ I. MON1HLY UINED INCOME QIICI.E 1. -z.-3, 100.18 150t9 S. ZOWC9 I. OTHER INCOME: 1. A.D.C. Z. O.A.P 3. G.A s.s. 5 .. 7. 1!10-11'!1 -10. 110 01 MORE MONTHLY $ .. .. .,:l, ; __ 1..._3 .... 3:Ji___,C,_.a.._.l.._.l..._ ..... n._.i ...... a.__j!._.l......._l""-9-c"' Detluer .,, Colo ,.2.0.,2_; 1 P'll'fAH S.Ai..LS. II :,... a. STANDARD SUB STANDARD li .--b. lENT w/o UTILITIES S _____ WITH s/2D,Q0 '"" C. PUICto!ASE PRIC[ 5 _____ MC f I T i !.-d. LPA REFfRREC = SfL' Ql:. e. PfRCENt SPENT ON 9t-I a: Z. P'UILIC HOUSING PROJECT IIAML------------"' lENT SUPPLEMENT MONTHLY INCREAS! S 1UV O!CREASf S ___ D.U.R A FINANCIAL lSSISTAN C GRANHO ;;! l. MOVING EXPENSES CIRCLE Z -<:c.r UNDER S ZO S 72-83 > ; Z0-32 Uf e c 97+ AMOU"l ---j;IZ.! d .16-58 W:C TURh :1;;...,; e st-71 St[' w '::" AVERAGE ANtrtUAL GROSS i;; !; i ______ AMOUhT Rf. .. OC.UtO._, FA-,..,E...,, c.::.--ren'P 111 3, 77Z: ._,.,_ I ani = i I D. PERMANENT RELOCATION 35-05 ADDREss 4750 ClaudF> I 1. PIIIVATE IENTAL .... SALES HOUSE !J I o. ITANDAID """'ua.sTANDAIID l c I Will UTIU11t:S I ... """"' WITH 1------j -c_PUICHAS PIICE 1------'MO. P.I.T.I. -----1 .'lldi'A HFIIIID D HLF IIELOCAJD D .;.H:ICINT 'PliiT ml IIOUIIII& S------------1 .L ;ftRIC-- I'IIIIJICT IIAME ... ... .'-_i

    PAGE 187

    ... .. N .. :: I ;., ;z C"ERO 2124 DecaL.J.:r Etreet NAWE L !;,o: .L .t:. al.ne ... ..... AI>IlH U 8 2 c_ J 5 5 t r_ee t 1 .. PIIVAT lliiTAI. I( UUS = J. IUAN AliA CIICLI 1.{!) JG 5 I ... _;: ... "... ; lf-ID J{ 1J _.,s-!":: :, -... "!CIICU.1 I I A 11 I 7 :1 I en U U;::* W 41 ;;a -D D-IELF -etA!III fM '"').."',) .. ... >-U ... CIIILDIIN Ill I -1--..ii;-...... :--= .. ;;;.'NCUT-__ .. ..._ ___________ 1 '1 .. "Mr CIF MAUl IIYII PIIIJ.II8ftl II Q.-.....,;-,. :i.:'.,._---ICT -I .._, IARnD ,.COME CIICU: --------------------------i:: 21j 1. 1. !10 ... J. ,00-1ft A. 1S0-1H S ZOD-Zti I. OTHER INCOME 1 .... z 0 J p G A s s 't I I ZliOoZH 7. _, .. I. JIOJtll -10 !lOCI OR MORE MONTHLY .$/ll.OQ PRSES1 OWfrriEJi :-TENNA'fi"! )( UUE-TED IIICCIME I AIIIIUAL MONTHLY, IIICUAS I ftCUASE '-----:01"'1 [. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;.. .. 1. MOVING UPENUS .. CIICLE o. UIIDU S ZO I 71-& >!;": b. zo.sz """ zl-cd"' c. 3J..t5 h. S 10 W/0 FUIN. j d. ... 5 INDIVIDUAL ,...,,.,I .. e. St-71 .... l. AVERAGE ANilllUA!.. GROSS REirfTAL. (f) J1o 3 --E_L_OC_A_T_o___o_J U 5 T..E fil! "'!' PAY ME h T 'J' .... :1:< .. .. 4. AMOUNT OF RfLOCATIOh PAYiroiE,_T '-------.. lili 'Z ,...., L. NO OJ ROO'-" S iJ, c. 0' AMOIJ'-1! OF MONTH .. Y RENT WITHOLiT UTILITIES _.1'u0..._ __ 4.. AM0UJr41 OF M0 .. TI11.'r PAYMENT P.I.T.I. __ 1_2_8_0_T_e_n_n-'1=-'-s_o_n __ s_t_. __ ....... ......,or-:oa,...-------o:> e.pJJ. N N .. c .. j I I c GlOSS lhCOME SPENT ON HOUSING 6. YEARS LIVED IN DENYER ____ PRESE.NT PUBLIC HOUSING APPLIED FOR C ELIGIBLE FOR = TRANS.ACTIONS ,} 1 DAlE OF" ACOUISITIOa. __ .... ,.-----l CAT M0[0 _______ AMOLI'-T or MONlHLl' RENT PAlO TO D U.lt.A '-----LENGTI-o OF TIME TO REi..OC.AT AfTER OAT or .'""--T)o-I OTH ., .. A. FAMIL> COMPOSITION & SOCIOECONOMIC DATA 1. NAME I z. ADDRESS I 0 4 Street 3. UIIAN AREA .. CIRCLE 1 3 (t 5 I I. ETHNIC COMPOSITION .. CIICLI .. 1 Z Cl) I I I 5. HIGHEST GRADE AnAINED IN cHOOL IY HEAD CIF FAMILY CIICLE 1 Z J I 5 I 7 I I ID 1$) U 11 U 15 11 I. NUMIU Or CHILDREN IN _,SEHOLD .. 7. AGE or MALU OVU 15 4, FEMALES O'lll sz_.,Sj__'----1. MONTHLY EARNED INCOME .. CIRCLE 1. S-I. SilO-HI z. 50-ft 7. JOO-Jit .. ..... 3. 100-18 .a. 1H s. lf'S'D. I. OTHER INCOME. 1. A.D.C Z O.A..P. 3. G.A. 5 5. 5. .. 6. YA. 7. A.N.D. 10 500 OR MORE MONTHLY B. PRESENT HOUSING INFORMATION AIIIIUAL 1. OWNER C TENNANT ., Z. 110. or lOOMS L NO. Of IED_s __ 3. AMOUNT Or UNT WITHOUT UnUnES 1. AMOUIIT or MONTMI.T PAYMENT IIICLIIDIIIG P.U.&.I.------1. &lOSS IIICOME IPIIIT 011 HOUSIIIC -----..... r--1. YIAIS UD, -IR IEIIIIJ r. PUIUC _,IlliG' API'UID Fill D IU.a& Pill t1 C. RELOCATION TRANSACTIONS ,_ DAn o ACOUIIIftOII z-ttZJ .l. DATE MOVED /0-.J/-2:J' 1. AMOUIIT Or MOIITMI.V UIIT PAID 1'0 D..tf.LA. I. LINGTH Of nME 10 IEI.IICATE Anll DATI f1* ACIIUI .. TIOOI. T&IIP Ul. 6o ( YRL V P'IT3 It '1, D. PERMANENT RELOCATiON 35-03 Ct ADDRESS 1350 K nox 1. fiiiYATE IENTAl :J SALES HOIISE fii"' o. STAIIDAID c .... '"' I i "" -I --t .. ... I b.-lENT' W/0 UTIUftiS I WITH S .. ....... ...... <-PUICHAS PRICE S /$i.ti.U Hwo. P.I.T.I. S ajZ d. LPA IEFIIIED 0 SELF IIELOCATID c N ..... N_.! -PEICT SPUT 011 IIOUSIIIG 'II --t l. PUIUC HOUSING .. PIDIECT IIAME .. --' IIICIEASE I DECIEASE S :a ... D.U.R.A FINANCIAL ASSISTANCE GRANTED ... .,n, 1. MOYING EII"IMS CIICU ..., ... N 0. UNDU S ZO s 71-IJ b. 10-JZ g. ...... <. h S 10 W/0 FUIN. d. 16-511 s 5 INDIVIDUAL .... 71 ) .... .. z. UllAGE ANIIUAL &lOSS IENTAI. en,,... iiilo; s ... .. >;i J. AMOUNT or IELIICATION ADJUSYMEIIT PAYMENT zl .. Ul -.. AMOUIIY or IELDCATIOII PAYMEIIT .. ,L.,Mtm .. .. -' .:2. z, zl.,. .. .. C) "'' !I c. ..--) E...)e...) I!LI& t:II..A aaa .. i .. -.z, ... j,....,;,.J '=I &d .z.n:,, j _).,_) .. .. -! -... """!' ..

    PAGE 188

    ------, C.:: ii5. = :z: :o: !;: ,1-t-_._,_ ... lt.t. _______ ':'M"-_:___, .. -:., ,. -"F< i_ .. .: -:::: .... ,_ .,-:.: :: F-: ') .] C S C Street aooE.ss 11.12 Larlrr;;;r AI[A CIICLE 1 !!> 3 (j)! t ... ETHNIC COMPOStnON CIRCLE 1 Z 0 I S. HIGHT GlADE AnAINED IN SCHOOl CIICL 1 2 J C s I !) I I 10 11 1Z U U 15 1& 6. $[X MALE I( FfMALE-----------7. AGE OF MALE OYU 61 FEMALE OYU 12 _____ I. MONTHLY EARNED INCOMf -CIRCLE S o. i S 150-199 UNUPOITD INCOME 50-19 7 300 100-1.C9 350-!99 U0-199 oo!. 200 10 500 OR MORE' I. OTHEP INCOME MONTHL't" ANNUAL ADC o .a.P G.A s s VA 'r PRESENT HOUSING INF.ORMATION = I(' 0 PIIC or ROOhoiS I NO OF Io.UOiJP\": OF REM WITHOUT UTii.JTIES s M /JO A"'f01JI'IIT OF MONiHL" PAYMENT P.l T.l GOSS INCOME SPENT ON HOUSihG YEAPS LIVEDo IN DENYER ___ PRESENT ADDRESS_.,3._ __ PUE:..IC HOUSIP'tG EliGIBLE FOR = APPUED fOR TRANSACTIONS _. CHE o; ':OUISiTIO"' --:--fN_f-!:,.,ir;r-----------OATE "'ovro 4 f 73 AMQUP\''7 OF t..40NTHi. Y REN"! FAID TO L.U R A Of TIME TC AF'Hr\ DAH Of :.:.t 2:-.6 .. l c1n De:-.yer, sun Colo. PlttVATf RENTAL tt SALES MOt.:SE a. "ANDARD J( SUI STANDARD b. lENT w/o UTILITIES s S'1.40 WITH s ___ .. (\ .. ('! ,-(:-('1 PUICHASE PIICE S ____ MD P I.T.L S _.. __ c. d. LPA .EFRIED i:J SELf RELOCATED ::i 1 .. PUCNT SPENT ON MOUSING %---------, 1. PUIUC HOUSING PIOJfCT NAME ....... lENT SUPPLEMENT HOUSING--------------1:1:1 MONTHLY. INCREASE _______ DECREASE 5 ___ ;. E. D.U.R.A FINANCIAL ASSISTANCE GRANTED ::!:! MOVING EXPUISES. CIICL( Z -<.VI o UNDER SlO b. 20.32 ( 3).'5 06-58 e 51-71 AVERAGE ANNUli. GROSS S 7Z-83 84-96 97+ --S! w/o u"' S1o wtru > I .. ......... .. .. '--------------AMOUNT OF' ADJU'STMEh'l' PAYIWI.Eh'! > "' :ZP-,---'---------------.. C\1 "'' i....: z Zj ____ ,;;;: =" clz' !""'i"' Ht/Pll 0 ... N 10 z t ., z I I on; j I iC: .... I ID; j li ).. ;A. t I I I iB i i v z on; INCOME 1: MONTHLY INCOME EARN I' I' '-. UNRELATED INDIVIDUAL LUCERO, Marie 1. NA ... E IItli St.t:eet 1 ADDRESS URBAN AREA CIRCLE I (2) 3 (/) 6 3. .. ETHNIC COMPOSinON CIRCLE 1 2 6) 5. HIGHEST GlADE AnAINED IN SCHOOL CIRCLE 1 1 3 5 6 7 I I 10 (j) IZ 13 1 15 6. SEX MALE FEMALE 7. AGE OF MALE OYU 62 FEMALE OYER 12 .. MONTHLY EARNED INCOM [ CIRCLE 1. ... 6. s 250-299 UNREPORTED INCOME z. 50 7. 300-309 s 3 1D0-1 e 350-399 150-199 9 ol 2.00 10. 500 OR MOlE OTHR INCOME MONTHLY ANNUAL 1. A.D C. s z O.A.P 3. GA .. s.s 5. R. R. 6 YA 7 A.P\1.0. 1/l f)f) 8 OTHER PRESENT HOUSING INFORMATION 1 OWNER :: TENNA:iJ,IIIt I <. NO Of' ROOMS NO. Of' BEDROOMS l AMOUNT OF MONTHLY lENT WITHOUT UTIUTIES S 'f.,00 AMOUNT Of' MONTHLY PAYMENT INCLUDING P.l.l.l. s NO i I II I! UIUN II I SEX J! ETHNIC u AREA llX3'0"X CODE D PERMANENT RELOCATION 25-07 ADDRESS 2741 Decatur Street CITY I:lenll:ei:, STATE Co]o Zl-l.l. 1. PRIVATE RENTAL @"'" SALES HOUSE -, .. STANDARD g.-SUB STANDARD b. lENT: w/o unuTIES s zs: WITH s c. PURCHASE PRICE 5 MO. P.I.T.I. s d. LPA IEFUIED D SELF RELOCATED 0 e. PEICENT SPENT ON MOUSING % 2 PU.UC HOUSING PROJECT NAME 3. RENT SUPPLEMENT HOUSING MONTHLY. INCitASE 5 DECREASE s __ [. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCLE Q UNDER S zo. I S 72 t. 20.31 g ... 96 c 33-.S k 97+ AMOUN1 d. 06-58 .. w/o FURh e. H-71 S10 w/rutN z AVEIAGE ANNUAL GROSS RENTAL J. AMOUNT OF IEI.OCATION ADJUSTMENT PAYMENT .. AMOUNT OF IELDCAnON PAYMENT 0)" //._ .L. (6 '.1.2 .s.ti> .va ;;zzs. I Qtltlti,OO 5 GROSS INCOME SPENT Of< HOUSING % TZHP lZ-I, 6 YEARS UVED IN DENVER ___ PRESENT ADDIESS qiJA .. I ''-'1 I I I I I I 7. PUBLIC HOUSING ELIGIBLE FOR ...., APPUED FOR D AMIItiAI:. MIS. Al RELOCATION TRANSACTIONS r' ZJ DATE OF ACOUISITION Z DATE MOY J ;3 3 AhiOUNT OF' MOIIiTHL'Y IEN'i PAID TO D U I A s LEP\IGTH OF' TIM( TO RELOCATE AFTER DATE OF ACOUISITIOH -.... N I !! 1: cWd"11\ i il ----.. ... ... .. N N -' .. .... :; ... .._ :On ,. ,. ...... "' .. ., ... -> z n .. ... ... .. "'"" j'" z .. .. Cl" :O""" .. ,. zl z zl .. ., .. "' oz ..... -.. J: 0 :S -. z =-.... ,,_. .. =--., :J ... '...... lo '-..... _I -

    PAGE 189

    .. .. .. ... N .. ... N t !: 1Z. 1(1 11:, : ;_ .. ...______ ---------------------__ !-'-----------. A ___ v I (!I; I:>, !z! jOi f ,... 1 ::.;_,-.m..., llli- .. I. -e u--.aao 11111111011D z. -7. -=---------l. NO-I .. 110-111 5. IOOl I. OTHU INCOME I. A.D.C. l. O.A.P. G.A s.s R o VA A .... :. I. -10 500 01 MORE MONTHLY JM.iltJ AIINUAL e PRESE"'T IJYFORMATION OWN!'R RNNUIT = NO OF ROO"S $" NO OF IEDROOMS ___ ]. U40UiiriT OF' MONTHLY REh'! WITHOU'! UTIL.ITIES ----------. AMOUPIIT OF WONlHlY PAYhtEhT INCLUDING P.l.l.i. GROSS INCONE SPENT ON HOUSING 'A--------,..,..--6. TEARS LIYED IN DENYER _____ PRESENT ADDRESS ... 7. PUil.IC HOUSING APPLIED FOR 0 ELIGIBLE FOI C C. RELOCATION TRANSACTIONS I. DAlE OF AC:OUIStnON ,) ,,, '1.J 2 DATE h40YED< _____ .1'U!Itti!... _____ 3. AMOU't'T OF MONTHLY REirriT PAID TO D.U.R A. s,, ______________ l. LENGTH OF TIM TO R.0CAT AFTER OAT OF" ACQUISITJOa. 0 P[AMA.h.EN"":' 20-09 r.s. .. r ADORE$ s, __ 'c-TILT: IIICIIAIE' M'CIEAIE D.U.R.A. FINANCIIU. A5515TANC GIIAIITill I. MOYIIIG UPIIISES QICLI o. UIIIIEI S 10 b. IWZ c:. d .... e ,, l.. A\IEIAGE ANitiUAL GROSS aENTAL g h I 10 W/0 FUIN. i. I I INDIVIDUAL AMOUNT OF RELOCjTIOPw ADJUSTMEhT PAYMENT '--------AMOUNT OF' RELOCAnOh PlloYJIENT ... .. .. N .. N ____ H.-44 f. tJIJ0/)0 I i "" ____ AUil4.:RIA N .. .. ., Ill: I I ,,.. """ N !-j.., .. "' lr.353o s1"' t;3AI<3C Nl SI:IV3A so3s swoo1:1 cus 1 lN3WAYd 1:10 lN31:1 !lNISnOH NO lN3J!!3d !' N n ,. 1 i 1/:-\, t {, .l <: { L I an 7 11 r 1 7. 7 7 J-, I! o I 11 __ INCOME I h40NTH.Y INCOME EAR"' SEX I ETHNIC I AREA IIX3104'X ALPHA CODE I ,A UNRELAHD IN::lVIDUAL D PERt.IANENT RELOCATION 3 8 O 6 V ------------., J errv ADDREss 1535 Grant St N ... N .. ... E i=; .. :c= lu, j8: ., i 1. 1 ADORE ss ____ ___ l. AREA CIRCI.. 1 (J 3 If) 5 6 4. ETHNIC COMPOSITION CIRCLE -() 2 J 4 5 t HIGHEST GRAD ATTAINED IN SCHOOL CIRCLE 1 2 3 4 5 6 7 I 9 10 11 (i) 13 ,, 6. SEX. MAC 15 16 7. AGE OF MALE OYER 62 FEMALE OYER 62-----------8. MONTHLY EARNED INC0'4E CIRCLE 1. $ D-49 i. S 250-Z99 UNRPOITD INCONE 2 50 150 .. 200-249 9 R INCOME 1 A.D.C. 2 O.A F J G A. s.s R. A. i YA 7 A t..D. S OTHE F 300-34i i 350-399 9 400-499 10. 500 OR MORE MONTHLY ,.,, PRESENT HOUSING INFOR'4ATION '---------ANNUAL OWIItEA = HhNANT_ ii! I 2. NO CF R00"5 NO OF BEDII00'45 -.L---3. AMOUNT OF "0NihlY RENT WITHOUT UTILITIES 5 OF MONTHL'Y PATMENT INCLUDING P I.T.I 5---------5 GROSS 1NCOOIE SPENI Oh HOUSING 9'---------=-i YEARS UYED IN DE .. VEfl _....G_PRESENT ADDRESS __ .....IiL---7 PUBLIC HOUS1hG ELIGIBLE FOR = APPUED FOR RELOCATION TRA .. SACTIONS ..,. DATE or s&' s Ttr NA DATE .. :ZoL::..7,...J.L.----------Alillt0U""" Qr MOJ\THL" PAID 'rOC i.1 R A S ---------4 LENGfto or-TIM[ TO RELOCATE DATt or ACOUISITIOh .. ---n ...... STATE 1 0.1.0 1 PRII/ATE AENTA .. iii' SALES HOUSE a. STANDARD iii' SUB STANDARD b. RENT: w/0 UTILITIES 5 ,.,.. WITH 5 ____ .. N c. d. .. ... e. "' N "' N l. AMOUNT OF IELOCA.nON ADJUSTMENT PAYMfNT '----------------.. AMOUNI OF RELOCATION PAYMENT .. N l.z.z ,, .. .. _.

    PAGE 190

    .. .. .. .. I I on I i .. :.,t 10 ... !a:! .,, i I l ;z .... ,!,.!;.. I::E1z e -----......,---=---+--------------------------. '2 C 11 --:y T ._... .,. ; 112t 'i.. 3 UIIAH UEA CIICLE I CZ) l C) 6 ET"NIC CIICLE I 3 I 6 5. HIG"UT GlADE AnAINED IH 5CHOOL CIICLf 1 1 3 6 7 I I 10 11 1J U tS 16 6 SU. MALl ______ r[.orLl 7. AGE or MALE OYU 61 rEMALEOYEI62 _____ I. MONTHLY EARNED INCOM[ CIRCLE I J D-49 6. 5 150 z 50-99 7. J00-3 Jc:::!EiJ /#f( U0-399 I UG-199 t. 400 .. 99 !. lDO-UI t. OTH I IJv.COM E 1 AD C. 2 0 A P 3 G A 5 5 s \A ; ,., c b 01HE.R 10 SOD OR MORE MONTHLY PRESE"T HOUSo"'G UNREPORTD INCOME '--------------ANNUAL. AooRHs 120 0 I Cln Denver. sun Col a. 1. fiiiYATl RlNTAi. SAL.f$ ttOUS C :f:206 ZIF.....o.L. a. 5TANDUD lji 5UB STANDUD b. lENT' W/0 UTILITIES $ 10. tJ WITH .. r ... "" '--,-c. 5 MO. $ ___ _,.., d, IHERRED 5ELF IELOCATED 0 e. SPENT ON HOUSING %----------O ... ,,;,.... I. "DUSING PIOJECT NAME E) _, 3. RENT SUPPLEMENT HOUSING-------------;c w MONTHLY. INCREASE 5 ----DECREASE $ ___ "";;l"' .. D.U R.A. FINANCIAL ASSISTANCE GRANTED :! ;'l: I CIRCLE S !! c. U-45 ;, 97+ AMOUNl ---d. U.58 w/0 FURfl. I r-""" S1o w/ru._ Z. AVERAGE AtHWAL GROSS RUiTAL '--------------AMOUirrt'!' OF RELOCATION ADJUSTMENT PAYMEhT '-------------- AMOUJ\T Of' PAYMENT If> ... ..;. I"' w .. or ROOtw!S I NO OF BEDROOMS -::!'.P:ii!'iii;=:'-:: TEhN>'" l!( A'-"OiJI'IoT OF' MONTH:...Y IUNl WITtiOU'I' UTU..ITIES S .i AMOUJ.OT OF MONTHlY INCLUDING PIT I. S ---GROSS INCOME SPENT ON HOUSING %-------r--______ 8if lfE/IJA h-11. ,, "11--""t--1 .. 12 ... ; I l:l:i i YEAR5 LIVED IN DENYER ___ PRESEN! ADDRESS_LZ __ 7J(NP f'4 1 U. II o : z, PUBLIC. tL.IGIBL.E F'O'i. ::' APPL.t FOR :J "I-... <. :c ; ,. = RELOCHIO"' TRA'ISACTIONS OAH or ACOUS!ToO ':f!S"".-73 PATE z-J/-7 3 !i: !2 ; 4 L.P.GTH OF T1M TO RELOCAT AFTEJ; DATE OF ACOUISITION :o J._f,E_t .. !U: J,;.. .. C t$b -!a:: r"' hlefl N llV:>013tllN3NVI'IItl3d -"' .. w N '! AMOU"'r OF' MONTHlT R'! TO 0 U A A 5 ______ 0 c CO lN353"" StU' N! StiW3A 5038 SWOOIO OlS .i.N31'1Ho 1:10 NC I Ji 3Si -n l 11',,:_ ,I 7 J n j I i j! 1 ,l J' j ,, .L !.' ...-:1 ,E .z J. _, .z L I' z L z i.",ll --.... '-J '"I'" -J li .. 11 u'-t n' 11 URu1 11 1 !: ';-)-_L OTH I'ICOME : MONTHLY INCOME EARo,j II -': fA"li'NREL.IoTEO INDIVIDUAL -.. N "' .. z 1 NAME George I ADDRESS 9::>2 St. #412 3. UIIAN AREA CIRCLE I CD 3 II> 5 6 A. [T"NIC COMPOSinON CIRCLE (!) I I A 5 I 5. HIG"EST GRADE AnAINED IN SCHOOL Cl RCLE I 2 3 A 5 I 7 I I TO Cil) II T3 ,. 15 11 I. SEX MALE HMALE-----------7. AGE or MAL[ OYER II ,19 HMALEOYER62 _____ __ I. MONTHLY ARNED INCOME CIRCLE 1. S O.A9 I 51!10-ZH z !10 l. 100-149 4 UC-199 5 zac.-zcg t OTHER INCOME 1. A D.C. Z. O.A.P. l G.A s.s. R.R 6 .. 7. A N.D 8 OTHER 7. 1110-3 a no-m t &OO...Ct9 TO 500 OR MORE MONTHL.l' PRESENT HOUSING INFORMATIDI'< INCOME '----------ANNUAL 1 OWNER' :3 TE:NNAN'T p-' Z NO OF RODioiS ---'''----NO or 3. AMOUNT or MONTHLY lENT WITHOUT UTILITIES S 4 AMOUNT Of MONTHLY PAYMENT INCWDING P.I.T.I. 5 ----5 CROSS INCOME SPENT ON HOUSING %------o:--6 YEARS UVED IN ADDRESS_ ... 7 PUBL.IC HOUSING EUGIIL f'OA = APPUED FOR u RELOCATION TRANSACTIONS 1 DATE o ACid s s Ht IJp 9 !.!/__ Z DATE MOVED f -J$ 7 3 3 AMOUN": Of MOhTHLY Pllt TO D U I A S -------' U: .. GTH OF TIM TO RELOCATE AfTER OAT Of ACOUISITIOh 0 PERMANENT RELOCATION 38-06 t.ooREss 3240 l.Y. Fairviffi! Pl........iU ciTY Denver I sun 1. PRIVATE RENTAL ..,...... SALES HOUSE 0 a, STANDARD VSUB STANDARD b. RENT: W/0 UTILITIES 5 _____ WITH $ ___ c. PUIC"ASE PRICE $ MO. P.I.T.I. $ ___ d. e. o UNDER zo. b 111-31 (. JJ-.'5 d. "-58 e 59 AVERAGE ANNUAL GIOU IENTAL '------------5 7Z-< ..... 97+ AMOUNT---$s w/0 FUIN $10 w/rutH 3. AMOUNT OF IELOCATION ADJUSTMENT _________ &. AMOUNT OF REL.OCAnON PAYMlNT w .. N .. .. .. ... II a.... .,._.

    PAGE 191

    N N -----7 I ( !<.> ;::; !C ::.-:-I ------!,=:: ;: IP IC..: : i ___ ....._,. -----:.z "' N lEi '=>' "' I 0 ... I I tr.: n.tll 1e: i "'f llti 1 ; .n! I ..,I) I i : ., i I .Oil"'L ., __ ADDRrss 1272 Milwaukee 1 .. .... MAAS, Florence 1/2 11th st. UR.Airil Al. CIICLE 1 2 l .t 5 i ETHNIC COOl!IOIH SOI9 10G-1A9 1S0-199 ZOO-ZA9 OTHER INCOME A.D C QoAP l G a s. s 1. lOOlA9 8 350-319 &00IC MORE MOIHHLY UNRPOtnD INCOME r. LPA REFERRED D sur RELOCATED pl.._. I PERCENT SPENT o !jli!; __________ Z. lftUIUC HOUSING PltOJCT NAfrll O" RENT S.UPPLMENT HOUSING _____________ MONTHLY INCREASE ____ DECREASE 5 ___ :Jcr E. D.U.R.A FINANCIAL ASSISTANCE GRANTED ,, .. 1. MOVING EXPENSES CIRCLE Z !; U' "'i I 1 .. UNDER SlC ZD-12 ll-tS 06-58 E' SS-71 AVERAGE ANNUAL GROSS RENTAL -------' 11-81 84!1t 97+ AMOUNl ----,:ul Ss w/o 1::;,;: !!!lio ,.I .. .. AMOUNT OF REi.OCATIOP\ AD;UST""'f"-T P.AYMEirrlT z:t----- '0 c) OTHl. Ja. tJ... PRESENT HOUSING = o or ROO"S ___ &:.._ ___ NO 0' 5DO()()IIOS_..J!2..:::.. __ AMOUN"f or MOirliTH:. Y RENl WITMOU"!' Ulll'TIES S ..llo"---AMOUf'ltl Qr MONtHLY PAYMENi INCLUDING P 1.11 GROSS INCO"E SPE"' O HOUSI'G 9r-----...,,.....-YE.IIR'S LIVED. IN ADCIRESS .J! HOUSt"-:G ELIGIBL!: FOfi: A PPLIEC fOIIl DATE or ACOU1Sil10"" _____ .!,l_;"_!.!_lf!.,;.,. DA H "OVE C _______ _;o'*_, ....L.l_ ... ,:..l:__....,.. __ A..COIJII.ii or REPot .. PA:C lC r I.J R A s __ U"'llH.ATED INDIViDUAL E: ADDRESs._ .. JL......LJ ... __ 3. UIBAN AREA CIRCLE 1@ l (i) 5 6 ETHNIC COMPOSITION CIRCLE I 2 ZSOIII UNREPOITI.D INCOME I. SOH --------4 OF IEi..OC"TIO._ P"Y""E"'! 3: :: -I NOI!Y.>013t! ; ... NO : .:t: ; 3S ; 1--::-;----Yci"i :1 ; ; I!. D. PERMANENT RELOCATION 20-11 AooREss 50 3 Fox Street c1n Denyer. suTE Co 1 a. ZIP.....Q.A_ 1. PRIVAT RENTAL Iii' SALES HOUSE ::J a. STANDARD STANDARD b. lENT: W/0 UTILITIES S 85:. C)OWITH $ ___ w ... c. PURCHASE PRIC $ MO. P.I.T.I. $ ___ d. LPA REFERRED 0 SELF RELOCATED 0 r. PERCENT SPENT ON HOUSING %----------0 i!: l. PUBUC HOUSING PIOJECT NAME-----------b"" n .. 3. RUT SUPPLEMENT HOUSING MONTHLY INCREASE S _____ DECREASE E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCLE ,.., .. ..... .. 300 e. n0-3t9 I 'DGA99 o UNDER SlO I > 71 "':f-+-----b. 20-Jl 9 ... .. !I Z01iZA9 9. 0Tt1ER INCOME A.D C. 10. 500 OR MOR MONTHLY AMUAL 3J.
    PAGE 192

    N N N I I I I I I i I "', I OW ICI -:z ,CtiW.. IC:. 1"- j i I :.,..' : 1<>:, c .......... 'l.i ;:..-. ----------------.. :.. ... .. .... :.. :.-;.-.. r-i.:..:k:.;E:;-;----;--oP u_. __ .. un ARU CIICCE (D l $ S ETHNIC COMPOSinOtl CIICU .(j) Z :J !I S NIGHESt GUDE AnAINED IN ICHOOL CIICLl 1 Z. 3 4 1 I 7 I I 10 11 tlP 1S 1 11 11 SU MALE fLO FEMALE------------AGE o -MACE OYER 61 FEMALE OYU 51 _____ I. MONTHLY EARNED INCOME: CIICL S GI. I UOZii UNREPOilEC INCOME 10 100 ,.9 UC-119 zoc;..zg OTHE: Iii INCOME 1. A ['I C o ... P.. 3. C.A s s VA O"fi.HC 8 UOJH 10 Olt MORE MONTHLY PRESENT HOUSING INFORMATION ANNUAL = I fl"' I NC or 0!"-" BEDROO""S AMOt...ST OF V.O"'I!"i-' RE.,.T WITHOIJ UTIL!'!"I[S __ AUOIJ ... "T OF ll'liCLUDihG P I.T.: GROSS ICO.,( SPEM ON HOUSING %-------:-::---: YEARS. LIVECI lh DENVER ___ ADDRESS /(),nl. PUB.C WQUSt"C (LIGIBL. FOF; = A,PL.IED FOI = RELOCATION TRA!oi5ACTI0,_5 DAH o "li' -,. la 3ZJ DATE .. (IVEC I(J .a,. 7.3 Of tr.40".Tt1i..'\' REhT PI..!C TO 0 u F. A OF Tl'-i TO IHLOCA"' APEk DAT Of ACOUISITIO" lOt &1.:. t I --!--t -----------------------------------. 38-06 i i :::><>!ss 1420 Logan, E-4 I .. c:r> Denver, sw[ Co 1 a z, ....Q3_ I I "IIYAU v SAL.[S HOUS.l .. SfANDA.D I N ,-, ... lENt. w/o UtiLitiES SIU/Ut,W WitH $ ___ .. s 1--r. b. PICE $ -----100 P.l.t.l d. e. LPA IE: FE IRED SELF IELOCAU:D :::; _I 111 ON HOUSING 9!:----------0 ,.. .. z. HOUSING NAME____________ 5 "" l lENt SUPPLEMENT 10 MONTHLY INCREASE DECREASE S ___ f3' D.U R.A. FINANCIAL ASSISTANCE GRANTED ;; 1. MOVING [IPE.NSES CIRCLE Z -< Ul UfriDER S ZO S 72-ll :. t ZO-l< ... ,. ;!; :co 33-45 9?+ AMOIJNl ____ ;;1:1 t6-S8 w/0 fUR"' e ,._11 S10 w.iFuR" AVERAGE ANNUAL GROSS RENTAL tn!!: l. AMOUNT OF RELOCATION ADJUSTMENT PAlllo!Etrr.iT '------ AMOU"-iT OF RLCCATI0h .... '"' n ... ,. G'l c-.. :0 ...... > z: z Z' I ... ll!'" ___ ,a ;: -1!"" /C z i;"' 2l NOI.l:>013tl .lN3NVII\Itl3d "'I ... ... N ... ... .. S03E l 5 9 L IOU t:IO .iN3C e tans i I NC i! l l [ an! z I L i I i I : c:i II Wd1 I !I I' 11 1: I I! (1 u (i I I I 1 INCOME EAR tot l IIX3;;-,,:-;,0:-;471X:;--''---.A;-LP0HU'A;;-;C:;D=;;D;;f-f.----:::c------1; ... 0: "' ... N Ill ==0=== N "' ... ... N .. "' j:gj '"'' ;., :::> O l:t !Z 10 4 D PERMANENT RELOCATION 18-07 .... t_.:;,;MA=L::...;O,._;N;.rE;r;..' Aocus __ "'l,_,2,_,3""4....___.1....,0'-'t""h...__.S""t,.r....,e..,e ... t....._ __ 3. URBAN AREA CIRCLE 1 (t) l CJ) 6 ETHNIC COMPOSinOh CIRCLE (pI l 4 I !. HIGHEST GRADE AnAIHED IN SCHOOL CIRCLE 1 Z l 6 5 6 7 I I e 11 1Z 13 1& 15 11 6. SEX MALE FEMALE------,r:;;---7. AGE OF MALE OYER 6l ____ FEMALEOYEiii-'"IEIIL.. __ I. MONTHLY EARNED INCOME CIRCLE 1. s 0.&9 &. 50 3 100 15C"-199 5 ZOO-H9 9 OTH R I E 1. A.D.C Z 0 A P l G.A s s !. I. R 6 VA 7. A Pf.C. 8 OTHER 6. 'Z50-ZH 7. ]00->49 8 JSO-lH 1 oo-.ceg 10 !IOC OP MORE MOhTHLY !"loo II$, Do PRESENT HOUSING INFORMATION UNIEPO.TED INCOME s ______ ANNUAL 1. OWNER = ... l NO OF ROOMS NO OF IED.OOMS 1 AMOUiiT OF IE: NT WITHOUT UTILITIES S __ AMOUNt OF MO.,HLY PAYMENT INCLUDIHG P.l.t.l $---S GROSS INCOME SPENT ON HOUS,.G 9!:--------6. YEARS UYED 1 DENYEI ___ PRESENt ADDRESS ____ 7 PUBLIC HOUSING LIG18U: FOR = APPUED FOI = RELOCATION TRANSACTIO"'S 1. DATl OF l om Mom /Q. if-Zi 3 Of" REN1 PAIC TO DURA 5------ LlhGTM Of TIME TO IEI.OCUE An DAT OF ACOUISITIO!\ ADDREss 150 South Hazel Ct. c1n Denver sun Co 1 a ZIP.....l.9... 1 PIIYATE RENTAL. i:i#' SALES> HOUSE = ... .. a. StANDARD V SUB StANDARD b, RENt' w/0 UtiLitiES $ /{)0, e e WITH $ ___ c:. PURCHASE PRICE 5 _____ Mo. P.l.t.t s ___ .. d. LPA IErERRED C SELF RELOCAtED C PERCENt SPENt ON HOUSING 91:----------0 e, Z. HOUSING PROJECt NAME------------!= 5 "" l. RENT SUPPLEMENt HOUSING ;:a !;! .. MONtHLY' INCREASE 5 DECREASE 5 ___ iJ";;:"' D.U.R.A. FINANCIAl ASSISTANCE GRANTED .,I., 1. ElPENSlS CIRCLE z, = "' ,z.u "'"''I ...;..I ----a UNDER S lC b ZO-lZ c: J)..t! d .... sa e !1-71 Z. AYE.AGE ANNUAL GlOSS IENTAL '--------------..... I .. 17+ AMOUN1 ---w/0 FUR"-i!""" 510 W/FURN -i"' ... N l. AMOUNt OF ELOCATION ADJUStMENt PAYMENt '" .. '-------. AMOUN':' OF PAYMENT .. .. .y .diT'frw / k.t. { -4 l), ... .. 1"14 AlA ifzq, p o 1-+--r 1--.. TICiH' I .J. 1.2 f. ', a: i MtJAitf4Y Mn II (eC.u ,. .. .. ;EI"' 1:1".-' .. -lo .... .,i

    PAGE 193

    :_:-.] N .. .. ... .,, I "'1;: o! .. I e iZ 1. ,_ 1.10-99 3. 100-1a 150t9 5. zoo-z .. I. OTHR INCOME: 1. A.D.C. O.A.P G. s ,. ... t .. .. i. S 1S0.1H Jot-S.9 I. Jlo-399 .. _..,, UNREPORTED INCOWE s s 500 OR MORE SID MONTHLY ANNUAL _. ___ ..;_ ___ :__:_: .. __ --4 PE '"'-...... : -... .,. ---I i I MC*nti.Y: ICUASE S DECRUSE E. D.U.R.A.. FINANCIAL ASSISTANCE GRANTED ;.. 1. MOV .. G e CI8CLE -t! o. UMD[R I ZO b. 1 .. Jl c 3)45 d 06-!lli AJ!III\IUAL REfi.TAL -----------s 71 '' \ !0 W 10 fUll\. S 5 AMOu,.: OF' IEi..OC.ITIQ"'-PAn.tENt Zi,.,l"' ,..,, o: lJ> I -,,..; (ft,r-" tn:"::l ... .. .. '"'------iC'l c: Of IH.OCATIO .. PA.YII.I!EJrt1 B. PRES:NT HOUSiNG I,._FORM.l.11iJt OWNE F. :-rf NC Of R00..-.5 .,3 NO or OF MO ... THl'l' RE"'!' U'!'H..I'!'1S S .s.f'.OO ------l J w-<:'" --""' .. -'_"'""_"----=::....:!..-'-==....,......=;__-------1"',;; c, 'tl' w '" .. ;c: .i o '"'I-' i R:! I I ,,. : v; :2: jC' c AMOUflii OF h'ONTHU" IIIIC:.UCoNG P.i.T.i $ ______ GROSS SPEfrtT 0"-r"------=--:--6. YEARS LIVED IN PUBLiC HOUSING APPLIEO FOR C ELIGIBL.f FOR C RELOCt.";iOPI. 1. CAT! 0' ACQUISITiO. _.f{"-',11-'---:-:---:;;-;:-..-------CAH "'0\' EC ________ ... ____ AMOUlf: OF" 'I DE "'iT FA:r ':'0 A !_________ A .. (.T,. 0,: TlhiE TC' P.!. ... OCJ,T ArTER OAT.t or .-coustno"" .. --Aw=-==-,-,::-.="b:::-"'h=r.=-.-,-:-,.- _______ .. N6/b& I -.TitHP A. dbb.Od .. i ,. <. .. c .. .. .. & N N .. N i I on; INCOME MONTHLY EAr:tr.o I!-CHILDREN ALPHA coot: :; ., ., 1..,1 I l!i I COMCS,T!O" !> SOC!OECCNOMIC DATA D PERMUiENT REL.OCATIO'II 3 8-01 ic. mE Abel 2 ADDRESS llo enampa3treet 3. URBAN AREA CIRCLE 1 G 30 5 4. ETHNIC CIICLl 1 2 Q) 4 5 i 5. IBGHEST GlADE ATTAINED IN SCHOOL IY HElD OF FAMILY CIICLE 1 2 4 5 7 1 t 10 11 G n 14 15 '' I. .UMIEI OF CHIUIREN IN HOUSE-.!> IOYS------GI .. 7. AS OF MALES OYEI 15 4/ FEMALES OYU li.Z--'.:EJ..--"'f-----1. MONTHLY EARNED INCOME CIRCLE I. 6. S 150-1H UIIREPOITED INCOME z.3. 100C9 1S0 5. 2.00..2C9 9. OTHER INCOME 1. A.D.C. 2. O.A.P. 3. G.A s.s. 5. R. R. I. VA. 7. A.N.D. 9. C004ii a 500 OR MORE 100 MOhTHLY B. !'RESENT HOUSING INFORMATION &NNUAi.. 1. OWNEI C TEIIA!,OT J/ 2. NO. OF ROOMS o. OF IED-s-,;;;;;.1:=--....,..-3. AMOUOT OF MONTHLY lENT WITHOUT ununrs S flJ.,., 4. AMOUNT Of MONTHLY PAYMENT ICLUDIIIG P.I.T.I. S------1. GIIOSS IIICOME SPENT Oil HOU..SJIIi .. -I. YIARS UYED: 411 D!NYEI........_ ... EIEIIT 7. PUIUC HOUSING: API'UED FOR C EUIIIIII.E FOil 0 C. RLOCATION TRANSACTIONS 1. DATE OF ACIJUISinON ___ .t. DATI .. OVED J. A-NT OF MONTHLY RENT PAID TO D.U.R.A. 1--------4. LENGTM OF nME TO ULDCATE AFTU DATE or A COlli SinON. ADDRESS 5057 Gr an t St t ree 1. IENIAL "'SALES HOUSE 0 a. STUDARD If SUB-STANDARD C b_Re.r.-W/O unLmES s/II'LIJIJ WITH$ <-PBICHAS( .. ICE S MO. P.I.T.I. S d. LPA IIFURED c SELF RELDCA TED ,/ e-PUCET 51'1111 ON HOUSING .. 1. PIIIUC HOUSIIIG PIIOJECT NAME MOII11LY: INCUUE s fll-DO DECREASES O.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING [IP'ENS.5 CI.CU a. UU S. .tO f. s 72-83 b. l!-3l g. 84-16 c. 13-45 h S 10 W/0 FURN. d. 06-51 : S INDIVIDUAL e. B-71 J 1. IYE.AGf ANNUAL GlOSS IENTAL I J. &-T or IEUIC&TION ADJUSTMENt PAYMENT 4. AMOVT OF nocAnON PAYMENT I tA.u. "11115/M Mf/l,'P_1J. liaLf PITS f, ,,.,) I ; .. I I -, ... .. ,., ) .. ;N ) --' cr .. ..) ,.1 :D .... .... -; .. -z.'")"' .. :.!:! Zj-
    PAGE 194

    N N N "' '" rr.... "' : I : I ., I ; I i 0: I "' ""'I "'' I I ; !:t", ::!'' IC IC c: 'C t:, ; .z: IO' !C .... ..,: ____ ... ______ 16 ree t UR!IA"' A'EA CtRCt..E l 6 COJioiP.OSiliO .. Ctt'rCr Z J." !t f \.. HIGHU1 GUO ATUIN IN cHOOL -r...rr; CA'l 0' AC0CI5'7' p_ ----..,.-=-:..---__ c."''' 8 S-..:.'1set. A\e-.:Je Glen c/.:. s,.., .... .... v.._ ___ ,.n:s:I 1 PR!\rAH ll'i .. SAt.. So HOUS.E :..... : I ... SlANOARL SUB SlANL;.AIO I I be.. ""' "''""""" "JS:ID """ I i" ...... C. PURCHASE PRICE S _____ MO P I T.l. d. LPA RHEOR :: SELf RELOCATED PEIChT SPENT ON HOUSING % _________ PUIUC HOUSING PIOJECT NAMl w .. IEN1 SUPPLEMENT HOU$UtG MO.TH" IOCPEASE 5 '/$. 4() DECREASE 5---N D U R.A. FINANCIAC ASSISTANCE GRA,TED 1 MOYING EXPENSES. CIRCLE Z :=,II' UNDER 5 ZO I : ZO..lZ 8.&-Mo i = ,. ( 33-1.!. 91+ ---d &E-se w/o ruP." "' I!' 5-71 S1C WI F'"URt, Vll0 Z AVERAGE ANNUAl. GAOSS RENTAL i rr "'"' ...... )> Ar-.tOUNt RELOCATIO!'I. AOJUSTtot'-' Zf-----P,! z.ZI .3 z 1-! .. Ati.OU"'-'! or RE...O:ATIO!IIi PAY""'["l .. filliP =(i117ZL.Y PVTJ IF = ____ __,:z :c zl1i.u: --------------------------------------------------> 0 _N_O_U-.V-J_0_1_3_tl_l_N_3_N_'f_llll_tl_3_d ____________ ;Q::: :c.., oat ,_.. 503& swooe !5 .!.,_..3li'I.J.Yd tiC "'c .l1 35 ;; ,;J <: ... l Z E .. ( .. r-I 0.:15; I z ; l z t i L ( w d"' ll z 1 :s z. 1 ,., 4l .-1 2 4 !2 t1 A. FAMILY COMPOSITIO" 6 SOCIOfCONOMIC DATA 1. u .. ,_MARTINEZ G.cnzalo z Aooms 1122 Ii2 Lar1.mer 3. UIIAM AliA CIRCL I 0 3 CD 5 6 ETHNIC COMPOSinllll QICL 1 I I I I. IUSIIIST IliAD AnAIIIED Ill K-. 1Y HEAD Clf"FIIULYf QIICU 1 I J I t 7 I I 1t 11 U tJ N t1 tt I. IIUIIIIU IIF' CIIIUIIEII IN IIOUI!IIIILD ..ovs -1 as;:,:!3!L-7. AlE IIF' MALES CIUI IS .,., 'EMALES C1P A I. MCIIInii.Y !AlliED 1-l CIIICLl 1. 1z.J. 110-Tot TSOIH s. zowa t. OTHER INCOME' 1. A.D.C. Z. O.A.P. 3. G.A. s.s. 5 ... t. VA. 7. A.II.D. 2 ... 111 -10. !100 OR MOR MONTHLY I. PRESENT HOUSING INF'ORMATIOH 7. NleUC -111111: APPUD Fill D IUIIILI ... ;o C. tiELOCATIDN TRANSAC1JOIIS -: I. liAR CIF ACOIIISI'IIl!' 7!'-Z3 .1. CIAU MOWED ';I. -1.: MIOIIIIT fW -y -T n111110 CI.U.I.A. 1'------ol. Ll1111111 OF 'liME 11D la.oi:ATI A"U DoiR .. ACDIIIII-. -_. ___ .;:x;L-;-;.. li .. 0 PERMUIENT RELOCATION ADDREss 1429 Navajo St. 1. PIIYATE RENTAL J( SAL HOUSE C a. IJAIIDAID IC 0 .b.-KilT: W'CI U11U'IIII I /vr. WITH 1----.. __ i <-PIIICIIASE l'RICE 1-------MD. P.I.T.I. 1-----1 N .. : NJ cl. &I'll IIEFUIED D .lEU' IILOCIIYID D e-PIICIIIT IPEIIJ 1111 IIOUIIIUO '"'L------------1 I. ftiiUC IIIII II IlS aoJEc:T UM E ------------------------------------------------IIC _,.._,, IIIC8US I "ECIEASE $ !jill!! E. D.U.R.A. FINANCIAL ASSISTAfiiCE GRANTED -----;,.. g"" 1. MOVING EXPUSlS QIICL 1:!!. a. UNDER I ZO b. Zt-JZ c. U-45 d. 8-71 Z. AYEIAGE ANNUAL GWOSS UNTAI. -h. liD W'O FUIN. I 5 INDIVIDUAl. .. ,.. ,.. .. .... CliO .. ,..., I. -T OF llLOCATIOII ADIUSTMEt PAYMENT 1. ______ .. A. OF IELOCATICIII PAtMEIIT I ____________ ___ ,: .. --.:. --=.ti.:::. ,_._, _,.,,_) ) w. .. .. .. ...

