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<br />Januar 1976 _ _
<br />U.S. DEPARTMENT OF HOUSING AND URBAN DF`'FL.OPMENT F tq Ftt:p `�� ,S v
<br />VOUCHER FOR PAYMENT OF ANNUAL CONTRIBUTIONS
<br />HOUSING ASSISTANCE PAYMENTS PROGRAM t +„ r �;.••:n.••
<br />SECTION 23 SECTION 8 1�1 „ 1 I•.. aI „ a„ , •.I.r
<br />(See Instructions on reverse) 11/30/80
<br />NAME AND ALIURLSS of r -U ULC rrOUSIN(. AC,E NC I ni Judin#2 1' ('••dr) AC CnN 1'i AC r n, I;.•nt. ,t ,.OJf-. �, Urd fiE +. `_
<br />Indian River County Board of County
<br />Commissioners, 800, 20th Place, Suite 3
<br />Vero Beach, Fla. 32960 n-3409 FL -294'1.32-001
<br />Huo FIELD oFrtcE --'--- i vi - t or Irr„J; ;.. r+,r, ti unP) � I,r.�INNI•,o , , , ,..
<br />Peninsular Plaza, 661 Riverside Ave,
<br />Jacksonville, Fla. 32204 NEN ! REHAE) ExISrINC, XX '
<br />- ----------- I1,9-
<br />HUD REGIONAL OFFICE NOME±ER OP Ovr E'L LIN(-, HN1T5---_-1_1 �1� -.,Ili h OF ,,,I1 ,
<br />75 Spring Street SW
<br />UNGEH'
<br />ACC UNM r+ L Ail. I
<br />Atlanta, Fa. 30303 120 74 ( 496
<br />Request is hereby mode for the payment of annual contributions payable pursuant to the terms and conditions of the above numb)
<br />ed Annual Contributions Contract for the project and the fiscal year shown above, as set forth in the following statement:
<br />14EQUE-STEED E)Y PHAr
<br />rHUD A[))L';TMFN
<br />MAXIMUM ANNUAL CONTRIBUTIONS AVAILABLE 1.1) ,
<br />1. Maximum Annual Contribution Authotited - per Annual Contributions Contract 225,204
<br />2. Pro Rata Maximum Annual Contribution Applicable to a Period of
<br />Less Than Twelve (12) Months 56,301
<br />3. Maximum Annual Contribution For Fiscal Year (Lines I and 2) 1 _ _281,50
<br />4. Contingency Reselve(Account 2825) for Section 23 projects or Project Account
<br />(Arrnunt 2827) for Section 8 projects • Balance at beginning of Fiscal Year
<br />5. Total Annual Contributions Available (Line•, 3 and 4) _ _- 281 505 -i
<br />APPROVE�DEDo� t-�5I�,7[; E-�ipA7E OF
<br />ANNUAL CONTRIBUTIONS REQUIRED ANNUAL CONiRIBl1TIONS
<br />6. Housing Assistance Payments (Account 4715) 134;754+ -_ __ 48,118
<br />7. Administrative Fee (seeInstructions) 17,760__
<br />8. Preliminary Administrative Expense - Prior to ACC (Acct. 4010)
<br />9. Preliminary Administrative Expense - After ACC (Acet. 401x) 40_, 382
<br />- - --�---
<br />7 35,82-2.
