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