    PAGE 195

    .., .. .. c .. "' "! i I IC ;i lc c. I 1 .<3 I ---.. ... 2 .. ,. .. ."-1 '\-; =-........ .. ;. ... .. .. AREA CIRCLE. a-J (!:) 5 lTHNIC COMPOSITIOh CIICLE l Z 0> 5 HIGHf.Sl GlAD ATTAINED IN SCHOOL ..i.-;.)C c111 suH .:c.I6. 1 PIIYAll ENTAL c-SALE!! HOUSE a. STANDUD il"""sua -STANDUD b. lfNT. w/o UTILITIES s ,, D. s ___ l If :::::.o::L CIICL 1 Z 3 .& 5 f 7 I "t 10 l1 1l ,. 1$ ,,, .. ,.. .......... c. PURCHASE PRICE S _____ MO P.l T.l I"',.. "'r' ,_ S r: MALE-------,FEWALE -----------AGE OF MAL OYER OYER r.z _____ MONTH!.Y EARNED INCOME. CIRCLE $ E $ Z50-Z99 50-99 100-149 15(1 199 !:1 zcc .. ag 7 300-349 6 lSO-:J99 60049i 1D U .. ltEPOIT INCOME 9 OTHER IJrtiC:OfwiiE. SOC OR MORE MOHTt-!LY ANNUAL ADC o s s VA t.S(J ltl ... !; o'"'.t'EN:OIDN 113,, 0 0 HOUSifo.JG INJ'"RMAT!Qto.; = fl" or ROOVS 0' -::,.;:0;:-,--A._.O'" ... or Y.'ITt10l',. S .. t....:(');...CJ=., __ Or lro40,THLl PAn.II[N':' lfr'IICL.IJOI .. G PI T.l SPE1111' 9t-------=---'t'EAPS 1!\ ___ ADDRSS __ PuB:...IC HOt,;S1'-.:, [LIGI91..F roR :RELDCATIQI\ OPE or "6' Qh cn "one /Q .2 ZJ or PArC TO 0 L I" A LENGT,. Or lrMl ... 0 Hr...OCATl AfT'" [llo.T OF ACOuiSITIOt.. j 'i 1 i .. d. LPA REFERRED :: SELF IELOCAUD C le e. PERCENT SPENT ON HOUSING 91!----------C ;!!I Z. PUBUC HOUSING PROJECT NA"l------------i::lo!-' -."', .. MOI\iTJoiLV INCAA.!.E _____ DECREASE 5 ___ = .. 1 .. E. D.U R.A FINANCIAL ASSISTANCE GRANTED 'N 3 RENT SUPPLtM[hiT HOUSING MOVING [l,f.NSES. CIICL Z -<.VI UNCEA 520 $ 7Z-8J )lor..J..i ---ZG-32 "'IE i ca t l3 s 9:'+ AMOUhl ____ ;t::cl ,.:56 w/o u ,...,=!" 510 W,'FUR"" )lo e 59-11 "' _. e-AVERAGE ANNUAL GROSS RJri'TA.;. S________ Of IEI.OCATIOh. A.DJUSTM[P\T PAYM\i'l' >--"1 c:-4 OF REL.OCATIOI'f C')IC'I! :tl :J:o;...: :. z Zj -___ __ 1;;:1 o z1 "' N l'fE/OA I ,2,4D.Do 7 I"; ",z, l. 00 I{.J. OtJ I L I 7 ;,4 I 7 el 2 '" ..,: II>[ ''" VI;-, ,_ IC "' .. N N : 0 ':) 1 tU i ., 15 I I ., 2 .. 2 r4'"! OTH INCOME ; MOIOITHLY INCOME EAP.IOI "' -----z .. L t [: .. .. .. .. .. .. N N .. ... -... "' c ... ..... .. ----io ... II! '-' 'L u "' c ... A FAMILY b SOCIOECO,OMIC DATA NAME J inunie J. z. ADDms 82 4 Ch __ a Street J. Ul.aN AREA-CIICU. ,G so 5 -ETMNIC COMPOSinON aacu: 1 z G 1 5. -EST GlADE AnAIUD 1 IOGm. IY IliAD or FAMILY CIIICU-I 1 J 5 I 7 I I M 11 11 II M II II I. -Ill DF CIIILDIU 1t1 -IE-.D IOYs....A.........Cias ___ 7. AGE OF MALES 0 15 .a.l, FPIALIS 0 tz ,,a I. 11011111.Y EAINED INCOME QICLE 1. --1. -z.-UNIII'OIIlED INCOME 5 3. 10..109 c. 110M 5. Ull-la I. OTHEI INCOME' I. A.D.C. Z. O.A.P. 3. C.A. -1.5. 5. 1.1. I. VA. ,_ .D. 8. 350-:119 -6 INIC 01 MORE 9,50 MONTttLY II. PRESENT HOUSING INFORMATION AMUAL 1. c.n C TENNUIT J( L IMI. OF le MO. OF 1-S"'=",::;
    PAGE 196

    N an, .. C ,.... c. a: : I i C 'i; j r::=.: '"' IZ. IC' I-I ____ ___,:!; ---__: -' .. -------"v' ----,----------URIAJrrt. AltA C!ICL -1 {l) 3 ETHNIC COMPOSITIOH CIRCLE -1 2 l I I 7 HIGHEST GlADE AnAIIUD IN SCHOOl CIRCLE 1 2 l I 5 I 1 I I 10 11 U 13 14 15 16 6 SU MALE FEMALl------------AGE Of MALE OYU 61 "3 FEMALE OYER"------1 MONTHLY EARNED INCOME CIRCLE s o ... s 6 z S0-299 S0-99 10(1-,.9 15C-19S Z00-21ft 9 OTHER INCOME. A.D C. c G A s s A ,. [; lOOl!il 8 lSGlM 400 .. 99 10 SOC OR MORE MONTHLY t/.DO INFORMATION UNRlPOIT INCOME ANNUAL O" LTE .-.-r V J !'110 :>' "10 or BEDROOMS -o!;,....,....,,--.,...-A'-40U,.T OF M0hTHi..l R[Nl WITHOi.P UT1i..ITIES S js; 1'/ AMOi.J"-'1' OF MQNTNlY PA'r''-1[N'! INCi..UOING P. T I GROSS INCOME SPENT Orr. HOUSttrr..G YEARS LIVED lh OE.t.l'vLR ___ PR,.':' ADDRESS ____ PUS:..IC HOUSI"C:: ELIGIBLE FOR = APPi..IED FOR RELOCATION OAT[ 0' ......... '""' q'$p, ]Z.:l oT ... 0\'EC J/-/-2J 0' MOI\THL.' R[."''"' PA!C TC 0 r;: A L.[t,Gn"' Of lQ lihXATE DATE or ACOUISI':'IOI\ ,, i -AD:lRESS 1249 \'\ f;::. j rvj p. Pl .. CITI Deover SWE Cp1 r. PRIVATE IE NTA .. ij;" S.ALES HOUSE. ... a. SlANDAID "'SUI SlAC!DUD b. lENT. W/0 UTILITIES S Jf$. tJO WITH $ ___ c. PURCHASE PIICE S 1140 P.I.T I. $ ___ N ( ,--. -" LPA REFERRED 0 SE:LF RELOCATED :J CD ... .r, PERCENT SPENT ON HOUSING C d. r. z_ PUIUC HOUSING PROJECT NAME-----------i::: 0 ._, RENT HOUSING .. MONTHlY INCREASE 5 DECREASE S --., D.U.R.A FINANCIAL ASSISTANCE GRANTED ::!! WOYING EXPENSES CIRCLE """j"' UNDER "0 \ 7Z-83 1-1-----Z0-32 8-H !o llAS 97+ AMOUNT---->l;l;' .t6-51 Ss w/o FURN ;:: ...,. e 59-71 S1o "'Ei .,,., .,. AVERAGE ANPIUAL GROSS JIHiU.L (ii !; Uo\'0:1\il Qr RLOCATIOP1 ADJUST.,.[Nl PAHI[I\ii AMOUNT OF RELOCATION r;1,:: .. ""'i %l ,.1 ... ,.z z z! __ ;! ., hJ/011 ? lD. o o .,, z %'ii.D .. .. N :::.. II: r_: '0: 1.., I --------------------------BJ: I .. z = "'I I l : ID !V'' I :r 10! ,.. I .. J ; I I I I I i I j ;. ki I ; r ___ .; .. _, .... ili: j._ ._1 .. _, u .. t Ml\RTTNEZ, Jose z ADDRm l009 9th St 3. URUN ARU CIICLE 1 Z 3 & ETHNIC COMPOSinON CIICLE -1 Z (!) I I 5. HIGHUT GlADE AnAINED IN SCHOOL IIY HEAD OF FAMILI CIICLE 1 Z 3 I I ? I I It 11 Q 1J U 1t 11 NUMIIEI OF CHIUIREN Ill tiOUSEIIOUI IIOY' I 811LS. -, ?. AGE Of MALES 0 II FEMALES OYU R u= I. MONTHU EAIIIED INCOME CIICU 1. S-I. SUIIlM z. s-.JOt l. 100-1tl 150-119 5 OTHU INCOME 1. A.D.C. Z. O.A.P. 3. C:.A. .... s.s. 5. I.R. 6. YA. 1. A.N.D. I 1110-IM c::::> AGO-ott >0 NO OR MOlE B. P'AE5NT HOUSING INFORMATIOIO UNIEPOITED INCOME ANNUAL I. OWNU -C 5TENIIA115'J a Z. 110. OF 110. Of 1. AMOUNT Of lf0111NlY IPIT WITHOUT ununn ,, __ ._ AMOUNT Of MOII1NLY PAYMENT P.I.T.I. ''---_,--1.. CIIOIS INI:OM[ II'IIIT 011 HOUIIc: .._., ___ _;,""!":r::=::-1. fiAtS UYlD: IN 7. !'URIC tiOUSIMio API'UED FOR If. 1.-.: POl J C. MLDCAnON TIIANSACTIONS 1. e.\Tl IW ACQUI .. nOII-----::r--:-:--::=:-------1. DATI MOYED< ______ ____ I. -.n-"' -lENT UID 1V D.U .. .A ...... D PERMANENT RELOCAT!ON 33-11 ADDRESS a. ITANDAID C SUII-STANDAID C ... i 1. PIIYAYE INTAL :::; SALES HOUSE = 1 -.b_IIENT: W.rO UnUnES 1-------WITM 1------lk c_PUKIIASE PIICE s _______ MO. P.I.T.I. 1----d. LPA U:fiiii:D C IILf' IELOCA--TlD--0--------I -*PIIICINT lf'IIIT 011 IIOUSIIIG11; Z. I'IIUC tiOUIING I'IOJICT NAME o UNDU S ZO b. Zll-32 t. d .... ,.,, Z. AYEIAG[ ANNUAL GltOSS ENTAL ,, ______ >a-a> g -t. 'tD .rO fUIN. S I IIIDIYIDUAL S. AMOUNT OF RELOCATION ADJUSTMENT UYMENT AMOUT OF ULOCAnOII PAYMENT ---------------------------1-si-" !r '!'& ... .. ". l ------------------------1

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    N .. .. In i i 1::! !C roo "' :z ;i:i :;.J: -:z. i2;-: ..... .r ;c :.:. = .:-: ... !J .. .; ?.-:: = I .] '"' s .=,:: l mm 9l:J Cc.rtis Sr.!-eet Lilllh AREA CIRCLE (!', J G:. f I. EHtHtC COW,OSinON CIICLE 1 Z 0 I I I 5 HIGHEST GlAD[ AnAINEP IN SCHOOl CIICU 1 l 0 c 5. I 7 8 I 10 11 1Z U 11 15 11 SEX MAc( )( FEMALE----------AGE OF MALE OYfR il "' f(MALE OVU 61------8 MONTHLY EAINE[) INCOME CIRCLE s 0-19 !.C!-91:1 100-119 ,50 ZOC.-219 OTt-f J; INCOME ADC 0 A p c, s s p .. A ""[': QTH[P S UO-Z99 300-Uiil JS0-399 100-199 10 SOC. o; MORE MOIIiTH:.Y PRESENT HOUSING INF.CRMATION UNIErOITED INCOME ANNUAL OF' PAYVEf\': INCL.UD!"'G F I.T.I GR055 INCO'-'tE. 0"-HOUSING %------:--:---YElr.RS LIVED OEt.VEP ___ PRE"SENT IDDRESs_,.J'-'JOft._ __ P:JBLIC HO:JSIPoiG FOP r. FOR RELOCATIOII. /t. /". 7 'I Ct.': E OF loCOL:t5ll0"" ----L!,....!....::II;,.,.....;: .... CA7E ..,o,(:; ______ ____ o= REN PAit TO 0 I! R A LENGTH OF 1:M[ ":'0 AF'TER DATE 0' MHI'5. .:. :; : ------------------"'""' 12.:= Jl.ra-::a:-.oc. san Cal a. z, ....!l.2_ PRIVATE R[MAL SAlES HOUSl .. ... 8. STANDAID fj( SUI STANDAID N b. UNT: W/0 UTILinES $ ______ WITH c. fiiURCHAS II'IC $ MO P 1.1.1 d. LPA WEFEIRED = SELf I[LOCATED I"' f. PliiCENT SPENT Oli HOUSING !if----------lll I. PUIUC HOUSING PIOJECT NAME ;., 8" MONlt-tlY. INCIEAS DECREASE S ___ >;;: 0: .. D.U II A FI .. ANCIAL ASSISTANCE GRANTED RfNT SUPPLEMENT HOUStJrtG 1. CIICU '7283 ll-<15 97+ AMOUNl ---;;; d "'-58 w/0 FURh ""' eo 59-71 S10 wlruRN AVERAGE ANNUAL GROSS IENTAi. f1" s Alro40..Jt.i.T 0:-RE!..OC.ATIOh A.C..:CSTMtNT PATU[NT :"' n ,.: r'1Jc;= --------------------------------------------------z: 390.00 .... ------------------------------------------------3: --------------------------------------------------NOI.L\'::l013tl .LN3NYI/IItl3d w .. w .. .. .. D PERMANENT RELOCATION 33-02 .. .. .. .. .. N .. 1. NAME Kelly I. ADDIUS Jh[j Qtb frppt J. UIUN AIEA CIRQ.E -T B 3 0 5 I ETIIIIIC CIIMPDSinOII CIICLE I I e I I I. 1118HEIT GlADE AnAINED IN 1-BY HEAD 01' FAMILY CIIICU 1 I 3 5 I 7 I 9 II IT U '\, M 15 11 I. -EI 01' CNILDUN IN IIDUUIICIUI IDYI......a._ .. as=:----7. AGE 01' MALES D'IEII5 .2J FEMALES DOrE111-.oi.$(J.,._ __ I. MDNTIL Y EAINED IIICOOI E .CIRCLE T. 1. 50-19 J. .... ,., 1!0-1t9 5. 1110-1 .. I. OTHll INCOME: 1. A.D.C. 2. D.A.P. 3. G.A. 5.5. 5 ... &. VA. 7. A.N.D. I. I 110-ltt 7. 300-309 I lS0-:199 -1130 11. 500 01 MORE MONTHLY -tniiEI'III'ftD IIICGME s ANNUAL II. I'RSENT HOUSING INFOR.ATlON I. Dlrllll c n:IIAIIT I Z. liD. 01' -5 S 110. Of 8EDIICQIS-:;;::.1_::-:IIIK"-I. AMOUNT OF -TILY aENT WI'IRDUT U11UnU I 4'f,tQ E ., -NT OF M-Y PAYMENT IIICUIDIIIC 'P.LU. 1----S.'.,UOII INNf ... 1111.. L YUH UVED: Ill IIIWfJI -n..Y_: f:....UC-11115: .HUIII Fill D Juaal .... D C:. fiUICA'YION 11WtSACl10N S t. a.an OF llCIQ.-rsmOH_,.::N:L:,lA.._.....,,.,..,_=,------.a.un -n l/, -liT OF _,._, HilT PAIII '10 D.U.ILA. t-------4.. Of' 'liME 10 HIAIC.ITE Anll DArE fit ._ ... ,-..-. ADDRESS 3949 :Umatilla St:r::eet i .. PRIVATE INTAL r( ---1 D SALES HOUSE a. STANDAID SUI-STAIIDAID .... c b...IINT' W/0 zmunn 1 WITH I .. i -= <-PUICIIt.SE I'IIIC1! I -$90 MO. P.I.T.I .:a, a d. U'A IEFEIIID D KLF IEUICATED c .. \..JN .... ) -PUCPT SPE.T .. -SING" ... I. .ftlaUC -IlliG PIIQIECT NAME clllt .1 M_,, IIICIIfASE I DECREASE S ... .. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ).0..., .. nl 1. MOVING EXPENSES CIIICU ., ... .... I N a UNDER 110 I 71-13 ,.! ... b. 10.31 g """ .. -c. Sl-05 h S 10 W/0 FU.N. d. ..... ; I S JNDIVJOUAL S-71 J ..., ...... .. z. AYEIAGE AIIIIUAL GIIOSS IENTAL I !:!E .. 3. A-NT 01' UUICAnON ADJUSTMEIIT PAYMENT I .. -.. -NT II' ftLIICA nOll PAYMENT I .. .... z :z: .. .. .LMfM .. 111.1-... -.r .... _I!.Mft hllll. :4 ... 4.!!!1 z-..... ... zu ..,... 1: .. ... _.,. _, _,

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    N .. c ., ,_ i8: : I i z I ., i i I i I.D ]w"': "lg: 1": I GO: c ... ;., -: :,_ .... : ;.._ ... __ .--J.t. .... 2 :.a r j mr ... r =-'-------uah AREA CtRC.L.E 3 f: ETHNIC COMP'OfttTIO.. CIICLE 1 2 0 C S 6 5. HIGHfST GlADE ATTAINED 1 SCHOOL CIICU 1 Z J i 7 II I 10 11 1Z 13 14 15 16 SEX WALE rEWALE-----------7. AGE Dr MALE DVU 6Z Sf" FEMAE OVER 6Z _____ II. E.AIN INCOW CIRCLE i G-49 6 'Z50-Z99 UN.,E'POITE:O INCOME z. S0-19 s ______ 10G'9 8 lSC.-399 15G-199 Z00-249 OTHER INCOME A.D. C. 0. p G A. s s VA A ho.::JTHE 8 ,...99 1C 50C OR MORE MO.-:THLY PRESENt INF.ORMATION ANNUAL = Tf' .. r...;. OF ROOV.S j or: BEOIOOtri.S AJ.4CUNl Or MOt ; MONTHL\' lkCREAS[ _____ OEC.REASE N D.U R.A. FINAiiCIAL ASSISTA>iCE GRANTlD --i. MOVING EIP .. 5CIRCLE -ciUI UftDER $ZO $ 72-83 t ---Gl .. se Ss w/o ruRN r-r .. Eo 59-'1 510 WiFURN AVERAGE ANNUAL GROSS RENTA!. "" .... .. .. .. '-------i!j .. OF I[LOCATIOPii AOJUSTJ.4[Irli1 PA'I'M[NT Zr-----)>:a: AMOUiiliT OF' REi.OCATIOirrt P,_'tt.AENT :<, ..... ,C'l: :c, > Z! ... : 1f16/Dit il,j::J,D.tJo ,., \0 Ul w -------------------------------------------------z -------------------------------------------------o! -------------------------------------------------.. NOI.I.Y:l013tl .I.N3NVII\Itl3d !..., GO lN3S3tld .1 SC3S 5W00b I lN3WAd 110 lN31l NO "' 3SjL__:___ .J. } II I !' ll'::tl h 1 i r J j l z J 1 L E "il ..,.,.=,.,...-,-..,.,==,....,,.,..,,--' r v ... 1 -r "' J .. j_!. .... 1'. .. ... ;).I C"!'H lhiCOM[ r MON1'H .. 'r -l'i"": .A uNRE<.ATED o PERMNPH RELOCATIOI< 36-04 j C---- .,E MARQUEZ+ Raymond AooREss 924 W. lOth Ave_, ____i.L_l 1105 Sout st;; #4 ern Denlzer I suE Colo. .. : .. i8i URBAN AREA CIRCLE 1 (!) 3 fSJ 5 1 PR!VAT RENTAL SALES HOUSE 1 I ETHNIC COMPOSITIO CIRCLE 1 l 0 4 5 i a. STANDARD iii"'SUB STANDARD .. .. ., "'' I:Ci I i iot ... rc a: i 5. HIGHEST GRADE ATTAINED 1 SCHOOL b. RENT w/0 UTIUTIES 5 75.-e WITH N CIRCLE 1 Z l! 5 6 7 (i) I 10 11 12 13 ,. 1!5 11 6. SEX MALE FEMALE-----------7. AGE OF MALE OVER 6Z ____ rEMALE OVER 6Z _____ 8. WONTHL'I EARNED INCOME CIRCLE I. 'o-&9 6. lSOll9 Z. 50-99 7 300-349; l. 100-149 6 350-399 1 50 9 OTHER' INCOME A.C.C. OAP 3. GA. s.s 5. R R 6. VA. A .... D B OTHEP SOG OR MORE PRESENT HOUSIIiG lliFOR"!&TION UNREPORTED INCOWE AN .. UAi. = fil"' Or ___ NO OF OF MON!HL'I' IEhl WITHOUT UTI:..:TifS S AMOUNT Of MONTHLY PAYMENT INCLUDI .. G P: T I 5----5. INCOWE O 9t------,,---6 YEARS LIVED 1 DENVER ___ PRESENt ADDRESS_.,4o"'--7 PUBLIC HOUSING ELIGIBL FOR = APPUED FOR C RELOCATION TRANSACTIONS DATE OF ACOUISIT:O' 7-13 -ll DATE .. MOIIITHL 't P.EN'i PAlO TO C \i R A LE'-Glf"' or TIW TO RELOCATE ArTUr DA'l'( OF ACOUISITIOh c. PURCHASE PRICE 5 _____ MO. P.LT.I. d. e. LPA REFERRED SELF' RELOCATED =: i PERCENt SPENT ON HOUSING % __________ 0 ;!:i l. PUBUC HOUSING PROJECT OAWE------------Clbl" RENT SUPPL["''[Nl HOUSING :C r,, MOJri'THt.Y: INCREASE DECREASE D.U.R.A FINANCIAL ASSISTAPo4CE GRANTED ::::j;;i .. .. MOVIIiG EXPENSES-CIRCLE Zl .-.1' c. UNDER S.ZD il-8.! >,_----t: 20-l.l. 8.!-9f I:: li-.. AJr.f0U .. 1 ---;;!=! d. ti-58 rl-!.._ :.1!:' VIi;<: l. AVERAGE ANNUAL. GROSS RENTA._ '-------3. AMOUNT OF' IELOCATIOh" ADJUSTM[HT P.-.YMENT '---------------Zl----ni:> m'c:a: AMOU'-''! OF RELOCATION PAYWENT Cl" ::c>--,..z z Z. ---'aL.-A4ln,.,.!:!:Z!!!!!I...,..... ... __ ,_ w .. JS: o 1--,_-. -.,-Tit liP 3:' C' <1--z; "'=...

    PAGE 199

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    PAGE 200

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    PAGE 201

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    PAGE 202

    z II: 0 -----z .. j..,: to .r.: "';1/'.! !]!! !g. ,... ill:' .,. iz: ----,;:i, -!z I Ill:' ,c.; ; .:; :c ,z :r 'C '= :z v .. ::h. .. :. .... Ber:-.ardo Aoou .. _..l..,0..__3uC._l ......... a .. rr..., .. ...... eo..Jt..._ __ UIBA" AREA CIRCLE 1 l J 4 S fTHNIC COW POSITION CIICL -1 1 (!) 4 S HIGHEST GlADE AnAIIUD lftt SCHOOl CIICLf -1 2 3 5 E 7 I t 10 11 12 1J 14 1!i 16 5[1 MALE J( fEMAll------------AGI Of MAlE -i" hl0h111l Y EAJUi INCOME CIIIICL.E S 0 6 s, UG-299 l00-349 e Jso-m FEMALI OVER&< _____ UNREPOIT INCOME !>O!I'l 100-U9 1SC.-199 9. II e SOC 01 MORE,b MONTHLY OTHER INCOME ADC 0 G A s s v QTM(Jil tNF'QRMt..TIOP\ Qr ....,O,_THLY f I T.l IPIICOME SP[P>Oi 0"' t10USI.,_G 7: LIVED __ PUS.: H0t:Shr,:; F'OI= RELOCTIOt.. TRANSCTION5 [.'-"'i 01 T;O'----------------AURAR lA -': :. ... 37-ll ............... E::rvant ,,., Denver!:.. n" 1 PRIVATE PE"'TAL _,. SALlS I Street! ZIF:rr: ; .. .. r &. STANDARD .. SUI STANDARD b. c. d. lEN' W/0 UTILITIES S-:=-::----WITH PURCHASE PRICE s-24,9D MO PIll s S-l-:::c3"JJ'b-r. LPA RF'"RAED :J SELF RH.OC.ATED :J ..! ,: PERCENt SPENT Oh HOUSING 9!----------C CD PUil..IC HOUSING PROJECT IIIAirll\[ ____________ Elg! RENT SUPPLEME.h:T HOUSihG_-:-=--::-::----------I"""p! MOM"lY IOCIEASE S 'J!/.QO DECREASE S ___ >l;;:loD.U R.A FINANCIAL ASSISTANCE GRANTE>l -., ...,1 M0Ytt!!G ElPf.tr4S CtRCL.E :l lJNDUi !:20 t ZC-32 33-45 ... 511 f' AVERAGE GR'OSS RE,.TAL 72-8] 84-96 :zl:;l., >'' I /cr 1;7+ Atr.t0UN1 ____ Ss w/o ..., vLU! N z------= (;'),; "' 1 "'' :::: ----------------------------------------------.... lCRPjrMAJil 1 oae. oo t'Wif.,IJ :cio: Mf.IPA :JftJ. flO r .. :. "' c "' 1---------------------------1 ,...c: N J.N3NVI'II!l3d '_ :: CO'r StF. t3't.i:5f" "-i St="\"3J S03S .:,,_;;v,Hd tJC .1N3b .!. ... ::!:d3c: 35 ; .., .. ... N W N N .. ..: '.I 1 ... .. .....,.,e z. ADDIESs. __ ll-.,....,p..,l __ -_ _.l..._.l.._fh.-..__.$.._t...,r"-'e....,e.._t..._ __ J. U .. AN AIEA CIICLE 1 (i) I t) S I EtMIIIC COIIIPOIInON CIIICLE l 1 I I .. CHEST IIADE &nAIIIID Ills-. IT 1UAII OF-1'-LT CIICLE l Z t I .a 7. I 11 U 1l tJ .M II 11 I. 11-11 Of' OIILDIIII .. -SEHOUl IOTl- ._$ ___ 7. AlE OF MA1S OYEIG .#!l .IIIAUS Cl'lll ._...fiJ,.L---I. MONTILY EAINED INCOME CIIC:U z. l. 100.18 4. 110-1H S. ZOI-28 I. OTHU INCOME' 1. A.D.C. Z. O.A.P. S. 5.A. I.S. I. 1.1. I. VA. 1. A.N.D. I. 7. JOO.MI $,_..., .. -10. 5410 OR MORE __ I'RUENT HOUSING UNIEI'OIT1ED IIICCIMI I l. --Nil D 111111AIIT # .l. -110. OF 4 110. 0, I. -liT OF -TILT IUT .,111011T 1111U'111$ t';M! '1. _,.,._, 01' -liLT ................ ......,,.. -: __ .. ;; '9MH U!IID, ... ljiDftl& _,,.....,. _..,_;,._ &s......_...,. 1:1 ltiLOCimOII TMIISACTION$ :::::-t:flrl ;;:::. .. ,-.. _-.. -_-.__ .. ,_-___ -_-_--i C!S. I .. :I i ADDREss 2837 Vallejo St. I PRIVATE llNTAL SALIS IIOUSE D a. STANDARD ., IUISTAIIDAID D b_IEn WJ"O ununn 1 I!JS'.IIJ WITH I c-PUIIOIASE PIICE I MO. P.I.T.I. I cl. l.I'A lr'IIIID c SIW' ftUICATt:D c -PERCENT IPINT ON tiOUSIIIG11 L HIUC !lOUSING PIOJICT IlANE MONTHLY INCREASE I dlQ DECIUSE I D.U.R.A. FINANCIAL ASSISTANCE GRANTED I. MOVING EXPENSES CIRCLE 0. UNDEI S ZD I 171-13 b. ZO.JZ g 84-!16 c IIWS h 110 W/0 FUIN. d. ..... ;, s 5 INDIVIDUAl e. j z. AVEIAIE AIIIOIIAL 51051 IEIITAL I I. AMOUIIT OF IILOCATION ADJUITMEMT PAYMENT I .. AMDUIIT OF IEUICAnCIII PITMIIIT s ..J.A .... E.e/M --r.._l!. ....... .0 i38 t (.YL'l .. u af.M) .... .. .. i'Jd1; i i .. I ---.. ....... .. .. 1-N ._)NJ -'"--i:::,,.,. ... .. .,:!:: zr"'i"' N ,., .. 1 zl!i nl '" .. M .. .., il:i: .. .. .-0,.. N .. "' "' !; --.. -.i c ...JA. -.J i .. .. .. :r """" tJ Sf-> .. :.CI! .. ... .....

    PAGE 203

    [ f .. N ... ... z 1: 0 --.. 0 "' ..... ... "' ::E .. .. I I I ., i I <0 !0: ,_ IC !I::: I : -111.T: IIIC&USl I CIIEASE "------f!,UI z. J. 110..1. l!IOIM s. I. -1ft I. SIOJII 'E. O.U.W:A. A$SISTANC GRANTED I. OTHER INCOME 1. A.D.C. Z. O.A.P. G. A. s.s ... .. A 'D -e !110 01 OIOIE IIIDHTHLY PRESENT HOUSING I. OWN E A C TENN!'J'T /( NO OF NO OF BEOROOMS.,.-::!"""-..... :r---AMOU._T OF lri40JrolTHLY RENT WITHOUT UTiL!TifS AMOUNT OF MONTHL\' PAYMEN'! INCLUDING P.I.T.I. $ _____ 5. GROSS INCOME SPENT HOUSiNG 11------:-;,...--6. YEARS LIVED IN DENYER ____ PRNT ADDRESS__!/._ 7. PUBLIC HOUSING: APPLIED FOR RELOCATION TRANSACTIONS ELif;IILl FOI 0 DATE Of ACO Ul SinON __ -;-;--;-:-::::-::;;;:------DATE .,OVED _______ AMOUNT or tr.40NTHLY RENT TO O.U.R.A '------4 LEhGTH OF TIME TO RELOColTE AFTER DATE or ACQUISITION. MEYERS, Floyd ADDRE s --------3 URBAN AREA -CIRCLE 1 Z 3 4 S 6 ETHNIC COMPOSITION CIRCL.E (!} 2 3 A 5 6 5 HIGHES! GRAD ATTAINED IN SCHOOL. CIACL.f 1 Z 3 A 5 6 7 8 9 10 11 e 13 U 15 16 6 SEX MALE fE!i,ALE 7 AGE OF h4ALE OVER 61 C,lf FE.,ALE OVU 6Z _____ 8. MOJoiTHL.Y EARNED INCOME CIRCLE 1 S 0-49 6. Z50-Z91i S0-9'9 J. 10C.-US! 1 SO-200 OTHER ,. AD C O.A.P G A {j)s.s. .. 7. A N.[l 8 OTHER 7 300-349 s 350-399 10 -499 500 OR MORE MONT loll,. .,lo7. SO PRESENT HOUSING INFORh4ATION s _____________ __ ANNUAL OWNER C. TNNAt\1 LJ J NO OF oo"s _____ IL..__NO Of BEDIOOO z n ,= )> ,.I "'=' ... > lUI "" <' -o' .,I "'' .. ... .. .. .. .. .. .. ... .. .. .. .. ... c.. .,_ ..

    PAGE 204

    ,..._ .. .. .. ... -'----. J. 1!10-IM 1. aoo.ze t. OnNisnoH Nc lh3Jtiod 1 .. n j n 1 : n l iii z I I I I ,, z I' z 1 '11 1 r au J z r L 1 z L IL < 1 1 i' 1, j: I 1: uu I! I 1 sex THN.IC ll AREA UX310o:x ALPHA coo I : .->--.< OTH IN( )hiE h!ON THL INCOh!E EARN I UNRELI-TE(I INDIVIDuAL I D. PERh!ANENT RELOCATION 21-01 1 AODRESS l 512 Glenarm #207 h i'" -.. --.,---11'!:' d 1g 1 ... ____ N z I: 0 N N ... ... "' 2 ADORE Q "' l. URBAN AREA CIRCLE 1 Z l 4 5 6 4. ETHNIC COMPOSITION -CIICL 6 S 110-ZH z. 50-M 3 100-149 S ZOG-2 t. OTHER lkCOM: A.D. C .Z O.A.P 3 G A 5.5. 5 R. R 6. VA. 7. A.N.D 8 OTHER 7. 300-349 c:!> 150 I .600 ... 19 10 500 011 .. OR .. ONTHL'\' PRESENT HOUSING INFORh!ATIO" IIICOWE s ______ ANNUAL 1. OWNEP ..; TENNANT 'fl../ 0 2 NO OF ROOMS ---.....J-'-NO OF IEDIIOOWS l AMOUNT OF .. ONTHL Y RENT WITHIIIII. UTILITIES 5 _.a""Q,_, .... O .. Vw.:;'--a AMOUNT OF' MONTHLY PAYMENT INCLUDING P.I.T.I. 5-----5 GROSS INCOME SPENT ON HOUSING %-----:----6 YEARS UVED IN ADDRESS_,;'3;1--7 PUBLIC HOUSING ELIGIBLE FOR RELOCATION TRANSACTIOII:S ./ 1 DATE OF ACOUISITION .. 2 DAT< M0VED--------''1L.I ... 2lr-..;.._;,;._ _____ 3 AMOUNT OF MONTHi..l' 1 Nl PAID TO D u R A 5 __ .;;-::... __ A LENGTH OF TIM[ TO RELOCit.TE AfTER DAH or ACO\IISinOJill ....... c1n R'fll'1"t'"-e--sTn Cal a ... 1 PRivtfFm.fAL "i': KOUSE ..... -8. STANDARD 1/l. SUB STANDARD ,., h. lENTo W/0 UTILITIES 5 _____ WITH 5 ,5".00 c. PURCHASE PRICE S WO. P.I.T.I. 5 ___ d. e. LPA REFERRED ...J SELF RELOCATED "' PERCENT SPENT ON HOUSING % ________ z. PUBUC HOUSING PROJECT NAME------------11;..C:I2" l RENT SUPPLEMENT .. ONTHLY INCREASE S ao.QQ DECREASE 17 O.U.R A FINANCIAL ASS:STANCE 1 MOVING EXPENSES -CIRCLE :z :;:_. a UNDER 5 zo 12-BJ c 3l-.t5 t: 97+ ---); : l.. AVE" RAGE ANNUAL GROSS RENTAL t .. '-------l. AMOUNT OF RELOCATION ADJUSTMENT PAYMENT AMOUNT OF RELOCATION PAYMEirrliT __ t!!I ><' ... ;iT.,,_, N ::..

    PAGE 205

    ...____ ____ ____ .. .. I I I I"; j,' '0' ___ ... ____ __,;; i U' 1 ...... l. -U0-1t9 I 100.2. HO-lt9 8. 150--199 I .. & 100 Olt WORE t. OTHER INCOME: MONTHlY ANNUAL B c 1. A.D.C C .l. P G A s s A.Jr\.C PR$(1'.,:7 Ow"""= )It NC or ROOir.'S If NC or BEOROOLIS .1 Ai.10UN': OF MONTHLY RE"'T WITHOUT UTILITIES S s-s:e AM0Uh1 Of MONTHLY INCLUDING P.! T.l. '---------CaOSS INCOME SPENT ON HOUSING ""---------.--YE.I.Ji5 LIVED IN DENVER---l..I.._.PRESENT PLJBi..IC HOUSING APPLIED C H.IGIBL. FOR = RELOCI..TtO,._ ... 1 DA H 0 F A CO U IS! nON 2 DA 'E lo10VEC _____ ....... OUI'IIT OJ" loo!O"iTHLY AE."'l PAID TO 0 t: R A 5 _________ ... Of' TIMf TO OATE or lCOLliSI'!'IO"' AURAR IA o. UNDfR 510 ZO.lZ c U-.t5 to-58 f 59-71 AVERAGE AHIIIUA:. GROSS RE"TA;. 72-IJ .... S 10 Yt -'0 F"Uifrt. I (SlJfl. tL f4tlt) ; ... .. ..,.,., __ .. '),.. ")" ""'\ j<' IZ 7 ::. .. .. .. .. ________________________ .. i. r,a,o._; -"3 --f-' -""c:.' ___ N 0 ; l VJ 013 l N 3 N v Y.. 6 3 d \ iC:.! i' ,,.. -.. ,. ')..:. ----------iz i .., .. .. 0 .., ,.. ,.. .. "' 1: "' U' :::> 0 "' .., "' .. \ "'I ,.. ., I I I li .. FU.41Ll &. SOCIOECONOMI:: DATA .... MOLINA, Dorothy ADDms l 0 50 9th Street 3. URBAN AREA CIICI.E I Gl 3 C) 5 6 4. ETMIIIC QICL I Z (f) 5 I 5. NIGHEST G8AD AnAIN!D IN SCHOOl. 8Y HEAD Of FAMILY QICLE I 1 J 4 5 I 1 ( t 10 11 U lJ U II H I. NUM8U Of CIGLDIU IN HOUSEHOLD IIOYS____,.&,__a-.s---L-7. AGE M MAL OVER OVU iZ 1iR I. MONTHLY AIMED INCOME QICLE D PERMANENl 32-21 ADDR ES 1. PI!YATE RENTAL. ,...,.SALES HOUSE = a. STANDAID C b.-RENT' W/0 unun 1------------LTH 1----<-PUICMASE 1-----------"0. P.l.l.l. 1-------d. LPA IU.UilD 0 SELF lnOCATID 0 -PEICtr SPENT ON IIOUSING Z. PUBUC -.slltG PIOJECl NAME l'loJI.cr t:l,., .. 1. U-41 6. UII0-1" 1. 5G-t9 Joe>-le UN INCOME MONTMLY: INCREASE S DECIEASE '--------E. O.U R.A. FINANCIAL ASSISTANCE CRANT ;..!gl_, r,.l J. 100-16 (. 1SO-It9 OTHER INCOME 1. A.D.C. O.A.P l. G.A 4. s.s. 5. .. &. VA. 7 A.N.D. .-8 3!10-399 e. .00-499 1(i. SOO OR MORE WONTHLY .z.3S.DO ANNUAL B. PRESENT HOUSING INFORMATION 1. oouu c _, 1. 1110. M 1'00015 NO. Of 8EDIIOOMS A J. AMOUNT o -THlY UWT WIIMOUT ununES 4. AWOUNT M -THLY INO.UDIIK P.t.t.l. 1-----. AOU IIICOME SPI!IIT 011 -liNG .. -------.r--1. 1'011 UYED' Dln-"IIPT -N=-1= 1. PII8UC -SitiG' APNID FOil 0 IIJalll.t FOil D 1. DATE o ______ C. RELOCATION =H 1. om WO'IIID /0 k -3 J. -NT -ftiiT TO D.U.LA. 1-------a. Lt1Gl'tt or TIM[ YO UUICAT AFTU 8AU Of .. _. 1. MOVING EXPENSES-CIICL 0 UNDER '20 '7Z..al >I:! 0 ZO...JZ 14-96 c U....S S10 W/0 FUIN >l 1 ....,. S S INDIVIDUAL :1::c\ CD e I"' ..,. l. AYEIAGE ANNUAL GROSS lfNTAL s U>IO' J. &MOUNT Of I!LOCATION ADJUSTMENT PA'UUNT zj"'' s j;li"'l .. .. AMOUt Of' ILOCAnON PAYMENT s 21 "' ::!'; .. r:-0 < i -" Zie> 5j_ -N ... ; .. -' .. .. .. .. -.. .. .. .. 'V

    PAGE 206

    ... z 0 !-> ;15; .. lw! I i .. I I I I z I I "' 1::1 !z __________ !a:iC: ; ,c.., I l fC li: !2'i .0 38-06 .... John 555 East 8th Aven;1e i l utn S:treet C'l> Demrer I STA'i Colo. !''----# i UIIAfill IRlA. CIICLl 1 (I) ,j (!) t PIIVAli. ii!' HOUh :._ II""' ... a. STANDIID i!"'Sua STANDARD !' ETHNIC CIRCLE 1 I Ul < 5 O N (' .. ""\ 5 .. GHST GliDE ATTAIN[D IN SCHOO.. b. RENT W/0 UTILITIES S S'. O WITH CIICU. 1 Z l jc 6 7 I i 10 11 1Z 1J U 1S C. ftURCHAS PRICE S M0 P.l T I 6. SEI WALE /_ FEWALE d. LltA IEFRED = SElf ILLOCATEL! 7. AGE OF .. ALE OYEI 6< Ff"ALE OYt 6l e. PUCUT SPENT ON HOUSING % O XI. 1 MOI\ITHLY EARNED INCOME CIRCLE 2. PUBLIC HOUSING PIOJCT NAM "' lciEi E. S 2!10-299 UNIE'OITEC INCOME :t r); ,.l?::!:r ... s 3 RENT SUPPLEMENT HOUSING -JOO-Jti lOC UG-!99 1S0:99 ZDG-l.t9 50V OR MORE I. OTHER INCOME A.D.C. MOhTHL" ,.o.oo AIJINUAL OAP G A s s MONTHL'f. INCREAS s DURA FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES CiRCLE 0 UNDER $l0 0 ZO-lZ ll-'S d oi6-5B 9-71 AYERA.GE ANNUA-. IEt.iTA:, s __ t 97+ AMOU"-i ------W/0 FUAh S10 wiFUR"" ..,!:;i ,.. ;c: -120' V.i "1 >I 3 AM0U"T OF" RELOCITIQ*I. At:.HJS"Irol[h" Pl'l'"'["-':' Z>------" '0 = v' NO or ...0 OF AMOU"i':' OJ M0"-!1-i:..' RE "'' WITHOV UTII .. '!'![S s z:1, D D AM0Utrr.T OF MONTHLY PAYMENT FIT 1 5---------GROSS INCOJ.4E SPEfll':' Oh '1E.APS liVED lh FA[$[JtT AODiiESS _,.a,. ___ PUB:..IC HOUSI ... G EL.IG15L FOR APf: fOit REL0C:AT101( tt:-7 c!E or ACOo'S'T'O' 'J' 3 c"' "'ovrc 9I_ -7 lro40"''", iH .. 1 j:>AIL. TO t: Lo LENGT.., or TC ,trHFi DA':'! or ICOUIS:TIOII. > AMOU'il Qf RHOCA'!'iQt., F-A'I'lol[flo / APP:W,. ., cc r nN:.F # 00 Alt.AI'r#,i.V PAJrs. ""I z.DC .. ": :-:;;...._ >IZ z, -1! :t :!""!,:-oj::,"' --------------1 i -I =---------------------------------------------------lzi -----------;z --------------------------------------------------:;:I: ;t;' SVKF:rtCM .. NOI.I.'t"J013b lN3N'I' .... l:!3d : c ,, I I t Q!S I co l'i3S3bd Sb N s .. I [ 9 I i r. -A L I l i l I ;:. I. I' ..:.1 .......... )- INCOME IPI.COME EAR'< SEX ; 1: AREA : Y:: co:::E J .. --------z 0 ;A .ATEO .. D PERMANEN'! 20-09 l--' --' Be:rito ADDRESS 2482 ... Caithness, fO ,. z ADDRESS. I2En Street, !I CITY i5e:-.ver 1 STAH :=ore. ZIF II i N z 0 3. .. 7. URBAN AREA CIRCLE 1 (i) l 9 5 6 ETHNIC COMitOSITION CIRCLE 1 1 CD H!GHUT GRADE ATTAINED IN SCHOOL CIRCLE 1 I 3 (!)' 7 8 9 10 11 11 T3 ,. 15 SEX. MALE X rEMALE AGE OF "ALE OYER ,.:I.Q FEMALE OYEI ll 1. PRIYAT RENTAL 1ir SALS HOUSE -a. STANDARD SUB STANDARD b. RENTo w/0 UTILITIES s lll.-I.Q WITH s c. PURCHASE PRICE S MD P.I.T.I. s d. LPA IE f ERRED SELF RELOCATED 0 e. PUCENT SPENT ON HOUSING II'> I I I : "' IV' ,_ 10' a:, c i ] !B j I I i I lc i I i i 8. MONTHLY EARNED INCOME CIRCLE 1 '0-49 6 SUOZH UNIEPOR'It:D INCOWE z 50 7. 300.349 3 100-149 8. ]5(0-]99 E. 1SC 0 o&00-499 WJ() lOG-249 10. 500 OR MORE t. OTHER 11\COME ..-oNTHL'' AMMUAL 1. A.D.C. s z. O.A.P. 3 G.A. s .. R. R. 6 .. 7 A N.D e. PRESENT HOUSING INFORMATION OWNER = NO OF ROOMS NO. OF BEDIIOOOOS z 3 AMOUNT OF -..aONT.,.LY RENT WITHOUT UTIUTIES 5 AMOUNT OF MONTHLY PAYMENT INCLUDING P.l T.l s GROSS INCOME SPUil Oh HOUSitriG 6 YEARS UVED IN DENVER ____ PRESENT ADDISS .1. 7. PUBLIC HOUSI ... G ELIGIBLE FOfi -APPUED FOI -,_; RELOCATION TRANSACTIONS DATE OF AC0UISI71011\ z DATE MOYEEi 3 AMOU"'! OF RE PAlO TO O.U R A s LEJiiG.TH OF TIME TO RELOCATE AFTER DATE 0" I. HOUSING PROJECT NA"f e: ..... "' 0 3 RENT SUPPLE .. ENT HOUSING :on s ,s: 1.1. ,. MONTHLY. INCREASE DECREASE s _____ : .. D.U.R.A FINANCIAL ASS/STANCE GRANTED _,. 1. MOVING EIPENSES CIRCLE Z"'"' 0 UNDER 'lC 72 l> I t 2:0-ll 154-!* la: ... ( 3J..4S 97+ AMOUN, -l::cl ,.,-: d >-SB w/C FURh "' 9-71 U'11""C:fS' N z AVERAGE ANNUAL GROSS RENTAL u; s -t, 1 .. ,. 3 A"OUNT OF llLOC:ATIOI'Il ADJUSTMENT PIYMEN'! z s ... .. AMOUNT OF IELOCATI()tli PATMUH Cl Clj :0 .. 1 ... ltl ,.z #JAm,, z zi .. /1'1.-r, -1 :a 0'1 1'91 mi ozj -fl"' -lo .. .. UJt.P 1,1.ou 3:r 61) ---... liiiNT&Y PVTs DF "' "'I ... '0' .,._ .,.. ... I -"'I-"-iO -... I

    PAGE 207

    -'. ---------L :.J "1: i E:.. : '\ :.. :. ;.. '-. -------;N N N ., II ;g! I .. I I ., i l <.D 11/l; "!a: 1"': .. : i i i I i I : z. h ..... l ... '-:._: ADDR< .. ..c4:z __ -_ ...... ... ..... 3 UIIAIIII ,t.R[A CIICLf. l (!) 3 G &. ETHNIC COMPOSITIOOO CIICL I 1 (!) & 5 6 S. NIGHEST GRAD AnAINED IN SCttOOL CIRCLE' 1 2. 3 I 'I 7 I I 10 i I 1Z 1! 1 15 11 SEX MALE X FEMALE ___________ 7. AGE Or MALE 0 61 FEMALE 8. MONTHLY EARNED INCOME CIRCL 1 I o-s. 6 S ZSOZ.H 2 .. -99 3. 100 ,.9 TS0-199 !5 zoo.zt 9. OTHER IJrrfCOME 1 A.D C. 2 O.A.P 3 G A s.s 6 VA 7 A P\ 0 8 O"iHE"R 300.349 e. no-m I .t00_.99 10 SOC 01 MORE MONTHL'f PRESHoo HOUSING INF,PR.,ATION UhREPOITED INCOME --------------ANNUAL -,.,ri i I ,-'"' Denve::-, SlAH co1o. ZIF:::o::z:I: 1 PRIVATE RENTAL SALES HOUSE 'll a. SfANDUD SUI STANDARD b. lENTo W/0 UTIUnES 5 WITH 5 ______ PURCHASE PRICE $ +l too MO. P.I.T,I. $ ___ LPI. REFERRED 0 SELF RELOCI.UD CJ c. d. e. PUCEIIT SPENT 011 HOUSING %---------... .. r ... r;_('\ :::o ..- r"t "' z. PUIUC HOUSING PIOJlCT NAME-----------F g "' r w'"" 3 RENT SUPPLEMENT HOUSING ______________ M0NT11lY INCREASE 5 _____ DECREASE E. D.U.R A FINANCIAL ASSISTANCE GRANTED MOVING EXPENSES CIRCLE a UNDER $20 t-. s 72-83 -96 s ___ ;ao;;: .. ..,.., z?;,'"" >H----1., .. c. n-s 91+ AMOUN1 ---... d 06-58 S w/o FURh e st-?1 510 w/ruo AVERAGE I.NiriUAL GROSS RE-.TAl '---------3. AMOUPIIT OF RELOC.TIOh ADJUSTt.I!ENT PAYWENT ----------------AMOUNT OF RELOCATION PAY"-'Eirril ... Cit "I"' iiil!j I'" zt--:-----Cl C'>l :IJ ,.j.., .. jg: 101.,_; 1-1z: ow,.f"; n: ""'A"-: :=-;. or OF' __ ...t.7..:..1).M4=.:.:..;';__:.3.:.o'.#14M"""'".II!.E.'-"""..:. ________ ,;;d"' 0 AMOUtor.':' Cf t.I!VN'!H.'I UTIL:TIES S ------.z,..,, l}t,:::i '1, iil'li i i !c 11,')! OF PAYMENT PI T.l 5----5 GROSS INCOME SPENT 0"1 HOUSII'IiG %------::::--::::::--YEARS LIY IN ti'E"-iVER ___ PRESENT ADDRESS ,,.. 7 PIJ!!.i\.. HOUSI"'G Ei..!GIB:..E FOR APPLIED FOR RELOCATION TRA"'SUAL D I. filA ME Nick 2. ADDRESS 2En iS URIAN AREA CIRCLE 1 G) 3 G 5 6 3. ETHNIC COMPOSinON CIRCLE 1 Z (!) & 5 5. HIGHEST GRADE AnAINED IN SCHOOL CIRCLE 1 z 3 5 7 I I 10 11 C!i) 1l 15 If SEXo MALE 'MALE ,5 EM ALE OYER 62 AGE or MALE OYER 62 MONTHLY EARNED INCOME CIRCLE 1, s 0-49 SZ!IO-ZH UNREPORTED INCOME z. !10-99 7. 300.3&9 s 3. 100-U9 I 35GH E. (!) 11-DD .. 150 5. zoc.-z .. g 10. SOC OR MORE g OTHER MONTHLY ANNUAL t. A.D.C. s f 2 O.A P 3. G.A .. S.$ 5. ... 6. VA. 7. A.N.D. 6 OTHER PRESENT HOUSII.-fo "' D.U.R.A FINANCIAL ASSISTANCE GRANTED ..,.., _,. I. MOVING EXPENSES CIRCLE z-<'" :. I 0 UNDER S ZO I s 72 b Z0.32 g 84-96 !CJ; C 33" 97+ d. &6 WiO FURh. rT" ,..,. 51-71 J 51o w/ruR !!!-:,!"' 2 AVERAGE ANNUAL GlOSS RENTAL (It_., s :;;! '" 3. AMOUNT Of RELOCATION ADJUSTMENT PAYMENT z .. AMOUNT OF RELOCATION PAYMENT "" :IJ""' NQM ... .. An.oo uto c) TZ111!. Uii/.,12 l., ".,.,, .. Zl lNINTILY PI/T.S tJ:dd) sl=-"'CJQ "'' "'!-.. lo -.. .. .. N ---..., .. w .. -.. ... N .. .. .. .. 1:>..._ .. C". a:--

    PAGE 208

    ... ----,= c .'l. .. ., c "' N Ill N ., .. .. .. I .. 11>1 ::E; o: ;,. :z 1-...:. !5: la:;:t .. iii I i .:. I I J. UftAN A.E., CttCU 1 Z J 5 6 '--C COifi'OSIIlOII I -,r./J I I ,,...If .. llll AIIAIIIID .. MllioL ay i!fAD -'ftl!l!l.t .. ;: .,. AN OF. MALISM A,: 'PI&Lts-.. a:=. I. --r IA ... ED IIICOME IUCU l.s. 106-1 .. 150H 5. ZOO.U9 I. S1-G)sM-ut I. JSO.Jit I-I. OTHER INCOME 1. A.D.C. 10. 500 OR MORE MONTHLY ANNUAL B c Z. O.A.P. l. GA. s.s .. A "i.D HO:JSIN::. 1. OWNER :L C 2. NO OF ROOMS NO OF BEDROO .. S __ .J=---AMOUN'! OF MONTHL't REhT WITHOUi UTI:.ITIES i---:::---:::.--AMOU"'T OF PAYM['-iT .. G P.l T I C/qr 5. GlOSS INCOME SPENT Oh 6. YEARS LIVED lh DENVER II, PRESENI 7. PUBLIC HOUSING: APPLIED FOR C ELIGIBLE fOR C RELOCATION DATE OF Z. DATE NOVED------:J7:..::..J!lc..:.. ;.J?"-'1.-=----:-J. AMOUNT OF MO-.THU RE,..T PAID TO D U R.A s _,N"=..:.4:!..!"'---' LENGTti OF TIME TO RE.:..OCATE AF'TEJ! OAT OF [ .... "'i ""'-'::.. .. ..... ,.. 13 3 So;.;.::h s:-.er::-.a:. PIYATt. SALES. HOUU 7fl... D ITANDAID ,.. SUI-STAIIDUD :::: a.AIIIl: .W/11 tniURU I W111U .. Jit iii -y. ,.,.e!l ''':-il.l!M---'CI ..... .. .-..wenT-' 011 _,us 1o 1. .. _,c- IOJICT IIAJIE MOIITHLY: cun s DlCIUSE S D.U.II.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING UPUSU CIICI.l 0 UND S 10 b. ZO.ll c .n-n d. B-71 Z.. AVfiAG AtiNUAl GlOSS RENTAL. I G: 571-G ..... '10 W/0 'URN. I 5 INDIYIOU.tL 3 AMOUNT or IELOCATIOfoi s _______ 4 AMOUN't QJ' REl.OCA'!'IO"P&Y.,.E.h'! s Ji,f., D'-f SC. ll'i: I e_,.f-1 roy,"'. i .. ....: I .. ').0 .... ,., .. ,z ,-"' c-: I (/> (I>' _, (I> I z' nl f"'i >I ,..I c' "'' -!.,. -.l !j"' -.; ... _) w ...

