|
|
|
|
|
|
|
|
|
Version 16, 10/21/02/02 |
|
|
|
INSTRUCTIONS FOR USE OF AUTOMATED FORM 219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effective August 6, 1999, RUS published in the Federal Register a change to 7 CFR 1710. |
|
|
|
|
|
|
|
|
|
|
This change eliminates the traditional accounting and engineering classification of "Ordinary |
|
|
|
|
|
|
|
|
|
|
Replacement". This 219 implements this change by eliminating the "Original Cost" column. |
|
|
|
|
|
|
|
|
|
|
The aforementioned change combines the classifications of "System Improvements" and "Ordinary |
|
|
|
|
|
|
|
|
|
|
Replacements" into a single category which will be referred to as "Replacement of Plant" |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Never use the master file for data input. Save the original file for continued use and always |
|
|
|
|
|
|
|
|
|
|
enter data on a copy of the original. The original can also be saved as a template to avoid |
|
|
|
|
|
|
|
|
|
|
accidental use of the master. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
All input for a standard Form 219 (no minor construction) should be completed on the Data Input tab. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 |
All input for a minor construction Form 219 should be completed on the Minor Constr. Form 219 tab. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predominant Cost |
|
|
|
|
|
|
|
|
|
|
|
|
When accounting for retirement or removal costs associated with new construction, the predominant cost |
|
|
|
|
|
|
|
|
|
|
method should be used. For example, if incidental to the construction of a new service, a structure in the |
|
|
|
|
|
|
|
|
|
|
existing line had to be changed or removed and the new construction is the costliest part of the |
|
|
|
|
|
|
|
|
|
|
project, the project would be classified as new construction. Conversly, if the costliest part was the removal |
|
|
|
|
|
|
|
|
|
|
or replacement, the project would be classified as a system improvement. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Standard Work Order 219 Data Input |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
All header information is entered in the appropriate box in the top section (yellow). All Work Order |
|
|
|
|
|
|
|
|
|
|
information is entered using an Excel Data Input form. To enter Work Order data, you MUST first |
|
|
|
|
|
|
|
|
|
|
place your cursor in Cell "A20". Next select the "Data" drop-down window and then select |
|
|
|
|
|
|
|
|
|
|
"Form". This will open an Excel Data Input form that will allow you to enter new Work Orders, |
|
|
|
|
|
|
|
|
|
|
edit existing Work Orders, delete existing Work Orders, etc. DO NOT ENTER WORK ORDER |
|
|
|
|
|
|
|
|
|
|
DATA DIRECTLY INTO THE WORKSHEET. DO NOT USE THE "DELETE" KEY ON THE FIRST |
|
|
|
|
|
|
|
|
|
|
RECORD. YOU MAY DELETE ANY ADDITIONAL RECORDS YOU ENTER EXCEPT RECORD 1. |
|
|
|
|
|
|
|
|
|
|
TO CLEAR THE CONTENTS OF RECORD ONE, HIGHLIGHT CELLS A20 THROUGH K20. |
|
|
|
|
|
|
|
|
|
|
SELECT "EDIT-CLEAR-CONTENTS". This action will clear the contents of the first record but |
|
|
|
|
|
|
|
|
|
|
retain the formatting and formula for entering new data. Always leave your cursor in cell |
|
|
|
|
|
|
|
|
|
|
"A20" while performing any function except the one noted above. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
The Data Input sheet includes one additional column "Code Cat." or Code Category that is not normally |
|
|
|
|
|
|
|
|
|
|
found on a normal 219. This form requires input in this column in order to sort and subtotal your projects |
|
|
|
|
|
|
|
|
|
|
by code category. You may enter work orders in any order that you wish but you must include a Code |
|
|
|
|
|
|
|
|
|
|
Category such as 300 or 100, etc. The form will sort and subtotal your work orders according to the Code |
|
|
|
|
|
|
|
|
|
|
Category that you provide for each work order. For example: If the first work order is project code 235, |
|
|
|
|
|
|
|
|
|
|
you would insert 0200 for the Code Category 0200. If the next work order was a code 101, you would enter |
|
|
|
|
|
|
|
|
|
|
