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r 5z156�EP 2 1981 <br />Army A7 PA(G 19.9; <br />i <br />U.S. DEPARTMENT OF HOUSING AND URBAN rJ;V=LJPMENT FOR HUD USEONLY <br />• <br />REOWSIT)ON FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING A:,:,:STANCE PAYMENT S PROGRAMI Voucher Number <br />SECTION 23 j ScCT10N `S (X 1 <br />Date of Requisition 8/24/81 Fiscal Year Ending Dete 9/30/82 For Quarter Ending 12/31/81 <br />NAME AND ADDRESS OF PUBLIC HOUSING AGENCY (inciudln9 'ap code) <br />ACC Contract Number A- 3 09 <br />Indian River Board of County Commissioners <br />ProfectNumber FL_29-E132-001 <br />800 - 20th Place Suite 3 Vero Beach FL 2960 <br />No.ofMonthsinFiscal Year 12 <br />Type of Project: <br />DEPOSITARY BANK (A -Inc, Addresi and Account Number) <br />The First Bankers of Indian River County <br />EXISTING NEW REHAB. <br />Vero Beach, FL 32960 Acct. # 939-0400 0-1 <br />a. P"r,Tber of Units Under Less to Eligible Families as of Date of Requisition 129 <br />27timated Number of Units to be under Lease at End of Requosted Quarter <br />e. Avarago Monthly housing Assistance Payment Per Unit .s of Date of Requisition 160 <br />ESTIMATE OF <br />REQUIRED <br />TOTAL COST <br />ESTIMATED <br />ADDITIONAL <br />COST TO END <br />CUMULATIVE <br />TOTAL <br />DESCRIPTION <br />ANNUAL <br />CONTRIBUTIONS <br />INCURRED <br />TO DATE <br />OF REQUESTED <br />QUARTER <br />FUNDS <br />REQUIRED <br />(]) <br />(2) <br />(3) <br />(4) <br />(5) <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) <br />0 <br />0 <br />74 <br />0 1 <br />0 <br />2. Preliminary Administrative Expense—After ACC (Account 4012) <br />0 <br />0 <br />0 <br />3. Total Preliminary Administrative Expense (Lincs 1 & 2) <br />NONEXPENDABLE EQUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 7520) <br />, , , � �€ +f <br />0 <br />0 <br />kA�d <br />5. Property Betterments and Additions (Account 7540) <br />0 <br />0 <br />6. Total Nonexpendable Equipment (Lines 4 & S) <br />0 <br />HOUSING ASSISTANCE PAYMENTS <br />60,480 <br />60,480 <br />7. Housing Assistance Payments (Account 47/S) <br />329,664 <br />0 <br />ADMINISTRATIVE FEE <br />S. Total Administrative Fee Approved for Fiscal Year <br />39,327 <br />S, Y' (mthly Rate of Administrative Fee (Line 8 divided by number of months <br />;fiscal yeas) <br />3,277 <br />0 <br />Amount Previously Requisitioned for fiscal year <br />estimated Additional Amount Required to end of Requested Quarter <br />8_12— <br />i Total Administrative Fee (Lines 10 & 11) <br />9 <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) <br />13. Total Independent Public Accouni!ant Audit Costs <br />2,500 <br />2 <br />SECURITY AND UTILITY DEPOSITS (Section 23 only) : <br />14. Total Allowance Approved for Security and Utility Deposits <br />0 <br />15. Amount Previously Requisitioned for Fiscal Year <br />0 <br />16. Estimated Additional Amount Requirud to End of Requesied Quarter <br />17. Total Security and Utility Deposits (Litres 15 & 16) <br />AMOUNT OF THIS REQUISITION <br />18. Total Funds Required to End of Requested Quarter (Lincs 3, 6, 7, 12, <br />72,812 <br />13,& 17) <br />19. Total Partial Payments Received for Fiscal Year to Date <br />72-812/X\ <br />20. Partial Payment Requested (Line 18 minus Line 19) <br />IST <br />2ND <br />3RD <br />TOTAL <br />METHOD OF PAYMENT <br />INSTALLMENT <br />INSTALLMENT <br />INSTALLMENT <br />21. Requested Installment Payments <br />24 270 <br />L24.271 <br />114,171- <br />1 CERTIFY that housing assistance payments hive been cr will be made only with re%pect to units which: (1) are under (ease by Families at the time such <br />in Housing Azistance Payments Contracts and (2) the Housing Agency has within <br />housing assistance payments are made excopt as otherwise provided the <br />one year prior to the making of such housing assistance payments, adequately inspectod or caused to be inspected (including inspection of grounds, facilities, <br />and areas for the benefit and use of the Families) to assure that decent, safe and sanitary s=ousing accommodations are being provided; that all applicable pro- <br />for contributions has been exam- <br />visions of the above numbered Contract have been complied with by the Housing Agency; and that this requisition annual <br />ined by me and to the best of my knowledge and belief it is true, correct and complete. <br />is usi�J�P.',IchoU.d <br />�� y �ditle <br />I <br />��% (Date) (Signature f lo erttfYl <br />HUD FIELD OFFICE APPROVAL <br />(Signature and Title of Official Authorized to Approve) (Date) <br />REGIONAL ACCOUNTING DIVISION <br />PAYh1ErVT <br />AMOUNT <br />DATE <br />CERTIFIED <br />Prevalidated by: <br />— — <br />Furs <br />OF <br />PAID <br />CE PAYMENT NTFIED OR <br />(initials) <br />---- -•- -- <br />(Signature) <br />(Date) _ <br />TOTAL <br />ReDiacTSOMFORI.n. 117J D 2663 date=d Jur c 1`,�7l. <br />�. HUU 7lrib .7 <br />