    PAGE 209

    .. .. .. .t.. .. \.:- ::. ::::m l. UIUk UU CIRCLf 0 l (i) 5 ETHNIC CIICLf CP Z J I S NIGHEST GlAD( AnAIN[D IN SCHOOL CIICL 1 Z 3 t I 7 I I 10 1l U 1& 15 11 6 SEX MALE HMALE-------.....,....,..,---7 AGE Or .. MALE OYU &Z HMAL( OYU &Z __ 1Zt.'-.l-----I MONTHLY EARNED INCOME. CIRCLE 1 1 o6. S ZSO-ZH z !0-99 J 100-1t9 t UC-119 S !OO-Zt9 9. OTHER INCOME 1. AD C. 2 0 A.P :! G A s s 7. !00-Jtl 8. 300 9 .00 .. 11 10 SO N E. D.U R.A FINANCIAL ASSISTANCE GRANTED ""Ff---;_1 1. MOVING EXPENSES CIRCU: -a. UNDER SZO i '72 b ZO-ll 9 84 !:!l::ol'" ll-OS ,. AMOUN1 ----,. I d "-58 Ss w/o ruRh r-l:l" w. e 59-71 S10 WIFURN V> :;;, .. AVERAGE ANNUAL GROSS RENTAL s________________ 3. AMOUNT or RELOCATIOh ADJUSTJoiENT P.I.Y'-4ENT Z C')::1i '----------------,.,. Z I ""'I ---------------------------------------------------t 01-0'P. c Q N "' lzi i t L.E,GTH or TIM[ TO ArTER OA'!E Of' ACOUISiTIOto. :o ,o: I.,' "" 1-: z,-., _____ _,zl ci ,, ---" w 1-.... N __ !j( !I.C :1" !I 1. L r s 9 L e ; 35 1 -:! .. n .t i _; i J. !I .. J :? j; I .J. ; J :Z, l:lS i _i ,z .J. l /. ;? i i _;: 'Wd1 ii ; J; 1: I -------l.i I .z ..F ,. ';)o-;: INCOME INCOME EARll. t:. ; A. UNREL.:.TED -------oz .. z s 0 .. !;-..; I=>: ., 18i I ., I II ., !:! I ": i I .. IOo ,... tC. 10:; I j .,; j l : I 1.,: -! r-l'a:igl o II: I..,! I I I l lu' c. =>I 0 :ti lzt 10: NAME .ADDRESS 9 5 John lOth Street 3. URBAN ARfA .. CIRCLf 1 G 3 (!) s ETHNIC COMPOSITION CIRCLf -(D Z 3 S 6 S. HIGHEST GRADE ATTAINED IN SCHOOL CIRCLE 1 2 3 !5 6 7 8 t 10 0 1Z 13 1 15 16 6 SEX. MALE .),2. FfMALE-------------7. AGf OF MAL OYER 6Z ffMALE OYfR 6Z ______ 8. MONTHLY EARNED INCOME CIRCLE I. S D-09 6. I ZSO-Z99 UNifPORTED INCOMf Z. SG-99 10G-1t9 150-1t9 5 ZOCI-9. OTHE A iNCOa.t[ A.D C O.A P. G.A s.s S. R R 6. VA. 7. A N.D. 6 OTHER 100-349 !. 350.399 t. oo-t9 1(' 500 OR MORE MONTHLY HOUSING INFORMATI0h ANNUAL OWNER = (il' NO OF ROO"S --L---NO OF 3 AMOUNT or MONTHLY liNT WITHOUT UTIUTIES 5 __ .I,_,.,.,_.J ..... 7 __ AMOUNT OF MONTHL.'f PAYMENT INCLUDIIIfG P.IT.I. GROSS INCOME SPENT ON HOUSING 9t ______ 'T __ YEARS LIVED II\ ___ PfESfNl ADDRESS __ -oi!lt---7. PUBLIC HOUS.ING LL.IGIBLE FOR = APIIUED FOR RELOCATIO .. TRANSACTIONS .--7-? 1 DATE OF ACOU1Sin0' _____ Z DATE MOVEC /Q / i ti A .. Qui\;T Of lfN':" PAID TC D 1.: R A UNGTH or TIM TO RE.L.OCAT[ Af'T OAT( OF ACOIJ!SITIOJ\ D E I URBAI!i AI'IEA PERMANENT RELOCATION 38-06 ,,.. I ..,._;..I i ADD 'lESS 1 a 2 8 t : .. em Denve4 STAH Col a .. --l..a.,' I i l. PRIYAl( RENTAL V""" S.A .. ES HOUSE .. II .. a. STANDARD STANDARD j b. RENT. W/0 UTILITIES S /1'#, tiO WIT" S 'W::-:-t C. PURCHASE PRICE S ______ 010. P.I.T.I 5 :.-d. LPA REFERRED 0 SELF RELOCAl ;:: e. PERCENT SPENT ON HOUSING % 0\=:i Cll ,_ 1. PUBLIC HOUSING PIOJECT NAME------------(:I(;!" w 3. SUPPLEMENT HOUSING MONTHLY INCRUSt S DECREASE 5 ___ ).j=iO' D.U R A FINANCII\ I l= g.,+ AM0Ut>4: ----->:3:; \11'-'0 f!JRI', """' tf' .... ; '-------3. AMOUNT OF ADJUSTIIIIENT PAlMENT J:j :., AMOUiotT OF IELOCAnOI\ PAYMEh1 "i c-., ::01 ..... >z / __________ 71tHP .jlel .. tJ f) t .., .,., d?. I :;:, z '" "1:' ;-:.:: ;:: ..,... __ .. ::... ., ;O "'I_

    PAGE 210

    -----' N N ., .. v. llol' : ..... ': t... t:.- -, :.1 _:. '": ::. L. .,, :.;' .:.::.=:-::-:. ADom9 52 Iuth siref:-,-.... Ull<! AREA CIICLE I(;) 3 f) !6 ETHNIC COOIPOSITIO CIRCLE 1 Z C>. 5 I 5 HIGHEST GRAD ATTAINED IN SCHOOL CIICL -1 Z 3 .I s I 7 I I ., 11 12 1J u 15 16 0. SU MAL .,2 rEWALE-----------7. AGE or MAL OV 02 rEWAL OVU "------1. MONTHLY EARNED INCOME. CIICL 1. S 0-19 6 S 250-Zii 2. 5G-99 100 UC-199 5 200-U9 OTHE P. Ifill COME A.D C 0 t. P. G 5 s on;tP 300.349 e !S0-!99 t00-499 10 500 OR MORE MQfr,jTHr..Y UNRE,OIU:D INCOME ANNUAL PRESENT HOUSING INF,PR"'ATION 0-,.hER = v NO 0' ROO"s___j_ ___ NO or AMOli"'i 0'" MONTHLY W!THOU'T Ll"!'IL.;Ti S /,4/, or ...,Qto.THLY P I.T I. GROSS .-co ... E SPENT O HOUS'"G 9f: -------,::--YEARS LIVEC. I"' CEto.VER ......a.LPAESUiT ADDRESS"'"'4----PUBi..IC E.UGBL fOR APP: .IED = RELOCA':'ION TRANSACTIONS DA l[ or A :OJr S'IO'c--:::=AJIII.!!D!:..IT:,.._,.A::L(.._,A""""L-----0A! "0VEC 9-7-= 7"'i AMOUI\'! OF REN1 PAiD TO D U li A i..EhGTH Of TIME TO RELOCATE AfTEr. DAH or ACOUISITIOh i---... ... ; '-. :;..:-., v --:2S c1 STA.'!E coJQ. 1 Pli:1'i'A'l't RENTAL fJit. SAllS HO-.JSE &. SlAti.DAID SUB STANDARD b. RENT W/0 UTILITIU $ /-40.00 WITH $ ___ r. PURCHASE PRICE $ M0 P.I.T.I. $ ___ ... N ...., ... r d. LPA REFERRED ::3 SELF ELOCATEO ...., I PUCNT SPENT ON HOUSING 9!:----------0 z. ,UIUC HOUSING PltOHCT NAME-----------. 5 ""' RENT SUPPLEMENT HOUSING :.,1,-,1 e. MONTHL''. INCREASE DECREASE $ ___ D.U.R A FINANCIAL ASSISTANCE GRANTED ..,,.,, MOVING EXPENSES CIRCU Z := Ul o UNDER S ZQ t. ZC..l.i. ( 3]...'5 ... se !' 59-71 AVERAGE ANNUli. GROSS RENTAL .. _96 97+ AMOUNT---Ss w10 ru S1o wtru !:!j,l ,. ... "'101 en:; e N .. w N A..,.OU,_'! 01' REL.OCATIO"' ADJUSTUENT PAYMENT IU' Zh----OF RE:..OCAT!Oh PA'tM[PiT IC'>' C\ ::c -:....: .... .... ;: .. lho/M -1 ... :e I., z :z;.IQ -: NOil'l:)0131:llN3N't'WI:l3d j ... = ... .. N : 1:10 lN:I:I !lNisno>< No !: :;:: -:::--....,: ... L ... z .. r .L !:_ .. _,;z .ot.. '-i.,L i 1;. J .. } } ,'t 2ni"t ;z .: J } ,7 f J .f :41 J -.:= i I t I li __ __ OTH INCOME 1 MONo>iLY INCOME EARN Y58058X ALPH< CODE "' ------.,z' IIQI ., ., .. .. ..... 0 "' "'! ., 0 "' A. FAMILY 6 SOCIOECONOMIC DATA D PERMANENT RELOCATION :cr NEVAREZ Joe H. ADDREss 1400 Stuart 25-01 Street '"' !. UR .. N AREA CIRCLE I 8 l G 5 I '*1C CCIMI'OSinON QIICI.. T z G I I S. Hlt1HST liRAD AnAIIID Ill WY HEAD Of' FAMILY QICU: 1 Z J C S t 7 t I It 11 R IS M 11 II t. NUMBER OF CtiiUIREH IN -SEHOUl BOYS-aiLS/#.:--7. ACE Of' MALES OVER ts $$' FEMALES D'IU 1. PIIYATE I[NTAL Jl SALES HOUSE C: 0. STANDARD X SUB-STANDARD 0 b...RINl: /O U1ILinES s, ________ WITH S /:Jti.IJIJ <-PUIICNAIE PRICES lriO. P.I.T.I. -----1 d. LPA HFUIID D 6IU' aaocATID D -PERC .. T SPINT ON -lllli,.,------------1 L I'VKIC -IIIIC l'.aJECT llr\MI .. N ---------------------------------------IC,z llanJLY: IIICREASE S "ECUASE 1-----tZ Z. SMI 7. -M!I D.U.R.A. FINANCIAL ASSISTANCE GRIINTD ?-1g,..., 1. IIOIITIILY IAINED INCOME GRCL I. S6. $1-VIIREPOII'IED IIICIIME s I. 100-141 I. JII-JI9 1. MOVING EXPENSES CIRCLE TSO-IH 6 -lf/.00 o. UIIDU l ZO l. 5 7Z-83 5. ZOO.lll9 1D. 100 OR MORE b Zl-32 Q. N-M I. OTH INCOME MOIITHLY AIINUAL c. 33-A! h. S TD W/0 FURN. >. 1. A.D.C. d. ... i. I I UIDIY1DUAL ,,. Z. O.A.P. e .. 71 S. G.A. Z. AYIIIAGl ANNUAL GROSS RENTAL s.s. ,__________ -tj'-1 1. R. R. I. -T Of' RELOCA110N ADIUI'IIIIDT PAYMENT '1 1. va. s._______ co 7. A.N.D. ._ -liT Of' fti.OCA'IIOII PAYMENT l 1. OWJIER D TEIIIIIINT J I __ ..... III. :-.... -

    PAGE 211

    :.. c ---i' z r: ,....)0 :.A i .... ..... n...__.s......,t_rl..lie.,er;;;.Jt...._ __ UIIA AIU CIICL[ G 3 (I} 6 lTHNIC CIICL /D 1 J I I 5 MIGH!ST GRAD ATTAINED IN SCHOOl CIICLl 1 2 J 5 I 7 I t 10 OJ> 1J 1' 11 11 6 Sf> MAL[ F[MALE _..z...,o,._ _______ 7. AGE OF MALE OYU 01 FEMALE OYEIIil _____ I. MONTHLY EARNED INCOME CIRCLE 1 $ 0'9 6 I U0-199 UNREPORTED INCOME: 2 3 100-Ut 15C-199 !! zoo.zt i OTHE' INCOME 1 A D.C. z 0 -,_p 3 G.A s s .J._ : _t I .I 7. J00-349 '-------------eg t oo 10 50C OA tr.40RE MONTHL'f .:.. : J. ANNUAL Z ; .I z .. .. '---------1. AMOUNT or RELOCATIO" PAYtotENT ... .. NO Hi3 :l!!3d '' !; 3S ji -1 j r: c:: I OJ.S I z z z L z I d1 .. :!: I, I i i i 1: 0'!" H INC 0 M ( r M ON 1'H :._ 'T IN COME EARN r -----+. 1s""<"'>.;;::--::E:::T"'H"'"N""IC:-"'11lif-: 1 1:"x"'"J": -;"'.,-:-. -, ""C"'O"":J,.:.E-------mu l'JEWMAN, 952 Ronald Scott lOth Street 3. URBAN AREA CIRCLE 1 f) J !) 5 i 4. ETHNIC COMPOSITION CIRCLE (9 2 3 5 6 5. HIGHEST GRADE ATTAINED IN SCHOOi.. CIRCLE 1 Z 3 5 E 7 I I 10@ 12 1l .. 15 16 SU .. ALE ., FEMAlE-----------7. AGE OF MALE OYER 62 ____ FE .. ALE OYER 62 _____ 8. MONTHLY lARNED INCOME CIRCLE 1 $ o.g 6. S ZS0-219 z. 50-99 100-149 lSC-199 ZOO-i41i CTH[ R E ADC 0 l.P v. 5 s R R. A N.D e OTHER 7. 300-349 8 3!10-319 ,. &()(, ... 99 SOC OR MORE ht01rUt1LY PRESENT HOUSING INFOR .. ATION UNREPORTED INCOIOE s ______________ __ ANJtiUAL OWNER = TENhA-'. t;l" NO Of --.C... 1 ___ NO OF AJw400NT OF MOhTHLY lENT WITHOUT UTILITIES S .. AMOUtrr.T OF MONTHLY PAYMENT INCLUDING P 1.11 5----5 GROS!t INCOME. SPE'N'l' Oh HOUSifiG 9l-------:--6 YEARS IN DENVER --LY-PRESENl ADDRESS __ ,/ __ 7 PUBLIC HOUSING EliGIBLE FOR = APPLIED FOR C RELOCATION TRANSACTIONS DAH Of ACOOIS1TIO 'Z,! DA H AMOi.!N"' OF MONhiLY AE'iT PAIC TC' CUI A 5------L(NGTH OF TIME TC 'EUX:Ut .l''TER DATE OF ACQUISITION 0 PERJr.tANEN7 RELOCATIOt. 38-06 iADDREss 1433 17th S:treet CITY Denver SlATE Colo; m_ll2_ I PRIVATE RtNT"L v SALES HOUSE c I'" .. a. sTANDARD sTANDARD I N N b. RENl w/o UllllliES 5 U!r. WITH s_____ C. PURCHASE PRICE S MO P.I.T.I 5____ j_ d. LPA REFERRED ._ SELF RELOCATED 0 1 e. SPEN! ON HOUSI!liG %----------cr ,_. 2. PUBLIC HOUSING PROJECT NAME-----------C:: bi' RENT SUPPLEMEhT s ___ "T'' M0Jth1LY INC"EASE ______ DECIUA!tE N D.U R A. FINANCIAL ASSISTANCE 1 MOVIIIIG EXP[I\ISES -CtR:LE o UNOER S ZCi t .. n-s d 06-58 e 59-7i 2 AVERAGE AltftiUAi.. GROSS REIIITAL '--------------' 7Z-s; 8&-9E 91+ ---y;.'Q FUR"' 510 WIFURfl. 3. AMOUNT OF RELOCATION ADJUSTMENT PAYMENT ------' AMOUtrrfT OF IE.LOCATIOh PAYME:JrtT 21:::.,. )> := -1:::. """" ;U' "' c,, w __ ....... A1;7LJA ;I .24. o, o o -IIA/NuiiL ,., rs. oF I R'U .. '"= .. -I := "' -

    PAGE 212

    .. .. .. N N tr. N .. .. --_.\. -. ------------------' ... z. l. 3. 100.1. 110 t. 1!!0-IH 5. lOWtll -e 100 01 I. OTHER INCOME: WONTHLY ANNUAL I. &.D.C. Z. O.A.P. G. A. s.s. R 6. VA 1. A.Jrri D B PRE.Sft.;T HOUSING 1. OWNER 0 TENN ... T I( NO OF" ROOMS G NO OF BEDIOOJrdS_:-::rtJ..,..,._ OF' MONTHLY REf'i! WITHOuT UTii.ITIES s,_,._.fi'C$....,'-'tJ,._ __ OF MONTHll' PAYMENT INC:..UOUI!G P.I.T.I. 5. GROSS INCOME SPENT ON HOUSING 6. YEARS UY[Q, IN DENYER _______ PRNT ADDIUS S" 7. PUBLIC HOUSING: APPLI[. FOR C ELIGIBLE FOR C C. RELOCATION TRANSACTIONS 1. DATE OF 2. OAT MOYED'--------------"L'-''-='-'7.._.3..._ ____ 3. AMOUNT OF MONTHLY RE'NT PAID TO D.U.R.A. 4 LEIIIGTH OF TIME TO RElOCATE AFTER DATE OF ACOUISITIOh I. MO\'IIIG fiii'ENSES CIICU .a. UIIDEI S ZO b. l .. !Z [--4. ... e. tl-71 I. IY[II.G ANNUAL GlOSS RENTAL '--------------f. 1 n.aJ .. 96 h. I 10 W/0 FUaN. S 5 INDIYIDUAL J. AMOUNT OF ADJUSTME,.T PAYt..!!ENT '------. AMOUIIIT OF PAY'4EPri'! '-------tfl, IID.DD ... .. ... .. .. S!U; ll3AN30 SWOOil CUS llO lN31l !lNISI10H NO lN3:>1l3d ;1 tr-1 ; I I : I J! 7 l l n 7 ::'........_ .. r I 1 7 7 I 7 i ., II a =-= ml I i !i "' : 'AUNP.E!..ATEO INDIV!OUAL c oDu s s___,l=O_,S"-9"--_-=<-9_,t.,h,_.__,S"-t.....,.r,_,e....,.e,_,t..._ ___ 3. URBAt.i AREA CIR'Ct.E Q) 3 d) 5 ETHNIC COMPOSITIOh CIRCLE 1 2 G) 4 5 6 5. HIGHEST GRADE AnAtNED IN SCHOOL CIRCLE 1 Z 3 A S, 6 7 8 9 10 11 12 13 eli) 15 16 6. SEX. MALE---------:FEMALE-----------7. AG[ OF MAL[ OYER 62 4G::a FEMALEOVER62 _____ 8 MONTHLY INCOME CIRCLE 6. ll50Z99 UNREPORTED INCOME S'l-99 3. 100-149 15C-19i !.. 21)0-Z49 9. OTt-tE P A.O.C O.A P 3. G.A s.s R 6@ 7. A 8 OTrU!:i 7 i 400-499 10. SOC OR MORE PRESENT INFORMATION ANNUA.i.. OWN[R = TEioihA;r Df NC OF Roo..-s .... .,!: M'm NO. OF BEDROOMS-+--..,,...,..-AMOUN! Of WITHOUT UTILITIES 5 --"tf/"-"11'-'.'--o ___ AMOUP.:l Of MONTHLY PAYMENT INCLUDING P I.T.I 5-----GROSS 1NC0"[ SPENT 0' HOUSING % ________ YEARS i.IV[O ltli OENYER _____ PitESENT ADDRESS ____ 7 PUBi.IC HOUSING ELIGIBLE FOR = APPUED FOR RELOCATION L :=" 1 DAlE oc: ______ __ DATE MOVED 14--Z2. OF WONTH.,'f Rf.NT PAID TO 0 Uli:.A OF TO RELOCATE OJ,H or ACOUIS>'liO!\ D REcOCATION 33-0 3 ADDRESS 71 r::; rric:t1 1 i-h Zluo 1 c1n Denvor smE Colo I 1 PRIVATE "' SALES HOUSE ,a;. a. STANDARD = SUB STANDARD WITH 5 N RENT: w/0 UTILITIES 5 II------1 ______ MO. P.I.T.I. 5 ___ __ LPA REFERRED :J SELF RELOC
    PAGE 213

    .. !C "' f' :> II 1:' -.. _.t .. _.:.l_,.:....:....:::__...._ _::.." I'"" F'AM:L' ;,,:_,.-p:;.s, NIXON ... .. .. .. ... J w .. c ; a-N z I: 0 N "' .. I. l.I. 1-.la -110-IM I. U6-UI ,_ -----(!!) 100 01 MOl I. mHEI INC:OM [ I. A.D.C:. MOIITHLY AaUAL B c l. O.A.P. G.A s.s R VA A ,.. 0 PRE SENT H:>U INFORMATiON 1. OWNER J( TENNMIT = 2. NO or ROO"s I NO. o BEDRO PMC -! 00\' SI:IJ.' 1:13h,..30 hi 503& SWOOt! ; i I z I N __j_ -:-.,.1 -' I lA -' '" 81 .n: : ; i "" I V'l l:f :o ,... :c jC. ... I [ s 9 L I i i ( I I l L I I z L i I z I I z I z [ t I I I I I I I \' r Q'!k INCOME M0!'.;7HL INCOME SD UNRELATED ... A .. E OATES z. AODRm lb23 Champa Street 3. URBAJrw AREA CIRCLE 1 CD l 0 s '-ETHNIC COMPOSITION CIRCLE <:!" 2 3 5 6 S. HIGtUST GRADE ATTAINED lh SCHOOL CIRCL 1 2 3 6 7 I 9 10 12 1l 1' 15 16 6. SEX MALE K FEMALE ___________ AGE Or MAL[ OYER 6l 159 FE .. ALE OYER 62 _____ 8. MONTHLY EARNED INCOME CIRCLE 1. $ '6. S ZI0-199 UNREIIOITI:D INCOME SC-90 10( .t 1 50-199 9 COO-.tl9 ZOCl0131:1 J.N3NVWI:I3d "\..I i .... .. ::j 1:10 !N31:1 NO !N3:lli3d :P rC' i I 35 ;; "' i i i l I r. l ''"'110"' b. J F L l l: L l l l .J ? I I I li I' -URIAh --ErHNIC AREA ftX1'C.:a: ALPH:.. CO:>E I 0 PERMANENT RELOCATION 34-06 VI j : -! --.. Ill ;'" PRrval RENTAL a saLEs HousE I a. STANDARD J1l. SUB STANDARD 'I b. RENT w.'o Ullums S wiT" s loS OD .. _. C. PURCHASE PRICE S .. 0 P.I.T.I. S ___ d LPA REFERRED :J SELF RELOCAT[D -' .. .. t f. PERCENT SPENT ON HOUSING % 0/!!... z3 lftUBUC HOUSING PROJECT NAME '" RENT SUPPLEMENT HOUSING __________ MO"TJ.tlY. INCREJSE DCREASE >!=!c:-GRANoED _, UNDER HC 7iBl >-' ------t lO-li U-9 Jl-'5 g-:- ---"-58 .,./o FuR... e H-71 S1t> wFUP."o VI' ... (/')i:. ...... 2. AVERAG[ ANNUAL GROSS 1hTJ,L '------l. AMOLit.T OF IELOCATIOll "CJUSTME"JifT IIAYME,_T '------C. AMOUNT OF PAl'MENT ao nJ,. m:c a: "''"' :cl "' ... > z! z z. .. .. m""""'.sr.---,/.-----ol !; ... F PI DA 2 50. oo -.. 3:' c
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    --. i ... '. -_:-.;..-... _. N .. "' .... ... .... r ___ --'1 i I ; ----! l .. ; ... -. ;,:. :--:. : ... -.:. 1. .... z.J. ... ... 111-ttl 5. ZOO.Z: --================================================== I ''" --==================================================:. !"'II "' ": .') ,....,N...,_ .. .. .. .. .. 5C3B SINOOII QlS lN311UWd 110 lN31! !lNISnOH NC l"'3:)!13c 3 5 J:'... N 1: s 9 L 8 lens I I N! z J. I t .1 (:' i ,. .,!.I .. :.L i ; ,., ; 0. PERMANENT RELOCATION 2 5-0 6 V .;! -------;.z ... ., ., ... .. Ill !0 :;:! ... 0 ... ...... ., i I I i I j c jrr! II:' .. I N I N i ,. I"' : Ia: "I 10 ._ .. : = >-z z "'I z FAMIC' 6o SOCIOECONOMIC DATA ... 4f ADDREss Street 3. URIAN AREA CIRCLE G) 3 CD 5 6 ETHNIC COIIPOSinON CIICLE I Z (il 5 li S. NI&MEST GlADE AnAINED Ill SCHOOL 1Y MEAD OF FAMILY ORCI.E l Z 3 5 I 7 I I @ II 1Z 13 ,. 15 IIi li. IIUMIEI OF CMILDIEN IN HOUSEHOLD IOYS------IIIB.S---7. AlOE OF MALES OYU 15 .,2' FEMALES OYER R ,,. I. WONTHL Y EAINED IIICOW E ORCL.E l. 6. s 1!10-Z" Z.3. 100 ... 150 5. ZOO-Hi t. OTH II INCOME A.O C. Z. O.A.P GA. s s. 5. R.R. li. VA. 7. A.N.D. 7. -"' 8 350.399 If. """ 10 IOC OR MOl MONTHLl B. PRESENT HOUSING INFORMATION fENNANT Jl Z. 110. OF IOOMS __ _.,;!';a_ __ IIO. OF IED_S_.,.L/,_-=:,.-3. AMOUNT OF MONfHLY lENT WITHOUl ununES J,-.1,.-IOJ,....:_::; __ I. OWNER 0 AMOUNT OF MONTHLY PAYMENT INCLUDIIIG P.l.t.l. 1------1. 41ROSS INCOME SPENT ON IIDUSIIIG .. I. YlAIS UYD' Ill DIIIYEI UIIET 7. P'UIIUC IIDUSIIIS' API'LIED fOil C ILMRU-0 C. MLOCATION TRANSACTIONS I. DATE OF ACIDUIIInONl--=--:=,..-----------1. DAft WOYED d 7' &. -liT Of' IION'nLY U_, PAID TO D.U.I.A. 1-------._ LENGTH OF nwE to ULIICAYE AFTEI DATI 11F ACOUISinON. ., aT1fC -'!IJFR&pU AOORESS_....:4:...7:....=2.::8__:B::.:r=...=O:..:a:;d=..W::....:::a""-V------I. PRIVATE RENlAL 0 SALES HOUSE )C a. STANDARD SUI-STANDARD b_IENl' w'o ununu ,,...,..._....,,..... ___ wnH ''--==--=--=--<-PUICHASE PIICE $ Jl, 7S0 MO. P.I.T.I. I 00 SELl IEI.OCATED C e-PEICENT SPENT ON HOUSING ll-----------z. PUIUC MOUSING PIOJECT NAME .... .. .. -------------------------------------------------IC WONTMI.Yo INCUASE I DECIEASE D.U.R.A. FINANCIAL ASSISTANCE GRANTED g, .... 1. MOVING EXPENSES CIRCLE "' !! .. a. UNDER S ZO b ZO.ll c JJ..AS d ""58 e ._71 Z. AYUAGE ANNUAL 1011055 RENlAL ''---------------' 7Z-83 ... !16 S 10 W/0 FURN. S 5 INDIVIDUAL 3. AMOUNT OF IELOCIDON ADJUSTMENT PAYMENT --------i;;::r-: ..,---.... ,.I .. .. ... 1 ... .. 211<1 .... AC,/Jll ., 1>0 .. AMOUIIl OF IELOCAnON PAYMENT w .. 3, fl'.:z ,, K """":" ... ..Ja _; i Ja. ._) pwll. i"MT: : ::r ."f"' ._) ;11 z o -v _; "' "' "' LlfAJ foo. po 1'/T.I 'l 11. dq ...... Q -. /M. ......, ..

    PAGE 215

    -------.. "'' ..,. ..... 7'"'i.....:."--.' ... ... N .. .... l -------... -__:___ __ __ .. _:-____ ,_-..::.:-...:. '" ...... .... -, .. --'-{ ;.,---------1. ,_ z.:c ._,:.: I. M0-10 110-119 ZOO.ZI!> I. OTHER INCOME. 1. A.D.C. Z. O.A .. G.A 5 5 VA A a...c ':'"' .. .s::.--. :..:. I. I ZS.ZM INCOME 7 IOO..U9 JI0-:119 I.500 OR MORE MONTHLY ANNUAL PRt HOU Sl'llG A'fiCr..: 0W'fR C TNNioNT r( 2 NC or-t? NO or at:crtoows.-:,.,..;Ji'-:.---Atr.tOU,.'!" OF PI.ONTHL." Pf'hT WITHCU'! UTI!..ITlES __ Or MOfriTHI..Y PAYMENT lhC .. UDING P.I.T.I. '----GROSS INCOME SPEfriT a.. HOUI''l'i .. -------,.-YEAIS LIVED: IN DENVER--IIl.2__PAESEIIT ADDII:SS=::az:::o:= 7. PUBLIC HOUSING: APPLIED FOR C ELIGIBLE fOI = C. RELOCAriON TRANSACTIONS .. DATE or ACQUISinOh ___ ._..,I0-;'77-,II""lllr------' DATE MOVEC ______ 'i.._ .... ... _,-#-' -----A""OUN'l' Of MONTHI.."f REirriT PAID TO D.U A A LENGTh or TIME TO AlLOCATE AF'TR DATE OF' ACQUISITIO"" 32-09 ADO'lEs s __ ... )')JiiQ ").! ... N .. .. .. .. =-"' I -----------------------Z'". ... :MiU A .. ------#\ "' L. L .. r-i ___ ....::l.:.:N.:3.:.:":.::..:W.;:d...:ti=.'D::....:.Lo.:N:..:3:..:11.._ __ N I: I i i Jn-'ji11 z z j'anl z L z L I ............. Q'h l: N!O"'THL" INCOME EAP"CHILORN 1Y58658X ALPHA CODE I A FAMiL' COMPOST'O" o SOCIOECONOMIC DATA 0 PERMANENT RELOCATION 3 7O 8 '"' 1. hAMt __ _,.s,...,-&=-..=.A.::..d;:=-=e"-"1=-a=--... ... .. N "' ... = .... ... c; ., .. ... "' Ill .,1,1 l:fl cl ,..lc! 1'"'1 ., I "' ., z Oj ADORE ... ... J: ... .,5'---.. s'-'t .... r.....,.eC!ie._t.._ __ 3. URIAH AREA CIRCLE 1 0 3 C!) 5 6 ETHNIC COMPOSinON CIICL! -1 l () 5 I 5. HIGHEST GlAD[ AnAINED IN SCHOOL IY HEAD Of FAMILY f CIRCLE 1 Z 3 I I 7 I I 10 11 1Z II 1 1S 16 I. NUMIEI or CHIUIREN IN HOU$[-.Jl 7. AGE Or MALES OVEI IS 1.5 FEMALES 0\'EI 1. MONTHl.Y EARNED INCOME CIICLE 1. so-e z. 50 3. 100-1.t9 150-199 5. 10C,..U9 I. OTHER 1. A.D.C 2. C.A.P 3. G.A ... s.s. 5. R.R. 6. VA. 7. A.N.D. i. S UOZM 7 Joo.J 8. 350-399 I. &00_.99 10 SOC! OR MORE MONTHLY tMA.fd /II. I() B. PRESENT HOUSING INFORMATION 1. OWNER 0 TENNANt UNREPOa'IED INCOME s ANNUAL z. 110. or lOOMS N NO. Of IED-s---'!1:0.:.;:-:=:--AMOUNT Of MONTHI. y RENT WITHOUT UT1UT1U s S"5 DO AMOUNT Of MONTHLY PAYMENT INCWDING P.LT.I. 1-----S. GlOSS IIICOIIIE SPIN1 011 HOUSING I. Y .. 5 UVED: Ill IIEIIVEI ____ PREIRT 1111111155---7. POIUC -SIIIIG: APPLIED FOI 0 EUGI&I FOR 0 C. RELOCATION TRANSACTIONS I. DATE OF ACQUISITIOOi ___ 1. DATE .. CI'I,. ______ __..8ili_..:..MouL:.. ... n.,. ______ J. AMOUNT OF M-Y REliT PAID 10 D.U.I.A &. UMGTM Of' 'liME '10 IEL.OCATE AP'TEI DATE fiJI ACOUI SITICIH. E .. MOIITILY' INCREASE' II. ID DECIEASE '-----1 D.U.R.A. FINANCIAL ASSISTANCE GRANTED I :!! i -t lz:"'!cr. 1. MOVING EXPENSES CIICLE a UNDER S 2.0 b ZO.J.l J3-A! d. 06-51 e. st-71 Z. AVERAGE ANNUAL GlOSS UNTAL 172-83 g .... S 10 W/0 FURN $ 5 INDIYIDLIAL J. AMOUNT Of IUICATION ADJUSTMENT s .. AMOUNT Of IELOCATIOII PAYMENT s P.PJ.Dit DM"l l,btJ.W (NiatNW4.! I''IMIS 1111 M) .. > I .... : ..;... .. :.L11jGt N .. 1"1! ,. "I .. -4z cz. .. :II .. :!; .. _; .._,tiL. _,I "'" ...) .. .. "' -jcr....; ZCI "' ... ... I ..H _,. -

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    r c.: : ---. ----------":'.__, ___ ::-_,-:. _, -. c, ---____ ___ --__ ... -_J._ .. .. .. ... 2.1. 110-1e ,Y.111 5. 200.Zft I. OTHU INCOME: 1. A.D.C. Z. O.A.P. J. G.A. 5 s R R VA A h" t: f... ...., -e !100 01 MOlE II II :l MDNTHLV AHUAI. IE. 32-11 ADD II ES __ I. "IIUTl IKNTAL C SALIS -U I( -.._ AI-.1( -lT-G C I. IIOVINS txPEIISU CIICLE o. UIIDEI S Z1 b. Zt-:IZ c d.- ... 71 Z AVERAGE ANNUAL C:IDSS .riiTAL I. s 12-11 g ..... h. S 10 W/0 FUIN. S 5 IIIDIVIDUAL J. AMOUNT OF" IELOC:ATIOII. ADJUSTMENT PAYMENT '-------- A1140UIIiT OF IULOCATIOII. PATM[NT ac: 1:!..: B -/ ';;' l !..,j ,XJ < 1. OWNE lfl J ,.., J .! .. 2. NO OF ROOM> ...J! NO. or l&h?Ju; .dAfVk?2Uf, -l'z' --------;;c:;gi AMOUNT OF ... Oii!ITHLY WITHOUT UTILITIES S--UU<-'DI<.ItO,_ __ '-AMOUN1 OF MONTHLY PAYMENT INCLUDING P.I.T.I. ii. N "' 5 GROSS INC01114E SPENT 0111 HOUSING "'-----..... -__ ,1::l;, .. I 6. YEARS LIVED IN DENYER ____ PitlNT ADDIESS=r=. I 7. PUBLIC HOUSING: APPLIED FOR 0 ELIG18LI fOI 0 Ol c RELOCATION N./btf 1/71 00 Iii------:-;-ij 1. DAT Or ACQUIStnON ____ !i! i 2. DATE ""HD _____ __,_,II'--"I...:I_ ..... 'l"'4"______ NltrtB& 43 llo ,., ,.. !iii! I 3 AMOUNT or l[hl PAID TO D.U.I.A. '-------J LENGTH OF' TIM[ TC RElOCATE AFTER DATE Of l:r: .,.. lz: j iCj N63, 1 i AURAR lA .C: I II NOI.iY.>013tll.N3NYINtl3d '\J I ocr l"35310c sb "'' s!j san S"'OOII OJ.s, :, i I -------,! IL_ n 1 I' i : 1 '\, 1, i : I t 'Z._ E, P, Q'l,Sl l 1 :::' N 10 r 0 0 ::J 1 : ., I. IV o 11 1 o ::J ... 1 filjt r u J INCOME ,. MO,._lHLY 1NCOME EARPii '.A UNRELATED lio;OIYIOUAL Nl"E ORTIZ, Tomasita ADDREss1108 11th St. 3. URIAN AREA CIRCLE 1 2 3 5 I ETHNIC COM!t'OSinON CIRCLE -1 2 Q' !5 I 5. HIGHEST GRADE ATTAINED IN SCHOOL S> CIRCLE 1 2 3{!)5 6 1 B 9 10 11 1Z U..,.j n 11 6 SEX MALE 7. AGE OF MALE OYER 6 ____ FEMALE OVEI &2 _____ 8. MONTHLY EARNED IMCOME CIRCLE 1 s o2 !oOt9 J 6 S Z!10-ZI9 7. 300-349 e. UNUPDITED INCOME '--------------0 ETHNIC I! AREA IIX:i1041X ALPHA CODE PERM4NENT RELOCATION AOORESb 3226 c"' enver ;l:,Ub Bryant srm Colo t. PRIVATE RENTAL B SALES HOUSE 0 8. STANDARD .. SUB STANDARD b. RENT. w/0 UTILITIES $ ______ WITH ZIP:::zn s {()().00 c. PURCHASE PRICE S MO. P.I.T.I. 5 _____ "' .. d. e. LPA REFERRED 0 SELF RELOCATED I( PERCENT SPENT ON HOUSING 5:----------C ;!11"' 2. PUBUC HOUSING PIDJECT NAME------------. g -< 3. REN1 SUPPLEMENT HOUSING---------------t''l MONTIILV INCREASE 5 DECREASE $ ___ .. O.U.R A. FINAP,CIAL ASSISTANCE GRANTED .., ., ,.... ... .. .. .. .. .. .. ... .. .. .. w .. <& V :::;, ;c 15:1-199 5 20G-l49 oo-o&t9 1C SOC 011 MORE 1 MOVING IXPUiSES. CIRCLE Z !:,UI ,.f-t-'--,,. o UNDER $20 b Zll-32 I S 7Z-13 g 14-96 ... .. ,.., 0: i c '" ':::> o '"' 9 lhCOME 6 A.D.C. c G.A s.s S R R 6 VA 7 l N.D I! OTHER MOHTHL.Y PRESENT HOUSING ANNUAL OWIIIER = TEHNANT 3 I NO or ROO"S NO Or BEDROOMS..,...,.....,..,..,.,--AMOUNT OF MO.THL' AEN' WITHOUT UTILITIES S st 00 AMOUNT OF MOlriTHLY PA YME N" INCLUDING P 11.1 S -----! GROSS INCOioiE SPENT Oh HOUSING % ________ 6 YEARS LIVED '"" DENVEP ___ PRESEhT AODI ____ "': PUBLIC HOUSING EL!GIBtE F'"OI< = APPUED FOR :: RElOCATION 6 : DA T[ OF ACOUI Sl110h i11AJ.t.rf!Z..,;;-:_::I:..;:II:..I_.,.._____:G::;.:, DrE Ah40UK" QJ' M0JIII1HLY REh:" PAlO TO 0:.; Iii A 5 & L[NGTt--1 OF Tlhl TC RELOCATE AF'HR DA'TE OJ ACOUISITIOI'II : 33-S c:i ""56 e 59 2. AVERAGE ANNUAL GlOSS RENTAL '--------" 97+ A"OUNl --$5 ... /0 FURN. Sto w/FURN 3. IMOUWT OF RE;.OCATION ADJUSTMENT PAYMENT '------. AMOUNT OF RElOCATION PAYMENT "' ... u; !l ;:! 1 .. z C't" ... :;: :, .. ,.z FP-bA-3 ;i .. 1Re UiO !10. NTS OF 1's-;oc J lJI!. .. ..

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    ... .,.. .. ,.-.:. .. : _____ _:. ________ --:-:----------. .,._ -r :..a-os .... P.l\.D:::::A, Joh!l Z ADDRESS 1 21 4 l 0 th ____ 1. PRIYAT IIOTAl. C: SAI.U HOUS J( a. SfAIINe fl IUISTAIIDUD C! I "' .. :.;::: .,_.,_,, 11,....,... M1tl :. .I"' iii : ...... P.I.T.I.:id .. ... lj I-).. "') .. --aKU., -, ...... ,, .11 :a.e -,. ....... "4.oUA ...... D D li. .. ..... OP 1M -JIIIOUI IIOT -S----1. -au or 1RLES 0\'0 a __ ...... o.J I. IIOIITILT IAWND INCDIIE CIICLE 1. ,_ z.-J. '00ft 150-119 f> ZD6-H9,. I. 1111-Ztt 7. ... :149 I 3!10-319 I. .00-499 UNREPORTED INCOME I t. OTHER ltrtCOME 1. A.D.C. to. 500 OR MORE MONTHLY AMNUAL c Z. O.A.P. G A 5:. s. .. '' DJH.:.t:r.""'!" HCiJS II.IC IN: .:QMA .. i..Jt\ OWa..-E = !-.NI"9t"! r( NC 0' ROO"' .J hC or MOhTI-! .. Y RE""'" 'lt.T.;Oi.,:':" UTII..I'!'IES Alw'OU"'" OF M0hTMLY PAY1ro4[p.;; INCLUDI!IIG P.1.T.I. '------5. GROSS INCOUE SPEhT HOUS.IhG 11-----::-:.--6. YEARS LIVE[' lh OEfliYEA ____ II-RESENT PUBLIC HOUSINGo APPUEC FOR = ELIGIBLE FOI = RELOCAT:OI\: DATE or DAH "0VEC _____ ____ AMO\Jfl.':" OF" l.i0t..Tfil., ... 1'0 C U 5::.A 1. LENGTf.! or TO Jt!.;.OCAT[ A!"TfP DA'a OF AC0UISI1t0t.o .. .,.., 011-SIG'------------1 t. _...,_,C-f'IOIICf NAME ------------------------------------lea --Y tCtEASI $ DICIUSE $-----f::U l=!i E. D.U.R.A. FIN.I.NC:IAL ASSISTANCE GRANTED ). g, ... 1. MDYING liPnSIS CIRCLE "' a. UNOEI S ZO S 7Z-8l >!: b. Z6-:IZ ... go i!;!""'j'" ,.., ... .. c. JJ.&S S 10 W/0 'URN ..._ ____ AVERAGE ANNUAL GROSS IENTA .. .. OF R:..0CATI0" PA"Iri'[NT '-------4 OF RELOCATIOh F;. triE'-'':' d .._58 1 !i INDIVIDUAL r-1' 111 e 59-"' lntr-j"' (1" '1. .J I >: otJ ----;.z .c z,c-... iii !--:'" -----a=:u.-_ ....... ... ....... ..,..----! is!-If' '140. IJt? o; 2 ,,. =NC J11;3:Jtl3oi : ;."' "' I il'-i, 1 L. i !vc'1j:o ... i::::::-= r->' OTH J Jl .... I -----z N N N .. N .. .... .. ... !0" 1;: j.r:. IU, "'' 0 ... PADILLA John L. .. z. ADDREss __ l.....,2...:4:LJ.jQc.____ .... e"-'e...._.t __ J. URBAN ARE.A CIRCLE 1 A 3 E> 5 i ETHNIC CDMPOSinDN CJR!LE 1 Z l) S I S. NIGHEST GlADE AnAIMED IN SCMDOI. BY HEAD Of FAMILY CIRCLE 1 2 3 I I > I I 10 11 IZ 1J U 15 1& 6. NUMIU or CHILDREN IN HOUSEHCII.D 7. AGE OF MALIS OYU IS J'l FEMALES OYU __ I. MONTHLY EARNED INCDIIE QICL 1. $0-41 z. !MI-99 1Q0 l $ UDZII 7. 3110-lot9 I. 350-399 9. UNREPORTED IIICDME s ZQO-U9 500 OR MOR! f/:J. t. OTHfR lhCOME A D.C. O.A.P 3. G.A. s.s. S. R.I. I. VA. 1. A.N.D. MONTHlY B. PRESENT HOUSING INFORMATION I .. MUAl 1. OWNER C n:"T )( Z. 110. OF IDDMS 110. Dr IEDIDDMS-;r-::;;;:....,nr-3. AMOUNT or MONTHLY lENT WITHOUT UTIUTIES $-'lfJ.I,._,,_,IJ<:.!!Q'---4. AMOUNT OF MOIITHI.T PAYMENT IIICWDIII& P.I.T.I. $ _____ I. Gl1055 INCOME SPIE.T 011 _,SIIIC .. _____ "7'"' __ 6. YU.IS UYID 1 OIEII'Yti ______ PRISIEMT IDDIESS:::a:::: 7. PUBLIC IIOUSIIIG APPLIED FOil 0 IEUGIOU FOil 0 RELOCATION TRANSACTIONS 1. OATI or ACIOU1SITION_,:II=A:_ _,...--.,.,.-. ..... .------z. DATI J. AMOUNT OF _T.._, lENT PAID 10 D.U.I.A. 1-------- LIGno Of TIME ro IELOCATI AFTEI DATI Of ACOUISITIOh. D PER"'ANENT 18-08 __ 1. PRIVATE I ENTAL 0 SALfS HOUSE 1ft a STA.DARD I( SUI-STANDARD C: b.-IENlo W/0 UnuTIES S WITH <-PURCHASE PICE $ /?,IJII "10. P.I.T.I. $ 17.1,111 d. LPA RIEFU.IED 0 SEL' RELOCATED C -PIICENT iPUf ON HOUSING '"------------1 l. PUOUC NOUSIK PIIOJECT NAWE 4. AMOUHT Of ELOCAnOtl PAYMENT $. ______ LI'IAJ 'IJIJ. UD NIS(l>& 9'11 II 1 .. I I .. .. N ...... i _J ... .. .. .. .. .. _J til' -J 1:... _I i i........ ..,) ...... .. .. "' z., ... "' "' --....