code 0100 for the Code Category; and so on. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 |
Year - Enter the year as a 4 digit entry; for example 1999 or 2000. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
When you have completed entering all work orders that will be included on the subject Form 219, close |
|
|
|
|
|
|
|
|
|
|
the data form box and review each work order to assure that there are no error messages in the "Loan Funds" |
|
|
|
|
|
|
|
|
|
|
box. If a "ERROR-reduce CIAC" message appears, you should reduce Contributions In Aid of |
|
|
|
|
|
|
|
|
|
|
Construction to a level that will produce $0.00 Loan Funds. This is accomplished by reopening the Data Form |
|
|
|
|
|
|
|
|
|
|
box and moving to the work order in question using the "next" and "previous" buttons". You would then reduce |
|
|
|
|
|
|
|
|
|
|
CIAC by an appropriate amount so that Loan Funds will be $0.00. See Bulletin 1767B-2, paragraph 8.6.7.10.1. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4 |
The next step is to press the Sort button. This will sort all the work orders by Code Category. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5 |
The next step will create the Form 219 according to the data entered and sorted on the Data Input sheet. |
|
|
|
|
|
|
|
|
|
|
Press the Create 219 button. If asked whether you want to replace the contents of destination cells - Press |
|
|
|
|
|
|
|
|
|
|
YES. This action will subtotal the data by Code Category and copy the information to the blank Form 219 |
|
|
|
|
|
|
|
|
|
|
that is located on the first tab. This action will also create the Summary By Budget Number that is |
|
|
|
|
|
|
|
|
|
|
located in the bottom left corner of the Form 219. |
|
|
|
|
|
|
|
|
|
|
DO NOT PRESS THE "CREATE 219" BUTTON MORE THAN ONCE WITHOUT FIRST PRESSING |
|
|
|
|
|
|
|
|
|
|
THE "CLEAR 219" BUTTON. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6 |
If you are satisfied that the Form 219 is correct and no changes are required, go to Printing the Form 219 |
|
|
|
|
|
|
|
|
|
|
section below. If corrections are needed, go to the Editing the Form 219 section below. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Editing the Form 219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
It is very important that you follow these directions in order to successfully edit and create a new Form |
|
|
|
|
|
|
|
|
|
|
219 with the corrected data. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 |
DO NOT MAKE ANY CHANGES ON THE FORM 219. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
Go to the Data Input tab and press the Clear Subtotals button. This action will remove the subtotals that |
|
|
|
|
|
|
|
|
|
|
were previous created. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4 |
Now press the Clear Form 219 button. This action will remove the data from the |
|
|
|
|
|
|
|
|
|
|
Form 219 located under the first tab. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5 |
You may now edit existing data or enter additional data (see section above for instruction on entering/editing |
|
|
|
|
|
|
|
|
|
|
work order data). If you enter new work orders, you will need to Sort the work orders again by pressing the |
|
|
|
|
|
|
|
|
|
|
Sort button again and preceding as before. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Printing the Form 219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
Your almost Home!!! You have entered all the work orders that you need or will fit on the Form 219, |
|
|
|
|
|
|
|
|
|
|
corrected all the erroneous information that was obviously provided by others and verified the output |
|
|
|
|
|
|
|
|
|
|
on the actual Form 219 that is located on the first tab. You are now ready to print the final Form 219. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 |
This is the easy part. First select the Form 219 tab. Now print this page by selecting the Print Icon or |
|
|
|
|
|
|
|
|
|
|
selecting Print Command under the File drop down box. That's all there is to it. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
