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J U L 141982 <br />MAL <br />RCC <br />1. Project vane: <br />2. = ro j ect S_ orsor <br />3. Recuest ::u.:.ber: <br />4. Pav To: <br />S. Recuest Per'_od Covered: <br />e <br />BOOKBOOK <br />�Q TF�L7C j <br />Cost Obligations Total Cblications <br />Catecories Since _Last ?ecsest to Date <br />a. Contractual Sex-74-ces <br />1) arc^.itact.iral/unci- <br />veering and/or Design <br />r 2) Constrsction <br />b. Purchased :-faterial <br />c. Totals <br />d. ?.amount of State Funds Recuested <br />(1/3 or 2/3 of item GC)* <br />i . istor'.r of Grant Recuests Total <br />State Share kcal 1Share <br />(1) (2) (3) <br />a. TCtals this Request 5 $ $ <br />b. C=ziula Live totals <br />to date <br />S. a. Total =ands ;=roved for State Grant $ <br />b. 'Total State F=ds Pald Column 7b (2) S <br />C. ?ala,^ce of State Grant S <br />S. Carti_ication: <br />I certify trat this recuest is correct and just and is based upon <br />actual obli;atiors or: record by the ?rojest Sponsor; that this request and <br />sup_ or =izy 'cc•.::.:,entat_cn Is recorded i. -i the project Sponsor's _ uclia reccr s ; <br />_:.at ::a,, -vent fron th.e State has not been received; that the work and ser,;--ces <br />are -,I accordance with the Florida Department of Natural Rescurces' approved <br />_ r- ject acree: ent ircludi :g anti ar.endr.entS th ereto; and that progress of t:.e <br />,-o=k and ser•:i.. s rndar the pro; ct =r-ee� n _-re r. " n`'• <br />-e -e e t saris_ c=�_� and a_ co. �:.s- <br />_ent i--*. the arcurt recuested. <br />u.:erized Diazson Acent <br />Aur. cr_=ad . -n anc==' officer <br />Date <br />:ate <br />::_v4__7_cn of %ecreat_c . and Par.kS <br />- =14, 1982 <br />_eo re-.ersa s_dz _n=t_ .___ons) Page 7 of 10 <br />