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    N N .. ;:: C 1'5 c i I I I : "',.0; .... It:; I .r.: I I "'j:fi ,o! c: I C ;c.:l. ;zi i 12' IC ,u: I -------,-,-..: -. -..:;.e-";:..:L J..Ut;J, St,...t:.c..,+ URIAh ,.[A CIRCLE 1 Q;) l flHNIC COMPOSITIOJtc CIRCLE C Z 3 S 6 S HIGH[ST C.RAD IN SCHOOL CIRCLE 1 l 3 4 5 I 7 I t 1t 11 1Z U 1 15 \E' 6. SU MALE fEMALE--------:=-o.----AGE Or MALE OVER 61 fEMALE OVER 61 l MONTHLY EARNED INCOME CIRCLE s o-s 6 s zso-Z99 50 10C.-U9 UC-19; 5. OTHER' INCOME ADC C.A P s s VI A ._ t: OT'"IH l00-l49 JSQ.J99 AOC.-499 10. 50fl OR MORE MONTHLY a. 7 HOUSING UNREPORTED INCOME. '-------Af\INUAL Q\fncE P = "!f "-'-A._,':" -7.' o 0' ROO"'S Or BEDROOMS -=-=0;....-="""AMOUN' Or "'O"H' Rf'l WI1H0U' U11L111ES S AMOU..-l OF MONTH:.Y PAYM[N"! INCLU01NG P.ll.l GROSS INCO"'E SPE-' 0' HOUSING '*--------YEARS LIVED. DENVHi AODIESS_ ... /J,.... __ PUB:.IC 1-101-!StNG EL.IGie;.r = ArPi.I[O f"OR ::J RELOCATION TRANSACTIONS om or"""'' 1 i fi_Efl.D. 3-.z.:JZl 1 DA1< MOnO /fJ 71 s..E"'GT,., c.r Ti,_.E TC 5JHOC.A'!"E ArTE"R DATE OF ACOU!SITIOt\ ... ... : ... ;;!: -:-;..='" 2:-3 5 L. (111 sun ,...,olo. PIIVATl RENTAL r SALES HOUSl &. STANDUD i!""'SUI STANDARD b. RENt w/0 UTILITIES $ WITH $ ___ c. PURCHASE PRICE 5 -----MD P.I.T.I s __ !A I IN .. 1.. _,... d. LPA REF ERRED [i SELF RELOCATED !J ,-.r"' e. ERC[Nt SPENt ON HOUSING 9!'----------0 ;!!1 l PUBUC HOUSING PROJlCT NAME------------(: 0 SUPPLEME .. T HOUSING MONTHLY INCREASE S ----DECREASE S ___ ,.;;: IT D.U.R.A FIJ"ANCIAL ASSISTANCE GRAIIiTED 1. CIRCLE 7ZIl ZG-J.l 14-96 ;!i 'co t JJ..iS 97+ --->"'I .._sa Ss w/o r-1::: r S10 w/FURh AVERAGE ANiiiUAL GROSS RENTAi. ;i '--------V'), - c ... t A. FAMILY COMPOSITION S. SOCIOECONOMIC DATA 1. NAME PEARCE 1. ADDIESS962 9th Jane St. & I. URIAN AWEA CIRC.E t Z 3 S I ETMTIIC COMI'OIInOTI CIIICLE ; I -a(!) I I I. IUiiHEST GRADE AnA .. ED Ill SCHOOL 8Y HUD Of FAMILY CIICLI I l 1 I I 7 I J 11 11 CSJ U M II 11 I. IIUM8U Of CIIILIIR TN -IEIIOLD cns- ._1 7. AGE Of MALES OVU IS ,., 'UIALES OYU U .,---1. MOTITM.Y EARNED IIICOME CIICU I. S-I. Sl-1.-3. 100'9 150 S. I. OTHER INCOME' L A.D.C. 1. O.I.P. J. Ci.A. s.s. S, R.I. I. VA. 1. A.N.D. IC. SOC 01 MOlE MONTHLY a. PRESENT HOUSING INFOIIMATION UIIIEPOIIftD TIICOME I ANNUAl NO l"3:lt13d I :P.: 3S j; ; 'Yd1 t ., z L l D. PERMANENT RELOCATION 39-07 ADDRESSi _.l ... 7r...l..:4:z_J.IJ!.JU"'l.....,i..!iial.ln.L_____ t. PRIVATE RETITAI. Jl., SALES G a. STIIIIINIID .. Sua-STATIDARD D -' b_at:IT, WIO UTIU11EI 11-----s /C'h DIJ I'" I'" I I .. ... .' .. .J <-"'IKKIASE NICE S MO. P.I.T.I. 1'----d. LPA IEFrHD D .sa,r IILOCAID )c -PI:ICUT SPOT ON -UIIGSo-----------... .... ) _; .. ) 1. PUaUC -- PIIOIECT UIIE ------------------------------------------------IC .,._,, IIICftAII S MC81A5E :.....o..,.. E D.U.II.A. FINANCIAL ASSISTANCE GRANTED n t. MOV .. G EIIPEIISES CIRCLE ::!! !:; o. uu szo b. a..IZ C .D-15 d..... ,, l. AYEUGE AIIIIUAI. .. 055 UlltAI. I h, sn.a I 10 W/0 FURN. S S TIIDIYIDUAL I. A-T Of IILOCATIOII AIIIIISIMETIT PAYMEIIT -------' ._, Of IIIUICAIIOTI PIYIIEIIT ---------]. "'' ... I:=,. e 01 ioi "' .... .. .. .. .. ... __ .t: ...... .. J

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    -----.,.--" ;.. !':' _,. ,,. .. .. .. .. ,.,. !W"'' :::ll IC' ,:r -. ------l'Z it; I 0""""' ., :_.,., s:. I.,_ z.-0 100.1 .. ,,.s-' 150 s. zoo-2 I. OTHER INCOME' A.D. C. O.A.P. G $ Jlll-lll 7. ,..,_,., JSO-JH -10 5110 OR MORE MONTHLY PRE!:.Ef\iT AIMIUAL OWN E A ::-TE"'NA'-If OF' ROOMS J hC oror h40 .... 1'HL.'I' REirtT TIES i ,;r: 00 AMOUN'! PAYMEP\T F-.1 T.l. GR0$5 IPIICOM SPENT 0... HOU$1"'iG YEARS LIV ,. DENYU _______ PRESNT 7 PUBLIC HOUSI,.G APPLIED FOil C ELIGIBLE FOI 0 TRANSACT!ONS D Tl 0' ACOU' SITIO' H MOV Et-----------------'''--'-"'.!:....-'Zr...;,! _______ Afloii0Ufl.1 or RENT PAlO TC 0 U R .._ i..E"ic;TH or TO 'El..OCATE AF'HR DATE or ACOUISITIO"'r AURA RIA --. ... -------.. .. '' 25-06 ,.00 R ..:::.6--=L:..::o:....g""'a::;n:..:...._.::.S-=t:..::r;...;e;:_e;:_t..;;....:.., _...:;#:....;3;:.....;0 3 MOIITHLY ICIIUS 1-------lHCIUSE 1------I;D.r-1 E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED .. 1. MOVING UENSU CIICU ..,,...,. a. UNDER S ZQ b. ZD-JZ c. 3W5 d. e. 59-71 AVfiiA.GE Alrii"-UAL GltOSS lllrrfTA!.. '-------171-83 ... II S 10 W/0 FUIH. S 5 INDIVIDUAl 3. AMOUN'! OF R\..OCATIOP'w PA,,_.EhT J>o l .... i .. l"' '!!!l> ,..., lz:> ,,., .. 'N .. -------------AMOU"-T OF' R[LQCA!!O" PAYMEJoiT '1'"'-----.c,,."' 1::0..:: 'c ........ :r :-:"" TlHP !,0a.M .. N --------------------------! ---------------------13:: :" Ul NOI.!.Y::l013l:! J.N3NVIi'lH3d .. .. I 9NISnOH NO lN3Jti3d ,:t!' I ,_ L OI.S; L i -:,-r -0"!'.-: INCOME: MO"-'iHLY INCOME. EARP. ... 1;3i 0 ... ... ... FAMh .. Y 0 DATA 1. ... ...... .. --------z. ADORE .... ;J,..._.,C'-'e_...,S...,t ...... ______ 3. URBAN AREA CIRCLE 1 d) 3 d) S ETHNIC COMI'OSinON CIRCLE 1 Z f) I I 5. HIGHEST GlADE AnAINED IN IY HEAD OF fAMILY CIICLE 1 1 3 5 I 7 t II 11 U II lA IS II 0 PERMANENT RELOCATION 25-11 .. ADDR ES s ___ ... 1. PRIVATE RENTAL a SALES HOUS f1l" j b-IINTo W/0 Unu11S I WITH '-"'="..-..-.=-! <-PURCHASE I'IICE S .iliiM .. wo. I'.I.T.I. $ ,,, .. d. LI'A D SELF IELOCAlED C a. STANDARD .... SU..IUNDARD C Jlii.. _, I. NUMIEI OF CHILDREN IN IIDUSEHCII.D IIOYS-81-.5____ o-PEICENT II'ENT 011 IIDUIING"'------------J 7. AGE OF MALES ovu e.....n._F}MA.::Gt,OYIIIZ AD llflll.ar 1. I'UIUC HDUSI&-PIDJEC1NAME I. MONTHI.Y EARNED INCOME CIICU ,.,--. .. J 1. SQ.451 1. SZSO-ZII U .. '011) INCOME MONTHLYo INCIUSI $ DECREASE '------J:Oir-1. 50-91 7. JIN).J09 S D.U.R.A FINANCIAL ASSISTANCE GRANTED ;... gi.. w _.: 3. 100-"9 8 310-319 1. MOVING EXPENSES CIRCLE Zl"'iO' .. 150-199 i to()..l99 tM N a. UNDER S 10 I 71 >:i:l s ZQD-109 10.4# OR .. iP b. ZD-32 9 ... II i OTHER INCOME W:ONTHL" ANNUAL S 0 F' I US 10 W/ U N. A.D. C. I. O.A.P 3. G.A 5.5. 5. .. I. VA. 7. A.N.D. B. P'RESENT HOUSING INFORMATION 1. OWIIONOFER -C 5TENNA:: fll' z. t!_ o. OF IED-1-.,-!,3...!F-":=r::-J AMOUNT OF IICINTHL Y RENT WITHOUT unu11r1 I Q $"9 AMOUNT or MIIIITIC.Y I'AYIIINT INCLUDIN& P,I.T.I. S-----5. GlOSS IIICGME IPINT 011 HDUSING .. _____ '31.--1. YEAIS UVEDo 1M DIIIYEI RKirY 7. PUIUC HDUI1.Go API'UID filii 0 luakE PW 0 C. RELOCATION TRANSACTIONS 1. DATE or ACIIU11111011 L-!! -1J 1. OATE M0D ,_ :1'1..-Z3_ J. AMOUNT OF --1 KNT PAID 10 D.U.I.A. 1-------- uGTH OF -E 10 IILOCATE APTU INITE Of ACIIUISI._ z. I. .. d. i s I INDIVIDUAL 51-71 J AYEIAGE ANNUAL IAOSS .ENTAL s AMOUNT OF IELOCA-ADJUSnUT nMENT s AMOUNT OF IEUICA110N nMENT .-.. ..$ .J. .... IJI.& 7'4:i -r 7'1Cii.'
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    ./... t.:... -----:;-... N .... PEREz, ADDIESS 952 lOth _____ t UI8AIII AREA CIICU 1 cD l 0 5 6 (THNIC COMI'OSITI(Hol CJICL.l 1 Z C> 5 I 5 HIGHEST GlAD AnAINED IN SCKOOi.. CIICLf 1 Z 3 A 6 7 I 9 10 11 1l 1J U 1S 16 6 SD lULl ------HMALl---------,;-::---7 AGE O MALE OVU 61 ____ HMALE OVER 61_ .. ,Ls-.._ __ 8 MO"''THL'' EARNED INCOME CIRCLE 1 S 0-49 6 $ ZSCI-299 z 50-99 3 100-U9 c 1S0-199 9 OTHER lti!COME 1 A.D C 2 0 l_P 3 G.A : i 4 s s .. 6 VA i A ""D QTH[J; 7 100-349 6 350-399 !I &00 ... 99 10 500 OR MORE MONTML'I PRESENT HOUSING INFJ)RMATION UNIE,OIT INCOtroiE ---------------ANNUAL. = TE ...... .. I NO or __ ._, ___ NO Qr: BEDROOtJ.S OF RE"-r 'f."iTHOJ"' UTILITIES S ... i .. ..... or MQJr,jTHL'! INCLUDING P1T.I S ____ GROSS INCOME. SPENT QJr,j HOUSING %------,---YEARS LIVED IN GE.NVER ___ PRESENT 7 PUB:..K HOUSI,.G EliGIBi..E f'QP :_ APPLIED FOR = RELOCATION TRANSACTIO>;S H ., .. DATE o 2875 33rd c"' Denver, sun Col a 1 I'RIVATE IENTAt 61" SA!.ES HOUSl &. STAI 3< 1 ; 1 i I : l,i, I 9 L e lans I 11. 1. II 35 lh;-r r 1 1 1 i 1 n 1 n i ..) j.1 ( .... c ... r .. ..t _71::i.1 .:z1.) _z .t _t _t _;.i.l _z .v .L!.l _, .t L 11 -'l"d,l l i i li 1: I' li I I 1: URB,t,llo II -' INCOME ,, IN EARN :1 -"-SD. I ETHNIC ; ARE.I II x 4:....PMP. COOE RELATED INDIVIDUAL D. PERMANENT RELOCA",ON 25-11 I -. A UN -----z 1: --i9 "'I "' j., i ( .. 7. 8. lot[ ADDRESS :Cav-rr nee SE. URBAN AREA CIRCLE 1 2 J 6 ETHNIC -CIRCLE 1 (!) HIGHEST GRADE ATTAINED IN SCHOOi. CIRCLE 1 z J s 7 8 9<:!5' 11 1Z ,. 15 16 SEX MALE FEMALE AGE Of" MALE OVER 62 FEMALE OVER 62 MONTHLY EARNED INCOME CIRCLE 1. 6 s 250 UNREPORTED INCOME 2 50-99 7. JOO-H9 J 100-149 8 350-399 E 1 S0-199 400-499 5 Z00-2 49 10 SOG OR MORE OTHER INCOME MQJrr,iTML'f 1 A D.C 2 0 A.P J G A s. s E VA t' ,s.41f.kJ._ A.h".C ta.s:..aa. e OTHEP RESENT HOUSING INFORMATION 1 OWNEP. = TE""'""UIT J!..._ ;J.. OF BEDA()()II.IJS NO OJ ROO,.. S NO J AMOUNT OF MONTHlY RENT WITHO!...'"! UTILITIES 5 80 00 AMOU,..'!' OF WONTkL.Y PAYMENT INCL.UOJNG P.I.T.I. s GROSS INCOME SPENT ()fool YEARS LIY[D IN DENY Ji PIESEitiT ADDRESS --7. PUBLIC HOUSING ELIGIBLE FOP APPUED FOR ELDCATIDN TRANSACTIONS c.u .z3 1 DATE OF 2 DATE MOV ...,, ,, ,,.,,. 'D-, AMOU"''! QF MO"'lHL Y Rf ""'l PAID 1'0 D U I( A s LENGTI-4 or TIM[ TO RlLOCATE AFTEr! DATE Of ACOUIS!TIQI>, -----APDRESS :Z:ZQ St -.; cnv Denver, Zlf'::n:= 1 PRIVATE RENTAL JC, SALES HOUSE .. a. STANDARD IIIC SUB STANDARD k b. RENT w/o ununEs 5 WITH siU.DO c. PURCHASE PRICE S MO P.I.T.I s d. LPA REFERRED [j SELF RELOCATED lit e. PERCENT SPENT ON HOUSING % I o,.,l Z. PUBLIC HOUSING PROJECT N.UU C: 5.... w 3 RENT SUPPLEMENT HOOSING :c MONTHL f lhCREASE s DECREASE s __ "' O.U R.A FINANCIAL CE GRANTED .., "I 1 EXPENSES CIRCLE !i"' -c. UNDER SZO '72-83 b Z0-32 "'* I"' .. : 33-'5 r 97+ AMOUNl r d z; P-P+ tf-3t; z zi .. -4 :::gl cr ,_ o zl .. 71!Hi'" 6' 3:!.. .c.. fi(Z?fL era. oo "l:r ... '"!& .._. 4. 71tGS !O V"'-

    PAGE 221

    ----------z ,:; ['-'i Is ., N .. .. .. "-----.... -:,-:-,-:-,-: ... ... ::,..,.,-----,,,.._., .,.,.:-:, il .. :. ::' : \ :' :..-'-.. i\w ... .......... ......-z DDus __,l....,I""O,_,s"'-... s""t""o""""ul..Jt.._ .... sut .......... 3. UIIU UU CIICI.E 1 ()3 C) 5 I ETHIIIC COW POSinOOI CIICLl .(!) I I I I 5. ..5HlST &lADE AnAINED IN SCHOOL OICU 1 I I 5 I 7 I I 10 11 II IS II 11 I ADollm 1234 Stout St., #23 I. c1n Denver suTt Col a z,p____Q.L. 1 PIIVAU I SALE$ HOUSE C a. ITAIIDAID IT SUI STANDARD .. b. IEWT w/o ununrs S $(), tJI Willi $ ____ c. PUICMASE PIICE $ _____ MO. P.I.T.I. $ ____ e I ., I f. SU MALE-----_..,rEMALE ------------7 AGE OF MALl OVU 62 II/ rEMALE 0\'U R------I. MONTHLY lAINlD INCOME CIICLE d. e LPA IEFEIIED 0 SlLF IELOCATlD 0 PliCENT $PENT 001 HOUSING %----------1i!: ;", .('\ I. PUIUC HOUSING PIOJrCT 5 ,. 10("\ 3. lENT SUPPLEMENT HOUSING ;II 1 I 6 I 150-IH UNUPOniD IIICOME N .. "'I !' i I 7. JDG-JI I. 110 600-419 '-------MONTHLY' INCREASE 5 _____ DECREASE 5 ____ i"';;: G' N"' E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOYING liPUSES CIRClE Z -< '" I l 100 150-tli 5 100-101 10. !50C OR MORE MONTHLY o UNDll 110. b 111-31 5 7Z-Il ,.H'------.. lo! 1 I ., II : t I ; i i : i 1 I::E,z18 -------!,1:.. li5! IC i i "'"'' a:wl I I I I i I --+-i lc i .. i = I 1:::; j i' j;i t. OTHE:R INCOME 1 A.D C. a.UAL Z. O.A.P 7/.7$ J G A .. s.s 17.Do R A ( .. A ..... D "' IJ c PRESEt;T HOUSING INF.ORMATION OWNEP = HfriiNAhl NO or ROOMS _,,a...._ ___ NO OF BEDIIOOMS -:=':'---.. IOU" OF MONTHLY REN' WITHOUT UTILITIES S ._,()!<...::Q'-AM0UNT OF MOPI.T"'LY PAYMENT INCLUDihG P.IT.I s ___ __ GROSS INCOME SPENT O HOUSING 1<------=--6 YEARS LIVED lh DENVER ___ PRESENT IDDRESS :r 7 PIJBLIC HOUS!.,.G ELIGIBLE FOP. i..... APPLIEC FOR :: TRANSACTIONS 1 DATE O ACOUISITIO za73 z DATE .. ovto 3-Z-z:, 3 AMOUNT OF' MONT PAID TO D U 5t.A. S. ------' LENGTH or TIME TO RELOCATE. AFTER DATE Of AC01JISITI0h i '' c ,,_.5 d 06-51 ... AVERAGE. ANNUAL GROSS RENTAL '-------... 16 97+ AMOUNT ---55 w/o FuR S1o w/FuRN. 3 Atr.IOUhT OF REL.OCATIOfrll ADJUSTMENT PAYMENT '-------. AMOUNT OF REL.OCATtOh PAYMEPiiT )> Cj '-,.,. ini!! i!' '"' zll C') C': / c :";j .. A!J& I .2 "S: D 1-10 -ol --------------------------------------------------n i ""! ... ; .. .. N .. N .. .. .. .. N s11 IIHN30 Nl SIIY3A sou swoo11 IUS lN31"iAYd 110 lN311 !lNISnOH NO J.N3::>tl3d .:11 II I n L i I ; I z t L I I, j I z [ OlS I I l L II z L I I z L I i l l il Vd1 ri .. 3 ;! ':--. OTH. INCOME li MONTHLT INCOME :r SEX ETHNIC u GX310<1l ALPHA CODE .. : f,A UNRE'-ATEDINOIVIOUAL D PERMANENTRELOCATION 38-06 -----------jz' "' 1 ... ADoRESs 17 60 Gayl m:d :;;; Douss __ cnY Denver. sTATE t61 a ,_ 3. URBAN UU CIRCLE 1 3 (f} 5 6 1. PRIVATE RENTAL ..... SALES HOUSE 2 "' "' "'I ETHNic coMPOSITION c11cLr 0 1 3 5 a. STANDARD STANDARD S. HIGHEST GRADE ATTAINED IN SCHOOL b. lENT: W/0 UTILITIES $ Willi $ ___ __ CIRCLE 1 I 3 5 I 7 I 9 G> 11 11 TJ 15 11 C. PURCHASl PRICE S MO. P.I.T.I. S ___ I. SEX, MALE d LPA REFURED 0 SELF RELOCATlD 0 7. AGl OF MALE OYU 6Z FEMALEOVEIIZ______ e: PliCENT SPENT ON HOUSING %----------C i!: .. ... Ill .., 1 1! 1. MONTHLY lUNED INCOME. CIRCLE 1. Puauc MOUSING PIOJlCT NAME------------r..:;: 5 1. S6. I 150-IH UNili'OniD INCOME 3. RENT SUPPLEhOENT HOUSING ;II Z S0-19 7. 300-U9 '--------MONTHLY: INCREASE 5 $ ____ i"';;:"' ... .. 3. 100-,.9 B J!I0-399 E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I 150" ..... 1. CltCI.E I '71-ll .. +"----.. ,..,! I 2DOZ 10 soc. OR MORE b 2D-3Z 9 .... z CD 9 OTHER INCOhOE hOONTHiY A .. UAL c JJ h 17+ AMOUNT ____ l 1 A.D.C. S S d 116-58 55 W/0 FURN r-...., .. I 2 o. e ,._, S1o w/FURN I' _:_ :R .. sRA.. 2. avrw5a_G_E_A_N_N_u_A_L_G_R_o_s_s__E-NTAL : __ :_._-_ I I 3. AMOUNT OF IELOCAnON ADJUSTMENT PAYMENT I I I 6 VA. '--------:;l :: .. .. ,. : l;i;i j 7. A.N.D. 80.0 AMOUNT OF IELOCAnON PAYMENT wl"l 8. OliiER )> Z a: .. lo:ri 1 owNER c TENNANT/.,-1 z .. PRESENT HOUSING 0 \ 2 NO or ROOhOS NO or ______________ _:. ___ s::....(ol!!ll!:ll_.___ "'uo .. f; 3 AhOOUNT OF MONTHLY RENT WITHOUT UTILITI 5 --''-----1-1----w Mr.,.... ., ... .-. A.. -. AMOUNT OF MONTHL.'t' PAYMENT INCWDING P.I.T.I. 5----..... ...._..,..,., IIIII'.., ,. 5. GlOSS INCOME SPENT ON MOUSING %-----..,.,----g 1:1. I nRs uYED. IN DENVER ___ PIESENT j7tHP W Mu '; M6.. ... .,. 7. PUBLIC HOUSING EUGIIL FOR 0 A'IIUED JOlt 0 JC ,. I C. RELOCATION TRANSACTIONS J !m"'IIIQ I DATE Or Till i-lfl/l.IJ, 7,2. Z.. DATE MOVED ,_ z-J.S Ut!-. : 3 AhOOUNT OF hOONTHLt lEN' PAID TO D U R l $ ______ I LENGTH Of TIME TO RELOCATE AFT( I DATl OF ACOUISITIOh lIe ---------------------------------------------------,, ..

    PAGE 222

    ---' : : 11i --rTil ., ,.,! II N N 18: ... !"'! i I "'' I I ; IC hr: ,...lgi !"'! .,; :z 1 .... 11,; '"",c 1'>:. c. ... .. ::.: URIAh AREA CIRCLE 1 G !I ETHNIC COMPOSinQfl CIICU Z J 5 I I. NIGHEST GlADE ATTAINED IN 5CHOOL CIICLE 1 I J 0 5 6 7 I 10 11 11 1J 10 15 6 SU MAll .17 FEMALE------------AGE orMALE OY FEMALVE.I6Z _____ MONTHLY EARNED INCOirrlll CIRCL. I O-t9 6 I Z50ZMI UNREPORTED INCOME so-e. 10C-119 1!10-199 ZOC.Zs. OTHE It INCOME A.D C. 0 G A s s .. CltHP 7 1DOl'9 8 JSU.J99 tDO..t99 10 500 01 MORE MOlriTMLY t30 00 ANNUAL PRESE"'T HOUSING = H v c 0' / "10 OF BWOOO"S -=/7-==--,U40U,_T OF MQII,ITH:..l lifEJI\T 'lriTriOil' UTI.JTIES 5 __ AMOU-.T OF MO'Iifton 'r PAY'-'EN1 INCLUDING F ll.l S GROSS INCOME SPENT ON HOUSI"'G YEAR!, LIVED IN OENVER ___ PIHSEN'! ADDRESS k Pt.JBLIC t-tOLSI""G EliGIB:.. F'OJO = APPLI[:l F'Oiii = RELOC.ATIOI< TRAN5ACTI01<5 om A/E&O. Z2. DATEMOVEO //-/-73 Of M0h-TH._, Rhii FAl( TC D l! I; A 5-----i..['liGTt-' or T!M[ !C REi.OCATE ArT[P DfoT[ or ACOUISlTIQII, 38-06 3249 W. Fairview Pl c1, Denver, smt Colo 1"--l..l PRI'f'U RENTAl li-"' SALES HOUSE a. StANDAID g.s"J.UI STANDARD b. IUT WiO UTillnES S /,20 s Oe WITH __________ WO PFTI I i 1: II c. d. LPA IEF[: :: Sti.f RELOCATlD ; e. PUCEN1 SPENT ON HOUSING %----------0 z. I'UBUC HOUSING PIOJECT NAME-----------C:IQ! RENT SUPPLE .. ENT __________ :tJ ;;; MONTHLY INCREASE DECREASE S ___ >i;;!loD.U R A INANCIAL AS5FSTANCE GRANTED '111"" MOYIJriiG U:PENSES Cl RCL Z '-" D UNDEI $20 '72-83 ;.._"-I---b 10.11 84t ;!il : .. 9,+ A"Ou"1 ____ -r:tl: c 33-s .... ... .16-58 Ss w;o F'UII'N .... SlO e 59,,, AVERAGE A .. GROSS REIIITA:... ;:. z>-'-----= c z Z: ___ I'; 0 -,., lY :;,2o.o o t-----' ---------------------------------------------------------------------------------------------------->-;;:: ::.. ---------------------'"'--r-NOil't':>013tllN3NVWtl3d ::: L...:c:..:C::..:.....:!.;.;Nc:"3..:5..:3..:t!..:<...,::S..:t!"'A'---'!!:..:3:..:-'.:.:I;.:.::..:0::....:N.:.:I...;ST!!:..:..:3:..:A;___t- .., ___ _:!:>c..":"I.:.S :.;.n.:.O.:.:H....:.;.N.:.C...;!:..",:."3:..:J:..t!::..::.3<:... __,; !' I r ( s 9 l I ::: "' )o I' r: i A ------.z N N -.. "' ... .. ., !"' lz lo J;:: 1 .. ''"' 18 I I I jB I i I I lc I i I i 'I I j. l l l alS! i: i j I' MONTt1'-Y INCOME p ..:. !, ... -.... Q'TW. INCOME EARN SEX ETHNIC AREA X310.t: 1X ALPHA CODE U NREL..ATEO lo.;:liVIDUAl PERMANENT RELOCATION 32-01 0 932 "th 1 NAME nia ADDRESS Ave. 2 ADDRESS d-o CITY STATE roJo ZIP__Il4_ URBAN AREA CIRCLE 1 (p J (p S 1. PRIVATE RENTAL SALES HOUSE J 6 .. THNIC COMPOSITION CIRCLE I J 5 .. STANDARD Iii!"" SUI STANDARD ,s: s. HIGHEST GRADE ATTAINED IN SCHOOL b. RENT. W/0 UTILITIES s WITH s CIRCLE 1 I J s 6 7 8 9 10 11 1J 15 16 7 c. PURCHASE PRICE S MO. P.l T.l 5 6. SEX WALE FEMALE d. LPA REFERRED 0 SELF RELOCATED 0 'z 1. AGE Or MALE OYER 62 FEMALE OYER til e. PERCENT SPENT ON HOUSING % 8. MONTHLY EARNED INCOME CIRCLE z. PUIUC HOUSING PIOJECT NAME 1 5 G-09 6. 5 ZSOZH UNREPOITED INCOME 3. RENT SUPPLEMENT HOUSING I. 50-99 7. lOOJs 5 MONTHL'r. INCREASE 5 DECREASE s __ 3. 100 8. 350-JH E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1 MOVING EXPEJriiSES CIRCLE 9 oo0 UNDER 120 ; '72-83 s zoc-z 1D SOC OR MORE b ZO-lZ 9 a-H I OTHE li INCOME MOIIiTH!..Y ANNUAL 33-! r 97+ AMOUNl ----1. A.D.C. 5 5 d. 06-SI Ss v;/o FuR I O.A.P n.Do 59-71 510 W/FURN 3 G.A I AYE RAG[ ANNUAL GROSS RENTAL s.s. {. 0,1, .Do 5 R. R 3. AMOUNT Or RELOCAnO .. ADJUSTMENT PAYMENT .. VA. 5 A. N.D. AMOUNT OF RELOCAnON PAYMENT 8 OTHER PRESEIIIT HOUSING INFORMATION OWNER = TENNAl V 2 L.l..r= 1 I NO. OF IEDIOOMS M;A OF ROOMS 41$"() (). 0 0 3 AMOUNT OF MONTHL" RNT WITHOUT UTIUTIE:S 5 .rp.qo AMOUNT OF WIONTHLY PAYMENT INCLUDING '.I.T.I 5 p wt2'V s GROSS INCOME SPENT ON HOUSING % l'1.. 6 YEARS UYED IN DENYER ___ PRESENT ADDRESS -AIH'rltll' lii'n o; PUBLIC HOUSING ELIGIBLE FOR APP.J[D FOR RELOCATION TRAN5ACTIONS DATE Of' ACOU1511'10h z DATE MOVED 10 3 AMOUN": OF' MONTHlY RENT PAID TC 0 1.i Ill A s U .. GTh or TIME TO RELOCATE DATE. Or ACOUISITIOh I Wdi !: -....: -----.. .. "' .. "' "' 1-.. .... C::5 .., lsi. ;on .. >- I .. .. :. .. r-r .., "' >" (n E! !!! "' "'"'I .. (;\" ::0""' "' :.Z zZ 1;;1 .. OZ' ... .. .. c... Zl "I-"-;,-' ,.,. ... ,_ -.. -, .. I

    PAGE 223

    ... .. N .,. .. "' N z s 0 -N -N "' .. N = .. ,._ N .. ... ,._ N = .... !" .... __...:..;:c.'--' --r-.pFTRwM'A,. l --... .' .,.-.. -. --. = -;... .. o 0Ai& ...... ,. .-. -... v .., ............ i. _,.IMIIIOI-1 3. 110 I. UO..IM t.-I. ZOO-lot I. OTH INCOME: 1. A.D. C. 10. !100 01 MORE MONTHLY A...,AL .. z. O.A.P. z i .. .. I G s s R PRESENT HOUSING INFORMATiu" ;:, TENN""T NC 0' ROOMS __ 7.,_ __ or IEDROOMS--::=.aC:-:::;:-::-AMOUNT OF MOIIiTJoiLY RE .. T WITHOUT LiTILITtES ,_.,,_,.lJu;,Q,.__,o"'---AMOUNT OF MONTHLY PAYMUH ltiCLUDIHG P.I.T.I. S. GROSS INCOME SPENT HOjli "-------::z::-6. fEARS LIVED: IN DENVER PRESENT ADDRESS ,., 7. PUBLIC HOUSING APPLIED FOR 0 ELIGIBLE FOI 0 RELOC.TION TRANSACTIO"'S ..1 1. DTE or Acouosono Nlf IA.tL ?!lo .'1"2. DATE .,-'Z.L.-'!'J:::... __ AMOUNT OF MONTHL'r RENl PA!D TO D.U.R.A. 4 LENGTH nME TO RELOCATE AFTER DA'!'E OF ACQUISITIO'-. l j L L z -I -! I I : I '-"!'--H ,, -. u :; u I :-:t.L-0 1l-i I"'CO..,E MONTHLY CO..,E i ..:. SE> 'A UNRELATED INDIVIDUAL z' "' c PFEIFER MILLER (G.&E.) :::i let: 2 ADDRESS 1117 Champa ,._ lu: ::J URB .. AREA CIRCLE I (%) 3 (!) 6 10 3. I"' .. ETHNIC COMPOSITION CIRCLE -0 Z 3 5 6 I 5 HIG11EST GRADE ATTAINED IN SCHOOl ., CIRCLE 1 z 3 5 6 7 I I 10 13 ,. 15 I 6. SEX: MALE 3r$ FEMALE 7 AG OF MAL OYER 6(. F U4ALE OYER 62 "' .,I 8. MONTHLY EARNED INCOME CIRCLE c! I 1. 'Ct.. $ ZS0-299 UNREPORTED INCOME ... a:: z 50-99 ; 300 s ; V)! I 3 100-149 I .. 15(,-199 g 40G-499 "'.jJ,] : ::!: 5 zoc.zs. 10. 50t OR MORE ,._ !g: OTHE!i1 IIIIINUAt ict 1. A.D C. s I O.A P "': 3 G A I i s s s. R R I i 6. .. 7 A N.D e OTHER PR[SENT HOUSING !"'FORMATION OWNEO = .. lc lg,:ti 1 01() 0'" BEDROOIIIS .z. NO or ROOMS ... I; I 3 AMOUNl OF MONTHL." liEN"! WITHOUT UTILITIES 5 9.1 .. I< I" AMOUNT Of' MONTHLY PAYMENi INCLUDING PI T.l s l fl GROSS INCOME SPENT ON H!!?G I I 6 YEARS UVED IN DENVER PRES[ NT ADORESS I I -7 PUBLIC HOUSING ELIGIBL JPPLIEO FOR c : II c RELOCATION I DATE or ACOUIS!TIO u.. -/5" l-1,. i I DAll MOVED 1-Z-Z'f i 0 3 AMOUirril Or MON"!Hi..,. RUil PA;[ lO t. I.. R A s :::: I L.EJrr.GTH OF TIME TO IHL.0CA1[ DATE Of ICQUISITIO'\ ... .. CetiLH-------'MC:IEAS L D.V.It.A. FIIIANCIM. ASSISTAN C .IIANT i. 1. -UPI.S -.QICI.E e. IIMD Ill t..a:u (. D-tl d.-.. ... ,, Z. AV[IAGE ANNUAL GROSS lENTIL '------- 71-83 g """ h. I 10 W/0 FUN. I I INDIVIDUAL J. AMOUtriT Ot IELOCATION ADJUSTWENl PAYMENT '------C AMOUNT OF RELOCAnOh PAYMEhT r L ." I i I u I! u .. 1: I ETHNIC AREA l:ll:o, !) ALPHA CODE i i 0 PERMANENT RELOCATION 35-05 /""'.!:.U:I.'t". .. ,. ADDRESS 1302 Columbine cn Denver, STATE Colo 21---0-Q..... 1. PRIVATE RENTAL ill' SALES HOUSE '-' .. STANDARD .,...SUI STANDARD O RENT: W/0 UTILITIES S ,, s.. WITH b. s c. PURCHASE PRICE S MO. P.I.T.I. s d. LPA REFERRED ,.., SELF RELOCATED :J e. PERCENT SPENT ON HOUSING % z PUBUC HOUSING PltOJECT NAWI E l. RENT SUPPLUUNT HOUSING L MONTHLY INCREASE 5 DECREASE s ___ E. D.U R.A. FINA"'CilL ASSISTANCE GRAhiTED I. MOVING EXPENSES-CIRClf. c UNDER S ZO '72-8] c 20-lZ c 33-! 97+ .AMOU'Ol d 06-SB S!! W'O FURt. 59-71 S10 2 AVERAGE ANNUAL GlltOSS RENTAL s 3 AMOUNT OF IE.LOCATIOfrll ADJUSTMENT PAYM(NT AMOUNT OF IELOCATIOh PAYMENT +4 3'f.lJ... t> 0 '"-li.l!. .,.fi:.,.II.Q /llt!K"'" I'M G. oF 'l.l.ii .. .. .. .. .. .. -. Ji 1----.. .... .. .. .. "' !j., .. .... .. ;en .. .. .., ...,, z n 'CD ,. -l::ol : w V)\= .. .. .... .. > z: "'"" oz U' II :-" ... !ZI"" C'". <1'1-. =-:o ...

    PAGE 224

    -.... __ !..:...:._': ___ ----;.. : -.=-. t- :. .... P[ "!MAPool 38-06 Myrtle .. .. N N "' i ,i i c i:Z o' l:r_ AD""' __ URIAh All. .A CIRCLE 1 (I) 3 tl> !: 6 4. ETHNIC COMPO"nOio CIICLl .0 Z J 4 I I I NIGMUT GlADE AnAINED IN ICHOOL CIICU -1 1 J 4 I I T I I 10 11 1l 1J 14 11 11 ? 6 SEX MALE FlMALE-....J(,-:J!_'--------T. AGE OF-MALE OVU 6l ____ FEMALEOVERiil _____ MONTMLT lAitUD INCOME-CIICLE 1 o-t9 1 no-z" S0-19 100 150-199 5 ZOC.-.:!t9 I OTHER INCOIIII 1. A.D C O.A P G A s s VA t: 01Hf;.. 7 JOOU9 8 JSCI-:199 I .00-119 10 SOC 01 MORt MONTHL.'t HOUSING UNREitOIU:D INCOME '--------------ANNUAL = TEI!olf\A;'!,rT i. t..O or ROOWS --/-o'-----""0 or lil[N1 WITHOL!l UTtUTI[S S t.Jj, 4 $"' Altto'QUa,T OF" Jro40NTWLV PAYMENT I"C.LUO!NG P.l.ll 5---GiilOSS INCOME SPEPI:T 0,_ HOUSIIIIG 9-------,,..---"MM YEARS LIVED lh ____ PRESENl ADDRESS Pt.IBLIC HOUSIIIIG ELIGIBLE" FOIO = APPLIED FOR REL00TI0" TRANSACTIO"S 1 DAl[ OF ifi i 1.19' lflf(;.(), 9-IY Z:J. l DAH MQV[O /a '1/ 7! OF MOPIITH;..I JiENT Pt.lC TO DURA. 5-----LE"'-:GTro or TIM TO RELOC.=oH AFTER OAT or ACOt.JISITION l AMOUhl or AOJUSTMEHT PA'fiw!UiT $ ______ AMOUNT RELOCATIO.._ Pl.'fMN'!' I, I c zli'_"' -----;:3: I L ----------::.i P... .; .... '. L:-: -------------------. L 'Z_ r OTH INCOME MONTHL' INCOME EARN ; i rA'u'NRELATEO INOIVIOUAC cr. -------!.z' "' N N -.. ... "' "' 0. 181 .;;;I jgl' lz fO: c. ... &rne 2. ADDREss 2 I n S reet, #320 3. URIAN AREA CIRCLE 1 6:}3 (!)I 6 0. ETMNIC COMPOSinON CIRCLE .(j) l 3 4 5 I MIGHT GRADE ATTAINED IN SCHOOL CIRCLE 1 Z 3 5 6 7 I I 10 11 1Z 0 U 15 16 6. S[l, MALE FEMALE--------=---....---7. AGE OF MALE OVEI 62 _____ FEMALE OVER 8. MONTMLY EARNED INCOME CIRCLE 1. 'g.....cg z. S0-9'1 3. 10CU9 150-'99 !5. zoo .. us I OTHER INCOME 1. A.C.C Z. 0 A.P G. A s.s !5. I R 6. VA. 7. A.N.D 8 OTHER 6 S ZSCI-ZH 7 300 8. JSO-:IH &00 ... 19 10. 500 OR MORE MONTHLY /]0.00 PRESENT HOUSING INFORMATION l. OWNER = TfNNANT f!lf' INCOME s ______ ANNUAL 2 NO OF ROOMS NO OF IEDIIOOII1S 3. AMOUNT OF MONTHlY RENT WITHOUT UTIUTIES S /M: I#O 4. AMOUNT or MONT'ILY PAYMENT INCLUDING S ---S. GROSS INCOME SPENT ON HOUSING S!\------:::oo-6. YEARS UV IN DENVER ____ PIESENl ADOIESS S"""'" 7 MOUSING ELIGIBLE FOR !J APPUED FOR W RELOCATION TRANSACTIONS 1. DATEOrACOUISITION tf"'''_ .... ,'ffj' 2. DATE MOVED -'" AMOUNT OF" MONTHLY RENT PAID TO D.U R A UNGTH Of liME 10 RELOCAl ArTER DATE OF ACOUISITIOI\ 0. PERMAIHNT RELOCATION 38-06 1735 St CITY Denver STATE Col a: 1 PRIVATE RENTAi.. SALES HOUSE ......; a. STANDARD i!" SUB STANDARD b. RENT' w/0 UTILITIES S /05. (}OWITH $ ___ e. PURCMASE PRICE 5 _____ MO. P.I.T.I. 5 ___ d. LPA REFERRED 0 SELF IELOCATED 0 e. PERCENT SPENT ON HOUSING !li----------1. HOUSING IOJECT NAME-----------3. RENT SUPPLEMENT HOUSING--------------1: MONTHLY' INCREASE _______ DECREASE E. D.U.R.A FIN .. ICIAL ASSISTANCE GRANTEO 1. MOVING EXPENSES -CIRCLE a UNDER SZQ b Z0-32 t. !J...5 d. 06-58 e Y..7t Z AVERAGE ANNUAL GROSS RENTAL s ______ s 72 14 97+ AMOUNT --Ss w/o FURh $10 W/FURN !. AMOUNT OF RLOC:AnO .. ADJUSTWENl PAYMENT '------. AMOUNT OF IELOCAnON PAYMENT .. .. =-= .. N -, .. .__ N .. .. .. .. N .. .:_.. ..

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    .. '"' "". '\ --. jt.t:-. ,;. "'i-__ ;..- 38-06 -----7 ... = ; __ _r C_..f .... 6,. ...... ....... E ...... ....... i.==== J UIIAh AIEA CIRCLE 1 a> 3 (!:) E ETHNIC COWPOSinOh CIRCLE. Z J 5 I S NIGHEST GlADE ATTAINED IN SC.-._ CIICLE 1 Z 3 5 I 1 I I 10 11 Q 1S 1' 15 11 SEX. WALE------FE"ALE-----------7. AGE OF WALE DYfR 62 f.l FEWALE OYU 6.! _____ I MOliiTHLY [AINED INCOWE CIRCL[ 1 I 0...9 E. I UO-ZH 2 """" 3 100"9 .. 150 5. ZOOZ" 9. OTHER INCOME A D.C. Z O.A P J G A .. s.s 5 VA f 1. 300.3'9 8 3!50 9 &OO...ttt 10 500 OR MORE MONTHLY PRESENT HOUSING INFORMATION UNREPORTED INCOME '--------------ANNUAL OW hE 5i: = T l?"":t. I 2 NC OF --'---4----NO or SEDROOMS_ .. _,_ __ A'-40U"T OF 1"lTHLY WITHOUT LiTILiTIES 5 AMOUNT or MONTHLY PAYMENT P 1.1.1. S ---GROSS INCO"E SPENT ON HOUSING '1t-------=--YARS LIVED lh OENVER ___ PRESENT IDDA _..,;!1--7 PUBLIC HOUSING ELIGIBLE FOR APPU FOR ;_,; RELOCATION TRANSACTIONS 9 '-, 1 DAH. OF 'l!&liLI"E"'I'e'S DATE "OVEC J/-J-73. OF MO,iHi..Y RENT PAIC TO ti.U F: A 5------LENGTH or TIM TO RELOCATE AFTER DATE OF ACQUISITIOh 1122 Mj 1 1 e.r: Ela ce C' m:E Colo: &OA.Ql .. .... 1. ttRIVAH I[ NTAi. fit' !.ALES ttOUS.E -a. SJANDAID ...... SUB STANDARD b. RENT-w/0 UTILITIES $ ,.t3! WITH $ ___ C. PUICHASf PRICE S MO. P.l T.l. $--..-d. LPA REFERRED 0 SELF RELOCATED W r PERCENT SPENT ON HOUSING %----------10 ;!i e e. 2. PUBLIC MOUSING PROJECT NA"E------------1!= 0..., .. 1,/"'1 RENT SUPPLE .. EHT HOUSING _____________ :D woNTHLY. INCREAsE s ______ DEcREAsE s ___ D.U.R.A. FINANCIAL ASSISTANCE GRANTED .., ""0 1. MOVING EXPENSES CIRCLE i Cll 5 ll >-t-1r----o UNDR 120 b Z0-32 c u-s d "' e. 59-71 2. AVERAGE ANNUAL GROSS RUITAL '------g h ... !16 97+ All.t0UN1 ---;;: "'I Ss W/0 FURN r-1::: """ $10 W/ FURN !!! "'- 0 ::t I I I : ; c. OT" INCOME ;: MONTHLY INCO"'l UNRL .ATEC INDIVIDUAL NAME I Hillard 95L IOEn ADDRESS 3 URBAN AREA CIRCLE I J (p S 6 .. ETHNIC COMPOSITION CIRCLE -0 Z 3 5 s. HIGHEST GRAD ATTAINED IN SCHOOL CIRCLE 1 z 3 s 7 8 I 10 11QZ)U 1' 15 T6 6. SEX: NALE s:o F .. ALE 7. AGE OF WALE OYER 62 FEMALE OYER 6.! 8. MONTHLY EARNED INCOW CIRCLE 1. s G6. 5 ZS0-299 UNREORTED INCOWE z. 50-19 7. 300 s 3. 100"9 8. 350 .. 150-199 I '00.. 1C SOD OR MORE s-f a. I OTHER INCO"E MONTt-ti..V ANNUAL 1 A.D.C. s s 2 O.A P J G.A .. s.s s I R 6 ... 7. A.N.D. 8 OTHER PRESENT HOUSING INFORMATION 1 OWNER :: TENNANT/iT D 2. NO or BtDROOWS NO or ROO"S 3. AWOUNT OF WONTHLY RENT WITHOUT UTIUTIES S .1% AWOUNT OF MONTHLY PAYMENT INCLUDING P I.T.I. s s GROU INCOWE SPENT ON HOUSING % YEARS UYED IJrrt DENVER _1_PRESENT ADDRESS J.. 6. PUBLIC HOUSING ELIGIBLE FOR L: APPUED FOR RELOCATION TRANSACTIONS 1. DATE. l!flner. aUZ? 2. DATE WOYD Ia-2.2 Zt J AM0UN1 OF MONTHLY RENT PAID TO D.U R A. s UNCTH OF TIME 10 IELOCATE AFTER DATE Of' ACQUISITION SEX 1 [THNIC II AREA IJ X.llO-' :r. CODE D PERMA" ENT RELOCATION 38-06 1: 1445 --ADDRESS Corona St. .... CITY STAT[ CcJc 1 PRIVATE RENTA .. ....... SALES HOUSE w 1: a. STANDAIC V'su& STANDARD RENT: w/o UTILITIES S !If". WITH N b. s c. PURCHASE PRICE 5 WO. P.I.T.I. S -d. LPA REFERRED :::J SELF RELOCATED 0 .. .. e. PERCENT SPENT ON HOUSING % z. PUBLIC HOUSING PROJECT NINE w_ 3. RENT SUPPLEMENT HOUSING :Dn ,. WONTHLY: INCREASE s DECREASE s __ ,.. ..... .., N. E. D.U R.A. FINANCIAL ASSISTANCE GRANTED ..,"0 z .. 1. MOVING EXPENSES. CIRCLE > I 0 UNDER SZC '72-83 b 20.32 ; 1& I'" 33-'5 .. 97+ AMOUNi ----,..,., Ss wio FUR"-. .. d "'-56 e. 59--71 S1G !!! "' z. AVEitAGE AlriiNUAL GROSS RENTAL Cll-ci s ;;! "' 3. AWOUNT OF ltELOCATIOh ADJUSTMENT PAYMENT z 5 :im .. .. AWOUNT OF RELOCAnON PAYWENT .... .. :.Z zZ .. L.AD?M- ....,. 10 MqA.t-I' .zl6. oo ... .. "f'll.Ne 1r.r. 'fl.o O' cr. z. l!.ll.t:.r. 41zr.- ;! "'I"" cr "' .. '"!1-..