Don't forget to save your work. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Creating a Minor Construction Form 219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
In this case, you will actually enter the information directly on the Minor Construction Form 219. |
|
|
|
|
|
|
|
|
|
|
It is located above the "Minor Constr. Form 219" tab. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 |
The only difference between this form and any other standard or hard copy of a Form 219 is the fact that |
|
|
|
|
|
|
|
|
|
|
an area has been provided below the section for dollar amounts for you to enter the required Description |
|
|
|
|
|
|
|
|
|
|
of Construction. In addition, the form will automatically total amounts entered in columns 4 through 9 into |
|
|
|
|
|
|
|
|
|
|
column 10 (do not overwrite the formulas in column 10) and will subtotal all work order totals and create the |
|
|
|
|
|
|
|
|
|
|
Summary by Budget Items total in the bottom left corner of the form. One additional difference is the |
|
|
|
|
|
|
|
|
|
|
required Environmental Certification that is provided just above the Borrower Certification. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
Once you have entered all data required, print the form by selecting the Print Icon or the Print Command |
|
|
|
|
|
|
|
|
|
|
located under the File drop down box. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4 |
Don’t forget to save your work. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Creating a Special Equipment Summary |
|
|
|
|
|
|
|
|
|
|
and/or Transformer Conversion Cost Sheet |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
As with the Minor Construction Form 219, this form is created by entering data directly onto the form. The |
|
|
|
|
|
|
|
|
|
|
form is located above the "Special Equip. Summary" tab. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 |
This form works in conjunction with the Transformer Conversion Costs sheet that is located immediately |
|
|
|
|
|
|
|
|
|
|
following this form. Transformer conversion costs, if any, are first entered on the Transformer Conv. |
|
|
|
|
|
|
|
|
|
|
Cost sheet. These costs are summarized for you and totals provided at the bottom of the form for your |
|
|
|
|
|
|
|
|
|
|
use on the Special Equipment Summary form. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
Data for both forms is entered in the same manner as you would on a standard, hard copy, form (see RUS |
|
|
|
|
|
|
|
|
|
|
Bulletin 1767B-2 for details relating to each column. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4 |
To print either form, go to the form to be printed and press the Print Icon or select the Print Command |
|
|
|
|
|
|
|
|
|
|
located under the File drop down box. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5 |
Don't forget to save your work. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
USDA-RUS |
No funds involved may be requisitioned unless a |
FORM APPROVED |
|
INVENTORY OF WORK ORDERS |
completed application Form 219 has been received |
OMB No. 0572-0015 |
|
(7 U.S.C. 901 et seq.) |
Exp Date: 10/31/15 |
|
1. INVENTORY NO. |
2. MONTH ENDING |
|
|
|
|
3. SYSTEM DESIGNATION |
|
Instructions - Prepare 2 copies of this form. Forward 1 copy to the |
|
|
|
|
|
|
|
Rural Utilities Service, USDA-RD, Washington DC 20250. Copy 2 is for your records. |
|
|
|
|
|
4. NAME OF BORROWER |
|
For detailed instructions see RUS Bulletin 1767B-2 |
|
|
|
|
|
|
|
740-C |
WORK ORDER |
Budget Item No. |
GROSS FUNDS REQUIRED |
DEDUCTIONS |
|
|
CODE |
Cost Of |
Cost Of |
SALVAGE RELATING TO |
Contributions |
LOAN FUNDS |
|
Code No. |
Year |
|
|
Construction: |
Removal: |
Improvements |
Retirements |
in Aid of |
SUBJECT |
|
Construc- |
Retire- |
|
Improvements |
or |
Without |
Construction |
TO ADVANCE |
|
tion |
ment |
|
or |
Replacements |
Replacement |
and Previous |
BY RUS |
|
|
|
|
Replacements |
|
|
Advances |
|
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
|
|
|
|
|
|
|
|
|
|
|
|
|
SUMMARY BY BUDGET NUMBER |
|
|
BORROWER CERTIFICATION - We certify that the costs of construction shown are the actual costs and are reflected in the general |
|
|
|
|
|
|
|
|
SUMMARY BY BUDGET NUMBER |