<br />10. Nonexpendable Equipment (Accounts 7520 and 75.10)33Q
<br />11. Security and Utility Deposit Fund (Section 23 Projects only) _ 1
<br />12. Independent Public Accountant Audit Costs --------- - --- -
<br />- -- -- -. -
<br />3. Total Funds Required • Current Year (Lines 6 through 12) 103, 366 ,
<br />14. Deficit at End of Preceding Fiscal Year
<br />15. Total Funds Required (Lines 13 and 14)
<br />16. Project Receipts other than Annual Contributions (Acets. 3610, 300, and 7530)
<br />17. Total Annual Contributions Required (Line 15 minus Line 16)
<br />EXCESS OR DEFICIT IN ANNUAL CONTRIBUTIONS AVAILABLE
<br />18. Excess (Amount by uhich line 5 exceeds Line 17)
<br />19. Deficit (.')mount by which Line 17 exceeds Linc 5)
<br />YEAR-END SETTLEMENT
<br />20. Pnnual Contributions Due for Fiscal Yea[(iine 17 minus Litre 19)
<br />21. Total Partial Payments Received by PHA for Fiscal Year
<br />22. Underpayment Due PHA (Amount by ztl+irh Line X exceeds Line 21)
<br />23. Overpayment Due HUD (Amount by which Line 21 exceeds Line :3U,
<br />STATUS OF PROJECT ACCOUNT (Section 8 projects only)
<br />24. Project Account - Balance at the End of Fiscal Year (Account 2827) (Erne 19)
<br />25. Provision) for Project Account(Arrount 7027)
<br />a. Increase(4brenfnr by which line 21 exercits Line 4)
<br />b. Decrease(rltnount 1,y uhirh Line 4 excerd, line 24)
<br />STATUS OF C014TINGENCY RESERVE (Section 23 projects only)
<br />26. Contingency Reserve • Balance at the End of Fiscal Year (A crount 2825)
<br />(Line •18or 10% of Linf• 1, uAicheveris lesser)
<br />27. Provision for Contingency Reserve • (Arcuunt 7025)
<br />a. Increase(.4rwrunt by which line 26 exceeds line 4)
<br />b. Decrease (Amount by wiit•h Line 4 exceeds line %)
<br />STATUS OF SECURITY AND UTILITY DEPOSIT FUND (Section 23 projects only)
<br />28. Security and Utility Deposit Funds Provided, Account 2168.1
<br />29. Security and Utility Deposits • Uncollectible Advances, Account 2168.2
<br />30. Balance of Security and Utility Deposit Fund 1Line 28 mint.. Linr :.9)
<br />31. Accounts Receivable - Advances for Security and Utility Deposits Account 1127
<br />32. Security and Utility Deposit Funds Available (Line 3o minus Lin,,31)
<br />1 - --- i --103-, 366
<br />103 2 366 i
<br />178,139-
<br />103.366-
<br />___103 324
<br />103,3%6___103,32} --I- --- -
<br />178,139- 11 --
<br />-- "- -----' - - - ----,
<br />178,139
<br />I CERTIFY that housing assistance payments have been or will be made only with respect to w,,4% whish: (1) are under lease by Families of the 11.10 h
<br />housingossistanca payments are made except as otherwise °
<br />0 Y p provided in the Housing Assistance j'aymems Contracts and (2) the Mousing Agency has, within on
<br />year prior to the making of such housing assistance payments, adequately inspected or caused to be inspected I/— ludtnp iu.v p.•, tL•n of 0 ........ 10. fo, 1110"r. r
<br />areas for the benefit and see of the Faerflles) to assure that docent, sofa and sanitary housing accomodations are being provided; that all applicable prov,s,ons
<br />of the above numbered Annual Contributions Contract have been complied with by the Housing Agency; and that this Voucher for nn I Contributions has been
<br />asamined by are and to the best of my knowledge and belief It Is true, correct and complete.
<br />Indian River County, Board of ,--/
<br />---County-.Commissioners --- --2717/'Ta
<br />(Nomeul I ubllr lluuarnQ ARentY) {Srgnefurr en,).'7'rtlr ut Ull„ ta! :1uthrt ed , <'e ,m/vl
<br />VON REGIONAL OFFICE USE ONLY: i.ttf_<:n UNL -
<br />REVIEWED BY: - 1. j (tVerintclnPnt d S . __- -__- _ rerene:I Itorn PITA
<br />tSr`nature)
<br />I Un,l, r r meat f $
<br />Pay-.-------_--___,ertified for pap^.cnt E„
<br />- --- (Care) the• PNA un _____- --_�-- -_ __-- rr ,lute• rd 1,
<br />� NOV 51980 J
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