    PAGE 226

    It r. i .. .. .. = ,.. N ,.. N .. ,.. "' ;;:; .. c ---_________ .. ___ ..,. __ ... ... ___ .. -. .. t QUINTP..NAL Lee aDDwEss 1041 -9th Street u- ana CJIICU _, G 8 1 .:npilc CCIM,.,.,.. OICA:' < 1':1,. ,&c:;a' I. ,_ a. 11-.zM a. -7. -3. ....... I. JI0.3M -,,._,., e 'liD 5. 110-UI I D. 100 01 MOl I. OTHEI INCOMEo MONTHLY .. A.D. C. 2. l. G. A s.s E. AIIIIUAL 1. 1110Nii EXPENSES CIIICLE o. UNDEI 120 b. lt-l2 c. IJ-45 d .... e. ,._,, Z. AVERAGE ANNUAL GROSS lENTIL '---------------I. I 72-113 g. h. I 10 W/0 FUIN. I I INDIVIDUAL .. .. 3. AMOUIIT OF IELOCATIOh ADJUSTMENT PAYMENT A -------PRE$EP\IT 1. OWNER 0 TENN"'T )C NO. or ROO"S If NO or 3. AMOUNT OF MOh:THLY RENT WITHOUT UTIO..ITIES s..:flll4a._.I!.IQ'----AMOUNT OF MONTHLY PA'rM"'1 INCLUDING P.I.T.I. 1------5 GROSS INCOME SPEN1 OH HOUSING .. ------,.--:--6. YEARS UVEOo IN DNVR _______ ADDIUS.ha... 7 PUBLIC HOUSING. A_,LIED FOR RELOCATION TRANSACTIONS 0 EUGIBLE FOI 0 DATE or 2 DAlE MOVED _______ /Lf"--'_.,liJJ"-'- ___ AMOUN"!' OF WOhTHi..Y RENl PAID TO D U.R.A LEJrfGTH OF' TIME TO RELOCATE ArTER DATE 01 '--------------- AMOUNT OF RELOCATIOfri PAYMEJiT '------.ltd 110 N llY:>013tllN3NVI'ltl3d Lfli3 l'iHd IIC l N311 I+ ," 'I L l 7. z z !)NISr.OH NO lN3:>t!3d I I I I' I INCOMr_ iNCOME :A UNRELATED IN" URIAN AREA CIRCLE 1 Z J 5 6 COMPOSITIOh CIRCU -1 2 (j & 5 6 5. HIGHEST GRAD ATTAINED IN SCHOOL ,. 15 16 CIRCLE 1 (i) 3 I. 5 6 7 I I 10 11 1Z SEX MAL HMALE ___ 7. AGE Or MALE OVER 61 _____ rEMALE --.J'R.J'L...--8. MONTHLY EARNED INCOME CIRCLE U_.9 6. S 2!50-ZI9 UNREPOITED INCOME 50-19 7. 300-3'9 100-1<19 e 150S 40G-499 200-269 10 SOC, 0' MORE OTHER INCOME MOI>tTHI..'r ANNUAl A.D.C O.l P. G o. s.s R R VA 7. A.N.D. B OTHER PRESENl HOUSING INFORMAliON OWNER JJC TENNA". = I NO OF ROOMS _.,!,_ ___ NC Or BEDROOMS---'-----AII40UNT OF MO"iTHll RENi WITHOUT UTI: .. Ili[S 5 --,,..,_...,..-,..,-AMOUNI OF "ONIHLY PAY'4[NT INCLUDING P.ll.!. S GROSS INCOME SPENT ON ';;J'"G YEARS LIVED lh DENVER PRSN1 ADDRESS .,, 7 PUBi.IC ELIGIB:... FOR APPLIED FOI 0 RELOCATION TRANSACTIONS $/.', It DATE OF ACOI..iiSITIO' ---.;;:...-;;:>J;,:-ii;i..C!7------DATE _____ AMOLI"i .. OF MOHT"ti.. Y R h1 PAIC 1'0 t U A A A. LENGTH Or TIM[ TO IE.LOCAH DATE OF ACOUISITIOfll D RELOCATION 3 2-0 5 825 So ADDRESS .. .. ... CITY Denver, STATE .... ZIP o::::I!L I 1 PRIVATE RENTAL --SAI..ES HOUSE It .. a. STANDARD IC SUB STANDARD "' ... b. RENT W/0 UTILITIES s WITM S E. c. PURCHASE PRICE S .11., S"IJ fJ MO. P.l.l.l. :-d. LP REFERRED SELr RELOCATED ; .. e. PERCENT SPENT ON HOUSING % c .. 2. PUBUC HOUSING PROJECT NAME C:: rJ.., w 0 l RENT 5UPPLEM'f1>4T HOUSING :D "I "I MONTMI..Y INCREASE s t'ECREir.SE s __ ,. ..... N D.U R.A FINANCIAL ASSISTANCE GRANTED :!I;;: 1. MOVING EXP .. SES CIRCi..E z ""''"" -c UNDER S lCI 5I 72-83 )> I z : 84-96 r.: j cr 97+ ____ >-::t' 0 66-56 'lfiO F"URho r-f!-- 59-71 Sto wtFuR,., "' .. AYEAAGE ANNUAl.. GROSS RrriTAI.. -l AMOUNT OF REI..OCAT10h ADJUSTMENT PAYlrlhT 5 .. AWOUhT OF IE1.0CATION PAYMENT w > z' 0 I ... 1u !:' ntttS 1!17 ""B7 rlULo. t ,'n),Jt z, "1::-,., ;; I_ I,. ... !!D.Dt:' "":-" 5871. tbS TS Jil ,./5-' 63. p.::: I -"'

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    -,. ., ,. :'.-...... "'i ;. ..... :.: .. ---z ... _J 2 59 0 Cherry Street c1n....D.enver, sTATE Cal a IIP--0.2 .,, ___ James E. ; mom Street, 1418 0 -I I I 18! l ,.Ia:!; N I 3 UIIAt.l AI A CIRCLE 1 0 l {:) 5 6 -ETHNIC COMPDSITIOO. -CIICLE (J I l 5 6 5. NIGHEST GlADE ATTAIUD IN SCHOOl r.. CIICL( 1 2 J 4 5 6 7 I I 10 l.!Y 1Z 13 U 15 11 6 S "All 7. AGE OF -"ALE OVER 62 fEMALE I. WONTHLY EAINED INCOME: CIICLE 1. 'o6. s no-.ZH SOM 100-1t9 ]00.J.t9 I 150-:199 UNIPORUD INCOME '---------------1 PRIVATI. IUIITAL jC SAi..ES HOUSE = a. StANDA.D if' SUB STANDARD b. lENT w/o UTILinES S tf1/. btJ WITH S----1 c. PURCHASE PRICE S -----MD P.I.T.I. $ __ _,__ d. LPA IEFEit SELF IHOCATED :J e e. PEICENT SPENT ON HOUSING %----------0 Z. PIIIUC HOUSING PIOJECT NAME b .., RlNT SUPPLE .. ENl HOUSING-------------::0 MONTHLY INCREASE 5 ____ DECREASE $ ___ Cf. E. D U R.A. FINANCIAl GRANTED 1:! Z-<" ,... .. 150-119 I 10 A004t9 MOYING EXPENSES CIRCLE a U .. DER S ZO 7Z.S3 >t-t-----... 0Uhl ---01 ... S ZOO-U9 OTHEP INCOME 1. A.D.C. Z O.A P G A 5 5 R t OT+-iE SOil OR "OR MONTHLY .1.* PRESENT HOUSING ANNUAL OW ... EI:f = 1( c b .ZD-32 :. Jl-45 d 06-SI e 51-71 AVERAGE ANNUAL GROSS REI-iTA:.. s _______ Ss w/o FURN ,...,:: .., S1o w/FURN Vii!: AMOiJ'fT OF' RELOCATIOtr. ADJUSThi["T PAYltof[tt.T J .. (;') "'i ,, ______ AMOU'IT OF' RELOC ... TIOPtt PAYt.tE!rlo'!' .. -__ _; .... "".,:...:.!Vm.c.::-=tA-=-.:. :l!l" "' .. !-lZi NO Of' R00'-15 1 "tC' or ..---OF REPoi .. o'!THOUT UTIL:TrES 5 ,,j. It u OF PA"HHfoi'i FIT I S ---GROSS INCOME SPENT 0' HOU5'"G %-------:--YEARS LIVED IS DENYEI" ADDRESS_,..,3;z_ __ clz! ""I" E I> /l>A <; 0:. C OC t-+-1 -Tf.JI P Jrii.i/41).4; a: ..... I"'' i ti : i ; PUBliC HOuSING ELIGIBLE fOR = APFLI[t FOR = 1 C RELOCATION TRANSACTIONS /II 1'... \ DillE OF ACOUIS:TIOh __ ; 2 DATE MOVEC T.:_ .::..1 T z, >< .,, v-;-. ;E j 3 AMOU!Ii': OF fJIO"oTt1L.'Y RENT Pt..;D TO O.U S ------i;! 4 LE,.GTH OF ':'IME 10 AELOCio.'!E AFTER OAT[ OF ACOUIS'TIO*' i!o iO' i 1-! I z -----4z -AB 1'1"' .. ;',1 li' ,,-.-! =t::ii(iiiA_ NOil.v:l013tll.N3NYI/IItl3d '. i ... I l ____ ...,_,., I u 0 :,.. OTH I E ... R"' ':A UNRELATED INDIVIDUAL a: 1 moE RAMOS, Ysabel 1 ADDREss 10 6 8 -9th Striet 3. URBAN AREA CIRCLE 1 2 3 A 5 6 J N ETHNIC COM,.OSITIOJri CIRCLE 1 z G 5 6 5. HIGHEST GRADE A"AINED IN SCHOOL I CIRCLE 1 Z 3 S f 7 I I TO 11 TZ It I' 15 l6 6. SEX, MALE FE .. ALE ___ _:.::....--....,,---AGE OF "ALE OVER 62 ____ FE .. ALE OYER 62_...Jft..4R--N N I "ONTHLY EARNED INCD"E. CIRCLE 1. I o2.. 50 5. 20G OTHEP lhCOME 1. A.D.C 0.1-., 3. G.A a. s s I R YA ,_ s 150 7. 300 8 35G-319 t. oo-419 10 SOCI OR MORE MONTHLY ttl. ()o : '".cO PRESENT HOUSING INFORMATION UNREPORTED INCO"E '--------------ANNUAL 1 OWNER Jl TlNNANT C 2. NO Of ROOMS O BEDROOOOS--.&'----AMOUNT OF MONTHLY RENT WITHOUT UTILITIES S ------A AMOUNT MONTHLY PAYMENT lhCLUDI!ItG P.I.T.I. 5-----5 GlOSS INCOME SPNl ON HaU;;NG %------,.....,r--6 YEARS UYED lfli DENVER PRESENT 7 PUBLIC HOUSING ELIG18i.E FOR = APPUED FOI ....; RELOCATION TRANSACTIONS "' DATE Of ACOUI SIIION -i.,'=i.'i'-------Z. DATE ____ OF' MONTHLY RE"iT PAID TO C U 'A s ____ LENGTH OF' TIM 10 IEl.OC'Tf ArTER DATE Of 0 PERMANENT RElOCATIQO,: 32-23 ADDREss 4000 Umatilla Street CITY Denver, SlATE IIF:::IL 1 PRIVATE RENTAL SALES HOUSE. a. STANDARO 1(. suB sTANDARD J 1 b. RENT. W/0 UTILITIES 5 WITH C. PURCHASE PRICES J.l1t)t2Q "0-HU d. LPA REFERRED 0 SELf RELOCATED B e. PEICENT SPENT ON HOUSING %----------C i!: .. "' II ., Z. PIIIUC HOUSING PIOJECT NAME------------C: 5.., 3. IEJn SUPPLEMENT HOUSING ;:D MONTHi.Y INCREASE 5 _____ DECREASE S ___ E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED "11-. z MOVING ElPENSfS CIICL.E c UNDER SZO 0 ZG-32 c UA5 d -.se E-51-71 Z. AVERAGE ANNUAL GROSS RENTAi. '------'71 c ... 96 w/o ru SiC W/F'UR"" ,. I '"' r-j;;i ... .. 3. AMOUNT OF" IELOCATIO,_ ADJUSTMENT PAVMINT Z s.________ A"OUN/2; DrNT 7 a ... .. 11J.O Tlb.J 10 ''' .tJs, "P.P 6?1, /SlJ. 0 () .,... ,,ttl -0 I : = .. "' .. "' .. ... "' .. "' .. ..

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    N N .., "' "' .., I"'. tC ia:!f ,. ll> \o. "': ,.,. -:2 .C i .... ,c ... -: i : ,:.. ... R.i\Y Richard lOth Street UOBA AOEA CIRCL (D (j) ETHNIC COWPOSITIOh CIRCLE: -(t) 2 J 4 5 i HIGHEST GRADE AnAINE:D 1111 SCHOOl CIRCLE 1 Z 3 4 5 '& 7 I CJ? Hi 11 12 11 1 1! 16 SEX "ALE 30 FE .. ALE------------AG OF WALE OYER 6l F'EMA.L OY 62. _____ MONTHL" EARNED INCOME CIRCL.E S O-o19 6 $ UO-Zt9 UNREPORTED IN::OM 100-149 1!te-199 S. ZOU-2.49 9. OTHER INC01rro4 A.D C O.A.P G A s s YA 0 C QT..;!:F. JOC.-349 l!o0-399 400-6!ll9 10 SOC: OR MORE MOh'!'Hlt PRESEO.:T HOUSING =: ANNUAL NC :;,r ll()()r.J!S J NO Of OF RE"t":' WllHOUT U'I'1._!TIS S ";()., AMOUNT QF .. Pio.'rt..t[hl INCl.UO!"'G F.l T.l. GROSS 01'1. HOIJSIIIiG % _________ YEARS L!'IEO lh OEJ\VER ______ ADDRESS ,.. PUBL:.: HOt.iSi\G E!..IGIBLE FOFi = APFLI FO!:I: = RELOCATIO'I OAT[ OF_, flllt2. JIZ3 oTE MOYEL ,, "-7J Ah\Qu-..: OF MO'IiTrh." iHr.. F'A.IC TO C :J P. lo. LE!Ir.GTH TIME TC AHOCAT Jal"TER 0-'H OF' ACOUISITIO"' :-t ;:. .... -"' [ 38-06 v-::-:_;.; j ::o < 1 De:Jver, sun Col a PRrVAl REhU.I. .,.. SA:.. riCJ!tE a. STAfWDARD fill' SUB STANDARD b. If NT: W/0 UTlLITifS $ tiS. 00 WITH $ ___ c. f'URCHASE f'RIC 5 _____ MO. P.I.T I s __ d. e. All.tOUioiT or IE .. OCATION ct.,). tJ9 lzt. u i'" .. ., ,o .. u' z ;g,:& ---------------------------------------------C' --------------------------------------------------m "' ;a.; NOll V:l013!! l N3NVWI:I3d "QQ\" l.._3S3tid St:J.: C311N3C t\.: SbY3J. S0.3EI S ... OOI:l CJ.S; I-t L ":!'1 Z:l l [ .,iClS!I :.'31 ........ ,i j. 6(. '5. z .z. 1 ... .,jC,, 1-Z. .1 IW t L .:. .z. : I N NO HIDI:I3d I ;; z z l ; I. 1:'-; II 'l: 2 :'2 !Yfi;i II I 1 1 e i': ,. CII FAMIL' C:OMPOSITIO" & SOCIOECO"'OMIC DATA D PERMANENT RELOCATION i jg: u .. l __ ... s"-L, ADDREss 2 8 54 Eliot Street i ., .. .. N "' .. N .. ... .. ... .. .... I'! .... "' 0 .. .. ., .. I 2. ADDRf55 __ ... 5.._ __ ,..l"'Q"""'t_h ...... _..._t._.r_e.....,e__.t___ I. PRIVAT RENTAl :; SALES HOUS )( J. Ul .. l< AREA -CIICL I 0 J e 5 6 o. STAIIDAID Jl' SUI-STANDARD C 4. COMPOSITION CIICU 1 I (j & 5 I b.-aEIIT: WI'D UnUnES j'= WITH 1. -HEST &lADE AnAIUD Ill 5-BY HEAD Dl''fAMILT <-PUIICMASE PMCE s U l'OI,ItiLo. P.I.U. $ ,, ,., .. ac:u 1 z 1 s u u .1.1 ." ,. ,.J. -DU ... EI 1W CIIILDIEN Ill HOUIEIG.D 80\'s_A_.;II.s--Z_ 7. KE Of'-MALES OVU 15 _____ _rEWALS OW'II.Il a I. MON11LY EAIIIED INCOME -QIC:U 1. $-&. $110-1H 1.3. 110 150-199 5 100-U9 I. DntfR INCOM 1. A.D.C. 1. O.A.P. 3. G.A. &. I.S. I. R.I. L YA tJ __ ,.-,'&0 I. lSO.IM I. ooo-&H 10. !100 OR WORE MONTHLY !11.16 JJS,IJD UNIEI'OII1ED INCOME s ANNUAL d. LPA IIEFUIIED D SELF ULCICATED C e-PEIICET IPI.T 011 HOUIIIIG"-------------1. PUeUC IIDU--PIDJECT IlANE MDIITHI.Y; IIICKASE ___________ ., .. ,,ECIEASE ------1:11 I E. D.U.R.A. fiNANCIAL ASSISTANCE GRANTED ;.. g, 1. MOVING EXPfNSES -CIRCL 1., "'1 o. UNDER S ZO b. zo-:u c. JWS d. &6-58 e ._,, Z. AVERAGE AIIWAI. GlOSS IENTAL f. 9 s n-83 ..... StC W/0 S 5 INDIVIDUAL .. > : r"l:a! >-If"! I .. 1. AMOUNT or RLOCAnON ADJusnoET PAYMENT zi?: J '--------ni ,'" 7 a .. D. Awou,"' or _m.ocnDN PAYMtNT/t// r. t1 t) 1 HO 1:'11;1 B. l'lttSENT HOUSING INFORMATION "'r V 7 7 ( \. -U '-MIIAI D I. L J 1111. o. or Ell-" ., ___ ;,;utMn,,. .. .J. -liT OF .aNniLT rDTW11110U1 U11UnES $..---""-..;..,.;.._ .... _; N .. 'N ..... MilliN. NY .. IIIT IIICWDIIIG P.t.'fol l--..,..,.....-..; _1..H 16'1''" -"'!''l.tl .. ..-;:_ .. ._, =-=::-:'---,, -H-.-__ ; -v'-'C--: .. a D ---'C. RELOtiTfOit TAUISACTIONI .': ... .'--;.u._.._ ___ .._ ___ ....;;;;.oo:._ _______ "'-j .. ,;'. 'MU OP _...._ /! 7 .J. :11111'1-ID I j .... ----T -.PAGI D.D_.4 ..... ------.&..u:-18 -HUII:A1E APTII11Aft41' .. ;.. '. )!CIIIIIISI'IIOII-... ::-....; ... ::: ..; :. -.::.. ... .. -

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    t:: IZ !C 1"-1 _:__,_::_:_ __ .: ":" i: ,,.;: :-.:.. -------.... RICEf Howard ADcm 1105 Stout St, 14 UlaAN AlE A CIICLE 1 () l C) S t. ITHaUC COMitOSITIOfll CIICLI: 1 1 J !5 I 5 NIGHEST GlADE AnAIIIIED IN SCHOOL CIIClf 1 Z 3 I !S I 7 I I 10 11 1l 13 1& 15 11 SU WAL[ ______ rEWALE------------AGE Of MALE OVER 6;: FEMALE OV[I 6l _____ MONTHLY EARNED INCOME CIRCLE S G-19 6 I UO-ZH UkiR[JOITED I"Ca.. z. 50-99 1DC-U9 200-149 OTHER INCOME A.D.C 0. p G A s VA 'c Oli"I(P l00-J.I9 10 01 MORE MONUU .. Y PRESENT HOUSING INFORMATIO" = = ANNUAL NO (lr IOO"'S ______ NC Of 6EDOOO"S------AMOUNl OF" lo401ot"lHi..l WITiiOUT UTI:..!liES 5------AMOUNT or MO"'THL't PAYMEPH INCLUDING P l 1.1 GROSS SPEh.T ON HOUSING % ________ 'I'EARS liVEO OENVER ___ PRtS.EIIil ADDRESS ____ PUBLIC ELIGIBLE rQii C RELOCATION APP-IEC FQii = DATE. or .C.COUISiliQ,_ ---------------DATE MOVLC ------------------o; REN .. PAl;;; TO [.u fl' A or "!.Mf TO RELOCA!E ArTER .. ; ____________ :. -;.. o..: ..,_, t ,. 38-04 A::>[) R E! 5 __.D ... E....,C .. E ... A ....... S ... E.......,D._____.]_,Q..._-..:;4._-___.7_3..._ __ i (ITt _________ SllT[ ____ --:--1 ---,IIVAlE llNTAL. SAi..E!t HOU!.l -STANDAIO =: SUB STANDARD b. RENT w/0 UnliTIES S ______ WITH r. PURCHAU PRICE 5 _____ WO PIT I S ___ 1 : ... (' I ,_ I ( -r"'l d. LPI RHUREC = SELF RELOCATED t10 r' r. PERCENT SP[NT ON HOUS"G 9!:----------O :t:>1 l 'UILIC HOUSING PltOJECT ;c RENT SUPPLEMENT HOUSING "' MOtrriTHLY INC1tASE s DECREASE s ___ DURA FINANCIAl. ASSISTA" CE GRAtiTEu I MOVING EXPENSES CIRCLE 0 UNDER 'ZO S 72-SJ b Z0-32 9 .... If ll--.5 9?+ AM0Ut.i1 ----d 06-58 w'o ruP". st-71 S1to 'A ruRh. AYE RAGE ANNUA1.. GROSS AMOUIIi .. or RE...OCAT!Q,_ A:>JUSWE ... l Folt..,.o,: AlroCOUIIi' QJ" Ri..OCATIOiot PATU[ ..... "T\ "C! >-H----:o: .. c >. .. ----n-.<'" c: z.z :'" ciz t-, !,II =-[ ;::::::;:: !N3NV!folti3d de ..,3"'N3C ,... sa3e St"1100tl la.:s; : .. "I l l i I' O.lS: !,,. '"'--.::-l"r-:::=--::==c.::--ii''--::===:-7:==c:-=-:c;:-:---l, [i-----tcr;-iti ,-)-I OTH INCOME MONTHLY I .. COME SEX I ETHNIC II AREA llXliO<'X ALPHA CODE : i !A UNRELATED INDIVIDUAL o. PERMANENT RELOCATION 0'( --------,z' 1 "'"' RICh Virail iii N "' .. 1 ADDREss 1105 StOut, #22 l. URBAN AREA CIRCLE 1 co l 5 6 ETHNIC COMJIOSinON-CIICLE Z 3 5 I 5. HIGHEST GUDE AnAINED IN SCHOOL CIRCLE I 1 l 5 6 1 I I @ 11 1Z 1l 1' 15 II 6. SEX, WALE-...,;i$"-LIO'L---FEWALE-----------7. AGE OF WALE OVER 61 ____ FEWALE OVER Ill _____ I. WONTHLY EARNED INCOWE CIRCLE I S 0.09 6. S 1!10-lH INCOME z. 50-99 7. 300-309 s ________ e. lS0-399 150-1H 5. 20G--U9 Sl OTHER lt.COME 1. A.D C. Z O.A P. 3 G.A. s.s. 5 R.R. 6. VA. 7. A.N.D. 8 OTHER 10. 500 01 MORE MONTfotLY PRESENT HOUSING INFORMATIO(Oj ANNUAL 1. OWNER C TENNA ... T Z. NO OF ROOWS ."tNO. OF 3. AwouNT oF woNTHLY RENT wiTHOuT ununu s SD. o AWOUN! OF MONTHLY PAYWENT INCLUDING P.I.T.I $ ____ 5 GROSS INCOME SPENT ON HOUSING 6 YEARS UVED. IN DENVEI ___ ADDRESS_,..z._ __ 7. PUBLIC HOUSING EUGIIL[ FOR C! APPUED FOit W RELOCATION TRANSACTIONS I DATE or ACOUISITIO z73 Z. DATE MOY[D tI 23 l AMOUNT OF M0NTJ1LY lENT PAID TO D U I I 5 ------.t UNGTH OF TIME TO RELOCATE IFT[I DATE Or ACQUISrttOll AooREss 1317 Pearl Street. :!! 2 CITY Denver; STATE r'QlO ZIP....Q..3_ 1. PRIVATE RENTAL/ SALES HOUSE C a. STANDARD SUB STANDARD b. RENT' w/o UTILITIEs S M 00 woTH S ---c. PURCHASE 5 WO. P.l T.l. $ ___ d. LPA REFERRED 0 SELF RELOCATED 0 e. SPENT ON HOUSING %----------0 "' .. CD Z. PUIUC HOUSING NAWE-----------. 5 "' 3. RENT SUPPLEWENT HOUSING ?J MONTHLY: INCREASE _____ DECREASE 5 ___ E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED :!! N -w._ .. 1. WOVING CIRCLE ::L""-itf-'"-----0. UNDER 'ZO : '72 -r b Z0-31 9 114-16 CD c llS I, 97+ IMOUN1 ____ :;;1;l!, d .._58 Ss w/o ruRN r ..,. e st-71 510 W/FURPII. t Z. AYE RAG( ANNUAL GWOSS IE:NTAL !!! $________ ;: .. "' N l. AWOUNT OF RELOCAnON ADJUSTMENT PAYMENT ZHI-----. $--------::l AWOUNT Of RELOCAnON PAYWfNT I L_L I 00 4 C'l" ;c ..... >-z zZ "' z ..... j;; .. N -... ..

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    N N -> I lP, !'-.2 lz.,.., 1:>;::: 10:1 lr..' : I I I ------. ; c :<.:>: I :z i 1 :c ::r' !z: 1____ :w. 1 .. ; .... ....... l_ RIC:nA.RDSJ:\S Thom.::.s 952 IOtn t., illl URIAh AllCIRCLE. '0 JG !I 6 &. ETMirUC CO..POSinOh CIRCLE C Z 3 5 I 5. HIGHESl GlADE ATTAINEC IN "HOOL -1 2 3 5. E 7 C!) 9 10 1 1 1Z U t& 15 11 6. SEX MAH f !}'ALE 7. AGE Of MAL.f OYER 6Z FEMALE OVER 62 _____ 8 MONTHLY EARNED INCOME CIRCLE S 0-t 6 S UO-ZI9 !o0-19 100-1.9 150-199 Z00-2419 9. OTHER INCOME 1. A.D.C. O.A P G.A R R VA A t. OTH!: 1 30Gl&9 8 3!10-399 &0010 500 01 MORE MOf\THLY lfll OCI UNRE,.OITED INCOME ANNUAL PRESENT HOUSING INFJ)RMATICN OW"t[ff = V '0 0' OOOMS __ ____ hO or HD.OOMS ...:.'r--;;;;-::---AMOUhT M0h"!'HL'Y IE "iT WITHOIJ":' UTILITIES 5 Of MONTrtL't' PATME"-'!' INCLUCIIIIG PIT I GRO$S IIIICOME SPENT or.. HOU51NG %------.,---YEARS !..IV ED lfli DENVEfi' ADDRESS ,L PU6;.1C HOUSING EUG;BLE fOR APPLiED FOR = RELOCATION TRANSACTIONS [;Al[ or ilb me Rh. 2-tr' OAT[ MO' EO II-]!L.. z! loMOUhl Of REfoiT PAIC TO D L' li.A LEI"tG'r,.. OF" TIME TO RELOCATE AE"TER DATE OF ACOUISITIOI"t ;.....,_ i... oc'" .!N3S3ttd Stu llHP.,3G N' 1: 5038 -------;.z "' N "' "' ;c j;:.. ;c IC! I'" I I i I I 9 L 8 I.' z .. "A"'E P.IDDLE, James ADDREss 1145 lOth street l. URBAN AREA CIRCLE 1 (p l S ETHNIC CIRCLE -cs:>z 3 5 6 5. HIGHEST GRADE AnAINED IN SCHOOL CIRCLE 1 Z l (V S 6 7 8 9 10 11 12 13 1 15 16 6. SUo MALE FEMALE------------7. AGE or MALE OYER 6l 7J FEMALE OYER 62 _____ 8. MONTHLY EARNED INCOME CIRCLE 1. s .,.., z. !50-49 3. 100-169 1!.0-199 200-2'9 9. OTHER INCOME 1. A.D C. 2. O.A.P. G. A s. s. 5. A R YA. 7. A llt.D 8 OTHER 6. S Z!S0-219 7. :SOO-U9 8. 3!10-319 9. Hi. 5-0Ci OR MORE MONTHLY 172. ko PRESENT HOUSING INFORMATION ANNUAL OWNER = TENNAN! i!"' z. NO Of NO or BEDROOMS AMOUN'T QF' MOJI\ITHLY A[ NT WITHOUT 5 J!.$ l.. AMOUNT or MONTHLY PAYMENT INCLUDING P.I.T.I. $----GROSS INCOME SPEHl ON HOUSING !iE _______ ::"'',_-6. YEARS LIYED IN DENYER ___ PRESENT ADORESs_/'-'i.JL.-7. PUBLIC HOUSING EUGIILE FOR C APPUED FOR C RELOCATION TRANSACTIONS I 7 .. 1. DATE OF' ACQUI!.ITION ______ Z DATE MOVED f-JO-2'3. AMOUNT OF MO .. THL':' RENT PAID TO D.IJ R.A LENGTH or TIME TO RELOCATf. AF'TR DATE or ACOUISITIOh -. .:..r._ : -38-06 1432 Deoew #37 i en Denver I suu _,c ... i 1 PRIVATE P.EhlAL SALES HOUSE. a. SlANDAIC SlANDAID b. IENl W/0 UTILiliES S !142,,20 WITH C. PURCHASE PIICE S MO. P.I.T.I. S ___ d. LPA REFERRED :J SEL.F IELOCAT :::J i .. N .. PERCENl SPENT ON HOUSING 91;----------0 Z. PUIUC HOUSING PIOJECT NAME-----------C b>"' 3. RENT SUPPUNENT HOUSIIIIG :C n1 >. MONTHLY INCREASE S DECREASE 5---, ... E. D.U.R.A FINANCIAL ASSISTANCE GRANTED .., 1. MOYIJiiiG EIPENSES CIRCLE Z C1l UNDER 520 20-32 ( 3306 E' 59-71 AVERAGE All!INUAL GROSS 72-el 9'+ AMOUNl --W/0 FUAN S10 nj "' ... -... >"' v;l!l !UI ... ,... ,. -_I"\ ,-. .. .. N .. .. 3 AMOU.,_':" or RELOCATIOh ADJUSTioi[NT PAYMENT Zl-----)> Zl / .A,...,., I tc.I...&V AMOUhT OF P.Ei..OCATIO'-PA'\'Jr.I["'T ___ 81;' tt1 E/f!JA If' .2. o. oo f-. ..... 1.: "' __ 3:i0' 0131:l !N3NVII\II:l3d i" Z L i i ADDRESS 71 J 18th St =-= .. .. "' .., CllY Denver, sTATE rqJ o k 1. PRIVATE RENTAL It'"'"" SALES HOUSE a. STANDARD liii"'Sua STANDARD b. RENTe W/0 UTILITIES $ WITH "' .. C. PURCHASE PRICE S MO. P.I.T.I. S ___ d. LPA REHIRED 0 SELr RELOCATED Q e, PEICENT SPENT ON HOUSING % O '" 1. PUBUC HOUSING PROJECT NAME t;j..... w 3. RENT SUPPLEMENT HOUSING MONTHLY INCREASE DECREASE S ___ (rl "" E. D.U.R.A FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE Ul 0. UNDER SZO S 7Z-8J : ,::MOUN1 ---.,j lD &&-se S!t "'lo -.,j w e 59 S1o wifUR'N VII"' 2 AVERAGE ANNUAL GROSS RENTAL i; cr. N "'"'I 3. AMO:tf-T_O_F_I_E-LOC_A_T-10-.-A-DJ-USTMENT PAYMENT ... AMOUNT OF RELOCATION PAYMENT C' C'\1 ::cl,.l.., .. : I ;z.z.p.no

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    ... -----:;, .;:: N li = .. i j>-iiiil !g::::: ''-Iii z,..,. I ,If! ... -.... ......... _:--::-------------I ... -.. -.... .::.-..--:: _.,... -,-r .... F:.::c;:.::..::..,::.., ::; i lli arr. c. ooR 100 OR MORE S'()Q b. all-32 g. K '" I. OlMU INCOM[ MONTHLY AMUAL c. Jl-65 h I 10 W/0 FuaN. ,_1 I 1. A.D.C. d .._51 I 5 tNDIYIDUAL r-1 I'" 2. O.A.P. 11--71 G.A. 2.. AVRAGE' ANNUAL GOSS I ENTAL l________________ ... ,...,, .. : .. R 3 OF RELOCATIO" PA'tM[hT 1 ... ____ ?. Jj "C. 4. AMOU,_l OJ' IE'i.OCUIO"' PJYM[JriT t-'OVSING n,.t:C:RMATtO" '--------------;)lo.C'. OWNER C TENN"*1 'f( ________ Z. NC 0< ROOMS .:z.NO Or 8[01000'5--:'...Jl!---r;r--#WTJA. MO,_THi..'f' wiTHOL"' UTILJTIES s : IIJ .... ,...-------------------------!c!:.:a A .. OUN1 0' MONTHLY PAYM[NT INCLUD"G p I.T.I. '-----------LIJIA/ 17, 91JO !::;i ... GROSS INCOME SPENT ON HOUSING i'r1l YUS LIY[D IN D[NYER----J..f-PIU[NT ADD IUS 71115 ___ .=,8....,Q._ ... or:::E ___,., ... ..... __________ j .. .. ., I ---... .... I c. 7. PUBL.IC HOUSING APPLIED FOR :l [LIGIILE rOR C l' RELOCATION TRANSlCTIO'IS TI.NP 3, :J ''"' ,.,1 'I' ,, : DAT[ or ---------------------------------------------------\ Z DATE MOVEC _______ ,.L.:..'.II/,L.:'..J'U.1 ______ i!' @ iz! 10; 3. AMOUN':' OF WIOhTHL't" RENT PA': TO 0 W.R A '-------------4. LENGTH OF' TIME TO RELOCATE Aq[R DATE Of ACOUISITIO"' .... ..A lA --------------------------:z:i .. ... ... c .. .. ... I 'I '--., .. .. -.fii\idiiili I I_ .. I ..... E RIEDELL William C ADonss I 0 2 3 Stb Street 1. IvAn ENTAL l!f4. saus HousE :: 3. uaUN AR[A CIRCL[ I 2 3 0 5 6 o STANDARD Jl SUB-STANDARD :: ETHNIC cOMPosmOH c1acLE .c3) 2 J c 5 1 b_IIENT' W/0 ununu s 'IG, C) D WITH '-------, .. I. 115MEST GaAD[ AVAINED IN sc-. BY HEAD DF FAMILY <-PUaCIIAIE P .. tt s ___________ MO. P.I.T.I. '--------IN aac:LE z 3 s 1 10 n CPu 11 K d. LPA aEn .. u c SELF alLOCATED Jl.. 6. IIUMIU Of CHIUIUN Ill IOY5----8IILS ... ,,.. -PUCENT SP!IIT DN _,SINGS'-------------------1.. .-.. ) .N.._I .. ... _.: .. ... "' c ... .. "' 7. AlOE Of IIALES OYU 15 I CWI!a II Jl a. PUBUC -SifiiO. PIOIECT NAME I. IIDIITHLY tUNED INCOME QRCLE 1. ,_ z.-7. _,., UUEI'OnED INCOME IICiffTHLY ocuuE s IQ OQ otcaus '--------:u "I E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;..1g,"' lw,! N .. 3 400U19 150-199 5. ZD0-269 I. OTHER INCOME; 1. A.D C. Z O.l.P. l. G.A. 5.5 5, 1.1. 6. VA. 7. A.N.D. 8. 3!16-399
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    ----------------... _____ .. ___ ------. &, :. : : I .:.. t. ....... ---::----------! "' 3 UIIAh IIIEA CIICL 1 l 3 5 6 &. ET14NIC COMPD"nO'I CIICL 1 Z (!) I I I. HIGHEST GlADE ATTAINED 10 SCHOOL CIICL1 2 J 5 f 1 I t 10 11 @n 1 11 11 I SEX MAL[ '"I+ F(MALE-----------7. AGE Of IUL OYU ll FEMALE OY 62 _____ I MONTHLY (AINED INCOME CIICLE 1. S 1>-&S I. S UOZ99 UNREPORT INCOW z. 50-99 JOO-Js '----------------oPP.E5s 1.::.3 c De::--.ver I STATE Co! : 1 ,RI\oATE m.., ALES. HOUSE -&. SlANDUD .. SUI STANDARD b lENT w1o ununrs s ______ WITH s 80.00 c. PURCHASE PIICE $ -----MO. P.I.T.I s __ d. LPA REFUIED 0 SUr IELOCATD J!C .. e. PUCENT SPENT 010 HOUSING %----------Z. PUIUC HOUSIWG PIOJECT NAWE-----------. b ..., -.-,. 3 RENT SUPPlElltENT HOUSING ;tJ MONT14LT. INCREASE S "fS".QO DECREASE $ )>"""' e 3!50-399 E. D.U.R.A FINANCIAL ASSISTA'ICE GRANTED --:., ;I 1. MOVING EIP[NS-CIICU 0 UNDER S ZD f S 72-ll -r b 20 9 I4-9E CD 3 100 U0-199 : I z ____ __J!: ZOCIZ.t9 I. OTUR INCOME 1 A.D.C. 2 O.A.P 3 G A s s p r. E VA r.;.o 10. SOO OR MORE MONTH,.Y U:-' OTM[O c /:? (" ( PRESENT HOUSING I"'"CRMATION ANNUAl c 33-"5 t'l 97+ AMOUNl ____ >%11 d 06-58 55 w/o ru .... ,;:: e 59 5to w/ru tn IVE'AAGE GROSS REhTAl fii!::_j '---------------l. AMOUNi OF RE...OC.ATIO" ADJUSTiroiiENT P.AYMENT Zl ---------------.t. AMOUPiiT OF' PAY!ro!E"T C\ :0 ,..,...,. .. ... N ... .. !o=lg: 0\\PiiER = 3 () t.IO or ROOVS i NO OF BEOAOOMS=::=....'----_. 4 __ C.:...j __ ;:;i I o ,a:, .o..j I I I I C :C)' I lzi I iVi: I I AMOUNT or MONTHLY RN'!' uTrL!'!tES S J$".0 C Or MONTHLY PAY,..ENT ihCI.UDihG P.I.T.I S ----GROSS INCOME SPPrrn 0111 HQ.USING ------,_.--E. LIVED: IN __ -i PUBI.IC HOUSIJrwG ELIG!Bi.E F'OF. APPLIED FOR -.: RELOCATIO,., TRANSACTIONS DATE OF ACQUISITIO' .;}" 'I z.. 1 OAT .. ftf 1 :!1 !;!!;. QCi:;; i,-. >< "01 V'l!-, !g 1 2 I L.HiGTH OF TIME TO AELOCAH AFTEP DATE OF ACOUISITIOPII lc; ;o! i 1 A OF MOto.lHL \ RE !-ZM UNREPORTED INCOME 3. RENT SUPPLEWENT HOUSING 2. 50-M lD0-3&9 s INCREASE 5/ OQ DECAEAS s ___ > "' E. D.U.R A. FI,.ANCIAL CE GR'ANTE!:: ..,1',.! l 100 6 3S0.39'i ,., 1. MOVING EXPENSES CIRCLE -.. U0 9 72-63 0 UNDER S2' == 5 ZDG-2.9 10 SOC MORE t ZDJl ; ... ANNUAL n-u > 9?+ AMO!..I'-1 ----l:ol 9 OTHE. INCOME 1 A.O.C s s d 06-58 'lf/0 Fufo"" "' 59-":t1 S1o y,/ruRr.. OAP 3 G A 2. AVERAGE ANNUAL GROSS REiiiU.L -1,. c.n.""'. s.s s -5 l. AMOUNT OF' RELOCATION ADJUST"''ENT PJYWENT z nl,. 6. YA. s "''"' .. 7 -.N.D .. AMOUNTIF REI.OCATl()t!l PAYMENT Cll C' :ci>-' "' 6 OTHER IQ9 PAESE'IT HOUSING I'IFORMATIO" 0' .. 1 OWNEJ: -TfhNAhT 5+-o r'ca.,.'1 e. d'l_r ?J'Cj. .Niall CIZ' l NO OF ROOirrlot S NO or BEDROOM D'f ,-: .. I 3 AMOUNT OF MONTHO..Y RNl WITHOUT UTILITIES $. QQ 5 1.. ANOUN'T OF MONTHLY PAYMENT INCLUDING P.I.TJ l: 5 GROSS INCOME SPENT 000 9t. o! <:-. .::.. 6. YEARS UYED ,,. DEHVEP ___ PRESEiri!T ADDRESS Z: -APPLiED FOR -:;?f1l ... 7 PUBLIC HOUSING ELIGIBLE FOR -.ac iJ' .>< AELOCATIO>; TRA'ISACT!ONS -;Al.tl.lt .,. /<15 r ,.,.. DATE or J !IS IIIII "'' .a.-;aL-75 m l. DATE MOYEO V'!l-" j U40UII.'! OF W0Nh4L '\' REN. PAlO TO C.i.i R t. s .. UNGTH Of TIMC. TO IELOCATt AFTER DATl OF' ACOUISITIOh iC ..

    PAGE 233

    .. N -z -" "' "' .. .. :: ; .. .. z N N .. _______ _______ __ ----------------,, v c .. -?.=:':::.:..::::s "'! I ,.if"'' Califc::--:.. ic:, -,,....-I --"' hAhl'[ ADD .._ "'L \., = .;_.:111:.' i ... II3: J i:I 0enver Cola ZIF.....Q.L ... !U I ADDIE.SS c:n STATl 3 URIAN AliA CIICd: () 3 (0 6 1. ,.IVATE SALES w .. .. !TMMIC CIICU 1 Z {;)' I I &, SUIIDAID SUB STANDUD .. I i b. lENT, w/o unuToES s ZD OD N 'N I. HIGHEST GUDE AnAINED IN SCHOOL WITH s ., J J>, .. _r, I CIICL 1 z I !0 1Z 1l 1 15 ,. c. S MO. P.I.T.I s 1!_S d. I 6. SEX MALE rt:MALE IEFUIED c SELF RELOCATED ::::J -r' I I Ill .. I AGE OF WALE ovu 62 FEMALE OYEI &Z e. SPENT ON HOUSING I I MONTHLY EAINED INCOME CIRCLE l. HOUSING .. ME : s, ... .., :;! i 1 'G-09 6. S 1SOZI9 INCOME 3. lENT SUPPL[M[NT HOUSING .. : >"'rr ., ; z. 50-19 J00-:119 MONTHLT' INCREASE s DECREASE s __ ... .. lc:!,i:ilf -J'-0 In 3. 100 E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ..,.., i .. 1. MOVING EXPENSE.$ C.IRCLE .. i"' I i I .. U0-1H I ..... '7Z-83 i 0 UNDlR $ZO f ""IV'I i 200...i.A9 10 500 OR MORE b. ZO.lZ g '' z 1,. l:f: I. OTHER INCOME MONTHLY ANNUAL ( 33-45 97 AMOUNl I s d .... Ss w/o ru.-.. let' I 1. A.D.C I z O.A.P .. H-7! J S1o wlru.-V'l co, V'l"tt:C'I ... 3 G A z IIVRAGf ANNUAL GROSS RENTAL fnl>i i 5.5 : s. R R 3. AMOUNT OF ACJUSTMENT PAYMUiT z ; VA s i::: i C\ "I 7 A."'.D AMOUNT OF PAYMENT i2 ::c >! ..... .. ... ,;,!) 8 OTHER > "i PRESENT HOUSING flub..__ z zl ... -( ="' OWNEP = TENhA'' ttl' "',.,l c z! -I .. !Oi._, NO or ROO"'S I NO. OF BEDROO"S 4 !!11:' lt-lz. J A"'40Ufotl OF MONTHLY WITHOUT UTILITIES 5 ,21.0 "" lziwl 1--., WI"': AMOUNT OF" MOhTHLY PAYMENT INCLUDING P I.T.I s -rJ.IJ# &>, s GROSS INCO"E SPENT ON HOUSING % QO i lo.l ::.. 6 YEARS LIVED l"i --'--PRESENT ADDRESS l 7. PUBLIC t.LIGIBLE FOR !: APPLIEO FOR :::J IJMrt{t.Y I'IIIT.S 013ij .lN3NYWH3d : ... ... cc !N3S3!ld Stu. 1 ioi3AN30 : 5036 SI'OO!l OlS !N31'AYd !lO lN3!l !)NISnOI< NC lN3:ltl3d -i .. } a: L I I ,: [ n n I l z I z t L i I z I ,z. i s 9 z I z L 8 ans 1 i I I i OlSI n 0 l [ z l z l z L I t..L..PHA CODE D PERMANENT RELOCATION 33-02 ,.... .. 'oJ'' ...;:-10--:4906 Teion St 1: I" ,.. IJ; .. NAME RODRIGUEZ 1.. Leo ADDms 1061 -9th street ADDRESS CITY Denver STATE Colo. z,. 21 i/ "' "': i "' 01 .. I"': "'' .. ., !cr-: ;:f ICI ci lc.>i i c. I I iz1 10' J. URIAN AIA CIRCLE -1 (!) J (!) 5 6 ETHNIC COMPOSITION CIRCLE 1 2 :tao: .. ; .. z .. I ;!"'" "' z z; "' ..... 8 .. -l:l.. =-Z: "i-:-'"' .., ::-II" .,.._ .. c v I_;

    PAGE 234

    .. _._ -------------. ------.. :.:: .. .-:..:..: __ :..: -_: __ .. 32-07 "' 1;, ...... Maximo ADDR<:.> 3524 Valle"lc Street .. ., .. cJ z ADHUS 10 35 -8th l:)treet 1. PRIVUl REIITAL C IALU -5[ J( I. UIA CIIICU 1 Z I I I .. ._ -raDAID r 0 e -ttLY: NC.IUI I DIC.USE l------!ia,1;!!1 1'-_ .. ___ -t--! D.U.R.A. FINANCIAL ASSISTANCE GRANTED ," .. 1. MOVIIIC EXPIIISES aCLI z,"'\"' a. UtiDII S ll f S 71..83 ,_1"'0, .. .... N .. 1;, b. ltJ2 9 ... 16 Ol c. h liD W/0 fURN. ji;H-----,.. d. ..... S INDIVIDUAL ,-11 :... ., I I e .... 71 &n,r-1.,.. 1 I 1. AVliAG ANNUAL GlOSS ITAL -----+-! ICII'O '-------AMOUNT QF' IE.LOC.TIOh ADJUSTMENT PAnNT ... .. N lr. : U' ,.. N ,.. .. PRESEr.T MOUSING INFOR .. 1. OWNER -1, UNN..,l: 0 NO or ROOMS :J. NO or IEDROOMS __ 3. AMOUNT OF M()NTHU" RE"i"! WITHOi:T UTILITIES S-------Ahi!OUNT OF PAYMUiT P.I.T.I. '-----GROSS INCOME SPENT ON HOUSING .._.. _______ 6. YEARS LIVED. IN DENYEA ____ PRESENT ADDIESS ___ 7. PUBLIC HOUSING: APPLIEC FOR ELIGI9L Fort 0 C. RELOCATION TRANSACTIONS z :::: A1140UNT OF flitONTH:..Y RENT PAID TO D.U.Ji A. '------LENGTH OF TIME TO REI.OCATf AFTER DATE OF ACOU!SITION AMOUNT or llLOCATIOh PA'tMt.'t' '-------f!ftN!Js15 ;i !:iu 11:zi_._::=-IJ)4 '1 d. IJd l:>-: 1/0 t!HTJ "" ---------------------------------------------------:z:i lN3S3ttd SIU' ti3hN:;o Nl SG3E SWOOti .. c N oD ., ani i \DiV"! :::!" 10 ,... :c 10: I '11:1 I r L L l: r L ;: "Z E ; -!: INCOME ; INCOME EARN 1 A UNREi..ATED INDIVIDUAL ,:z ROGERS1 !0 Va:-1 ;=I "'AME '"' Z. lOtf. S':.reeE ADORE SS lo' l URBAN AREA CIRCLE 1 (;) l (!> 5 6 wl .. ETHNIC COMPOSITIO"i CIRCLE .(j) Z 3 6 5. HIGHEST GRAD anarNED lh SCHOOL i CIRCLE 1 z 3 6 e 9 10 1Z 13 14 15 16 I E SEX' MALE FEMACE 7 AGE OF MALE OVER 62 FEMALE OVER 6l I e. MONTHLY EARNED INCOME. CIRCLE 1. $ D-C9 6. I Z50ZH UNREPORTED INCOME I 2. 50 7 3DOU9 l. 100-U9 8 l5DJ99 1SG!1 9. oo- ZOD-2Ci SOC OR '40RE 9. OTHER l!'rwCOME: MONTI'IL'i ANJiUAI.. i 1. ADC ; z C.A.P I l G.l I .. 5 5 I I R.R I 6 VA I I JS;.tn> i i 7 A N.D. '!t.:i e OTHER c -----lo. ,_ I I i" I! "' '::> lo i" IZ tO 1-l!'e "'I j5' .:J I I IZ I"'' !g:j l i i I c I I I i i I PRESEfliT HOUSING INFORMATION OWNER = NO OF ROOMS l I 2 'I() OF BEDROOMS 3. AMOUNT Or MOfliTHL'" RENT WITHOU":' UTILITIES S J,, 3.& AMOUNT OF MONTHLY PAYMENT INCLUDING PI T.t s GROSS INCOME SPNT ON HOUSING % & YEARS LIVED IN DENVER --l.!/-.PRESEN":' ADDRESS Jl{:&. PUBi..IC HOUSI"iC EI.IGIBLE FOR APPUED FOR -RELOCATION TRANSACTIONS I DATE 11.4-IU., .1 .a l z DAT MOVEto 11-:Z.-13 3 OF T RE"'T PAID TO D.lJ 'A lEtrtGTH Or TIM[ TO REI..OCAH AFTEJ DAn 0' ACOUIS.iTIOtrt "'""'""'"' '' SE -.,JI ETHNIC. AREA I 1.k ALPHJI, CODE D PERMANENT RELOCniON 38-06 ,/ ,/""'SC:r'!L. I ,_ 950 Loa an St .. ADDRESS De:1ver, coi0. ZIP___Q_,l CITY STATE I 1. PRIVATE REirrfTAI.. SALES HOUSE 1: STANDARD STANDARD a. b. RENT: wio unuTIES s WITH s c. PURCHASE PRICE 5 MO P.l T.l. s -d. :J LPA REFERRED SELF RELOCATED c % .. e. PERCENT SPENT ON HOUSING z. PUBUC HOUSING PIOJECT NAME 3 RENT SUPPLEMENT HOUSING :en MONTHLY INCREASE s DECREASE s __ E D.U.R A FI.,A111CIAL ASSISTA.,CE GRANTED ..... I MOVING EXPENSES CIRCLE z > I c UNDER S lO I '72-83 t ZO.ll 8.1:f .. 3lU tl'+ -12>1 ci 46-SS W/0 FUR,_ S1c 1/)
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    i ... t ... ;. .. z. ,_ ....... I. ,._,.. 7.--1D-IIIII 10. 110 01 MOlE 1. 0111!1-E: MONTHLY --AL 8 I. LD.C. Z. O.A.P J. G.A. s.s. R o YA 7 A _,. D HOUSI"'G INFORMATION I 1, OIIINU 0 TENNMI! r( I NO Or ROOMS NO o IEDROOMS-::r;;i">r..---3 AMOUNT o MOOTHLY RENT WITHOUT UTILITIES s U OCJ AMOUNT OF MONTHLY PAYMENT INCUIDING P.I.T.t. '------5. GROSS IIICOWE SPENT ON HOUSING .. _____ """llr:--:::;-1. YEllS UYED: IN DEIIYER---l-PRESEIIT ADDIUS:::Ja:: 7. PUILIC HOUSING: APPLIED rot 0 EUGIILE rOR 0 C. RELOCATIO"' TRANSACTIONS 1. DATE 0' ACXIU1Sin0N _____ 2. DATE MOYED _______ AWOUNT Of MONTHLY lENT PAID TO D.U.R.A. I ______ LUIGTH OF nME TO RELOCATE. AFTER DATE: Of ACOUISITIOh. AU RAilA ;: I oc\' l.N3S3ad .. I : 113AN30 Nl SIIYH 51'10011 9 L b t L j 6 11 J .. f -_---!, L j' -' e 1 I __ I UNRELATED INDIVIDUAL --"' C l I .., .:..R.:..:O::....!.., 2 1037 -] ltb StrPPt l UABAfiW AREA CIRCLE 1 () l (J S 6 4. ETHNIC COt.iPOSITIOh CIRCI..E 2 CD' s 6 5 HIGHEST GRADE ATTAINED IN SCHOOL CIICI..E 1 2 3 4 5 6 7 8 t 10 (!) 1Z 13 1' 15 11 f SEXMALE rEMALE----':::::....----,,.,.---7. AGE Or MAL OYER 6t FEMALE OYER liZ_.;lii#E.Jit[._ __ I. MONTHLY EARNED INCOME CIJCL 1 S 0 .. 9 (!) S ZSO-ZI9 f{J 2 50-99 7 300 3 1 00 I. !50 4. 150 200U9 OTHER INCOME A.D.C. 0 A.P. G A s.s .. A N.O e OTHER 10 SOO OR MORE PRESENT HOUSING INFORMATION UNREPORTED INCOME '--------------ANNUAL 1 owE = Tr.N"'T r/ I Z. NO or ROOMS .a. NO. O BEDROOMS..,..,...,.,.........,_..3 AMOUNT Of MONTHLY RENT WITHOUT UTILITIES s#-1111 4 At.40UNT QJ" MONTHLY PAYMENT INCLUDING P.I.T.I. S -----GROSS INCOio013tl J.N3NYI'IItl3d NC .i N3 :lll3d I'"' _...., ... .. .. .. N .. .. 3S il N .1. 1 r -L,.1 < b= 2 n .. -I' .. I 0 PERMANENT 35-03 A::>oREss 352 3 h'. 21st Avenue en De-ver sTm Cp]q. z1_ll_ 1 \"P;;V;T ;;;:;": 7 SA .. ES HOUSE. a. STANDARC fi1' SU& STANDARO b. RENT' W/0 UTILITIES S 'S'II"' WITH $ ___ __ c. PURCHASE PRICE S _____ MO. P.I.T.I. $ ___ d. LPA REFERRED 0 SELF RELOCATED :::J e. PERCENT SPENT ON HOUSING %----------C ;!1 2. PUBUC HOUSING PROJECT NAME-----------5 .._. .. 3. REN1 SUPPLEMENT HOUSING ;lD MON1HLY' INCREASE sas: fll DECREASE S ---?" ;;; "' E. O.U.R.A. FINANCIAL ASSISTANCE GRANTED :: 1. MOVING EXPENSES CIRCLE Z -<1UI c UNDER SZO f I 12 ))o : : e $10 W/FURk Vt "'C cr N Z. AVERAGE ANNUAL GROSS RE'JrnAL in !:1 '--------' --c, I'" l AMOUNT OF IJIELOC:ATtOt. ADJUSTMENT PAYWENT '--------. AMOUNT OF RfLOCAnON PAYMEtiT C"l C":l1 :::tl "I..., > Zl z Zl .A..f.*-.c. --c..,l .. zJ "'i'" .. ... ltl:4'1 1" "' 01 Tll.ll/l P,IJfJII.DD :51c.. Z! "l:r ., cr hTS 6F' SfiD. DO) tv.&e:t "'' ..