|
|
accounting records. We further certify that funds represented by advances requested have been expended in accordance with the |
|
|
|
|
|
|
|
|
|
|
|
purposes of the loan, the provisions of the loan contract and mortgage, and RUS bulletins and the Code of Federal Regulations |
|
|
|
|
|
|
|
|
|
|
|
relative to the advance of funds for work order purposes. We recognize that statements contained herein concern a matter within the |
|
|
|
|
|
|
|
|
|
|
|
jurisdiction of an agency of the United States and the making of a false, fictitious or fraudulent statement may render the maker subject |
|
|
|
|
|
|
|
|
|
|
|
to prosecution under Title 18, United States Code Section 1001. |
|
|
|
|
|
|
|
|
|
|
|
DATE |
|
|
|
SIGNATURE (Manager) |
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
|
|
|
SIGNATURE (Board Approval) |
|
|
|
|
|
|
|
|
|
|
|
|
|
ENGINEERING CERTIFICATION - I hereby certify that sufficient inspection has been made of the construction reported by this |
|
|
|
|
|
|
|
|
|
|
|
inventory to give me reasonable assurance that the construction complies with applicable specifications and standards and meets |
|
|
|
|
|
|
|
|
|
|
|
appropriate code requirements as to strength and safety. This certification is in accordance with acceptable engineering practice. |
|
|
|
|
|
|
|
|
|
|
|
INSPECTION PERFORMED BY |
|
|
|
FIRM |
|
|
|
|
|
|
|
|
|
|
|
|
|
LICENSE NUMBER |
|
|
|
SIGNATURE OF LICENSED ENGINEER |
|
|
|
|
|
|
|
|
|
|
|
|
|
RUS Form 219 (Rev. 10-12) |
|
|
V 17, 10/31/12 |
|
|
|
|
|
|
|
|
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. |
|
|
|
|
|
|
|
|
|
|
|
The valid OMB control number for this information collection is 0572-0015. The time required to complete this information collection is estimated to average 1.5 hours per response, including the time for reviewing |
|
|
|
|
|
|
|
|
|
|
|
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
|
|
|
|
|
|
|
|
|
|
USDA-RUS |
No funds involved may be requisitioned unless a |
OMB Control Number |
INVENTORY OF WORK ORDERS |
completed application Form 219 has been received |
0572-0015 |
(7 U.S.C. 901 et seq.) |
Expiration Date: 10/31/15 |
1. INVENTORY NO. |
2. MONTH ENDING |
|
|
3. SYSTEM DESIGNATION |
Instructions - Prepare 2 copies of this form. Forward 1 copy to the |
|
|
|
|
|
|
Rural Utilities Service, USDA-RD, Washington DC 20250. Copy 2 is for your records. |
|
|
|
|
|
4. NAME OF BORROWER |
For detailed instructions see RUS Bulletin 1767B-2 |
|
|
|
|
|
|
740-C |
WORK ORDER |
Budget Item No. |
GROSS FUNDS REQUIRED |
DEDUCTIONS |
|
CODE |
Cost Of |
Cost Of |
SALVAGE RELATING TO |
Contributions |
LOAN FUNDS |
Code No. |
Year |
|
|
Construction: |
Removal: |
Improvements |
Retirements |
in Aid of |
SUBJECT |
Construc- |
Retire- |
|
Improvememts |
or |
Without |
Construction |
TO ADVANCE |
tion |
ment |
|
or |
Replacements |
Replacement |
and Previous |
BY RUS |
|
|
|
Replacements |
|
|
Advances |
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter a code number in column "A".
|
Subtotal |
|
|
|
|
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
Work OrderNo. |
|
|
|
|
|
Description of Construction |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUMMARY BY BUDGET ITEMS |
ENVIRONMENTAL CERTIFICATION - FOR MINOR PROJECT 219 ONLY |
|
|
|
|
|
|
|
1 |
|
We certify that construction reported on the above listed work orders (except certification "2" below), is a categorical exclusion |
|
|
|
|
|
Item |
740-C |
|
|
|
of a type described in 7 CFR 1794.31 (b) which normally does not require preparation of a Borrower's Environmental Report. |
|
|
|
|
|
No. |
Code |
Amount |
2 |
|
We certify that construction reported on work orders |
|
|
|
above, is a categorical |
|
|
|
|
|
exclusion of a type that normally requires a Borrower's Environmental Report which is attached. |
|
|
|
|
|
1 |
|
$0.00 |
DATE |
|
|
|
SIGNATURE (Manager) |
|
|
|
|
|
|
|
|
|
|
|
BORROWER CERTIFICATION - We certify that the costs of construction shown are the actual costs and are reflected in the general accounting |
|
|
|
|
|
|
|
|
|
|
