r14Ut5.3266$ -
<br />U.S. GEPARTMENI OF H+.PJSING AND UHEi: N' vet.* NT � �� — ►}�}�d� era �
<br />AY 5 198ZEOUiSITiON FOR PAATIAL PAYMEFJf' or ANNUAL ';Cl,'11TR1BUTi0NS ;
<br />HOUSING ASS',STANCE PP, t STENT i i i.0 3r'ta'.:I --' ti' •�rher N�mL:
<br />SECTiON 23 L i S'c� Tif�`' E 4X!
<br />Date of Requisition ____411/82 „ Fiscal Yuai t' .ling Do" 91 0%$ ... _ For Ousiter Eftdin(,- _9130/82___.__.
<br />T'AND DRF' r)F' 8t t)USING CErtrrr fi„vtrdlny X4, (;,,dr) A-340' -
<br />nkian Diver I oar+ J oic �ounty nCatttnlissioners ALC Contract Numbor __ __
<br />1840 25th St,, Suite S-321, Vero Beach, Fla. 32960 ProjoctNumber `L -29-E132-001
<br />--- - -- --- No. of Months in Fiscal Mbar
<br />DEPOSITARY BANK iNm•re..4ddress and Aceou.It Numbr►)
<br />Type of Project:
<br />The First Bankers of Indian River County
<br />Vero Beach, Fla. 32960 Acct. #98-04000-1 X EXISTING �� Ter U [i ItClt/o:
<br />e. Nutt by of Units U tiler Leese to Eligible Families vs of Date of Requisition -- _ 1.06
<br />b. Estimated Namber of Units to be under Leese at End of Requested Quartet 126
<br />C. Avtrlatill fllonthly Housing Assistance Payment Per Unitas of Date of Re4u0itiolt 171
<br />_-_ -—_•�—_`�r�=- [:S 17r�!4 ! :. raj �. E =iT 1IAA 11 li Gl1MUt.
<br />MLUJINk.0 TOTAL COST ADDI:i(rt,At. I Tail-hL
<br />� Cr/f: l �f r� 1 iJt a
<br />D["sGr.1PT1oN ff ..r�rx...l INCURRED OF t{, r�t.Ir•,rt u1 t
<br />II;(•f:rletrWI,(�'+SI TO UATE HI_01Jl10i.—
<br />(1) i',)
<br />PRELIMINARY ADMINISTRATIVE EXPENal I
<br />1. Preliminary Administrative Expense-Ptior to ACC (A:'t0 0r,:rn14d/0� _ I n' 0 _..
<br />_ 0
<br />2. Preliminary Administrative Experwo--After ACC (tttr„tnt h)12/ 0 i : _0
<br />3. Total Freliminery Adminirtrative Expense (Lints 1 1 2; 0 0 0
<br />NONEXFENDABLE EQUIPMENT
<br />4. Replacement of Nonexpendable Equipment (AcerHuit 75.10)
<br />S. Property Bettennun:s snd Additions (.4rcorinr 7340/
<br />6. Total Nonexpendublo Equipment (Litres 4 d 3J
<br />NOUSINN ASSISTANCE PAYMENTS
<br />3. Houtino Assittaticii Payriientn (Act-oruel 4715)
<br />ADMINISTRATIVE FEE
<br />8. Total Administrative Fee Appiavcd for Ftsctl Year
<br />9. Monthly Rate of Administrative Fes (Linc y tlti Ided by number of months
<br />in fiscal year)
<br />10. Amount Previously Requisitioned far fiscal year
<br />It. Estimated Additions', Amount Required to end of Raquested Quarter
<br />12. Totef Administrative Fee (Lincs 10& i/)
<br />100EPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Serrian X onli`J
<br />13. Total Independent Public Accountant Audit Custs
<br />SECURITY AND UTILITY DEPOS11 S (Set tion 2.? on!; )
<br />-14. Total Alfovsranri Approvad for Security and utility Deposits
<br />15. Amount Previously Requisitioned fur f=iscal Yea
<br />16. Estimated Additions Amount Requituil to End of Requested Uuurter
<br />1). Total Security and Utility Deposits (Lutes 1.; A 16)
<br />AMOUNT -OF THIS REQUfS6TION
<br />18. Toad Funds Required to End of Requested Quarter (Linei.f, A, 7, 12.
<br />13d 171
<br />19. Total Partied Payments Received for Fiscal Yaer to Date
<br />20. Partial Payment Requested (Line •1 ti minus Linc 191
<br />I
<br />0 0 + 0
<br />___4-_0
<br />_
<br />_-- 0 0 0 -- 0 -- - -
<br />329,664 121,746 100,890 222.636
<br />39,327
<br />i
<br />_3,277 a'
<br />29,496
<br />6.1059
<br />35.555
<br />2,500 0
<br />t 0 - - -- i
<br />I
<br />2 58,191
<br />y 5, 1( E it 1 -Ji'----
<br />)SI 21,41) Ski, TOTAL
<br />METHOD OF PAYMENT • INSTALLMt N1 INSTALLMeNl iNSTALU-4k ri I
<br />21. Requesttsd Instailnlmit Payments 20, 860 ` 20,860 20 861 62.581. ___ i
<br />CEnTIFY that housing amitmence payments have been or will las mods only with m*e!wt to units which: 11) are under Isa a by families at tha time such
<br />hoarier@ aminame parymenu are made except in otherwise provided in the Housing Ataistanrae Peymants Co» trifeb end 12) the Housing Aoeney has within
<br />oiw yew paler to the netting of such housing anittence payrnents, edequsately inspected ru ccusrd to be kiwacted (Inciudint iny,•clunn of around., lortllt,r
<br />and areae for the benefit and use of the Fomiltw) to assure that dam. care erect sanitiuv housing amomintodetie m we being Prtavated; that all eppl icahie Pru
<br />rialataw of that abova numbered Contract hm be*n complistf with by *s Housing Agency; and that this requisition for annual contributions has been t ram 1
<br />crud by "m end to the ban of my krEe Wedge ttnd$e ie tr�ert, ra9meet ttrtfi cam to.
<br />+
<br />�p� eve 1 ,a . ,N�i RIVER CO
<br />!,_.�--
<br />k ° fivanw o Pubb ouaing A ncy'
<br />5/5/82 Land i2r?1 lit'
<br />(/Jade) it �9 nature on l e u/ 011lricl.tuthc.rt, tri C'rrblYa
<br />HUD FIELD OFFICE APPROVAL
<br />/ . r
<br />(5wnaturt• and Tate is/ Uff tial AatlV ire”
<br />REGIONAL ACCOUNTiNG DIVISION
<br />pteveiideled by.
<br />Il�uret
<br />PAYUMIJIr UA1 EFILD
<br />CIA -TI
<br />AMOUNT
<br />FOR PAID CERTIFILQ Fcs14 I fly i
<br />MUN1'H OF a'AVR'I.NI i ilntrtnlal 1
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