    PAGE 236

    I 1, ... .. .. 0 N N "' .... N .. ,._ ... __ ... ... ,.. :; 0 .. I I ... I II 1 .. I 1 Ill l ...... 1. ,_ 1.3. .... A. 150-tM ZOo-lot OTHER INCOME:. A.D C. 2. O.A.P. J. G.A. s. 5 R .. A :, ;; H ... :::... 1. OWNER = TEN .. 'r( A "0 OF ROOMS r NC Q:r AMOi.lh" or "!:'-"!'WITHOUT s6.1,d AMOUNT OF' ,_.ON'l'H._, flU,II._1 INCi..UDI"G PI T.l. $ _____ GROSS INCOME SPEh' Oh HOuSifriiG ':o------.---6. YEARS LIYED. IN DEN'IER ____ PRESEJrr.iT ADDIESS=-:::t:= PUBLIC HOUSING APPLIED FOR :: ELIGIBLE FOR 0 RELOCATION DAH Of .... ...-------DA1E MOVEC ______ _..'1.:Z._ ____ AMOUNT OF REhT PAID TO D U rt A '------L[NGTt-4 OF TIME TO RELOCATE AHER DATE Or ACOLJIS1TI01orj; t. ;..,.,:.. .... : ,. ;. [. .. .. .. .. "' .. .. N a: "' .. '00':' .i"'i=530d SOlE SWOOti Q.I.S I J .. 31'UYd I:
    PAGE 237

    -----z ;:q..., g "' .... .. .. ... "' .. N .. "___ c __ _;l I --------------------------. .... .. -., to. .. ----: .... R! i:... ...J..._ :.:v-7-: jU' i .. ... l. uu AEA CIRCI.E I (!) l 5 I o IT&WNID .... SU .. SI-e C <1..-..-cQIM_, __ .-, ---, ,, ti/0 .... 110'-'!IW?'e WIYW----.+....,.:I "\Q'' .f ...... IT HAH IITllliiU 'iiiiiiOIIU 'NIC :.0. P.I.U __ _..,..._, '-' ...-....: .. .. .: :J:IIICU I. l I.,. ,_.,_, I .,I '\t "ll ,II .. '. ,', l.-i.t ......... C t! "< ./.' -u., CIIILDIDI Of....-. "cun snr 011 _.. ...... 0, 1: UI 01 ., .... Mn... .u.s..,...., ;IL .-.; -HO.II:Ct-1 l. 100-lft I. JSO.!t9 .. s. U .. EI'OWTtD INCDW! s 9 OTHER INCOME: l. A.D.C. 10. NO OR MOR MONTHLY ''S:co AMNUAL c l. O.A.P 3. C.A s s VA A..h c PRE!;ENT HOU S,ING 1. OWNER C P""' NO OF 5: NO OF .IMOUIIiT OF MONTHuRENT W!THOUT UTIL!TIES 4. AJro&OUNT OF MONTHLY PAYMEHT INCLUDING P.l T.l. S _____ 5. GROSS INCOME SPENT ON HOUSING 'U.ARS LIVED IN DENYER ______ PRESENT 7. PUBLIC HOUSIItiG: APPLIED FOR 0 UIGIBLE FOR C RELOCATION TRANSACTIONS 1. DATE or cou1smo ..l I -73 DATE _______ AMOUNi OF MONTHLY RENT PAlO TO C.U R A 5 ______ 4 LENGTH OF TIME TO RELOCATE .t.F'TEii DATE OF ACOUISlTION M-V: IIIC:WEASE S D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVIIIG UP!IISES CIRC:U o. UIIOU S :0 S 7l-83 >1::1 b. IO..ll 14 c. JW'!I h. I 10 W/0 FUIN. ;_1 d. ..... '!I INOI'fiDUA.L r-11 I'" ..... ,, .... Z. AVERAGE ANNUAL GROSS IENTAL -U');CI .. "' A"ou.r or RELOCA''O' POYMN7 .... 0=-=-o _____ ---='tj::::'A::;;c-:N:-:-,=---l.--t."',--,il:T"'>OZOC:.-----:;:: ; N<'f+ 3. AtrwtOUNT or ADJUSTMEWT PAYMENT ---------------------------, u:;-;-==--===-===I .. .. .. .. .. .. ... [ 11 -j'1 -. II I : __ l_ .. I, .. I, .. ,.. ... .. t -........ t ; 1 I FAMILY COMPOSITION b SOCIOECONOMIC DATA NAME ROYVAL, Allen z. ADDom 1151 11th Street 3. URIAN AREA CIRCLE 1 G> 3 e 5 6 '-ETHNIC COMPOSITION CIRCL 1 l 0 .t '!I I 5. HIGHUT GRADE ATTAINED IN SCHOOL IV HEAD Of FAMILY OICL 1 2 l '!I I 7 I I a 11 1l U U 1'!1 11 6. NUMIEI OF CHILDIEN IN HOUSEHOLD IOYS----GIIILS 7. AGE OF MALES OYER IS.....Lf!.__FEMAL[$ OYEI ll I. MONT>iLV EARNED INCOME CIICLE 1. So-49 z. 50-99 3. 100U9 150-199 s 200-2.49 9. OTHER INCOME 1. A.D.C. 0.1\.P. !. G.A s.s. 5. R R. I. YA.. 1. 6. s 7. 300..349 8. lSO.l99 6.. 1100 10. SOO OR trwtOA trwtOfrrfTHLY B. PRESENT HOUSING INFORMATION ANNUAL 1. OWNER C TENNA!j,T (/' .. l. NO. Of IIOOMS MO. OF IED-5-:;;:' .. i!!iiZ.,-l. AMOUNT OF MONTHLY RENT WITHOUT ununU I .moe 4. AMOUNT OF MONTHLY PAY .. ENT INCLWHIIG P.I.T.I. 1------1. GII055 INCOiol SPIIIT CIN HOUSING .. _______ I. YEARS UVID' Ml DEII'IU UUIIT -&51---7. I'UILIC HOUSIIIIi' AI'PLIID FOil 0 f'OII 0 C. JIELOCATION TRANSACTIONS 1. DATE OF l. DATE MOVED t 'f. If l. AII60UIIl Of "ONTHI.Y HMT PAID 10 D.U.I.A. '-------. LEGnt M liME 10 ELOCATI AJ'tl:. DAT t1' ACOUISJnON. D. PERMANENr RELOCATION 24-01 ADDREss 2308 W. 34th Avenue 1 1 '"' ., I. PRIVATE RENtAL SALES HOUS c i o. STANDARD D () lti b wuT, w/o ununES s I WITH S <-PUIICMASE PIIC I MO. P.I.T.I. $ d. I.PA WEFE .. ED 0 SELF IELOCATED 0 e_PfiCEIIT SPENT ON HOUSIMG '!lo z. PUBUC MOUSINCO PWOJECT ltAME I d .. _: MONTILV' IMC:WEASE S ,116": IJQ DECREASES D.U.R.A. FINANCIAL ASSISTANCE GRANTED : .. ) I. MOVING EXPENSES CIRCl .. o. UNDER S 20 I 12 ,..,,., b. lO-:Il 9 14-9< c. 1).45 f. $ 10 W /0 rURN. ,.. d. ... 58 s S INDIVIDUAL ... I'" .... ,.., .. e ... 71 j .. z. AVUAGE ANNUAL GIIOSS UNTAL t s "'10 -tt .. .. l. AMOUNT OF IELOC:ATION ADJUSTMT PAYMENT .. .. AMOUNT Of WELOCATION PAYMENT .. s ,...., "'"JJ44M&. ... .. Jf:l z <1 z .. .. IIIII 3.fllDQ "' .. ,, 'f.!R (JIJ.U.'QO 1!-(;;a.i 6. i ... } iCl .. ts n z .. i: D -... .. t

    PAGE 238

    -:.;.-____________ .. .. .... .. .. "' lr.! j : 1C IV! ':f' ,..ig: I"'; "': i2 ........ :: 6 1;::. 1____ ...,z ,u o: 1-o: ;c..' f;,l UJI!Ih AREA CIRC .. f CD 3 (!) t ETHNIC COMPOSITIOh CIICL[ HOUS,NG INF,PR .. ATIO" INCOME ANNUAL :,: NO 0' 100"5 J o 0' BEDIOO"S 8Vf:f{.T ""'0"-TI-tL'I' Y..!"HC1.'" u: .l'.lfS S I MOUNT 0" t.40NTHi. Y T.l S ----GROSS Oh HOi.JSIP..G YEARS liVED IP.. OPii\"i ___ ADDRESs _,s.._ __ APPLI::0 FOP PL!!:.:':. HOUSit.iG E .. IGIB...t ro;; :REL0CA1'10f\ TRANSACTIONS riA : i.J,C.Tf o: ....... "W' ...... ----C_,E "'oc _______ __,I/.:..._7L... 0" liEN"! P.C.;: TO D;.; li A i...EP..Gi,., .jJ" Tlt.4[ TO RE LO:I.iE I.""H li "H Of ACO:..!:S!TIO"-CIT 0enJer, co:io: PAIVATf lf.NTA1. it SAi..ES. HOUS.( 1\ A I z...h:..L..i K SUB b. lEn w/o UliLiliES S ItS. OQ WITH r. PUICHASE PIICE 5 _____ .. o ," s ___ d. e. L'A IEFEIRED :i SUF RELOCATED 1111 .. ..-. PERCENt SPENT 00. HOUSING %---------0 z. PUILIC HOUSING PIOJ!Cl NAME-----------c Oj .... REt.ll SUPPLEMENT HOUSING ::C MONTHLY INCREASE ____ DEC-EASE 5 ___ > ;;:!G" N D.U.R A FINANCIA ASSISTANCE GRANTED ..,..,: MOVIHG EXPENSES. CIICU -. UNDER S ZO S 1ZJ ;,.. 20-ll : c:c ,.. c. 33-4!i 97+ Ah40Ut\l ---ci &6-58 Ss w/o FUR"-r-j=l""" w >ol 510 W 1FURP\ >lc' ____ e !9-71 AVERAGE AHNUAL GlOSS RENTAl AMOUNT OF A!>JL.'S"'tw'IE,.T z z. _......;,.J.<.O.tm,..=..."-LI ..... J..,bv&...,...IEL..Io.__ _______ ;;:J 01 BS/nd JJO r----. 1n NP '1111 :.. z Pl/i5 4f 31.c?(?J "'' ;!: z" :: I .c I '" Coli NOil.'f':l013tl .LN3N'f'1'4tl3d ao ""3s:;.,. se !13A,.,:;c san s .. ooo 1 lN3 .. ad 110 1N3!1 NC i Jo;3::>t!3d I I' I ; 35 I OTH INCOME MONTHLY INCOME E41!N 'L '. I I an! .. I ... .. CODE .: ,_ 1.-:t" <=' tC"' "'t !_ '1 .. ... ... FAMILY COMPOSITION II SOCIOECONOMIC DATA :rtl 1 i A D PERioiiANENT RELOCATION 19-04 ------L'z' ., "' .. .. .. "' c "' io; c ... N mr "' d l I r> ADDREss 1915 W. 47th Avenue .. I z ADDREss lotnStreet 3. URIAN AREA CIICU 1 G s 5 6 1. PIIYATE IENTAL C SALS HOUSE I( <1. STAIIDAID we SUII-SYAIIDAID D "' EI'HIIIC COMPOII11011 CIIICU 1 I t 6 b ...IIUT' '0 AU111ES S-,...,,.,....""'"'' c_PUIICIIIISE NICE sAj,;fH 110. P.I.T.J. s IJ!JS" .. .. 5. HICIHEST GlADE ATfAIIIID Ill SCIIOCX. IY HIAD OF FAMILY QICI.E l I J 5 I 7 I I ID l1 9 11 1' IS II I. IIUMUI Of CHILDIIII Ill IIOU.iEJIILD 110Yi:.L__511LS_j__ 7. AGE Of MALES OYII IS OYII R I. MONTHLY EARNED INCOME CIICI.E 1. $6. $ IM-UI UIIIEI'OITtD IMCOME z. --0 ... 5 .. ,_, ------3. 100t9 HtG s. zoo.zg I. OTHEI IIICOME 1. A.D.C. z. O.A.P. 3. G.A. s.s. 5. .. 6. YA. a. l!lfl.l99 0 10 500 Dl MORE MOIII'HLY ANNUAL d. LPA ftFEIIID C SILF IIUICATID D -PEIC .. T SPIIIJ ON -SIIIG.,,._------------1 _...,_,, .. CIIEASE 1------.D"'ECIEASE s, ____ E. D.U.ti.A. FINANCIAL ASSISTANCE GRANTED .., .. 1 l. MOVING EXPENSES CIIICI.E zl;;l "' a. UIIDEI $ 10 f $ 71 :..!;:! b. 21-lZ g. "'4 .. ;"' t. J)..C5 h. '1G W/0 F"UIN. :..' d. ..... S I INDIVIDUAL r-1 :. B-71 :, ... AYEIAGE ANNUAl. GlOSS IERTAL Ill o ,________ -1 .. I. AIIOUNT OF IIUICA..-ADJUS'IIIt:NT PAYMENT ; '------------a 7. A.N.D. 4 AMOURT OF IIU.CIC&11DII PAYIIPT II. I'IIESENT HOUSING INFORMATION I r:l 1. OWNII C 1UIIAIIT I( .. ;_ ,) .!" .._} .. .. .. .10 1. 110. OF It 110. OF IlED-I .. J. AMOUNT 0, ..-nLI.Y IDIT 111-T 1111U11111 llf.ff -m _.!It_) ... AMOUNT Of IIOIIliU I'UMUT P.U.I... .. MN Jf;Uf ,!-J I. IIICIIIill -T--. '"!"'';;,; -----..;..,-.,..._.__,;,_,.---------.,.J 4-o+---,.;,;.;;,.. .. &. ues uno: nva ____ lliHsuf .. nsa:JLl-, ... ;.,':' ''' :: Erf. -.ciiOUSIII&: APPUDPOII D 11_ :.: ==. '_., ... C:. IIELOCATION TMNSACTIONS r. .15::_p,L_ t!fl.. 41:wl2 J :: ... OM .,, fMII fl! -.1. -J 1 0' M-Y lt:IIJ PAIII 'Ill D.al&&. I .. ..J.,.J ... 'IIIUUIC1l1l ... .. .. !:.e .... .. \ v

    PAGE 239

    .. N .. ... N ... ... .,, 1C .. I' 1? .I o ..,, .. I:C! I i ID i 1 -I. z. -7. -3. 1 ... 1. .. -.. 110-1" .. I. ZOO..ZO!I II. 110 01 MOlE I. OTHER INCOME tiONTHU 8 c 1. A.D. C. Z O.A.P. 3. GA. s.s VA 7 A "-0 PRESENT HOUSING INFOilMATION 1. DWNU !: TfNNMH NO. OF' NO OF BEDROOMS ., UOUhT OF MONTHLY RENT WITHOUT UnL:TIES 1---ld";...,l&.-'o"-=:....::;__ AMOUNT OF' MONTHLY PAYMENT INCLUDING P.I.T.I. S----------5. GROSS INCOME SPENT Oh HOUSING 11: _________ -:----1. YURS LIVED IN DENVU _______ PUSENT ADDIUS__L_ PUBLIC HOUSING APPLIED FOR 0 ELIGIBLE FOI 0 RELOCATION TRANSACTIONS 1. DOTE OF ACOUISinO ..,t Z DATE MOVED 3-S,_t'-AMOUNT OF MONTHLY RENT PAID TO D.U R A. '--------------, hAM[ RUTHERFORD,_ Rose ADDRESS 952 Ibtn street URBAN AREA CIRCLE I 3 IJ 5 6 ETHNIC COMPOSITION CIRCLE Cl Z 3 5 6 !. HIGHEST GRADE ATTAINED IN SCHOOL Cl RCL 1 Z 3 5 6 7 8 I 10 11 C 13 U 15 16 6. SEX. MALE 7. AGE OF MALE OVER 62 _______ FEMALE OVER 62 72. 8. MONTHLY EARNED INCOME CIRCLE 1. S 0 .. 9 E. S Z!IOZ99 UNREPOITED INCOME Z. 50-99 7. J00-149 &. no.Jtt 150-199 9. 600-,99 :oo.zs 10. 500 OR MORE CTH R INCOU E MO-.TI1L'r ANNUAL A.D.C 0. p 3. G. A s.s R R 6. A.h.D E OTHE F PRESENT HOUSING INFORIIUTIO" owE :: *""" I NO 0' ROO"S ----L-------NO Or AMOUNT OF MONTHL'r RENT WITHOUT UTii...ITIES 5 .. C!,_o_e ____ AMOUNT OF MONTHLl PAYWI[N"l" INCLUDING P I.T.I. S ---------GROSS SPENT ON HOUSING !ii: _______________ YEARS UVED. IJirll DENVER _____ PIESENT ADDIES.S _______ 7 Pi.iBLIC HOUS.INC ELIGIBLE F05 = APPL.IED FOR RELOCATION I 1 OAT or 81 5 ziP"' J.. .. 7! DATE .. evE& 1/ 1'4 B OF MON"'"Hi.." RE h"' P._!C TO D lJ J ol. LEhGTH OF TIMl. TO RELOCATE U"!(P OATE 0'" ACOUtSITIOh 1. MOVING IIPIIISt:S .CIICU a. HDU Ill b. c. IJ..6S d .... e ._,, Z. AVEIAG[ ANNUAl. GlOSS RENTAL --------------f. 71-13 g. h. 110 WI'O ru. I I .. DIVIDUAL 3. AMOU .. T OF RELOCATION ADJUSTMENT PAYMEt.T IELOCATIOH PAYMENT ADDREss 2825 W. 32nd Aye. --... c"' Denver, sTATE Colo. z"---J..l. 1 PRIVATE RENTAL li;r' SALES HOUSE ::J a. STANDARD i!""SUB STANDARD b. RENT. W/0 UTILITIES S us: WITH C. PURCHASE PRICE S MO. P.I.T.I. S _____ d. LPA REFERRED 0 SELF RELOCATED u e. PERCENT SPENT HOUSING %-------------------z. PUBLIC HOUSING PROJECT NAME-----------------------RENT SUPPLEMENT HOUSING __________________________ ,,.. MONTHLY INCREASE D.U.R.A FINANCIAL ASSISTANCE GRANTED MOVING EI,ENSE$ CIRCLE UNDER 'ZO C. Z0-32 ll-1.! ... y e 59-11 AVERAGE ANNUAL GROSS RENTAL. '--------------'72-8] 91+ AMOUhl ------So; w.1C FURN Su! w/FuR" 3. AMOUNT OF IELOCAnON ADJUSTMENT PIAYMENT ,, ______ AMOUNT OF IELOCAnOtli PAYMENT /A,...,..,, "' .. .. c .. .. .. w. .. ... .. .. ..

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    -----------------... .. .... "' : ::.... : -----_ _:_ ___ .. ...... : / -----;, ? .. .::... '"" ...:. .. -:.. I -... c N .. ., Fi I I N .. iZ ADDI ...... ...... 0,_ ....... e...,.e._t ...... __ !. URIAh AREA CIRCLE 1 e 3 t)! 6 -ETt1NIC COMPOS!nON CIRCLE -[}z l S I S. ..GHUT GlAD AnAINlD IN SCHOOL CIRCLE 1 Z 3 .C 5 7 I t 10 11 (!!> 11 '' tS 11 SfX MALE .&J FEMALE-----------7. AG or MAL OY[R 62 ____ FMAL OVER 12------1. WONTHLY EARNED INCOME CIRCLE s o6. s no-ZH 2. SOt9 100 50-199 zoo-2 I OTHER INCOME A.D.C 0 G 1 s .. A D QTHEOI' 7 300 8 550 &0010 SOC OR MORE MOHTHLY UNREPOITED INCOME ANNUAL b c. d. e. l. AYUIAGE ANNUA:.. GROSS RENTAl. '-------AMOUNT Of REL.OCAT:Or. ADJUST!rl.tENT PT'tf"ilf -------4. AMOU"'T OF REL.OC.ATIO"' EN'!' I I I.. .. N ("', N('\ 1-r'. -"' .. .. PRESEIIIT HOUSING INf.OI'IMATION = .... -: .r' '0 0' ROO"'S __ L.,/ ___ ,0 OF BEDROOM .2. A+. ?W, !cl .... : _-;z_ lZ1 ... !c.i I i c i -::: 'i! AMOLJij"! or MO"-TH:...' RE"i1 \\'!THOUl 5 Ia OF P.I.T.I. GROSS INCOME SPENT Or. HOUSING % ________ ,_ltiTIIL Y ,.,.,rs. oF I' .l. jij? b YEARS LIVED :Pii DEf\VER ___ ____ FUBUC ELIGIBLE F"OFt ...... APPLIED F"OR RELOCATIO .. TRANSACTIONS :' wE o.w.:....e 1 DOT MOVEC //-(. 73 A MOUN": o;: MO._THL Y IO'E 1'1:"! TO D U R A _____ t..UoGTM OF TIME 10 P.E.:..OCAH. Af'lER DATE OF ACOUISITIOtr. ;c; Ul == ::! !o:: ::;i I" ... ocr S!IY3 5036 I SI'IOO!i ms .!N31'1Hd 110 .!N3!1 !lNISnOH NO .!'13:>t;3d 1: 3S!] I i -v.:-1 I I =-!, l I l l an I z L j' L z vdl !l "':'; i... i .z _t I I! !I I ) I I ii .,........... 1 r li II II URU II 1 ''A 0 PERMANENT RELOCATION 2 0-11 --, ____ ------,z: ,_ .A .. AooR;:ss 1419 Lipan Street ,.. lc;, CIT> DenverSTATE Col a m.....a.L -3 URBAN AREA CIRCLE t A 3 f!) 5 E 1. PRIVATE RENTAL SAi..ES. HOUSE "' ..,-11:\, 8, STANDARD It SUB STANDARD ., E"THNIC COMPOSITION CIRCLE 1 Z \;I. 5. HIGHEST GRADE ATTAINED IN SCHOOL b. RENL W/0 UTILITIES S WITH s N CIRCLE 1 Z 3 5 6 7 8 I 10 11 12 13 1 1S 16 (.. PURCHASE PRICE S MO P.I.T.I. z I I 6. SEX. MALE It FEMALE------------d. LPA REFERRED c SELF RELOCATED A.. o I .... "' '" AG or MAL OYER 62 4,'2 FEMALE OVER 12-----e. PERCENT SPENT ON HOUSING "'----------"'I 11"1 l..,i I 8. MONTHLY EARNED INCOME CIRCLE 1. PUBUC HOUSING PROJECT NAME-----------5 .... N ,.. 10 S 0-09 6. S 250 UNREPOITD INCOME 3. RENT SUPPLEMENT HOUSING-=,..--::;,....,,--------= j 50 e 300 MONTHLY' INCREASE S..;!q. C!O DECREASE 5 ___ ;,..;;!"' 6. 350 E D.U.R.A FINANCIAL ASSISTANCE GRANTED :! w N I&!.,.: 1::1:; c' ,... ;c: icr; c. ; :" lz lg l:t c lSCI-HI9 1. JIIIIOVING EXPENSES. CIRCLE S 7 ZBl ZOCZAS 10 SOC OR MORE S ZO .. 96 z I Cl OTHER INCOW.E MONTHI...Y c.. 31-45 97+. ____ ;i:c: ,_ A.o.c. d. Ss w/o ruRfll rl;_l.., o.A.P e H-71 S\O r.lruRtr. 2: GA. 2. AVERAGE ANNUAL GROSS RENTAt.. t1' U'll-
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    ------------=.... .r '":_.:.:.' : ------. .. ... o c' ... i .. N ..... c .. .. I 1. J. 100.1. 150M 5 ZOI-UI 1110-Ht l. I. 110-JM t. -.on .,. ., t. OTHER INCOME: 1. A.D.C G 500 OR MORE MONTHLY &IIIIVIU. '"" :!' 8 ________ ___.!i IZI"' I c ----'-.--:, ic .?! lg: :- !Oi N Z O.A.P. G.A. s s '. J. P.,[: :: JIC PIC.: OF hC. OF AMOU,..':' Of MOI'IiTriL'I' RU'fT WITHOUT UTIL!TI$ l-4'L.I'"-'"'-''""'7J'----AMOUNT or MO"'Ttoii.Y PAYME"NT P.I.T.I. 5. GROSS INCOME SPENT ON HOU!.IfriG 6. YEARS LIVED IN DENYER _______ PaESENT ADDlES$_.___ i. PUBLIC HOUSING APPLIED FOR Ci ELIGIBLE FOR ::J Ri..OCATION TRANSACTI0"'5! 1. OAt 0'" .t.COJ!SITIOh __ DATE MOVED ______ _.,._.I:JIIL--'L/ ... 5:.._'-L,_.:J.. ___ At.40UNT or AEh .. iCC U.R A. '------------:..Et.GTH TUI.[ TC REL.OCAH: AFTEP. DATE Of AC:OUSITIOII. 2C-06 __ I. MOYIIIG UPENSU CIICU D. DNDU I 10 b. 11-lZ c. IJ-45 d ..... e. lt-71 2. AVERAGE ANNUAL GROSS '---------------I 72-13 s ..... h. I 10 W/0 rUIN. $ 5 INDIVIDUAL l. AMOUfril OF' RElOCATIOJrw ADJUSTM"iT PIIYMEN'! AMOUNT OF RELO::ATIO" PAYhoiEfl.l '------... ::.o ... .. .. .. .. c GOt ... SW001j L L t. 1.. t L l_ i !N3 .. Aird jjC lN3o !>NISnOH NO o"' 1------.......:==:..:..:;:-=-::...::=c:::....------:----'===--"::....::.r==-i 35 ; "' '-.0 I. L. to I. ; t: 1'--1:-. I FlM!L'r 0 50CIOECONOh11C DATA D. PERMA .. ENT RELOCATION .,.. ------;,. .... r SALAZAR, Rosie 2909 w. 26-04 lOth Avenue I IU' ... .. .. z :; ..... :::> c "' z. ADDREss 905 Curtis Street 3. URBAN AREA CIRCLE I 0 3 0 5 6 ETHNIC COMPOSinON QICLE 1 z(j) 5 I 5. HIGHEST GlADE AnAINED IN SCHOOL IY HEAD OF FAMILY QICLE -, z I 5 CD 10 II IZ 'li 11 II "if= &. NUMIER OF CHIUIREN IN HOUSEHOLD 7. AGE Of MALU OYU 15 EMALES OVEI 1. MONTHLY EARNED INCOME CIRCLE I. 11-49 I. UIO-ZH z. 50-99 100U9 ... 1St'-199 g OTHER 1. A.C.C. l. O.A.P. G.A. s.s. 5. R.R. I. YA. 7. A.N.D. 7. 300-3&9 8 350--.. 0610 SOCI OR MORE MOfliTHLY .BI B. PRESENT HOUSING INFORMATION DNREI'OITID IIICOME ANNUAL 1. OWNU C JEIINAIJI. fl 1. 110. Of 1-..s NO. CW IED-S ..t. 3. AMOUNT OF MONTHLY lENT WITHOUT DnUTIU I "'' AMOUIIT OF MONTHLY "AYMENT INCI.IIDING PoLT.L 1. -SS IIIQIME SPENT 011 -SIIIG &'lo.._.-..... I. UAIS UYED: ._ DEII'f&l PRESIJIT -Uia::t!!iiiL 7. -UC HOUSING: APPU&D FOil 0 IEUGfii.E ,.. D 1. DATE OF ACIOUISinON ____ C. RELOCATION TRANSACTIONS & z. NTI MOV!ED CJ. fJ S. AMOUNT Of MOIIn
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    ..... .. --_ .... .. ---------;;: PL '" ._...;. :. r:. t. : '. :; s .. I I ll'l' IC II f;: lc, I j I ., .:z ,;) .:z. 12. 10 :c C ; ..!_ .. '--pr-! .,. ::: :[-4 .. .... "o'-'-4!::==== 3 UIIA,. AU-. CtiCL 1 (!) ] G)!: &. (1HIIIC COMPOStnOh CIICLl -o 2 i. HIGHEST GUDE ATTAINED IN SCHOOL 3 CIICU -1 2 3 & I 1 I I 10 11 1Z 13 1& 1! t6 6. SEX MAcE MALE 'f 7. AGE or WALE OYER il ____ H .. ALE OYER I WONTHLY EARNED INCOME CIRCLE 1. I 0.19 6 S 250-ZH 50-99 100-149 20G-2i9 0T11EA I ... COME A.D. C. Z. O.A.P G A s s A 'L fo QT..It_ l00-l.t9 8 310 &00499 10 50(' 01 MOR PRESENT HOUSING 1NFI)RMAl10'-UNREPORTED INCOME ANNUAL 0Y"E' = Tl''"' It' NC Qf I(OQUS I h.O or .,..(t..,THLY II[P,"! wi.'ITrtQ; .. .I':" UT!t..rli[S /4S: .D A'-10U"-"!' Of INCi..UtHNG PIT!. GROSS INCOME SPUIT QPII HOIJSI"'-Go YEARS LIVED. IN DENYER ___ PRESENT ADDRESS ,, HIS. APPLI(D FOR = PU6t..IC EUGB .. fOF= /A DA":"E 0'" ACOUIS!TIO.., _;AJc..;.,:....:...:'----:-:-'11"'1r-ll....,r----DATE MO> (( ________ _;'S...._ .. .... ZtJJIIL. ___ 0;-M:Jr..lH;.'f H"i"7 FA1r TO 0 l: I= A OF TIME TO AELOCAH Af"!E" DATE OF ACOU:SITIO"' _.___ 4.. ._ .... ...... ....,J ._..._ I C"t !)enver I sm Colo. m2r PRIYAH I(N':AL SALE!!SUB STANDUD tl RENT W/0 UTILITIES 5 .,.,,, WIJH a. b. _____ MO. PI l.l -._("'. ... n d. LPA REfERRED :: SELF" I[LOCAT e. PUCENT SPENT ON HOUSING 9!----------C 21'! l. PUILIC HOUSING PROJECT NAME------------. 5 REN1" SUPPLEMENT HOUSING ;:D MONTHLY INCREASE ____ DlCRfASl 5 ___ ;D.U R.A ri>jANCIAL ASSISTA>jC[ GRANTED ;:!! 1 MOYIJrriC EXPEiriiiSES CIRCi..[ Z,-<, Ul c UNDER 'lG >-' I t. ZO.li: B4t-31-r; gJ+ At.IOUfr\1 --->1:01 S; w.-'o ru ., e 59-71 S10 w: fURt., ..,. !!!,, .,. AVERAGE ANN\..A'" GROSS RENTAL en ... ., ;.,. zf--.,.---< .. Af.t/DIJ .JU oD 1-+----i-. "f&HP $10.00 P'{TJ 3:'1 .,. V.! ..., _____ ,:z \ ;;: .. N i : 1::: L ... us. J a1_s! 1 .. t---r.-;;-i ;_;;; Yd; I! ,, 1: INCOME II INCOME EAR'-:-"-t SEX U ETHNIC II AREA JJ.X310<1X ALPHA CODE a: ... .. "' "'i I I ; .. 0, ... ., I A UNREo..ATED INDI':DUAL D. PERMANENT RELOCATION 3 8-Q 6 ..,.,.. ..... __ 3. URIAN AREA CIRCLE 1 2 3 5 i ETHNIC COMPOSinON CI.CL 1 1 CD .. 5 S. HIGHEST GADE AnAINED IN SCHOOL CIICLE 1 2 6> i 6 7 I I 10 11 12 13 1 U II 6. SEX; MALE uo rEMALE-----------7. AGE or MALE OYER 62 ____ HWALE OYER ll _____ I. MONTHLY EARNED INCOME CIRCLE 1. 6. S Z!IOZM 2. !10-M l. 100-U9 150-1t9 S ZOD-269 I OTHER INCO"E 1. A.D.C. O.A.P. G 4 s.s 5. R. R. 6. VA 7. A.N.D. 8. OTH[R Jot-3 0310-lM 9 t00 .. 19 1C. 500 OR MORE MONTHLY PRESENT HOUSI>jG INrORMATION UNIEPOITED INCOME '-------ANNUAL OWNER -, Iii:. I 0 HO Or ROO"S ____ _._ __ NO Or IEDROOWS.._'-=":..,,....,,....-AOIOUNT or OIONTHLY I[NT WITHOUT UTIUTIES 5 -'lo36_o.::.o0o<...JO..:;._ AMOUNT OF MONTHL'I' PAYMENT INCWDING P.I.T.I. 5-----5 GROSS INCOME SPENT ON 6. YEARS UYED IN DENYER..J.$_ .. UENT ADDRESS _.J'--7. P'UILIC HOUSING EUGIBLE FOR .... APPU[D FOI = RELOCATION TRANSACTIONS 1. DATE or ..t.f!i-9L,;,' z OAT wovEo __________ j..L;:..7.:..;._7.L...3"'--::::--3. AMOU"i": MONTHLT REIIIIT PAID-TO C U R A S -a r A. LENGTH OF TIME TO IU.OCAT AF"TER DATi. OF ACOUISrTIOfrl ciTY Denver sun Col a z1P..2.0..3. .. ... 1 PRIVATE: RENTAL SALES HOUSE C .. .. a. STANDARD S SUB STANDARD b. tENT, W/0 UTILITIES 5 WI'IH 5 /tJS, ()() .. .. c. PURCHASE PRICE 5 MO. P.I.T.I. 5 ___ d. e. LPA RErERRED 0 Sflr RELOCATED ll PERCENT SPENT ON HOUSING 9!----------C ;!1 l. PUIUC MOUSING PtoJECT NAME-----------: b "' J. RENT SUPPLEMENT HOUSING ;1:1 MONTHLY: S tjf,C0 DECREASE 5 ___ 1" ;;l"' .. D.U.R.A FINANC14L ASSISTANCE GRANTED ;:!! -: 1 MOVING EXP(.f15ES. C.IRCll Z -< Ul c UNDER S ZO b 20.32 s 72-83 :li>J.-1----.. ( 3l-.t5 d. 66-51 Y.71 l. AYEiAGE ANNUAL GlOSS RENTU ..... 97+ AWOUN1 --Ss w/o rutN. !10 WiFURtl 3 AMOUNT Dr t[LDCATION ADJUSTMENT PAYMENT '------. AMOUNT or tELOCATIOio PAYMENT .. l""r"., .. >. &n -..; Ul .,: cr. .. iii :1 I'" z:H---Gl!=' :a .... ,.z .. .. zZ ....... e_-...... lJ=-4,___ ____ 2.-...21..11!0:___ __ ij"' .... rgep 2 '1 z j....;...--.. =--.2 3 ;J z;; ll:ol" ....

    PAGE 243

    .. N .. "' .. ,:;:1 i II ... i.,l 1 ... jit .,, ml I ,, t ; t :' ,---: __ --------------------------------. -----3. 100..1&9 150-IM s. zoo-uc; 1G 50< OR WORE I. OTHER INCOME MONTHLY ANNUAL 1. l.D.C. Z OAP G A s s A L 0Wfrj[R :-TfNtUM'! )( JriC or POOv:-!L NC or At.'OU .. T OF M0 .. ":"t1 .. "' UTldT!ES __ .AWIOu .. QJ' INC:.UOING P I.T.I GROSS INCOME 01'11 HOUSING '4--------YEARS o..IVED lh DENVEA ____ PRESEH'! ADDRESS ___ 7. PUBLIC HOUSING APPLIED FOR = ELIGIBLE FOR C TR.A"'JSACTIONS l or ____ ,-:---:=-::-------DA'! ______________ OF MC\,..'!HLY lfN'" PAit TC 0 U.R.A ______ 1. llOYING IXPUSES C111C.E o. UNDEJ I ZD b. ZO.ll d .... II!'. H-71 Z. AVRlG ANNUAL GROSS RENTAL 32-21. 110 .10 FURN. I I INDIVIDUAL 3 AMOUN"':' Of IEL.OCATOh' AOJUSTlrH .. '! PAYMEN':' A .. OF IE:.OC.ATIOh PAYMEfrliT --------------------------!! '"' NOIJ.V:>0131:1J.N3NVWI:I3d ,. ... "' ... aoo: Sts.l b?-'.,."3C "-1 SG3E QlS J.N3t'IA'Id dC lN31::! NO .LN3:.i:l3d .:1: .=f .;. t L. .:.J, l_ 1. <. t. l l r. t. -"-_I L .. <:.. t. 1... z.." i.. i L. ;; I I i r __ !' II L i! .. .. ""A,.-,C"O'"'D'"'E:-----::-!IF--' i D RE<.OCATION 32-21 -------,.z "' .. = ,c I;: ... O' ... ..... SIH;CHEZ JR. S Joe Lee mm 1050 -9th treet 3. URBAN AREA CIRCLE I Q c!) 5 6 &. ETHNIC COMPOSITIOfri CIRCLE 1 Z & !5 6 5. HIGHEST GlADE AnAINED IN ICHOOL IY HlAD OF FAMILY ORCU 1 Z 3 5 I 7 I I 10 11 ) 1J U IS II I. NUWIU OF CHILDIEN IN IOYS---SIIII.S---7. AGE OF WALES OYEI 15 .Jif. FEMALES OWU 1Z :1(1 I. MONTHLY EARNED INCOME CIICL 8 1. ,,_., I. St-99 100-1&9 150-199 zoo-zg OT ... E A I 1. A.D.C.. O.A P ..... s.s 5. R. R. 6. VA. 7. A.N.D 7 300-3419 (!) 3!>0 17$ 10 SCKr OR MORE PRESENT HOUSING INFORMATION UNREPORTED INCOME ANNUAL I. OWNER ;: TENNANl tL 1. NO. 0" lOOM 5 NO. OF BEOIIOOilS ( Ll l. AWOUNl OF MONTHLY 1Nl WITHOUT UnUnES I.....IJ.._.P. .. c .... a ..... o"'---' AMOUNT OF MONTHLY PAYMENT INCLUDING P.I.T.I. 1------1. CIIOU INCOilE ON MOUSING 6. YEARS U: IN DUYEI ____ PUIEIIt ADDIUSlOJL 7. I'UILIC NOUSI.G: FOI C EUIIIILE fOI C C. RELOCATION TRANSACT10fu. 1. IIA TE Of ACOU111110H-....!!:!!!'IJ ... 'I'I'-'-'----;;r-.or--...-------l. DATE MOV[D _______ _,_{..;:)L..ol!l-...;'-'!l .. AWOUMT OF MONTHLY lENT PAID 10 D.U.I.A. 4. LING'114 OF tiME YO RELOCATE AF"TEI DATE OF ACOUISITIQtil. 1660 Sherma!'l Street 1. PIIVAT[ RENTAL &ALES HOUSE C. a. STANDARD W ::; b_IEN1: W/0 ununES I f-5: 02 WITH 1-----<-PUICHAU S MO. T.l. S d. LI'A IEFEIIED 0 SELF RELOCATED C -PERCENT ON !lOUSING !O-----------z. !lOUSING NAME '"' --------------------c zl MONTHLY: INCIUSE l DECIUS D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;.. gl"' 1. MOVING EXPENSES CIICLE z o UhD S ZCI b ZO.lZ 13-tS d. ... AYUAG ANNUAL GlOSS IENUL s 7ZI3 ... I 10 W/0 FUIN s I INDIVIDUAL l. AMOUNT OF llLOCATION ADJUSTMENT PAYMENT .. AMOUNT OF IELOCITION PAYMENT s JJQIJ"if "1.7J 7/C.MI-I ... fHMFT .. f!YTJ l1' 'tM: lll4. ----------:. r U'llr. ...,. !!!li 111:c. -11'-lcr'l n; >!"I 0 "' Zll !'-0 c Cl "' .. :r .,. '" .=1.. .. ... .. ... .. .. :.'( .. _; .): ........ ./ ...-.. -.J J.,J -'a _,

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    .. N ... _:.!!.". ao.:.:. ------=------'----'---'-r_.:_----o.l' ...... D II' .... l S.Zl.!'l DJVA::..., Joe AcoR,ss z ADOous 10519th Street .... mourAL = umHOusr ._Westminster J. uAN All A CIIC.E 1 (j J 9 I I .. a. SJA.DIIO 1f Sua-ITAIIDAID C '' CCIII,._ aKLt: t: I. C 'I -'}f: ; .. : d- b*' -lJI!tl'IL"IQ .o '. 1111111 ; ").,;,/) .. <_., -[ &na .. .,. ......... -.... -..... _,uJIII.a, '1;,:'_._;.._"-'. f.. CIIKU I I I I .... e ,; .,.1 ;ji J. '. d.:'t.P& ........ D .IILF ILDC&1D 1:1 r-',..-,J A. --U fW a..HN Ill IIII!!UIIIILII _.,, ... a.=fti.CDT SIWIT --.._.____________ 'J..') 7. 11e1 fW MAUl tn'll R ;J J'EM&U:I OJa:a-. ;L Niue_... .IIOIICT UME I. IA .. ID INaiME OIQ.E -------------------------!=lli!ll_. l '") I. -6. I liOZ" UNIEI'OIIftDIMCOME __ y, INCREASE I DECIEASl ------1:10 .-1 1. !10-19 7. lOO.UI I E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED ;..lgl"" 1.., ... 3. 100.101 1. 1. MOVING EXPENSU CIRClE lz!;;:/., -150-199 I. &00-4t9 o. UNDER I ZO I 7Z-83 5. ZOO-UI $00 OR MOU I :J (J() b 10-Jl ... !16 IZ: "'I .. I. OTHER INCOME MONTHLY A .. UAL c.. I 10 W/0 FUIN : 1. A.D C. d. I 5 INDIVIDUAL z O.A P e. "'"" G A AYERAGE ANNUAL GROSS IEhUl an= s s I_______ :;: <' AMOUI\T Of IELOCATIO'-AOJUSTW[hl PAY.,.ENT :z ,n .M; ... .... .. ... ----lo "L HO\.iSING OWNER ::-TENN..,_T )( ... NC R00'-4S. 7 NC OF BEDROOMS..,.--r--4!:-,.,--AAootOU"'T or -.cOhTrtLY Rf4T s_9.u:O;_od.u.O:_ __ OF MOfotHti.'J PnHPf! INCLUDI"-G F.IT.I. '-----GROSS lhCOME SPENl Ollro HOUSING l[ARS LIV[O IN DEN't'ER ____ PRESENT PUBLIC HOUSING APP1.![0 FOR C ELIGIBJ..E FOR C C 'IELOCAT!ON TRAII;SACTIONS DATE or ACOUISiT!Oh_,:'J-';;' :4;;<.--------------CAH MOVE& IQ -;..,;.z.,t AMCUh'! or MO .. If"-'!' PA1D TO 0 U A,_ S ______ tl().T/lZ(J 6ntL '9 LN!. tN C At.!OUar.l OF lhOCATIOh PA'rM[hT '-------l ::= __;f,._IJAM.....,._,__,_. :C r7 DIINN PvTjrliBF t-'5 011 __________________________ : :; I -------------------------;'!); .. .. N .. .... .. "' -------;.z .. j; ............ :0 '1.:---4'-.. In !C c ... .... [ Joe V. oDms 913 Street 3. UIBAfll AREA CIRCLE 1!) a(!) 5 6 ETWNIC COMPOSinON CIICLE 1 1 C!)' 5 I 5. HIGHEST 51ADE ATTAINED IN 5CMOOI. BY HEAD fW FAMILY CI8Cl 1 Z l 5 6 7 I I 11 11 1l M II 6. NUMBEI OF CMILDIEN IN IIOYS---as 7. AGE OF MALES DVEI 15 !l OYllll-..!B..::a.-8. MONTHLY UINED INCOME CIRCLE 1. 6. IZSO-.!M z. !10-19 0 3oMnJ0D 3. 100& ZD0-249 I. INC0h4 1. A.D.C. 2. O.A P G.A s.s 5. .. VA. 7. A.Jrf..D. 8 356-399 fr. oo-t9 10 SOC OJI MORE MONTHL'r B. PRESENT HOUSING INFORMATION UNREPOITt:D INCOME s A .. MUiu. 1. OWNER !:l TENNANT 1( 1. NO. 0< -S .. NO. OF 3. AMOUNT OF MONTIILY lENT WITHOUT ununES ...... .. D.._ __ AMDUN1 OF MONTHLY PAYMENT INCWDING P.I.T.L 1-------1. G-5 INCOME SPEIIT ON ROUSING I. YEARS LIVED: IN DENVEI ____ PIUIMT 7. PUBLIC HOUSING: APPUED FOI C W&IIILE FOI C C. RELOCATION TRANSACTIONS 1. DATE OF ACOUISinON __ ___ z. DAT MOYED _________ __./._.J"""-_.1 ... 3.._ __ I. AMOUNT Of MONTHLY IEOIT PAID TO D.U .. A. 1-------. LENGTI! OF n>OE TO 8EI.DCATE AFTU DIU OF AC0UtSI110 0 PERMANENT RELOCATION 33-12 AODI'ES s_4_8..:.0_;co ____ w-'- ........::Sc...:t::.:h.::......cA=..:v-=e::..:nc:..u=e__,_,_#,_l=--"6 II' 1. PRIVATE RENTAL If SALES--HO-U_S_E_C ___ WITH ------'! a. STANDARD C SUB-STANDARD 0 b_IENT: wto ununu s d. LPA IEFEIIED C SElF IELOCATED C .... _:,_, <-PURCHASE PIICE I MO. P.I.T.I. I II .... -PERCENT SPENT ON MOUSING"" I 1. PUauc HOUSING PIIOJECT NAME MONTHI.Y; INCIEASE 1---------DECIEASE ----E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED W 1. MOVING EXPENSES CIRC'UNDER I il:D ZO-lZ ll-'5 d 06-11 f' 9-71 Z. AYRAGf ANNUAL GROSS RENTAL 72-8.3 ... !16 1lOW.'OFURh. I 5 INOIYIDUAL J. AMOUNT OF RELOCATION ADJUSTMENt PAYMENT '------' AMOUNT OF RE.L.OCAnON PAYMENT ---------------IZ:-I; .... ,-,.,. :.:-,' Z'"'l n!"''" 1-1 z HEI/blf 4'211 /Jq "' .. 1::0 c i .. ,. .. Z<> "' :::i_ .... .... ... : .. ... _IW J .... ...)

    PAGE 245

    "' p: ;VI! ic ,.., N .,., i : I i "' '"' l:!i IO """IC: Ia:: cc i I :c. ;z :r 12: !c. -------''2 IC:: IW! ,c .-. .. -.Hm:ard I/ 2 Larimer URfAflt AREA CIRCLE 1 dJ 3 (!)! E rtHNIC COMPOSin()trlo CIICLE G i 3 4 5 5 HIGHEST GlADE ATTAINED IN SCHOOl CIICLE 1 Z l 4 !.E 7 I I 10 11 1Z 1J 1.a 15 16 ..,.J._ 6. SEX MAL[ $" HMALE------------AG OF-MALE OYER 6.i FEMALEOYER"'------1 MONTHLY EARNED INC0'4E CIRCLE l 0 $ Z!O-.tts UNREPOIUD lfriCOME !.0-!Ko lOl-149 5 ZOC.-l49 OTHER INCOME DC 0. p G A ,. 350>90 10 SOC OR MOH MONTHLY PRESENT HOUSoii/G INrORMATION OW!I.l $.. :-ANNUAL tli0 or ROOv:: __ ...L ___ .. C OF 13iDPOOiro4.S A,..C':.J'l 0' t.'-')r.;'!H_\ W=tt')u t.;TiLiliES S Qr MONTHLY PAYM['N'! I"'CLUDih( PIT I GROSS INCO"-'.E SPUil Qt.; HOUSI .. G YEAF.S. U\'Et: 1!1. D!1.VER ______ PRESEfli':" ADORESs_2"----PIJ6UC I-IOUSIP\1/; ELIC.I6L[ FOP: = APP:..HO TRANSACTION5 0' AC0C15i"0' /Q7'? OAH "'DVEC -/,3-2 3 AMOU">" OF \ RE to;' PA1::: '!0 C U J. A i..EIIIGl.,. TIME TC t.;[i.OCATL OO:.ll OF ACOUISITIOh Pf 0.., ,. ;;. t. 09-05 0., Q; c"' Denver, sm Col a ,,__Q,2_ i 1 VAT[ PEN14'-Iii'" S.AL. ttO+.i ( -a. STANDARD V SUI S TANDA ID b. I tNT W/0 UTILinES s 141.. WITH s r. P'UitCHASE PRICE S MO PI l.1 $ d. LI'A REFRREO '-' SElf' I[LOCAUD -, e. PEICENT SPENT Oh HOUSING !l l. I'UBUC HOUSING PIOJCT NAME 3 WENT SUPPLEMJriT HOUSING WONTHLY INCREA!. s DECREASE s __ D.U R A FINANCIAL ASSISTANCE GRANTED 1. MOYING EIPE,.S CIRCLE 0 UNDER IZO '72-6.] < 8'-96 ( 9' AM0Utl(1 1:1 .. .. a. UND S ZD b. lfl.ll c.. d.e. .Z.. Ati.AGE. AWII'UAL GltOSS IENTAL '----------I I 72-13 g h 110 W/0 FUih ;, I 5 LNDIYLDUAL J. -T OF IELOCATIDN ADJUSTIIET PAYIIl.T -------------,.., 1::: .. ... z _. .. '' .. .. ..