records. We further certify that funds represented by advances requested have been expended in accordance with the purposes of the loan, the |
|
|
|
|
|
|
|
|
|
|
provisions of the loan contract and mortgage, and RUS bulletins and the Code of Federal Regulations relative to the advance of funds for work order |
|
|
|
|
|
|
|
|
|
|
purposes. We recognize that statements contained herein concern a matter within the jurisdiction of an agency of the United States and the making of a |
|
|
|
|
|
|
|
|
|
|
false, fictitious or fraudulent statement may render the maker subject to prosecution under Title 18, United States Code Section 1001. |
|
|
|
|
|
|
|
|
|
|
DATE |
|
|
|
SIGNATURE (Manager) |
|
|
|
|
|
|
|
|
|
|
|
DATE |
|
|
|
SIGNATURE (Board Approval) |
|
|
|
|
|
|
|
|
|
|
|
ENGINEERING CERTIFICATION - I hereby certify that sufficient inspection has been made of the construction reported by this |
|
|
|
|
|
|
|
|
|
|
inventory to give me reasonable assurance that the construction complies with applicable specifications and standards and meets |
|
|
|
|
|
|
|
|
|
|
appropriate code requirements as to strength and safety. This certification is in accordance with acceptable engineering practice. |
|
|
|
|
|
|
|
|
|
|
INSPECTION PERFORMED BY |
|
|
|
FIRM |
|
|
|
Total |
|
$0.00 |
|
|
|
|
|
LICENSE NUMBER |
|
|
|
SIGNATURE OF LICENSED ENGINEER |
|
|
|
|
|
|
|
|
RUS Form 219 (Rev. 10-12) |
|
|
V 17, 10/31/12 |
|
|
|
|
|
|
|
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. |
|
|
|
|
|
|
|
|
|
|
The valid OMB control number for this information collection is 0572-0015. The time required to complete this information is estimated to average 1.5 hours per response, including the time for reviewing |
|
|
|
|
|
|
|
|
|
|
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any |
|
|
|
|
|
|
|
|
|
|
other aspect of this collection of information including suggestions for reducing burden to: USDA-RUS, Attn: Director, PDRA, 1400 Independence Ave., S.W., STOP 1522, Washington, DC 20250-1522; |
|
|
|
|
|
|
|
|
|
|
and to the Office of Information and Regulatory Affairs, Paperwork Reduction Project (1910-1800), Office of Management and Budget, Washington, DC 20503. |
|
|
|
|
|
|
|
|
|
|
Optional form |
|
CODE 600 |
|
|
|
|
SUMMARY OF SPECIAL EQUIPMENT COSTS |
|
|
|
|
|
|
|
|
Date |
Reference |
|
|
|
|
|
|
Transformer |
|
|
Salvage Value |
|
|
|
|
|
|
|
|
Conversion |
|
|
of Old |
|
|
|
|
|
|
Invoice |
Labor |
Costs |
Estimated |
Loan Funds |
Transformers |
|
|
Quan- |
Size |
Manufacturer |
Type |
Cost and |
and |
(from Col.10 |
Cost of |
Subject to |
(from Col. 6 |
Total Cost |
|
ity |
Freight |
Other |
Trans. Conv. |
Installation |
Advance |
Trans. Conv. |
Capitalized |
|
|
|
|
|
|
|
Costs |
|
|
Costs |
|
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
(10) |
(11) |
|
Account 370, Meters - Meter Sockets, Current and Potential Transformers |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
TOTALS |
$0.00 |
$0.00 |
|
$0.00 |
$0.00 |
|
$0.00 |
|
Account 368, Line Transformers - Voltage Regulators |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
TOTALS |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
|
Account 365, Overhead Conductors and Devices - Oil Circuit Reclosers and Sectionalizers |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In order for this function to calculate, you must enter an amount in column 5. Any amount including $0.00.
|
|
|
|
TOTALS |
$0.00 |
$0.00 |
|
$0.00 |
$0.00 |
|
$0.00 |
|
MONTHLY GRAND TOTAL LOAN FUNDS SUBJECT TO ADVANCE |
$0.00 |
|
|
|
BORROWER CERTIFICATION |
|
|
I certify that the costs of construction shown are the actual costs and are reflected in the general accounting records. We further certify that funds represented |
|
|
|
|
|
|
|
|
|
|
|
|
|
by advances requested have been expensed in accordance with the purposes of the loan, the provisions of the loan contract and mortgage, and RUS bulletins |
|
|
|
|
|
|
|
|
|
|
|
|
|
and the Code of Federal Regulations relative to the advance of funds for work order purposes. |
|
|
|
|
|
|
|
|
|
|
|
|
Manager's Signature |
|
|
|
|
|
|
|
|
Date |
|
|
|
|
|
|
|
|
V 17, 10/31/12 |
|
|
|
|
|
|
|
|
|
|
|
|