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F",_ JO -526C13 <br />5 "nQ <br />U.S. DEPARTMENT OF HOUSING AND URBAN U:_VtLOPMENT Y <br />WWo�UUn (f1�il <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTiOtilS - - <br />HOUSING ASSISTANCE PAYMENTS PRO_iRAN1 Voucher Number <br />SECTION 23 l__J S'cCTIC.'V S F <br />i Dole of Requisition 11/17/81 FitC31 Year Ending Date 9/30/82 _ For Quarter Ending 3/31/82 <br />f `LAME AND ADDRESS OF PUBLIC HOUSING AGENCY (Inciuding 7,Ip Ludt) <br />Indian River Board of County Commissioners <br />800, 20th Place, Suite 3, Vero Beach, Fla. 32960 <br />ACC Contract Number .._ -3409 <br />FL -29-F`132-001 <br />Project Number F1: - <br />No. of Months In Fiscal Year _ 12 <br />jYPeofProjest: <br />DEPOSITARY BANK (Nonce, Address and Account Number) <br />Tile First Bankers of Indian River County <br />11ruro <br />Beach, Fla. 32960 Acct. #98-0+000-1�ExISTINa <br />NEW REHAB. <br />a. Number of Units Under Lease to Eligible Families as of Date of Requisition 105 <br />b. i:stimated Number of Units to be under Lease at End of Requested Quarter 126 <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition 165 <br />DESCRIPTION <br />(I) <br />ESTIMATE OF <br />REQUIRED <br />ANNUAL <br />CONTRIBUTIONS <br />(2) <br />TOTAL COST <br />INCURRED <br />TO DATE <br />(3) <br />ESTIMATED <br />ADDITIONAL <br />COST ENO <br />Or REQUUESTED <br />QUAL{TER <br />(4) <br />CUMULATIVE <br />TOTAL <br />FUNDS <br />REQUIRED, <br />(S) <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) <br />0 <br />0 <br />0 <br />2. Preliminary Administrative Expense—After ACC (Account 4012) <br />3. Total Preliminary Administrative Expense (Lincs I & 2) <br />NONEXPENDABLE EQUIPMENT <br />4. Replacement of flonexpendable Equipment (Account 7520) <br />` <br />5. Property Betterments and Additions (Account 7540) <br />6. Total Nonexpendable Equipment (Litres 4 & 51 <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (A ecount 4715) <br />329,664 <br />34,673 <br />79,695 <br />114,368 <br />ADMINISTRATIVE FEE <br />8. Total Administrative Fee Approved for Fiscal Year <br />39.3-17 <br />9. Monthly Rate of Administrative Fee (Linc 8 divided by number of months <br />in fiscal year) <br />---3,277 <br />10. Amount Previously Requisitioned for fiscal year <br />9.832 <br />9,832 <br />11: Estimated Additional Amount Required to end of Requested Quarter <br />19.664 <br />12. Total Administrative Fee (Lincs 10 & I1) <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Scc:ron 8 orl),/ <br />13. Total Independent Public Accountant Audit Custs <br />2,500 <br />SECURITY AND UTILITY DEFC-SIIS (S: ction 23 orlr) <br />14. Total Allowance Approved for Security and Utility Deposits <br />0 <br />15. Amount Previously Requisitioned for fiscal Year <br />0 <br />0 <br />115. Estimated Additional Amount RequirrAl to End ci Requested Quarter <br />0 <br />It Total Security and Utility Deposits (Lines 15A 16) <br />AMOUNT OF THIS REQUISITION ' <br />X <br />la. Total Funds Requited to End of Requested Quarter (Lincs 3, 6, 7, 12, <br />l3,& 17) <br />134,032 <br />1. Total Partial Payments Received for Fiscal Year to Date <br />61.220 <br />20. Partial Payment Requested (Line 19 minus line 19) <br />IST <br />INSTALLMENT <br />2ND <br />INSTALLMENT <br />3RD <br />INSTALLMENT <br />TOTAL <br />METHOD OF PAYMENT <br />21. Requested Installment Payments <br />20,407 <br />I CERTIFY that housing assistance payments have been cc will bo made only with rrrs-.9ct to units which- (1) are under lease by Families at the time such <br />housing a=irtance payments are made excopt as otherwise provided in the Housing A-%otarwe Payments Contracts and (2) the Housing Agency has within <br />one year prior to the making of such housing aristnnce paymants..ndequately inspm.t v-1 or cursed to bo inspected (including inspection of grounds, facilities. <br />and areas for the benefit and use of the Famiiiez) to e=re that decent, safe and sans,, ry i-.ousing accommodations are being provided; that all applicable pro- <br />visions of the above numbered Contract have been complied with by the Housing A ys.r.y; and that this retluitition for annual contributions has been sxsm- <br />inod by me and to the best of my knowittdge and beliaf it is true, corract and comp;vta. Indian River County Board of County <br />onerg <br />of Public Uousii ncyl <br />/ <br />(Dart-) gn o // ' It u honied to Grti/y) <br />HUD FIELD OFFICE APPROVAL 1J <br />(Signaiurr and Tule of Official Authorized to Approve) (Datr) <br />..EGIONAL ACCOUNTING DIVISIUN <br />' <br />( Plevalidatsd by: <br />PAYMLNT <br />FOR <br />MON I H OF <br />AMOUNT <br />PAID <br />DATE <br />CERTIFIED FOR <br />PAYMENT <br />CERTIFIED <br />BY <br />(Initials) <br />(Sirinoture) <br />(Date) <br />TOTAL <br />ReplacesW_ID-52663 dat. Jure 19'f i. _ <br />HUD -52663 <br />