    PAGE 246

    ..Af.&, ... : :,.:.-.. ... --------O&"'A 0 RE .. OC&T:OII. 27_03 .. ADDRss, __ ..... ___ 1.= c; ., """ Vi 1. I ..... ; ;J. .... ... s _,,-AS!$ DICIIEASE ------l>llli-'1 ... I.l... -1.--IE. D.U.R.A.-utCIAL ASSIST&NC &RANTED .... N .. N r. cr. = .. I. ... .. ....... -t50-1n I ....... I. II. 10 100 01 MOlE I. OTHER INCOME: I. A.D.C. Z. O.A.P GA. 5 5. R R VA PRESENT HOUSrhiG 1. OWNER :: ...-' o 0' 1' NO. or 3 OF "0NTHLY RENT WITHOUT UTILITIES S ,;t, 4. AMOUNT Of MONTHLl PAYMENT P.I.T.I. '----S. INCOhiE SPENT Oh HOUSING "'--------YEARS LIVED IN DENYfi ____ PRESENT ADDlES$ ___ 7. PUBLIC HOUSING APPLIED FOR 0 ELIGIBLE FOR C q[LOCATION TRANSACTIONS 1 DATE OF ACOUI SinON _.....J,L:-:.L./..;;,_.lt.:.:3!!...... ______ Z DATE MOYED; ________ 1 ..,... Run AMOU"'T OF MONTHLY RENT PAl[' TO D.Li.R.A '-------LENGTH Of TIM TO RELOCATE ArTEIP DATE OF ACOUISITIOh AUlA! lA 1. 110-DHKSU QIICU a. U-1111 b.lc.JWS d.-. ... ,, Z. AYEIAGE INNUAL. GlOSS IENTAL '-------171-8! ;. -h. S10 W/0 FUIM. $ I IIIDIYIDUAL 3 AMOUNT OF IELOC.ATION ADJUSTMENT PA'fM[HT s. ______ AMOUiriiT OF RE:.OCA!IOtw lll.l'l'MfhT I j.,. 1:1: z;-'"' l ... i,. :;i 1:::1 ---------------1 !"'i-ll.Y.>013tl lN3NYII'itl3d .. .. "' .. .. .. .. "' .Lr-;3S310< S!:l> c3AN30 Nl SIOW3J. I S03E SWOOIO .LN31\Uo 1:10 .LNia !>hiSnOH NO lN3:l1:13o J' "' 11 n i li z L : I L z E z z 7.. I. I ;: Ol -=== i.. I; I (! '-r->-i: OTt< INCOME r MONTHU INCOME EAR" !1_____ __, 'A. U NREL.ATED ... [ s.:;ut:RBIE:f\. 1J errv .Ll22l 3. URBAN AREA CIRCLE 1 a> 3 () 6 [THNIC CO .. POSITION CIRCLE .(j)1 3 S 6 5. HIGHEST GRADE ATTAINED IN SCHOOL #12 CIRCLE 1 1 l 5 6 7 I I 10 11 12 13 16 15 9 6. SEX "ALE 30 FE .. ALE-----------7. AGE OF "AL OVEI 61 FE .. ALE OYER fol _____ I. MONTHLY EARNED INCOME CUICLE U .. 9 6. UNREPORTED INCOME SOH 7 300-3&9 '-------D PERMANENT RELOCATION ADDREss 1 825 Arapahoe JLlOOl Cln Denver, STATE f61 a: ZIP....Q.L. .. I. PAIVATl RENTAL J' SALES HOUSE = a. STANDARD l{ SUB STANDARD b. tENT: w/o unuTIEs S //"' WITH $ ___ "' .. "' "' c. PURCHASE PRICE $ _____ MO. P.I.T.I. 5 ___ d. e. LPA REEIIED 0 SELF RELOCATED 0 PEICNT SPENT ON HOUSING %----------C i!: .. .. Z. PUBUC HOUSING PIOJECT E)" 3. lENT SUPPLEMENT HOUSING ;D .. MONTHLY. INCREAS 5 -----DECREASE S ___ ;I" j;l"' "' l. 100-1.t9 8 O.U.R.A FINANCIAL ASSISTANCE GRANTED :!! 1. MOVING EXPENSES CIRCLE Z -< Ul IQ JV'I j ,... JC Ia:: ... ; i i c. !S0-199 9 SOD OR "ORE OTHER INCOME A.D. C. 2 0." p G A s.s 5. fi R VA. A.frli.O 8 OTHER MONTHLY PRESENT HOUSING INOORMATION o UNDE:I S.ZO 3).&5 06-51 e 9.71 Z. AVERAGE: ANNUAL GltOSS .ENTAL s 72--83 ... 96 !11+ A MOUN,---Ss w/o FUR 510 W/FURrr. 3. AMOUNT Of" IELOC:AnON ADJUSTMENT PAYMENT AMOUNT Of IELOCAnOh PAYMENT "'H----ICID .... N 11>-.1 I"' "' OWNER = lENNANl P"' NO OF ROOMS I -l.._, I t-4--.1 ii'l: "' -li; IZj' I a: I :'"I I i"' I c I lg ,% j iz i IO NO OF BE DROOl'S _.0::_ __ AMOUNT OF hotOIIiT ... L '1 R N": WITHOUT UTILITIES S -..:;f'lj91j!!:;,...;"-'=-. AMOUNT OF MO"ilhL.Y PAYMENT INCLUDING P I.T.I. 5---' INCOME SPENT Oh HOUSING %-------r--6. YEARS UVEO IN OENVER ___ PRE.SNT ADD.ESS_,..JJ---PUBL.IC LUGIBL FOR = APPUED FOR 1 DATE 0'" ACOUISITIO"-RELOCATION 7 ., < DATE "DYED R-1!il-73 OF MO'I.T"'':,.'f' RENT PAlO TO C i.. li.A 5-----UNGTH OF TIM TO RELOCATE. AFTi O.lTl OF ACOU!S:TIOh .. ""0'A GOJ(), oo 1-+---.. '17l/.11' '%1 ., o. i '0 I ...

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    -' ;: __ .... ,.,.[ __ l C .."" Iii :: .,.i .. .. .. ... :... ... ;Q w .. .. '" lE 01 .... I .. ; ;vo .. .. B ,.. ::E:z: I. z. I. ...... .. ...... 5 ZIO-ZOI OTN!I INCOME: I. A.D. C. z. O.A.P. 3. G.A. 5.5 R R VA 7. A N C 7. .. 10 !Mil Dl WORE WONTHLY I lH,,_ 11.11 r-!OU5aiN:';; \. OWNER = )( uL 1. -IXPI.SU 01ICU a. IIIIDIR l H f. l7Z.U b. lt-IZ g .... c. -h liO WI'O fUIN. d. .... I INDIVIDUAL .. 71 z. AYEIAGE ANNUAL GlOSS UNTIL 3. AMOUNT or IEi.OCAT!Oh ADJUSTMENT AMOUNT OF AELOCAnO.!' ---__.;:. :o: Z. hO OF R00h45 NO OF AMOIJNT OF h40NTJ.ti.Y RENT W:THOU1 UTILITIES $ ':S: / ,/} :lz:::; "-''.,, !. GROSS SPENT ON HOUSING '1-------,.---c:llj%\ -'!. 1.._1 6. YEARS LIVED IN DENVER ____ PIESENT ADDRUS__J,_ -1. PUBLIC HOUSING FOR 0 EUGIIU FOR 0 1 C RELOCATION TRANSACTIONS -----1--1! I -' 1 DATE o --------------------------1 11 Z DATE MOVEt lfJ .Jl/. 702 -----------------------! ,..,, 3. AMOUNT OF RENT PAIC TO D.U.I.A. LENGTH Of' TIME TC REi.OCAT AF'TEA DATE. Or --------------------------11 1::' I ... A. RI-A .... : ......,W.R ..-.L--.. Ia:! -,.,, ,I : I, ..... ,." NOIJ.VJ013tl J.N3NYWtl3d i" N AMOUN1 Of MQfrr,ITHi.T P .. Yh4UiT INClUDJII.G P.l 1.1. $ _____ N ACOUISIT:Ot' r..:COME ; "'0PHLY INCOME li ..;. SEX 1 ETH ... IC _.ll AREA I/>:310C.k AIJ'HA CODE ./ : lA UNREi.ATED I .. "' -D PERMANENT RELOCATION 3r.-oy v z. -.. "' ro S:;::: ::; l":P}'.,. .Toe ADDRESS 18 Q 5 Marjr:.e:r --i;:: ... u,u c.o. .!.;51.4 '<. l. .d.J ::> ;::-EC:.it:. ( L ;18 \: 6. .. ... .., ,.. lc.. <. ADDRESS ., .... l CITY Der..ve.:r. ZIP..Jl.2._ :J j STATE 3 URBAI'IG INFORMATION zZ 1: ? I kr'-....J ;;;t .. N 1. OW .. ER TENNANT 4 -Ill! l 101 l NC OF AOOMS NO or BEO-OOMS ozl 64=/J.l. ""'o/4" .., .:l.S:Ci. ..... 3 AWOUNT Of MONTHi.l" AENT WITHOL:! UTILITifS 5 I'""*""! AMOUN! OF' MONTiiLY IIAYh4ENT INCLUDING PI T.l. s .. (iii s GAOSS llwCOMt SPENT ON HOUSING % "!. J: 0 I I 6 YEARS LIVED I"' DENVER ADDI ,. I I IIJOi7i,fi v .,.3 z 7 PUBL.IC HOUSING ELIGIBLE fOR JIWTS 11 17 I APPUED FOR ... I C RELOCATION TRANSACTIONS .. i DATE OF ACOUISiliO 7-I 23 ,, 1 ;f:JI:i. 1:1' -1 1--jJ ,,.. l I DATE MOV :::1 ""I = ,0. i 3 OJ MONTHL'r Rtil PAlO TO CUR A s '"I-I! X; I .. I '2' ; LENGTH Or TIME TC RELOCATE Ar:'Tfii DATE Of ACOUIS.ITIOflo iiO' 10 ... I ... ; I

    PAGE 248

    N N rn .r.i iC ,_ I "'J' i:f lc. :C I" ____ ,,_ .z :2 -.. ________ __JI ,u, !: :C .r.E che le -"'"9"52 UREIIf'll AREA C:ltCL[ 1 0 j (!) [THhiC COW,OSITIOtri CtiCL[ -0 Z 3 I HIGHEST GlADE AnAINtD IN SCHOOL 15 16 CtiCLf 1 Z 3 4 5 ., 7 I I 1G (J) 1Z 1J U SEX WAU FE WAL ---'tJ..._,1{_c,_ ______________ l. AGE OF MAL OY 6: ____ rfWAL OYER 6Z _____ I MONTHLY [AINE:D INCOM CIICL[ I. S D-.9 6 l Z!GZ99 UfUPOITD INCOMl 10(L U9 1 Sl! ZOO-HS OTHER INC01io4[ A.D C 0. p G A 5 ,. ... 01t1F 300-)419 3!10-399 &00-499 10 50t OP. 1140P MOhTH .. IS$, (!D PRESENT HOUSING ANNUAL 0"'". :._ ''""-" ., "'C or or ....... At.AQ ... o, .. Qf MCtoTr-., 't fH \111"' ... 0;,)"' 5 Qr U011;TH:..'f .. :!'oiCL.L;t'IJ,;G FIT! GJt055: $Pfii;T Qr., ... OU$!'\G :;t-------,..,--YfU-1;:[:-0 U R A FINANCIAL ASSISTANCE w MOVING f.IPENSE'S -CIRClE Z 1 -c::V' o ONDER IZC I 72-81 ZD-l.i: &4-'itf r ll-41S 91 ---i=: se ,. a hJPr. S:(j r. 'FUP,. e !9-"'1 AYlRAGE AIIINUAL ClOSS I ; 1 :;::.z 1:.::::-1 1:0 T-:... .., iJ -. ----1=;::==== ---------------1 ,_ c iz.;: ----t;:;:: -----------------------:::: "' NOilVJ013t!lN3NVIolltl3d "' c .. .... .. i ,.. A. FAMilY COMPOSITION 6 SOCIOECONO .. IC DATA 1. NAwE __ z AooEss 9 2 -1Oth ..Street I. UIUH AREA CIRCLE 1 Z 3 5 6 J if 4. llNNIC COMP'05111011 CHICLE -(!) Z .I 5 I I. MilT eiADE AnAIKED Til 1-. IY MUD OF FAMILY QIQ.E I Z I I I "I I I M 11 .U U M U 'H I. JIUIHEI Df' CIIIIJIIt:N ,. I ..... : "" N I I --,: ..... .1-J N _lN ..... ._,-.... } e:.,. Ja. '") .... .... N .... ,.,,. .. ... jol =-1 .. ,.Ia ... ... -Jz .. .. "' .. "' ... J -"'..) i a 107 Jft. ...; .. -_,. ....

    PAGE 249

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  1. PAGE 250

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    PAGE 251

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    PAGE 252

    ---------7 .... :o= ..... -: I i -,--n-1 ... 1,: I lc, 1 N .. '"I I "'! i N I 1C ;Vt l;(i .. ,g; o:, i C i I _____ z. _:j; i C!:' Iii: .... ,_ STUGb_RL.. ADosL -_utfi Street URB .. ARU' CIRCLE'' CD ETHNIC COMII'OSrnOh CIICLf -(!)! Z 3 6 5 6 !5. MIGH!St GlADE ATTAIN[D IN SCHOOl ,, 16 CltCL 1 2 3 I 7 I I 10 11 1l II. 6 SEX MALE FEMAll. ____ ..:....;'----,.-.,----7. AG( Of MALl OYU 6! HMALE OYER 62 _,'-J.,_,._ __ I. a.tONTHLl EARNED INCOME-CIICLE () l o-t/H, 5'1) S Z!IOZH I/JI sr--99 1 10e-1 & 150-199 5 ZOO-U9 OTH[ P. I PfCOM [ ADC OAP c, s 'A A p., : 01 .... [ 10 SOC. OR MOR MONTHLY PRESENT HOUSING INFQRM T!O'< UNIE,ORTED INCOME ANNUAL :. H,_,.'-. -/ A OF ,sor E!EOiilOOVS 0' RENT WiTHOU"! u:_:'"!E.5 f!J,()O AMOUII.'! OF' INCLUOihC I S ---GROSS t-tC0'-1E. Oh %-----=-:-:::---YEARS L!Y OEhVER ___ APPi.I[C FOr. rue;.:c 1101.'5:".:ELrG:BLL F"Q" RELOC.1TICP\: TRA,.,.SA;:llONS C< "1 OF cou S. TO' -1::7.:l'!i'-----O.tTE. _____ ;: OCt J "3S3bc S!!A P\'' St:t3L S03E Sr.COb I L z z L ; ,C"!-'' :.. ;; : :. : P;,. ,_,..:.. : .. : 37-08 1865 Larime;; S.t., #_.5.2l_l C;TT oenver.., colo a z,;:::a::z:: l PR1YAT RUIUL SALES. HOUS.E a, STAitDAID Fil' SUB S1ANDARD b. RENT w/0 UTILITIES $ //1/..1(} WITH $ ___ c. PURCHASE PRICE $ _____ 100 P.IT.I $ ___ d. LPA WFEIRED SLF' RELOCATED PERCENT SPENT O HOUSING 91:----------:1111 :;:! PUBUC HOUSING PROJECT NAME------------0 "' RE"i! SUPPLEMU.il HOOS.I,..G ;z, $ 5ti/.IIJ DECRlASl --> ;;:1"' r. .. INCA[ASE .. D U.R A FINANCIAL ASSISTANCE GRANTED i 72-!j >-f--j-1 ---a.... !co 1. MOVIhG EXPENSES CIRCLE ---wiO FURI\i r-1..,. S1o w/ruapr., :... ;I ; ... z ... e 59"' "' AVERAGE AI!INUAL GROSS RENTAL G'l:"', z z, _._/. .... '.J..IIun.===-------lal ;1!"' JILS/llA 9;5o.oo f-+--. r_ TOIP .:J,rt:J. ([U 2: __ z. ( MllNTHLY PYts" OF 5111.1JO) ;:=-,. ..,.: __ I ;: ----------------zj::;"' --------------------------------------------------o: NOI!VJ013!! !N3NVI'II!!3d I CJ.S: tiC J.N3tl ans: .. "' N f Q.i.S I l j UKDN ; z r / :: ,.. ............ r OH-: INCOM!: ,_,0"-'THL Y INCO ... E EA.:"I'Ii SEX,, ; ARE .A. jJx:G.! ,,.. ALPHio. co::E / <1' .. N z .. 0 :'A .... ,... I I "' Ill UNRE;...;.T INO\'UUAL 0 PERMANENr RELOCATION 37-08 l-SUAZO Pauline 4539 w. 33rd --1 NAM l ADDRESS Avenue i .., z. ADDRE.S!t 932 -II En Street CIH Denver, slAn Colo. ZIPn= I I URBAN AREA CIRCLE. 1 (J) 3 !! 6 1 PRIVATE SALtS HOUSl. 2( 1: 3. STANDARD Ji: SUB STANDARD ETHNIC coMPOSJnoN .. cr RCLE 2 (}j 5 I a. N 5. HIGHEST GRID ATTAitriED IN SCHOOL b. lENT: w/0 UTILITIES s WITH s CIRCLE 1 I 3 5 6 7 I t 10 T1 (I)ux 15 16 c. PURCHASE PRICE S / 7) 5"{/Q MO P.I.T.I s -SEX. MAL[ FEMALE d. LPA REFERRED 0 SELF RELOCATED :J CD AGE OF MAL[ OVER 62 FEMALE OYER 62 r. PERCENT SPENT ON HOUSING % c=: MONTHLY EARNED INCOME CIRCLE I. PUIUC HOUSING PIOJECT NAM[ w T S O.A9 E. S Z!IO-Z99 UNREPORTED INCOME 3. RENT SUPPLEMENT HOUSING :o" ... z. S0-99 7. JOO-JC9 s MONTHLY INCREASE s DECREASE s __ .. .., N c N lg I :::> I .. ,:r I I 3 100-,.9 e 3!10-390 E. D.U R.A. FINANCIAL ASSISTANCE GRANTED ...... _,. .. 150 9 600-499 1. MOYING EXPENSES CIRCLE .. i SOC OR MORE 5'-1 {I 0 UNDER S ZC '72-83 5 200-269 0 20..32 86-9E .. OTHER INCOME MONTH:.Y ANNUAL J)-65 97+ _,, >, ... I A. C. C. s s d ,..sa Ss wlo ruRh r--r...; "' > ,._; z O.A.P. ,...,. S1c w/FuRr. .. ... 3 G.A. z. AVERAGE A.NNUAL GROSS RENTA.L u; !I .. s.s s -i. 1 .. 5. R. R 3. AMOUNT Of RELOCITIO!Irf ADJUSTMENT PAYMENT >I 6. YA. s 7. A.N.D. .. 0' YMENT G'l'"l 8 OTHER l ::::!C 1..'-:o "I"' .. I )lo PRESENT HOUSING INFORMATION 7Mr
    PAGE 253

    '"' ... ,v l5i ... I I ... : "t. .. .:.! ::-.... : : SWJ>.N, Ell en DDI[ 55___,9:__,5c.::2=---=l=-0=-=t::.:h:.:___...:S:.....::t:....:__ ______ UIBA,. AREA CIICLE 1 l 3 5 f! A. I:YHNIC COMftOSinON CIICU -(!)z J I I S. HIGMUT GlADE AnAIII O' I :Z:i 7. PUBLIC HOUSING fUGIBLf FOR ::J FOR 0 C. RELOCATION TRANSACTIONS :-1 1. DATE Of 'CO I I 3 ,2) z. DATE J. AMOUNT or MONTHLY I [NT PAID TO D. U I A $ ------. LINGTH or TIME TO llLOCAT AF'TEI DATE Of' ACOtJIStTIOtrt -,.. .. N .. "'. -..

    PAGE 254

    .. .. .. N I i i '"' 1-: IZ IW!t.!) ,.. l:ijZ !,...,U', IC ,c..:c Ia:'= 0' N (li I N ;;: I ?. z. I. 106-1"9 1M-Itt s. 100 J. .. -10. 100 OR MORE WNifi'OttYfl) IIICIIOif s t. OTitU INCOME 1. A.D.C. MONTHLY AftUAl B c t I l. O.A.P. 3. -llfU.FAc.. s. s .. A Jrri.D laD l.iO PRESfNT INFORMATION 1. OWNER )I( TENN..,.T 2 l NO OF ROOMS If NC OF BEDOOOMS __ .J,L..... ____ __ AMOU"'T OF MONTHlY RENT WITHOUT UTII.ITIE!. S-------------4. AtotOUNT Of" MOitrtTHI.l' PAYht[Nl INCLUDING P.I.T.I '---------5. GlOSS INCOME SOENl ON HOUSING "---------::-T--6. YEARS LIY Ui DENVER ______ ItRESEMT 7. PUBLIC HOUSING. APPLIEC FOR C ELIGIBLE FOI 0 RELOCATION TRANSACTIONS '!1. :::: ... AhtOUNT or MONTHLY RENT PAID TO D.U.R.A. $ _____________ LENGTH OF' TIM TO RELOCATE AfTER DATE OF' ACOUISITION. I I I I I l I I L I I I z L I z i I z I I I I I I I; I' I I z [ t I c [. _:_ 1. MOYIIIG CIIICU c. UNDU S IO b. Ze-ll c. 31-15 d. <6-58 19-71 AVERAGE ANNUAL GlOSS REfrtlll '---------------s JZ-13 ... 16 S 10 W/0 fUIN. $ I INDIVIDUAL --,...,-\ ... ... 3. AMOUNT or RELOCATIOPI. ADJUSTMENT PAYMENT '---------------4. AMOU"'l OF RL .. PA'flrolE"'T '------... NO !N3::l1Ud >1 t"' 3S I I I 1 1h' I r I l I e I' I os! I I z l I 7 I i I 7 l I 7 I I 11 I I I """"" ,, I I ;! :-t.L_OTk INCOME c MONTHLY INCOME EARN .,.-I E :t. 1 ETHNIC ARE:.. lf X31:! 1X ALPH.C. CODE \ "' A UNREL..HED INDIVIDUAc D PELDCATION 38-06 v -;; 3636 Colfax -----I NAME THOHPSON, Mars;uerite ADDRESS w. ."A..ve. .. = .. l. ADDRESS 952 IOtn Street c1n :2enverio?' sun cal a Zl F ----0..4. ,;.; "'I U'IBAN AREA CIRCLE 1 (f) 3 (!)! "' .. 3. 6 1 PRIVATE S.ALES HOUSE 10, ETI1NIC COMPOSITION Cl RCLE -(j) 2 3 6 a. STANDARD SUS STANDARD N WI /.IJtJ. 00 .. 5. HIGHEST GRADE AnAINED IN SCHOOL b. RENT w/0 UTILITIES s WITH s CIRCLE 1 l 3 5 6 7 8 I 10 II 12 13 u 15 "? c. PURCHASE PIICE S MO. P.I.T I. s -N oO I 6 SEX: loiALE FEMALE d. LPA REFERRED :J 5 ELF RELOCATED ::J .. I J. AGE OF MALE OYER 6 2. FEMALE OVER 62 e. PERCENT SPENT ON HOUSING % ... I B. MONTHLY EARNED INCOME CIRCLE z. PUIL.IC HOUSING PIOJECT NAME ... I 1 5 o.g 6. '150-199 UNREPORTED INCOME 3. RENT 5UPPLEMENT HOUSING ;cl"l 18. ,. i"'i I z. 50-99 7 30Co-l49 $ MONTHLY INCREASE s DECREASE s __ N E D.U.R.A >INANCIAL ASSISTANCE GRANTED """" 35Ct-399 _,. ': i I. MOVING EXPENSES-CIRCL. Z""'"' : 150-199 400> I I 0 S ZO 72-83 !cc 200-249 10 500 OR MORE t 20-32 g ... 16 .. OTHEP INCOME ANNUAl.. 33-45 91+ AMOUNl -------oC I IC $ $ d Ss w/o FURN "' Ia:: ; I A.D.C. ..... I .Z.2 oo 59-71 S1o w/FUR"" >1;1 I l O.A P ... : 3 G.A z. AVERAGE AJIINUAL. GROSS RENTAl i : I s.s $ !"" i I 3 OF AOJUSTMEN'T PAYMUiT .. $ .. I : 6 VA i"'! I 7 AMOUNT OF REL.OCAnON PAYMENT ;c>..., ... 8 OTHER >z PRESENT HOUSING INFORMATION / lcJc .. zZ N I A, i<.,, OWNEO :: HWNANJ ._1 I. I c zl z NO OF ROOMS. NO OF BEDROOioiS M_6. ... ., -I I AMOUNT or MONTHL.'r RffrriiT WITHOUT UTILITIES 5 l3Q (J 0 IV ;:220 QQ 3 1ZI....:! .. j:t .. AMOUNT OF MONTHLY PAYMENT INCLUDING P.I.T.I s -rOll!. ?I .z, l-.2 l.. 5. GROSS INCOME SPENl ON HOUSING % OQ 0; I"" I 6 YEARS LIY: lfrrt DENVER _____ PRESENT ADDRESS I I MO ,; 7fl '-/.. QD .., 7 PUBliC HOUSING ELIGIBLE FOR APPLIED FOR -..," lc RELOCATION "0 i'-'! I J'-C" 1 OAT OF" 68 T !,... fJ. V>i 1'!01 I til-tJ, z3 ;;:I.., "'' z DATE MOVED ... s c At.IIOUNl OF" MO .. TMi.. Y R NT PAID TO O.U R A '%; I AFTE fl DATE. Of uriZ L.ENGTM OF TIM TO RELOCATE !C. !OI : --I "' ...

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    N .. c "' .. .. .. N : ___ : ___ ;;.-, ; L ... 33-06 ..... l TOLE 00 Adolfo V a cDR __ z. ADDlES& 1 oj, -9th Street 1. PIIVAU IUTAL ::: ULIS MOUSE r( u.AII AtiU QIIQ.lfi_{JI I .-'"z a .. I.T _, t( --ID D .. .... i ..,-: ."1_ .--.-..I'OII'IIDN _,__. I >.lt .1 I.-. : 01 ... ,-: .......... --&.. ;., llltlt I __ .. __ .._ -. -. : ......... < 1.il .. tiiiMUT IIUlll mA-IDIIIL u w;;.-.., '" ,. ..O.P.t..t.l:;s.,..,_ .. _a.....,..-.1 ,. 'IN" -OIICI.I t J-G a I 1 ,_. .. t 11 u 'I! u U 11 tt :.: tl .i.P-Aarr:tau o -W-IIAKATD o r I. -U .. Dlli.NIII Ill -I!OUI-' .... ..-..cs _____ _._ _____ J '1.."1 7. AlE UA&.U OYU W fL,IUIL!S 11'11 l. l'tlaLIC PIDIICJ IIAMl la!H----.,,-I. -THLY lAINED INCOME CIRCLE T''"' 1. S WI 6. lZI6-ZH Ill II II INCOME Z. -7. 110-MI 7$,1. '"() 1oo-119 r 1. no--() 1'54H/fJS'6 I _.., 5. zoo-ug soo oR MORE S5f /1 I. OTHER INCOM MONTHLY ANNUAL 1. A.D.C. O.A P G A s s .. A."o [! PRESENT HOUSING INFORMATION = H. .. Nl:'!' 'It( NO nr AOO!ri.S i ftC Of &EDAOOMSr:.-5"'7.,.--3. AMOV-.,1 or MO,.THI..Y AEN'T w:TH01:1 L'!!L!'!I[S ,_.f'-'''-'''-''IL!!(J,_ __ AMOUIIIT Of MONTrtlY .. T INCLUDING P.I.T.I. 5. GROSS INCOME SPENT Ofrl HOUSING "'-.------;;--E. YfARS LIYEt'! lh DENVER ____ PRESEN! PUBLIC HOUShG APPLIED FOR = ELIGIBLE FOR = RELOCATION 1RAN!'>ACTIONS DATE OF OAll hiOHC ______ Ju/r.....t.?'-'/J.""-------IIIMCU'i1 OF MOIIiTH._, REJ.il PArrA A. I ______ or Tltrr.l TO RELOCATE DATE. or b:URARIA ... MONTHLY, INCREAU S DECUASE [. D.U.R.A. FINANCIAL ASSISTANCE GRANTED i-jg"" MOVING liPENSES CIIC.E ... i o UNDEI I ZO b ZD-32 (.. S:J.-45 06-51 AYERAG GROSS REtiTA;. 72 """ I 10 W/0 FUIIril. S $ INDIVIDUAL ,z.F9!:,. ;; 11>'0 .. "''-----= C RE,.QCU:Oh s _______ >'": 11 __ 0 ... ... Q ... IJ .. Q.---------.. H/l)/1 Tall f)/) TLIIP i"'t';l) ---------------------------------------------------___________________________________________________ NOilV:>Ol31:1 .. N .. --.-i !: L L I Z 1-I z z t I O!S I I I L I I I L ;wcnljONI :_ II I I I l i I o COMPOSiTIOI\I o SOCtCECONOMI( :lATA 0 PRMANENT 3 3-0 8 f! l" ... "' "' z = .. "' 0 .. ., I i I I "'.n! :s: g; .... El'l NAME TOLEDO, Manuel z. ADDIEss 1027 9th Street 3. URBAN AREA CIRCLE 1 3 G) 5 6 A. ETHNIC COM,OSITION CIRCLE 1 Z tD A 5 I 5. HIIOHEST IOIAD AnAINED IN 8T HEAD OF rAMILY CRCU I 2 3 A 5 I 7 I t 10 11 1Z U U 15 11 I. IIUMUI Of' CHILDIEN Ill IIDUSE-.D BOYS---GIRLS---7. AGE Of' MALES OVU IS rlf FEMALES OVU IZ /'f 8. MONTHLY EARNED IIICOME CIICLE 1. s6) s Z90-ZH.IIO 2. 54 ... l. 100-1 .a. no-1n 5. ZOO-U9 t. OTHEI INCOME. A.D.C. l O.A.P 3. G.A. s.s. 5. I R. I. VA. 7. A.N.D. 7. :JOD-U9 B 350-399 10 500 OR MORE MONTHLY B. PRESENT HOUSING INFORMATION UNUPORTED INCOME ANNUAL 1. OWNER D TEIIIIANT Jt 2. 110. Of' ROOMS 110. OF BED-S-f-1'="-=--3. AMOUNT Of' MONTHLY UIIT WITHOUT UTIUTIES S,.....l41.tDiU4:r.41L-----a. AMOUNT Of' ---y PAYMIIIT P.U .. I. 1-------.1. IIOSS I-I SPIN I -Gil -liNG '-----::------1. UAU UVID: Ill DIIIYR HSI.r -ss.J!Jia_ 7. PJIBUC AHUIID FOR C rou D C. RELOCAnON TRANSACTIONS I. DAT OF ACIOUIIITIOII,....,:-1/AIL----:...,..=..-------z. DATE ___ J. AIIOUIIT Of' IIOII'nLY 1011 'AID 10 D.a.I.A. ---------A. LING"' Of' liME 10 IEUKATE AFTEI DAr OF '"CIOUISI,_. ADORES ;_....-.7...;;:5;...;5:...._N;:..;...:e;...:;W.;_t=O-=.;n=--S::....:..::tc.::r:....:e::...e.-::.....::t __ a. STANDARD r{ SUa.stAIIDARD D ,RIVATE RENTAL :. SALES HOUSE .,(, I[" .. b-IENTo W/0 vnUTIES S WITH ,. <-PUICHASE PRICE I 1'1, 716.tJIJ MO. '-LT.I. I J.!J'!.tJI L d. LPA UFIIIED o snF RELDU, ___ n_D_o_________ I "'_ ... __ -PERCENT SPENT ON -SING,._ Z. UBUC IIOUIIIIG PROJECT IIAME ----------------------d,.,i. '. MONTHLY INCIEASE S DECIEASE s, _____ ::ol=l : .. : 1oi..,. D.U.R.A FINANCIAL ASSISTANCE GRANTED :" 1"11 1. MOVING EIPE. .. SES CIRCLE z. a. UNDER I ZO b 20.32 C. J)...U <16-SI e. 59 ANNUAL GlOSS ENTAL I s 72-83 lA !lE 10 W /0 FURh. S 5 INDIVIDUAL 3. AMOUNT Of' ULOCATIOh ADJUSTMENT PAYMlN1 .. AMOUIIT OF IILOCATIIIII 'AYMEIIT .a,.:J lo/:0 ./wlw. J.MN fist '-ll liMI. t.'IL ll. ill '12.70. 1WM ]f/1. Z;-<' 1!:!: .. i>!;:i Ullr-'""" 11>0I -4-!G\ n, !UI rn; JOII''i lz, 0 ,.,i"' ii .. Elo' il-C'll "'I "'!-.. N .. .. .. -.. .. ... ..... -' ..... ; r'V' ..... __ .,

    PAGE 256

    ,_ L ,. .. .. .. .. .. N "' N .. N .. .. "' .. ... .. .. .. .. .. ... ,_ .. .. ... "' 0 ... .. :')hit_ -M, ____ z. ADDIEU__.:l::..::0...::3::...9:.___=-:0::...t=h..__S=-->'f:,_._. ------1. IIBAN .. UCIIICUIO J$1 I .. ..e_..... 'Ciau_-' : .. .. ,_ .... ........ ft ..... __ .. ,_.,.' CIIIC:U I Z 'l I I 7 .I I. 'It t1 :uU '.til w'-W -- 1. I _,._, IAIIIU IIICOIH CIICL!, 1. 1-I. .. COME I. 7. 310-UI -'-----------------3. 11111-lft B. 1111-111 I. 5. 10 1100 01 MORE I. OTHU INCOiol[. 1. A.D.C. MONTHLY e c Z. O.A.P G A s s. t HOUSI ... G OWNER c TENNA'! ., o OF .. _____ NO OF Alo40UkT or REhT WITHOUT UTI ... 'TiES 1--::1:-_. __ ...... .::0'-C::....-' AMOUNT OF MONTHL"t PATMNT INCLUDihG P I.T.I. '----------5. GROSS INCOME SPENT 0H HOUSING .. ---------:::-.----6. YEARS LIVED IN DENVER_.z.j._.P.ESEKT ADDI-Z..L_ i. PUILIC HOUStNG APPLIED FOR C ELIGIBLE FOI 0 TRANSACTIONS 1 DATE or ACOUISITIO J[27-73 z DATE .. OVED '-1"-Zi AMOUI'IIT OF R!.lr!IT Pl.tD TO D.U lt.A '----------LENGTH Or TIM[ TC RELOCATE AF'TER DATE OF ACOUISITIOtrrw 3 ,., ... -'-'-'.. ;_,..;.---.--. -_____ _._ __ ADD" E' .. 9'-'s ...... oL--_.s ....... .. r ... a..._.n ... ... c_.t _____ : P8JVAU l[llAL. C SA1..l.S HOUSE ., a. STUJIAIII> ....-;UIST-110 0 11..-Y: AiliiiLI8H ln'IJI -&1, S'-... 1110. P.J.I-4.. iW. ... .;ll_ VI RFDHD-C lfi.F ILIICATID a .. '):;') Clll ----... -----------1 l ----IOJCCY llo\MI -i./) MOIITHI.Y: IICIEISE I DECREASE S C.U.R.A. FINANCIAL ASSISTANCE GRANTED ----------ljo. I. MOVING [XP[IISES CIRCLE ""I"'' o. UNDI:I 1o ZO b. lO.Il c d ..... e R-71 AVRA.GE ANh:UAL GROSS RENTAl s 72-83 g ... 16 n 110 "/0 FURN i S 5 IHDIYIOUAL i'"'"' :: _, .. tc.r 0 ......... C' ,,., .. .. '"' ---------c: C Of' RE:..OCI.TIO .. PA't'MEII. tl": .... r o'zc--------------.. .. :=' r: 0 Ill, ll)c. iC": 1:: I'" l:z.:. =-!1.1'\-j AUUIIA .. s1u "' StiW3' S03ii SWOOtl I a;s z z E I a!Si I !)'-IIISnC.H t-iC C" '.--,_ I I 7 z r I "' .. ... ID ... ., ID "'I :!!I gl .. "'! I 4 FAMill COMPO SIT! ON b. SOCIOECONOMC ::lATA D PERMANENT .J,3. () 1 NAME TORRES I Phi 1 z. Aootnsl033 9th St 3. URIAN AREA CIRCLE I Z 3 I I ETHNIC COMPOSITION CIICL[ I Z (!) 5 I (! 5. HIGHEST GlADE AnAINED IN SCIIOOL IT HEAD or .&lilLY 0 t), ADDREss _3_26 _o _T __ e ___ n ___ n .. v ,_s_o ... n._a_o __ 2 __ l __ l_ I. PRIVATE aENTAL c SAlES HOUSE o. SIAIIDAID Jt SUBSTAIIDARD c b-Uill: W/0 U11UTI ES S Wlnt S <-PUICIIASE PltCE S S'f)Q MO. P.I.T.I. s 11011'd .,A IEFIIIED 0 SELr lll.OCATID '#laJ. QICLE-I Z I 5 I 7 I I II 11 II IJ 6. IIUMIEI OF CIIILDIEN IN IIOUSE"9U' 7. AGE OFMALES OVU H 5"LEMALU CWR R S$ It -PEICEIIT SPEt 011 IIOUSIIIG to I. MOIITHL Y EAIIIED IIICOII [ CIICL[ I. lOoft 6. 11110-.111 UIII[I'OIYEII IKDU z.-3. 100 1!10-199 5. ZOO-U9 I. OTHER INCOME: 1. A.D.C 1 O.A.P. 3. G.A. s.s. !. .. I. YA. 7. A.N.D. 7. 300-IAI 8. 3511-399 l.oi00-499 ( .\ (!}) OR MOlE )I MONTHLY AIIIIUAL PRESENT HOUSING INFORMATION I. OIIIU I' TEIIIIAIIT 0 LJ z. 110. or -s---BD--.111. Of' J ... _,,Of MOll-Y a WITIIOUT lmUftEI' MAC.. -l-IlT 01 MOIITHLY PAYM EIIT IIICLIIDIII5 P.U.J. I IJIIIJC. Ji. IPUI--IlliG 1. YIAIS U'lfD: .. DEIIVII 119 PUMIIf 7. I'U8UC --: aPNID FOI D -. D I. lATE OF C. IIILOCATION TRANSACTIOIIIS .1. .z. DATE IIOVU J. -T 01 _,.,y KilT ID TO D.U.LA. 1-------.. LE11Gnt Of' TlWE '10 RILOCATI AFTEW DATI ., E z. PUIUC HOUSIIIG PIOJECT NAME MOIITILY: INCREASES nrciUSE S D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING tXPE .. S CIRCLE a. UNDER S 2D b lO.ll c. JJ..A! d e. -..n z. AYUAGE aiiiiUAL GROSS RENTAL I $ 71-BJ CL. ..... r. '10 W/0 FURfrll. 1 5 INDIVIDUAL 3. AMOUIIT OF IELOCATIO-ADJUSNEIIT PAYMENT I or d /2..-bw.WJS 7J.7J. 'JJ'Q.Zl. q.,!': 00 .. .. I -----I .. .. N. : -C:;, .. __ ,. I"' ::Or "' ... ;;; ... "' u;,;: """fl'-lCI'I .. ,.,, Z"j n! "' '" ,.,.,I .. ... .. ... .. 21 "'' ... -_. 1:-.. _) 0 < i .... C> :1=-;lll z,.o .,. :::, "'1-"

    PAGE 257

    --------______ .. --/___ .., ... :: :;-::;, __ __ J.. __ !.= _! -. .. !z i l.a. 110-1 no-1M I. liWa .t. ImlER INCOME I. A.D.C. Z. O.A.P !. G A 5 s.. 5. I R. 6. YA D 7. _,_ .. --II. 110 01 MOlE NONTHLT ,,.,, 'lilii 8 HOUSING 1Nt'OPMA.1'10N ... >--I l. OWNER C TENNMIT "1ft :l. 2. NCI. Of R00"'5 s= NO. OF BEDROOMS ... l'o: fg11 3 AMOUNT Or MONTHLY lENT WITHOUT UnLITIES ,_.. Aloi!OUWT OF" MONTHLY PAYWEN1 INCLUDING P.I.T.I 5. GlOSS INCOME SPENT ON HOUSING '---------If' c 6. YEARS LIVED IN DENYEI ____ PIESENT ADDRESS ___ 1. PUBLIC HOUSING APitllED FOR C ELIGIBLE FOR 0 RELOC'T:ON TRANSACTIONS I I l. DATE OF __ -:li.-'T7"J:''311"'------Z. DATE MOVEC _______ ___ Ao 1'.".,:1 n 3. AMOUIIII! OF MOIIIITHLY RENT PAIC TO D.U.R.A. '------ LENGTH OF TrME TO RELOCATE AFTER DAT or .::t I AURARIA ... E. 1. tol-EJIPINSEI DIICLE o. U-R SZI b. ZO.IZ <. ,_ d.e. :rt l. AEIAGE ANNUAL GlOSS RENTAi.. '--------------33-:J. I 7ZIIl 14-16 h I lO W/0 fUIN. S 5 INDIVIDUAL 3. AMOUh:T or RE.LOCATIOtrrw ADJt:STMEN! PAl'""'[NT .. -------------------. ; j .. J.'00131:1 J.N3NVIIIII:f3d '\ ,-._ .... .. .. .. .. N .. .. c !Nl .. !ld 110 !N3t! s10. a3AN3C '" SIIYH S03S swoo11 CI.IS !lr.JsnoH 11<0 !N3:>113d I' "' : 3sj: N I I I n I I li"l-1, i I ["'I I I i"'j 6-.: ;)-!! QTH. INCOME !: MONTH:..Y '. A. UNREL..JITEO iNO!VIDUAL D PERMA,;ENT RELOCATION 2 6-0 2 N i:C lUI l8i i I I ..... ===='==;= N N ... ... = .... __ ADORE ss----'l"'-='1:..:1!!:.....<.7___.9o<....>tho::.:.__.,S'-t...__., ______ 3 URBAN AREA CIRCLE 1 2 3 5 6 t. ETHNIC COMPOSITION CIRCLE: 1 1(j) !i 6 5. HIGHEST GRAD ATTAIN IN SCHOOL CiRCLE l Z 3 5 (j 7 I I lO lZ l3 U ''..!\: 6 SEX MALE 7. AGE OF MALE OVEO 62 rEMALE OYER"-----8 MONTHLY EARNED INCOME CIRCLE s 0-49 E. S Z!50H UNREPORTED INCOME 2 50-99 300-349 e. :nc..Jt9 t oo-499 '----------------3 100-1t9 .. 5 200-249 9. OTHER 1 A 0 C 2 CAP : G.A s. s 5. R 6 1C SOC OJ: MORE MONT-iLY C?uc 1!.00 8 OTHER PRESENT HOUSING INFORMATION A'-hUAL. OWNER = TENNAN' i){ ./ 2_ NO or ROOMS "C NO OF BEDROOMS r.:::--=--:=----AMOUNT OF ""0NTH .. Y REN1 ""'iTHOU'! UTiliTt[S $ cfr. () 0 AMOUNT OF MONTHL.l' PAYMENT INC.LUOIHG P I.T I 5---GROSS INCOME SPENT ON HOUSING %-------,--YEARS LIVED IN ADDRESS I.J. 7 PUBLIC HOUSING ELIGIBLE roo APPUED FOR RELOCATION TRANSACTIONS I l DATE OF DAT AM0UN'! or RENT PoliO 10 o.u li. !.a. c. o LEhCTH QJ" TIM!' 10 REL..OC.A':I. Drr OJ ACOUISITIOh W PW -ADDREss 1348 Navajo em Denver sTm Colo ZIP....2..04 1 PAIYATE AENTA:.. SALES HOUSE -8. STANDARD 't& SUB STANDARD N b. s ZD.OO lENT w/0 UTILITIES $ ______ WITH C. PURCHASE PRICE S MO. P.I.T.I. 5 ___ d. LPA REHRRED J( SELF RELOCATED 0 .ft II e. PERCENT SPENT ON HOUSING %:-:--,-" ... C il; Z. PUBUC HOUSING PROJECT NAME J../1! (.Oft.} ,Q&k._ C O .,. 3. RENT SUPPLEMENT HOUSING ::0 n MONtHLY INCREASE S DECREASE. D U R A fiNANCIAL ASSISTANCE GRANTED .., ., z .. 1. MOVIfiiC EXPE.hSES CIRCLE o UND S lC t ZD-JZ c ]3--\5 d-AVEI.GE GROSS '--------------'72-83 97+ Alr.40Uflil ---W/0 F'Uiih S10 W/fURt, l AMOU'IT OF RELOCATIOh ADJUSTM[I.;T Pol't'MEI\11 '-------a AMOUN! OF IELOCATIOh PAYfriiENT I zi= ... V>j !"" Z I n ,., !:1''" "'" ::0 .. 1 ... N .. ... .. w .. .. N ..... __ a WPAI .. /1tc. r-eJ 8 '1b to .oD I ;, s \b. At(. "'!-. ... C". ....

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    PAGE 259

    z il 0 -. -.;-..... .... : "'l.r., ::r :c ,... !C iO::, : .... :' ... ,.,,.l-4!. ..... ll (J 2 I.Ja"' .. rc ..... ,-.;_ .::: t UIBalrrt AI[A CIICL. -'(!) j ETI'ihiC COMitOSITlON CIRClE 1 .l (f) t 5 HIGHl GlAD ATTAINED IN SCHOOL CIRCLE 1 C!) 3 4 J f; 7 8 I 1C1 1l 12 13 U SLX MALE I( F(..,_I.LE.------------15 AG OF WALE OVEI 6t' OYER 6.2 _____ MONTHl l' EARNED INCOME CtiCL s 0-49 10C.-U9 199 ZCV-Zh O'!H[P I,..COME ADC 0. p G A s s VA A [.; 250-299 300-349 B 3SC-n9 400-199 1(1 50<: OJII MOR U,_REPORT INCQt.t.[ '' t..:-:--.: Co:.::-:. ?lac-:: : .. _enver, sun lc.!.o. pr; l Rf fliT A._ 'JI SA:... HOLIS "' 05 I'-' SUNOAit -SUB-STANOAID HNT w/o uTILITIES S '" OD I IN r 1-" _t"'\ a. b c. PURCP'IASE. PIIC S _____ MO Pill d. t. LPA AEFEIREO = !.hF AELQCaT[Ii 1 CD /" PERCENT SPENT ON HOUSING % __________ 0 PUBLIC HOUSING PIOJCT AE!rriT SLIPPLU4EPo.l HOUSING XJ ("'i MONTrl;.' INCAE.I.Sf DECREASE $---DURA I=INAN:IA:.. ASSISTANCE GRANTED :! 1. MOVI,_G EXPENSES CIRCLE Z ...:;ll' ,., .. .... -P zc n.s; &4-* c 97+ Alro40U"il ---c > "' S1C-"' fUR\ ":' v,; Zi----f' SS-"1 .1\'[AAG AN"'U.I.i.. GROSS PRESENT HOUSH\(. INF'ORMATION =-I t-.C. 0' P.OQV.S J t..IO 01 -.,...-'!..,----OF M;:n.:;Hlt RENT WITHO'J'!' 5 .... :z ;z;,_ ....:; .. -l"'j[i I ic AMQU\i OF PAYMENT lt.iCLUDI"t(. PIT I S ---GROSS SPE"'":' 0"' '!EARS LIVED II\ O[PIIVER ___ PAESF.r\T AODRESS......!I!OL __ -10uS1"-G F"OFt FQ!; : CA 'L 0' A:;QCISITIO' ; OAH "'OVEC ':..k 7j Of RlNT PAID TO Dl..;.. A 5------or Tt'-'IE TO Cf!.i.OCATE AFTER OAT Of ACOUtSITIO .. X ::;: z:r; "'' L z 2 -.'1 I 2 7 '. Nu .. __ z. J. U .. AN AHA 1 J 5 fTHIIIC COMI'OSinOH QICI.t 1 1 5. III&HEST GIIADl AnAINID 111 aT Hllll Df' fAMILY QICLE 1 l J I I 1 .1 I U '11 9 U 11 11 I. IIIIMUI Of' CHII.DilN 111 IIOT$-.11.1 All Of' MALES OYU 15 .JC FEMALES one R u-=7. I. IIIOIITMI.T IA .. ED INCOME 'QICLE 1. -. -z.-3. 100.1f:9 no-m 5. lOO-lG I OTHER INCOME. 1. A.D.C. Z. O.A.P. J. I:.A. s.s. I. 8.1. 6. VA. 7. A .D. 7. JOO.U9 JI0-:199 -. f'ltSNT HOUSING IHFORIUTION ANNUAL 1. 0 I( 1.. s. w _, ;I -IIQ. OF ADORES 5 __ __ 1. PIIYATE IENTAL fl SALlS HOUSE C o. STAIIDAIICI rr SU8STAIIDARD C b._IUT: W/D V1WnES ______ wlnt slH II ..._) .. _} <-PIIICKASf PIICE S MO. P.I.T.I. 1----d. U'A .EfUID C 'SEll' IUICATD 0 N -1 N,) -PEICEIIT PUT Clll -S1NGllo-----------l. 'PIIIIUC -111115 PIOJECT IIAWl _,.,,, liiCIIUU S ts:e D[CIIUSE E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED > g "" :.,1 .. 1. MOVING lXPlN5ES CIRCLE o. UND S ZD b. l .. lZ c. l.J.-45 d ....... e. Z. AtriNUAL GaOSS .ENTAL '--------------g .. s 72..83 -110 W/0 fUIHI. I 5 INDIVIDUAL J. A-T Of' IIU.IICA._ UJUSTWDIT PAYMENT -------,.I .. ; r-1 ,..., en .... !!! cnoj -i-.. .. A-T Ill' lli.OCA11CIII P&YMIIIT t; lll.lfJ -J "' .. ... .. ... ... ;__ ..... [..,., ... ...... _______ _,.t!lf' A-T 1W __ -T .111-t 1111UliU:S r ... .1111 ;l44iJ ...;..:-_: ... : JlliouiiT OP _,.at NID 10' ..._.:: ... j. r. ,_ 1: .:-

    PAGE 260

    :ZI lc .... ULIB.::..RRlh Antl1ony oom I 0 3 0 Cnampa #B 3 .. AI A CIICL.E 1 (!) ] IJ 5 ETHNIC COM,OIIn()frf CIRCLE 1 Z Cl) 4 S 5. HIIOHUT lOUD AnAIND IN SCHOOL CIRCLE 1 Z J 4 'I 7" I 10 11 1Z 11 1S 11 SH MAL HNALE-----------7 AGE OF MAL OYU '" F[NAL OY< _____ t. MONTHL'Y EARNED INCOME CIRCLE 1 S 0-49 6 S ZIOZI9 I. 5049 J 100-"9 150-199 ZOO-Z49 OTHE IJIICOME l. A D.C O.A P G A 5 s .,. c C: OTH[J;' 10 SOC OR a.tORE MOfrriOTHLY /JlJ (')(') PllESEO,T HOUSIIIIG IIIIF,PRMATION UNif,OIT INCOME ANNUAL OWPIIER = 'V"" NO Of ROOli.S ,)..-NO Of BEDAOO"fS -:".,'=----Of MOP\IlMLY WITHOUT 5 4S: or M0NTI1L'\' PAYMENT INCLUDI,.G P I.T I GROSS INCOME SPtNT O HOUSING %-------:--Y[AIIlS LIV[C IN ADORESS ID PUSu:: HOU$1-.,(, FOR JDPUEC :_j RELOCA"l'"IO,._. TRANSACTIONS 1 DATl 0' ACOurS;"IO' 9-:z-13 ,......,._,.. DATE IP -If:. Z3 lo.MOUN"! Qr MO .... THLY R[f\-:' PAID TO D.IJ R A or 11'-'E TC OAH OF' ACOUISITIOIII 37-ll 1200 California em Denver, sun Col a' PRIVAH I( SAUS HOUSl a. SUNDUD STANDAIID b. I NT. '11/0 UTILITIES 5 JS: f I WITH t. 5 NO. P.I.T I. d. LPA I[F[IREt ::::J SUF IELOCAT[D 0 iJ02 l___j),2 e. ON HOUSING %----------C 2. PUBUC HOUSING PIOJECT NAME b 3. RENT SUPPLEMENT HOUSING--------------1?' MONTHL": INCREASE -------DECREAS 5 ___ iJ-CJI D.U.R.A. FINANCIAL ASSISTANCE GRANTED -: t. MOVING CIRCLE D UlriiDEiil iZO b Z0-32 c u-s ol6-58 e ,._,, AVERAGE ANNUAi. GROSS RENTAL '--------------s 7l-13 ---w.:o FuRP\ S1c w/ruRN &n (1\ "t:' a' v; ::1 AMOLifrliT Of REi.OCATIO""' ACJUSTMENT PAVMEIIIT :"' n ,.' "'c!= C'l. '-------------- AMOI!,_T IIELOCATIOh P,t. 't'M[hT Z zi /J.c.tw, ;;: C zj J ,A r;.w ... N ... .. w,ma ., z :ts: 1--+-1 __ 1.. PfHP <11 .2, Vj' 10 III"'TtNY jiib ,, I' so.zr .,, .,. ;:_ :o Ul n,.;t t:ti h.,;' r t.-: .,. z "'I"' ------------------------------------------------1"' 0 -----------------------------------------------.. !c..i "' S;j'; 113.,,30 I" 503E SI'IOOii Q.LS: !N31'uYd 110 lN31i !)NISnOH "C lN3:lll3d _., Jl '": 3S I; i i i -----.,' 1 1 z z ,. 1 au l L i l 1 Wd1 I! I I I !:: '__ rA UNRELATEDINDIVIDUAL D. PEilMA,..ENT RELOCATION 20-11 I: .... E AoDR Es s 8 2 5 -2 0 th s t # 2 4 z ADDREss 1124 Lar1mer Street, #3 con Denver, sTATE colo. m.....Q2_ I o: 3. uRIAh e. CIRCL[., m 3 0 s ,_ PRIVATE RENTAL ., s.ALEs House "'' ETHNIC CIRCLE 1 1 Q) 5 E &. STANDARD jC SUB STANDARD HIGHEST GRAD ATTAINED IN SCHOOL b. RENT' '11/0 UTILITIES S /1/#.1{) WITH S ___ CIRCLE 1 Z 3 G) 5 i 7 8 t TO 11 11 13 U 15 16 C. PURCHASE PRICE S _____ NO. P.I.T.I. S ___ ., N .. ., N N r: ,.8 ...... ,. 6. SEX. MALE :1( FEMALE-----------d. 7. AG OF NALf OYER il ,2,2_ FEMALE OYER liZ _____ __ LPA REFERRED SELF IELOCAT 0 CD PERCENT SPENT ON HOUSING %----------C e. 8. MONTHLY ARND INCOME CIRCLE I. HOUSING NANE------------IC 0 .. i .. N 1 s D-49 1.5049 i. S Z!IDZM oCONE a> loo-m s;J.0 '-------3 100 4. 15Ci-119 5. l00-U9 9. OTHER INCOME 1. A.D.C 2 O.A.P. 3 G.A. 's.s S R R 6 .. 7. A.H D 8. OTHER 8 350-399 1 oo-4tt 10 500 011 MORE a.tONTHLY PRESENT HOUSING INFORMATION ANNUAl I O'IINEP ::: TENNAN' Jl: I. NO OF ROOMS l NO. OF BDtOONS_-::-ioT ___ 3 AMOUNT OF MONTHL' RENT WITHOUT UTILITIES 5 .J:l.ID & AMOUNT OF MONTHLY PAYMENT INCLUDING P.l 1.1. 5----S GROSS INCOME SPENT ON HOUSING 9!:--------,.-6. TEARS UYED IN DfNYER ____ ADDIESS /, U 7 PUILIC HOUSIIIIG ELIGIBLE FOR = APPUED FOI 2 RELOCATION TRANSACTIONS 1 DAlE OF ACOUISITIO'---'e/...,!!,o.:...-:--::-::-z:;'"'llr-------DATE _____ 3 OF' MOhiTHLY RENT PAID 10 D U II A 5------.t OF' Tllrw4E TO AEL.OCATE .t.rTEA DATE OF ACOUtSITIOJrl a -.e a 3. lENT SUPPLEMENT HOUSING ;a MONTHLY' INCREASE 5 DECREASE 5--l" ;;l "' N D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. MOVING EXPENSES CIRCLE Z -< Ul o UND R S 10 S 71 >t-1----t 10-lC: g 14-!lf c:c :: ;: .. --- 59-ll Soo 2. AVERIIGE ANNUAL GlOSS IEJriTAl t eft '----------------....... ;'" .. C'l" 21 .. 1 .... ,J MM I ,M1.m. 3. AMOUNT OF RELOCATION ADJUSTMENT PAYMENT '------ AMOUNT OF' RELOCATION PAYMENT .. .. N .. N, _____________________ .. .4J6. oa ___ -I I Te,NP J,Jo'J':oo ... :5--=-z ( MINTHI.. 'I Pi rS (}F' lf?f 00') : ..-, ; _.-cr_ "' "' "' -.. '-. Cl ... "''_______________ I ...

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    --------;'!' c: .. ____ _,;:;:: .u --... ... hAML __ ADDRtss _____ URIAh AREA CIJCL.E 1 ) 3 !! 6 ETHNIC COMPO&tnOfrl CIICLI. .(p Z 3 & 5. HIGHEST GlADE' AnAINID Ui SCHOOL ClaCLf 1 2 3 & S I 7 I I 10 11 12 1J ta 11 11, i. SEX WALE-------F ENAL ---------=:----7. AGE Or WALE OYEI il FEMALE DYEIIl __ 1. MONTHLY EARNED INCOME CIRCLE 1. S O-.t9 6 S ZSO-Z99 50-99 3. tOG-1 U0-199 100-ZU 9. OTHER INCOME ADC OAF G A s s VA A C E OTHEft 7 Joo-3 e no-J99 t. &O() gg tO SOO OP. MORE fwillONrM:..Y PRESENT HOUSING INF!()RMATION ANNUAL OW-...' = TENfi.AP...T V"' NO OF 100"'5 __ L/ ____ NO or BEDR0004S _./!:,-:::--.,.-A..,OUh1 Of "'0N1HlY RlNI vmHOU' UliLITIES 5 AMOUtriT OF MOhTHlY PAYMENT INCLUDING P 1.T.I GPOSS INCOME SPENT ON HOUSING 6 YEARS LIVED DENYER ___ PRESEhT ADDRESS __ __.,$",._ __ PUBLIC HOUSoiNG ELIGIBLE F"OR = APPLJ[O fOR -i RELOCATION : DUE OF ACOu!SlliO' DAlE MOVED ,. b!fl3 AMOU!I;'; OF lotQ,..THL'" 1Ri1 PAID TO 0 IJ R A. S -----lENGTM or TIM[ TO Ri.L.OCAT AF"TEQ DATE Of ACOUISJTIO" t ._ ... v----=.:o::-,:):-.a em Deave>;, Sllll \ala t PR:Yll llN1Ai.. iP"""" HOUS.t. ....... a. STANDAID Vsua STANDUD b. IINl W/0 UTILITIES S //,S: #O WITH $ ___ r. PURC14A5[ PIICE 5 _____ MO P.l.ll. 5 ___ d. LPA IEFERREC =' SELF' RELOCATED ;:J e. PEICENl SPENT ON HOUSING %-----------C 1. PUBLIC HOUSING PROJECT NAME-----------------Ii: 0 RENT SUPPLEMENT HOUSING 2J MONTHlY INCREASE DECREASE S ___ CJI D.U.R.A FINANCIAL ASSISTANCE GRANTEO ...... .. .. 1. MOVING EXPENSES CIRCU -cjUI s zo zl--1-1 .,-.. -' 3J..s 97+ AMOUNl -----d Ss w/o ru r--i"' e. H-71 510 W/FURt-i AYE RAG AN'fUll G-OSS REP\U:.. f1' 3. AMOU"'fT OF REi..OCATIOt. .IOJUSTMENT PAYIIfi!EJriT $, ______ AMOUNT OF RLOCATI0"' PAYMENT : ,., ::: Cll G'll": %) ,.j.., / / ,/ .,!, ___ _.IL.. .. .. .... 8 .. /JI I oo ,.mrs. "' I 7/. S'o -10 .. .. ... .. .. =.. "0' .L r r-_: ,.-! -.. I"' z ,.,;:;lea ... .. .. c .. .. .. .. .. ... ao\" ... I SC3E 51'1001! 5 9 L L L l l INCO"E MONTHLY INCOME EARN A FAMILY COMPOSITION 6o SOCIOECONOMIC DATA l NANE Valdez, Anna Mae ADDREss 10214 Tenth, Denver 3. UIIAN ARU tiiCLE I Z l 5 I E1'11111C CCIMPOSI11011 CttiCU 1 Z (J}' S I I ... SHUT SlADE AnAIIIIII IN SCHOOL IY NIAll Glf fiiiii.Y QIC:U 1 Z I S I 7 I I & IT U .G M II M I. JIUI!IIU IW CIIIUIIIN 7 ..... 1 1W MALES OYII 8 DIAUI CIHI ------1. --liLY IAIIIED 1-E QIC:U 1. ._ uliWII z.-7.--!lNtsnoH NO .IN. Da3d ;1 1s -;: ... II .. I D. PERioiANENT RELOCATION /'i"'-tJ 5 ADDRESS 1256-60 Quitman,Denver 1. PIIYATl IENTAI. 1:> SALES HOUSE 80204 a. STANDARD w-su .. STAND&ID C .b-llllt: WJ'O 1111U111S S WI1H I--,,.....,..----( .. "-' .. ICIMIE PIICI I 21oMO .. P.I.T.I. I.LJIP..il!.jl!:!!!:" ,ttl .. U'& IEPIUI!D D IIILF IELOCATED .SPIJIT .. -"----------... !. "'PIIIUC I'IIIUICT lAME __ ,, IIIICaUIE I HCIIASI 11-----1 E. D.U.R.A. FINANCIAL ASSISTANCE GRANTED I ____ .. .. ... : r.a_) --' ..._; _I,._) J. 1110-T .. ,.., )O. .. ,,. .., .... 1 1 .. c.4J ... &..1. MOYIIIG EXPENSES CIIICU ""-: r ... -...; ..) ""-'' --I! l I ... 110-111 5. .. I. OTHEI INCOME: I. A.D.C. Z. O.A.P'. J. G.A. 5.5. ,_ ... YA. 7. l.N.D. -OR MINI! MONTHLY -UAL I. I'RESENT HOUSING INfORMATION a UNDER S ZO b. ,_ JW! d ... .... Z. AYU&GE ADUAI. CI..,SS IENTAI. '--------';. h. I 7Z.aJ -S 10 W'O FUIN. I S I-VIDUAI. ... OF IU&.OCAT-&DJUSNE.T P&TMl.T ------- .. .. f .. ... -"'' ..-...

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    't; p : p f. .. .. ., ,... :: ; I :: N "' "' .. "' .. "' ... .. ..... :. .... :. !: ;.. ;. ...... ----.. I. ,_ --------SIIWII UHHPOI'IEII 1-1 -' 0 aoDREss_l:;...._2_5_6,.....-_6_0_Q=-u_i_tm::::::-a_n_S_t_r_e_e_t z. 7. -s -llll.f: IIICIIEAII S DICIUSE "------l;iUI -1. D.V.R.A. FINANCIAL ASSISTANCE GRANTED a. ... ,. I. ,_ .. 150 .. --5 2.00-lOI 1o.ll3d ;1 "' N I I :,......._.,_ z 1,, 'Z t alS 7n 7 i i ; i. Z 't L ,. ..;. !' I .. l 1: I INCOM[ MONTI-1:..." IN:.OME SEX ; ETHNIC JJ AREA : x:=. A:...PHA CODE .. A UNRELATED I!IIOIVICUAL D. PERMANENT 39-08 !-.z 524 So. Ca:1osa Ct. --c:: 1 t.IAt.tE VALDEZ Demec:jo ,I ADDRESS .... 1-I "' z. ADDRESS 8 2 8 Champ a Street CIT'f STAH ZIP ___ :..;: 'I( ii5j 3. URBAN ARE .A CIRCLE 1 G l (j s 6 1 PRIVATE RENTAL SA1..ES HOUSE "' .. I"'; ETHNIC COMPOSITIOP1 CIRCLE 1 2 0 6 a. STAND ARC rj' SUB STANDARD N N I 5. HIGHEST GRADE ATTAINED 1111 SCHOOL b. RENT: W/0 UTILITIES s WITH CIRCLE 1 z 3 5 6 1 8 10 11 [!)u ,. 15 16 c. PURCHASE PRICE S :lJj1114 MO. P.l T I. s -! lf( d. 6. SEX MALE LPA REFERRED ;:c sur Rno::::.e.TED "-' .. .. 7. AGE Or MALE OVER 61 FEMALE OVER 6i f, PERCENT SPENT ON HOUS!NG iv.l 8. EARNED INCOME CIRCLE 2. PUBUC HOUSING PROJECT NAM ..., w 10, 1. s 0-49 6. UNREPORTED INCOME 3 RENT SUPPLEMENT HOUSING lln 1:0 2 sc.-9; 7 MONTHL't' iiiiCREASE 5 DECREASE s __ > N ;, 350-399 D.U R.A FINA.NCI4L ASS!SiAN C. GRA"HD zl!luo oo-t99 1 MOVING [JCP[fri!SES CIRCLE 1St-199 9 UN[I[R 520 7Z-83 ,.., : (!) ;ao c zl !o: :V" SOC OR Jro40RE : 84-* !lE' 9 Olt-I[JO A .. NUAL H-!5 .&Jr.t0US1 > -r lg A.O.C c 66-5! 5!: 'A!O FUR' ... ,.. ... l 0 A..P 59-il S\C \\ JURh c.n c.n N 3 G Z. AVERAGE ANI\IIUAL. GROSS RENTAL. in oi s I "'i .. -: R 0 3. AllitOUNT Of RELOCATIOh PA'I'MENT z : I n,.l I 6 VA jl,/l I 1 'D .. AMOUNT OF IEi..OCATIOh PAYME"'T C') C'li z I :tJ ..., w 1 ...... E OTH: ,.. Zj s. PRESEN" HOU5!NG INFORMATION z z, 5/IAJU. J ;.p,.l -4 ::aiCJI .. 0"-"\ER rt TENNUi':' = -c .}_ c z, Of 000"'5 (, HC Of BEDROOMS ... .. RENT fiiTHOUT UTI:..ITtES 5 JJql'. ,,.. 6/:1'124-ne !-:2 3 A MOLl Or 'I .. AMOUNT OF WJO"iTHL.Y PAYMEJrti INCLUDifriiC. P I.T I. s jr:r.!-! ; GROSS INCOME SPE If! Olli HOUSING li; Q:: 'J.7) "" I 6 Y[ ARS LIVED 1'-OEIIIYfR ..lQ.__PRESENT ADDRESS '' Z' i i PUBlC' HOUSIN(". ELIGIBLE FOi APPUED FOR ,..., "l:r I -I = iC RELOC>TIO .. TRANSACTIONS "01 '"' ;:11; =-,z our or A COli I o z;a vd ;i z DATE. MOVED ". :g OF MOfrrtHLY RE.h.T PAit TC 0 \..1 Iii A s ,z i..ENGTf'1 or T1M[ TC RELOCATE AF"HR DATE Or ACOUISI"!'IO!Io .!) #) ,.,,;;;;-iO ... c i

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    ----... N ... '"'I II I I rP:: 11111 I i N .. irDI N :.v .L::-, ------,.--,-------------__ ': ... t. -.... .:: ..... ....... ..... -_ -_ -_ :! UIIA"-AIEl CIIC:Lt 1 C)ll)! 6 ETHNIC COMPOStnO" CIICLl 1 Z S I 5 NIGHEST GUDE ATTAINED 10 5CHOOI. CtJCLE I Z l 4 !i 6 7 8 I 10 11 U 15 6. SEl. IULE 7 AGE Or .. ALE OYU 61 Fl"ALE 1 MO-.THLY EAINED INCOME ClltCLE 1 I 0-49 6 S U0-299 z. 50-99 J 10C-U9 150-191 5 ZOD-U9 OTH INCOME 1 1.0 c. Z 0 A P 7 100 8 JSCI-399 9 ,00 ... 99 l '--------./lUI. .. NNUAL 20-04 ADDRESS 7()() Hppker ... :;T 1--:-.::--: : liN: con Denver I STAH Cal a I P.IYATl RENTAL L SALES HO\ISE &. STANDUD 5TANDUD '",.r b. lEn W/0 um.onES S WITH S I -I'UICHASE PIICE $ M 100 P.I.T.L $ .JU..]Iil i--0 c. d. e. LPA IHURED :J SELr UL.OCATED I PERCENT SPENT ON HOUSING 9!>----------0 Z. PUIUC HOUSING ,IOJECT NA"l------------r.:.::: el" 3 RENT SUPPLEMENl HOUSING :D MONTHLY INCREASE S 5 D.U.R.A. FII\IAI\ICIAL ASSISTANCE GRANTED ----..., -,I 1. MOVING [X,E:NSES CIRCLE Z !:lUI o. UNDER S 20 So 72! >" I t ZO.Jl P ... 96 cc e 51-71 S10 WiFURN N .. w 3 G A :: ;: .. "" "' ... AVERAGE GlOSS RENTAL Vii!; N .. s s t \"A A tr t PRESEP,:T HOUSING INF.OIHUTION ow ... :: !(._ .. / ; C OF ROOMS NC OF BEOROOMS A"40UNT or MOMH .. ':ReN VwiTHQU IJ'!'Ill'l'IES 5 )j:i #18 t AMOUNT OF INCLUDING F.I.T.I S ----GROSS INC0"4 SPENT Oh HOUSING C YEARS i.IVEO IN OE'-YER ______ PRESENT ADDAESS __ ,.;z'-or.__ 7 PUBi..IC HOUSING ELIGIBLE FOR = FOR = RELOCATION TRAP.SACTIONS oTE OF AC0U051T'0' 1 on .. ovlc t-Lr-Zi Ah.40lJ!'P or MONT"4l 'T REJrtT PAID TO D L P. -------OF TIME TO RELOCATE AF"TErl OJ.TE OF ACOUISITIOI\ '---------------3 AMOU .. l OF I[LOCATIO!rrr ADJUSTMEhT PAYM[h'! l________________ AMOUNT OF IELOCATIO" PAYM[Jr.i'l' C11 C'l. w ___ : JIU/1)11 lZJU'i) tAlc. -o-c Ul .. w N ; ._1 __ 1Nll'lad !fC !lNISnOH NC 1N:3:>!f3d ,;1 !l 1 1: r s 9 L a ans 1 j 1 3S L.....:..,_ ___ ; __ ....., r o : II j n I 1 i 0 : i 1: ;: -_------'_ 1 ; I f t t I; l. I 7.,_ azs i t, '-. i.. I. to, L, I' l J. i "'! i i f li i 1 I 1 I 1 -------"--1:1 IC D I 0 ;:) ll 1 II IV :1 0 I I' 0 ;:) .. I ... J .. n v u D I I ... .. I : N -"' N 1 i; A UNRELATED INOIVIOUAL VALDEZ, Ramona 1. 2 ADDRus __ 3. URIAN AREA CIRCLE 1 Z 3 5 6 ETHNIC CO .. POSITION CIRCLE 1 1 (!). 5 I 5, HIGH[ST GIADf ATTAINED IN SCHOOL CIRCLE 1 2. 3 5 I 7 I I 10 11 J 1! 1. 15 11 6. SEXo MAL 7. AGE OF "ALE OVU 62 _____ rE .. ALE OVUil ___ ..,.;;;J.-_.OL---1. "0NTHLY EARNED INCO"E CIRCLE 1. SD-09 z 56 l. 100-U9 150 !. 200-Z..i 9. OTHE A I NCO .. 1. A.D.C. Z O.A.P 3 Ci.A. s.s. 5. 1.1 li. VA 7 A.N.D 8. OTt'IER 6. S Z!IOZH 1 JOO-lol9 e 350-399 I OCtt9 (!!) 500 OR "ORE MO,.THLY PRESENT HOUSING INFORMATION UNU,OITED INCOME '--------------ANNUAL OWNER :::; TENNl"' 2 I NO or ROOMS NO or IEDIIOOMS ........ A .. OUNT Or MONTHLY RENT WITHOUT UTILITIES S Q A .. OUNT OF .. ONTHLY PlY .. ENT INCLUDING P.I.T.I. S ----S GROSS INCOME sPENT ON HOUSING %-------:,...,..--6 YEARS UVED. lh ADOI p2 1. PUBLIC HOUSING E:LIGIBLf FOR :: fOR 0 RELOCATION TRAIIISACTIOIIIS "l I DATE Or ACOUISITIO 2 DATE "OYED---------.Io"C..... .. ___ J AMOUNT OF MOJw.TMLY R[ltl"! PAlO TO D U li A 5 _....;;-:,..J!O::_____ LENGTH OF Tllli4 TO RELOCATE AFTER DATE OF ACOUISITIOh D. PERMANENT RELOCATION 20-04 ADDREss 4631 Zuni St. con Denver sTm Co J a 1. PRIVATE RENTAL 8 SALES HOUSE i:' a. STANDUD 2 SUI STANDARD b. lENTo W/0 UnUnES $ _______ WITH ZIP_J...6.._ s "lt2.00 c. 'URCHAS PRICE S MO. P.I.T.I. S _____ __ d. LPA REFERRED 0 SELF RELOCATED Jil .. N .. e. PERCENT SPENT ON HOUSING %-----------0 Z. 'UIUC HOUSING 'IOJECT NA"E--------------: b "" 3. RENT SUPPLE .. ENT HOUSING ;zl "ONTHLYo INCREASE S J'"i',OO DECREASE $ _____ ;.;;:"' D.U.R.A. FINAI\ICIAL ASSISTAIIICE GRANTED :! -: 1. "OVING EXPENSES CIICLE o. UNDER IZO t. ZO.ll c. 3:1 d .... 51 e st-71 1. AYEIAGE ANNUAL GlOSS RENTAL '------; 7ZIl g ...... 97+ A"OU'l-----55 w/0 FURN. Sto w/FURN Z > zl 1.,. !:!,,., >"' ........... >,. > Ul N .. .. N w .. ;;,: .. ZI-t---3. A"OUNT Or IELOC:AnON ADJUSTMENT PAY .. ENT '------. A"OUNT Or IELDCAnDM .. ENT ::o,. .... >z zZ EP-DA !'Q/JE 1,.; ..... TI.Be a? QoO I )0>5 OF '# HJo 7jl 3. 30.'1' J: 0 s z "=-ilaQ 11'1-.. .. N .. ..; io .. .,.. I -------------------------------------------------------------------------------------------------------------

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    ... N ... ,... .. .. .. I "' ----------...,, z. '0 = ,. ; "":U'l. 1::!!. 1c: ,... '"::: !::; .,. I. -S-1.J ....... 1!10-tlt zow I. OTHU INCOME I. A.D.C. Z. O.A P GA. s.s. R R. "' 6. Sl7. _,. .. --:. .. .. G 500 01 MORE MONTHLY au11. ,,, IA4 ___________ .....,___ --' _.__ L .., : 0 P[RMAN[N1' RL .. C." 20-G4 -Y: .. CIEAIE I ECIEASE ------l!"l!:i E. DAI.R.A. "FIIIANCIAL ASSISTAifCE GRANTED I. -YIIIG EXPEIS aiiCLE .co. uoeu su b. Zt-JZ c.-d .... e 5-71 2. AVERAGE ANNUIL GlOSS RENTAL '-------s 71-83 g. 11&-16 h. SIO W /0 FUIN. S S INDIVIDUAL l. AMOUNT OF RELOCATION ADJUSTMENT IIA\MENT s. _______ IN"ORMATIO"- 0_,_1_E_L_o_c-T-IOOo___YM[NT :r I. OWN TENNMIT NC 0' or BEDROOMS __ .. ... .. ... .. .. .. AMOU"' OF MONTHLY RENT UTI.! TIES$ IC'z ... : 14: !:. j:: YJ.l i j-:5_:,_ .. ___ 6 YEARS LIVED IN DENVEA _______ ,RESENT .a.DDREss:::t:iiL -...... ----4--I:E0t,-' PUBLIC HOUSING' APPLIED FOR 0 ELIGIBLE FDR C RELOCATO" TRANSACTIONS 1L,'ffl ,,,. err tS.S'fl,lb 1. DATE 0 ACOUISinON ____ -7J,Cl; z. DATE MOVED ;I. 7.3 l&HE 1Qdd. /}tJ All\ X. 3. OF MONTHLY RENT PAIC TO O.U.R A '--------..,.. :.. LENGTH OF TIME TO RU .. OCA.Tf. AFTER DATE OF .... n=::-re __ A CORE __ URBA,_ AREA CIRCLE 1 2. 3 4 5 'l,il 4. ETHNIC COMPOSITION CIRCLE 1 2 4 5 6 5. HIGHEST GRAD ATTAINED IN SCHOOL Cl RCLE 1 2 3 4 5 6 7 II S 0 11 12 13 14 15 16 6. SEX ... ALE FE .. ALl ______ .<,)t __ '= __ __ 7. AGE OF MALE OVER 62 _____ OYER 8. MONTHLY EARNED INCOME CIRCLE 1. S0-49 (!) SZS6-ZIS 150; 7. 300 e. 350-399 400.C9S UNREPORTED INCOME 20G-(49 10 SOC OR hiORE 9. OTME ll !"'COME A C.C 0 3. G.A s s P.Ji" VA D t. OTH(R MO'wTHL'f HOUSIIIIG INFOR .. UION OYI!lrriEF< ( TENt.,r,,._; = NO 0' 000"' C, ANNUAL NC 0' BE DROOl>! S --=.3"------3. AJr.40U"i1' Or MO!oiTMi. 'I R[f\0 W"ITI10l'"! UTIUTtE!Io S ------AMOUJroa':" OF MONTH!..'\" PJYMENT l"tCLUOUriC, PI T.l GROSS lhCOME SPENT Qt.. HOUSih(. TlARS UVED IN DENV .. ______ PRES-' ADDR, /7 APPi.!EO FOR = PliBLIC hO!JS!fri!IG Ei..IGIBL[ FOP RELOCATIOP> D&H or AC0Ul5"10' tAT! "ovEo __________ l.._ .... ]..,.il'-'--"f,_4._ ____ A MOl.!,. Rt IIi"! PAl[; t. r;: A OF TIMi: TC AfTU O .. "':"t OF AC.QUIS!TrO"" M&/DA &"bl. diJ ,::;:-.se TT. Z: 1/.S t4 tf. tR $"" : ,., .... ___________________________ .[0 ---------------------------------------------, .n. 0 PERMAt\ENT 32-13 AoDREs 46 85 Zuni Street : .. .. .. c"' t:5enver, II I i 1 PRIVATE R!:-.TI.:. SALES 1-tOUSE liil' I"-,&.. :: WITH S 1 "' C. PURCHASE PRICE 5 44 (J(J(/ MO P.I.T.I. S ______ __ _______ C Z. PUIUC HOUSING PROJECT NAME-----------w 3. RENT SUPPLEMENT HOUSING. ;tJ .. OOTHLY INCREASE S DECREASE $ _____ ;o-;;:jo-. N 0 U.R.A FINANCIAl ASSISTANCE GRANTED "TI "t"l 1. MOYI"-G EXPE.JtwS CIRCLE Z o UNDER $2t t !t >;...' ...._ ___ __ ;= : 33'! c t6-Sf 5.1'. 1 AVERAGE ANhuAL GROSS INTAL ---------------84-96 9"' AMOUNl ------3 AMOUiriiT OF IE;..OC.UION ADJUST!IIt._-T -------.. AMOU'IIT OF RELOCATION PAY,.NT -l:z:; ;:.1' n,. "'i"1 #'Jf).Q() i:::.. C"'i=-, .. ., C"_ V' ...

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    ------.7 .. "' li'; : ""i\1'!. ':f ic.' ., I _____ _;!: :z :; ....... ?. :z.-::."-' '0: i'-: I f c ------''2 ''-' lc: :t! -. (' ... 1 !::::'----==-o::...::.=--=.'.....1.--"' ... _,:::=---ASifA 1 0? 0 f ETHNIC COW.POSITIO"' CHr!:LE 1 z G HIGHEST GRADE ATTAINED IN SCHOOl s CIICll 1 2 l 4 Jl 'I :t I I 10 11 12 1l HI 11 SEX FfllotAi.E-----------7. AGE OF MALE OYE' El HMAUOVfl&;: _____ I. EARNED INCOWE CIRCLE' > 0" I!) $Z'M-ZH 1.7$" UNifPOITtD INCOM< S0-99 100-145 ZOO-H9 9 0iHR INC0hll[ AD t Z 0 A P G A 300-349 lS0-.199 9 A.00-499' 1C SOC OR MORE M0Nlt-ti..' HO:JSIN(; !f'I,:'OPMA":'iON ANNUAL :. If 0 o ROOY:: I ..,G or v1 Pr"'"" v.;rHo;r !.:1'1l1TiS. ,ZI.OO ,t.""'Cwt,T Qf FiL' INCOME EAR"A COMPOSITION & SOCIOECONOM!C DATA i O.LS .!. i D. PERMANENT RELOCATION ME VIGIL, Carlos and Agapi t&oREss 909 Florence Z. __ 3. URBAN AREA CIICLE 1 G 3 (!) 5 I 1 PIIVITE RENTAl. c SALES HOUSE a. STANDARD I( SUBSTANDAID c :. 34-03 Street 4. ETHNIC CCIMPOSIDOIO -CIIC:U I Z f!) 4 5 I I. NIGHEST GlADE AnAINED IN 8Y MEAD t11F 1'AMILY CIICLE I Z J 4 5 I 7 I I II 0 IZ II 14 IS 11 .. b.-WEIIT: W/0 U11U11ES S WITH S <-UICMASE PIICE !fii.U MO. P.I.T.I. I /f'Z...:J' I .. NUIIUI M CIIILDIEN Ill AGE OF MALES 0 15 Mt FEIIAUS 0\'EI 1Z 41il, 7. I. MONTHLY EAIN!D IIICOIIE CIICLE 1. S-I. SZ!IO-ztl z. 50-19 3. 150-19'9 !. ZOO.U9 OTHER INCOME; 1. A.O.C. Z. O.A.P J. G.l. 7. 1111-lft 3!10-JH t @ SOD OR MORE ,. MONTHLY s. .. I. VA. 7. o\,N.D. B. PRESENT HOUSING INFORMATION E d. -LPA IIEFEIIIII 1:1 Sll.f' HLIICIITID D e-P!IICEIIT SPEIIT ON HOUSING llo z. PIIBLIC -SIIIG .. PIIOI!CT IIAME IIOHnLY: INCIIIASE S HC.EASE S D.U.R.A. FINANCIAL ASSISTANCE GRANTED 1. IIOYINIO EXPENSES CIICLl a. UNDEI S ZO b. 111-JZ t. u-&5 d ... ,. ..... ,, l. AWEIAIOE ANNUAL GlOSS IENTAL --------S 7Z-13 -S 10 W/0 FUIN. i. I I INDIVIDUAl. 1. A-T OF IIWICA11010 AIUUSNIIIT PIYMENT ----------c. UIOUIIT OF IIELOCA11010 PA YMPT '-------I"' ; i I IU'I I I I i ,. i w ,.. cr .., :u.-" I. CIWIIEI C 'RIINANT )( z. 110. Of' IICIOMS 110. Of' 11111--.,.-!!-s-.,.....---.... .: ... ) -'"'..) ;_..) _)a.J _1 .. ,) ... "';. 4, AMOUNT OF -TMLY PAYMEIIT IIICLIIIIING 1',Ll.L I MQb4 I. -.1011 IIICIIME IPEIIT Gl -SilK i-1----:0: 1. AMOUNT Of' MCIImiLY lENT WITHOUT UDU11ES I @6 1. u ... s UWP: Ill D-U 1 .... :.-, .. ;ill, .;II._ JP&' .. 1-7. PUaUC --: IPI!UED 1'011 g ..... --,-------;;...--..---.'' "":;; .c. : i : ::-;i z. DIU MO'IID IJ#t.!J. a -.. .. J. AaiiiiHIT OF -T IIUT PIIID 'RI D.U.LA. 1-------1: -. ;f. 0. OF 1111E 10 IELOCATE APTU HYE fW "' -"ACIIDISI11011. ., -"0 ._.f.. .. "'

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    "' --;t "'! i I : "' nl'lj ,... !C '"'I i ., I ic uwaafrf ARFA CtR::.. 1 3 (!) f &. THNIC COMPOSITION 1 l 3 & 5 5. NIGHEST GlADE ATTAINED lh SCHOOL CIICLE-1 Z l '--?'E 7 e I 1011 1Z 1J ,, 1! tt 6. SfX MALE f{MAL[ 7 AG or WALE OYER 61 5:1, HWAL OYER"------1. MOfliTHLY EARNED INCOME CIRCLE S O-.t9 E S Z!O-Zt9 50-K 3. 100-149 150-199 Z00-249 9. OTHE INCOME ,_ A.D C. OAP G A 5 s .. lOC-3'9 8 350 10 !SOC OR MORE MONT._.Ll \ [: o"'. *i'..i..J:Ntb J; 7. at UNREPORTED INCOME ANNUAL AMOU"'i7 Qf" MON1'1"1L'r PAYM\i"l' :N.CLUDrfi.G P 1.1' I GRVSS INCOME SPE.,_l Ot. % ________ liVED lh ___ ADDRESS ____ FUEh.IC EUG'BL r:"QTI = APPLIEC FOR RELOCATION TRANSACTIONS 1 tor'! DAH 0' DAH -------Qf FAIO 1"C R A cr TIM TC RE.OCATE. OA1'[ OF" ACQUISITIOt. 20J.t :s:. ,..,.,c ..... ,,. c;r, mu Colo. .. _12_ j PIIWATl lfNiAL :. SA:..ES 1(' a. SlANOARC 'I( SUB STANDARD b. lENT w/0 UTILITIES 5-:-,...,,..----WITl< (, 5 t, $/)1/ ol P.IT.I 5"' 97 -r d. e. LPA REF"ERRED 5El' IELOCAT :J ... ,..... SPENT ON HOUSING j!; ---------C 1 ,.UIUC HOUSING PJCJ[CT NAME------------1!= () RENT SUPPLEME"'T HOUSihC. MONTHLY: INCREAS DECREASE S --;t" ;I" N. 1. MOVING EXPENSES CIRCLE i Ul -E. D.U R.A. FINANCIAL ASSISTANCE GRANTED UlrriDER s 2c s 72-eJ 1 84 Ct .. 97+ Ah40UN1 ---j; zl !19-7> S1o w/ruRN OE-511 W/0 FURN. AYRAGE ANNUAl GJlOSS RENTAL C". ----3. AMOUNl or AOJi:ST..-ENT AMOllt.i OF z G'll:--; :cl-i""" d!JAitJ. ;;!! '" 0 ,...C tc l -/, -i.; ( .. N N ::.. ____ :z' ---------------------------------------------------lz ---------------------------------------------------1>0; = jM.I Cl. ? v : .;:) .. ... ..... .. L I .., j l I : ... j .; n!a: .... .... N 9 L QJS 1:10 lN3!1 !lNISOOH NO lN3:>1l3<1 .;1 8 I -i I I 'I =z-Z I Z t a!S: I l n t l Z l L I Z t L I Z : dl IJ .:1 I "3 I z ,.) I 4 1 ;""! .... ,.-_l 11 I. I i ; li SWOOa 5Ci3E s iJ l ,._ 1 n e o e 4 Z 7 4 -z ..,..T -------1':zi 1 I 1c! 1' '1 637 Knox Court I .., N Cl z 0 ... -.... JCII -= ... ., c ... .. "' i! t ........ _; .... :II 0 .z :li i; i 1. __ ....... .. n..._ ADDRESS __ _____ I '" u 2. ADDRESS_-=1=.=1:..;U:....;4:._ 1. P81VATE RENTAL ::: SALES HOUSE J{ :> .. ... 0 !. UIIAN AIEA CIRCLE 1 cg 3 co 5 I D. STANDAID II SUISTANDAID 0 ...: 4. ITHIIIC COMPOSinON QRCLE 1 I. 0 5 I b_.EIIT: WI'O unUTIES $ WITH 1----,,-.---l S. MI&MEST &lADE AnAINtD IN IY KIAD OF UMILY c....;Ptllc:KASE PIICE I At; IJII MO. P.I.T.I. I 114 .. ...., _r CIICLE 1 Z I S I tf) I I 10 11 1Z IJ M IS 11 d. LPA IEFEIUD 0 SELf IIUICATED 0 to ._.:N._} I. IIUMIEa OF CHIUIIEN Ill fiDUSEIIOU) -PIICINT .SPEIIT OIIIIOUSIIIG._,._ __________ 7. .A& Or MALES OVEI 18 "'1 FEMALES OYD C -" L PUIUC: IIOUSIII' PIOJECT UME I. MOflntLY EAIMED IIICOIIE QICLE T. z.-3. 100-1t9 ... 1S0-199 ZOO.z.t9 I. OTl:: b. zo-!2 g. ..._. i!!iJ- d. I 5 INDIVIDUAL lf-l!l,.je e ._, Z. AVEIA&E AMMUAL GlOSS IUTAL 1 ---------r:j!' I. A-T OF IELIICAnON ADJUSTMENT PAYMUT ,,_______ .. ....... ) ,.,_, .... ..i .... .. 7. A.N.D. B. PltESENT HOUSING INFORMATION AM-T Of IIELIICA nOll PA YIIINT -------_, .... Cl ,._, 1. OWNEI 0 TENNANT ft 'A !: .. .. z. 110. Of lOOMs I 110. OF ........ r-_._......;.;iiU4M-mIL......;_,Ail!tJIIII!illl ________ 3. AMOUNT Or M-Y lENT JriTHOIIT UnUTIES ,,_-_. .. x:,...._.ltl..,.......;_ ,e .. )-,. .J AMOUNT OF MCIIIIIU PAYMUT P.U.L. J;liiN -"Ill ; .) ...... )." I. -SPENT 1111 IIOIISING '}:;i-+'. .__., .. '-:. "j;. I. 1'E.AIS U'IID: HWYQ :_-_.;;.,......,!--, -17. PU8UC _,,,_ DPUU .1'01 c IUadLI .. ,,g_ ., c. noCATIDN TltANS.ACTIONS ,1 :7E.Np A M.JM!I' 'I ...J..J_ 1. DAR OF ACIOUIImOII __ ---..,....------.,.....---------,_{ ', J OY jlilf.fj I,.. .J... ::.: O:D_--,._-Y-U-NT_P._.AID_fti_IL_U .... s. LIIIG1tt OF liME ta HUICATE &FTIW DatE GF --------------.... --------------1 '" ... ACOinSiftON. ._. ._...., "'"':..or;.:.:".

    PAGE 267

    0 .. "' = .. ... N .. ... N = .. ... N N N ., .. IV ,. ... '-=----:---cH-;:_ "" : ;r. IC ... ... !:?: ... on ., i! I .. !"'! on i I i ; .. .../g iD:; cc I l. 1.--.1.1. .-c:IEASE __ ,-. ..Q,U.II.A. FIIIIAIICIAL ASSISTANCE GIIANTED D-U,UUii CIICLI 1S0-1t11f I. 11 I. OTH INCOME: !. A.D.t. I. O.A.P. 3. G.A. s.s A Jti.O Ill OR MOR MONT"g: s ,2,! 00 PRESEN, liOUSING ANIIUAL OWNER C TENNIWIT NO OF ROO"'S t. Nu OF BEDROOhi.S-=-kP'TX"'jj. 3. OF MONTHLY lENT WITHOUT UTILITIES 4. AMOUN" OF MONTHLl' PAYMENT P.I.T.I. 5. GROSS INCOME SPENT 01< HOUSING "'--------6. YEARS L1YD: IN DENYU _______ PIESENT ADDRESS......3__ 1. PUILtC HOUSING AP"LIED FOR 0 EUGIILE FOR 0 C. RELOCATION TRANSACTIONS t. DATE OF ACOUIStnOh !-'' DATE MOYED .2. -t3 3 .\MOUNT OF MONTHLY RfN, PAID TO D.U.R.A. 4. LENGTH OF TIIrrll TO IEi..OC,UE AFTER D ... TE OF AURftRIA NAM Do .. ss ___ 8.....,2 .... l..__,c""u ..... r....,t_i ...... s.__ ... s'-'t_r.._,e._.e_t..._ __ 3. URBAN AREA CIPCU 1 l 3 4 S 4. ETHNIC COMPOSITIOIIi CIRCLE 1 2 3 4 S 6 S. HIGHEST GRADE AnAINED IN SCHOOL Cl RCLE 1 2 3 C S 6 7 8 9 10 11 1Z 13 14 15 16 6. SEX: MALE FEMALE------------7. AGE OF MALE OVER 62 FEMALE OYER 62 _____ 8. MONTHLY EARNED INCOME CIRCLE U-49 6. ZSOl99 UNREPORTED INCOME S0-99 7 300-349 3. 100-149 1St-199 8 350-399 9. 400-499 ll ZOCo-249 OTHEP' INCOME 1C: !-OC OR MORE AlliNUAL .. A.O.C C.A.P G A. .. s.s R. R 6. .. 1. A N.D 8 OTHEP PRESENT HOUSING INFORMATION OWN[r{ = TENhAt.IT K ,.. NO 0'" ROOMS .:L NO Of BEDROO._S "':",...t.."=::----AMOUN, OF" RENT WITHOUT UTILITIES 5 AMOUN1 OF" MO,.,THLY PAYMEN'! P I.T I S ---GROSS INCO"l SPENT ON HOUSIG 9(--------:-::,..--6 YEARS UYED IN ADDRESS_-41/L---PUBUC HOUSING ELIGIBLE FOP J( APPLIED FOR RELOCATION TRANSACTION5 OA TE OF ACOUISITIO DATl ______ ... MOlih'"" OF M0h,.P1;.Y RErr."!' Pl. C TOt''-' R A. L[NG'"' 0 TIM[ TO A[LOCAiE. AF"TEP DAH or AC0UIS1110f\ .... -....... a. UQ b.II-JZ c. 11-45 d.-e .... ,, l. AVERAGE ANNUAL GIIOSS RENTAL I. s n..u g h. S II W/0 FUIII. li I IIIDIYIDUAI. S AMOUNT OF RELOCATIOr. ADJUSTMENT PAYMENT C. AMOUNT Oj: IELOCATIO,_ PAYMUiT '---------ADDREss 911 Marioosa Street coTv Denver sTm Co 1 a z,,..Jl...4.._ 1. PRIVATE RENTAl Jt' SALES HOUSE a, SlANDARD 'K SUB. STANDARD b. W/0 UTILITIES 5 WIT>< C. PURCHASE PRICE $ .. 0. P.I.T.I. d. LPA REFERRED :: SELF e. l. PUIUC HOUSING PROJECT NA .. __ 3. SUPPLE .. ENT HOUSING ______________ MONTHLY: INCREASE E. D.U R A FINANCIAL ASSISTANCE GRANTEO MOVING EXPENSES-CIRCLE UNDER S ZO Z0-32 33-'5 a .._58 E 59-71 2. AVERAGE ANNUAL GROSS REirriTAL '------! 7Z-I!l 8"-!16 97+ A"OUhl ---Ss w/o FURh. Sto v./FuR 3. AMOUNT OF RELOClTIO,_ ADJUSTNUiT PAYMENT 4 IMOU,_T OF RELOCATION PAYMENT ,_ ... .. .. .. .. ... N .. ... .. .. r:_ -....u-

    PAGE 268

    r= .. .. ... .. .. .. .. .. .. .. I I"' t. -.. ONTNLY llAIIIIU IIIQIIU DIICU ,_ z.1. IZ7. SOO.NI .. .. ,. UIIIEPIJIITID IIICIIME I 3. 1DG-IIt 150 5 ZOO.Zit I-6 500 OR MOl ,o t. OTHU INCOME. I. A.D.C. Z. O.A.P. G A .. A !'1. !,. MONTHLY ;.oo.6o B H:>USlt.IG AIIIUAL OWNR ::: TENNWi":' ,t. kO or 7 NC or !EOJIOOtr.IS_::o-::1/:-"-:=--AMOUNT OF MONTHlY WITHOUT s, __,l_,(J'--'''-'o..,o.._ __ Atwi!OUIII"' Of MO"'iTHLY PAYM(r.l P.i.T.I S _____ GROSS lhCOht SPENT ON HOUSING ';"'-------,:o7'"--YEARS LIVED. IN DEN'IER _______ PRESEtriT ADDRESS-'--' PUBLIC HOUSING: APPLIED FOR C ELIGIBLE FOI 0 C. RELOCATION TRANSAC'\'IONS DA.TE O' ACOUI SinON _____ OAT[ M0VE0 ______________ QJ; RENT PA!D TO D l; R.A s ______ i..EHGTt-1 OF TIME TO RELOCAT AF"TER DATE OF A:OUlSlTIO" AURAR lA A FAM1:..." b OAll. .... __ .... ____ z. Doms 835 Curtis Street 3. URBAN AREA CIRCLE 1 3 () 5 6 &. ETHNIC CONPOSITIOft CIRCLE -1 2. (!) & !i 6 5. HIGHEST GlAD AnAINED IN SCHOOl. BY HEAD Of FAMILY CIICLE 1 Z J 5 6 7 I I 9 11 1Z U '5 I. NUMIU Of CHILDI[N IN IIOUSEIIDLD IOYS----L..-IIIRL$_1 __ 7. AGE OF MALES OVER 15 J' FEMALES OYEIIZ_ .. .:J"'"'31----I. MONTHLY EARNED INCOME CIICL 1. I t>-09 I. I ZIO.ltt UNIEPOWTED INCOME z. 50-tt 7. 3QO..J.t9 3. 10C-1t9 8. 3511-ltt 1 S0-199 9 &OO-I.t9 5 106-20 Olf-IEP 111\!COWE I. A.D.C. e 50C 01 ANNUAL Z. O.A P l. G.A. s.s. !i. R.R I. VA. 7 A.N.D. B. PRESENT HOUSING I>IFORMATIOIII I. OWNER 0 TENNANT z. 110. OF ROOMS fl 110. 01' 3. AMOUNT Of MONTHLY REliT WITIIDUT UnunES J,..I4=11111""'-''IS'j..lfL. __ -AMOUNT Of MONTHLY PAYMENT IIICWDtNG P.I.U. 1-------5. GROSS IIICOM SPEIIT 011 IIOUSITIG 1'o------r--l. YEAIS LIVED: Ill DEIIYEI _______ PIESEIIT 7. PUBLIC HOUSIIIG: APPLIED FOI C EUIIIII.l 1'01 C C. RELOCATION I. DATE l. DATE MOYED _________ _.f..,W._ ____ J. AMOUNT OF MONTHL lENT I'AID 10 D.U.I.A. --------' LE"tiGTH OF TUU TO RELOCAU AFTEI DATE OF ACDUISITION. -.. Ct _...., I MONtHLY: IMCI:EASE I DECREASE E. D.U.II.A. fliUIHCIAL ASSISTANCE GRANTED ;.,. g "' M0 t:I:PEIIIES DI:CLE "' a. UIIDU I Zt I IZ-83 :.!::1 b. ZO.R g. ..... c JWS '10 W/0 F'UIN. > d. I 5 INDIVIDUAL .... I 5-71 :. 1. AYEIAGE ANIIIUAt GltOSS RE-.TAL .. )>.., IP. 3. AMOUfliT OF REL..OCATIOt. ADJUS.TMENT PAYJrJ![hi '--------Ah40U"1 OF IE!..OCA.TION PA'I'MENT ,)>:"i -----''"'"""-' ..... ....,. ..... _______ .. ----rz-.D"'I1fr.N...-----::sa:.-., ..... _'""'l...,,j""-"'o ....,ar-o,...---------; ___;=.!..!..<--'--='"'-"--"".....!<.or...l""--11'-----------! "'I t'!-i j-.110 ------------------------------------------------1z.:. ,..,.:,.., --------------------------! NOI.lY.>0131:1 .lN3NVIIill:l3d n ? t 'D RELOCATION 27-03 .. .. -. .. .. .. .. .. .. w .. 1. PRIVATE RENlAL :0 SALES HOUSE I( i i i a. STANDARD J( SUB-STANDARD o 'L"' b.-I:EIIT: W/0 ununES I WITH '---:-::::-:----:-7" <-PURCHASE PIICl I I'J1 $'ff_,_I() ___ M_D_. _P.-I.T_.I_. IJ-IJ-, d. LPA I:EFUIED C SELF IELDCATED D -PERCENT SPEIIT ON HOUSING 'lio Z. PUIUC HOUSIII