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I�ifo-as� <br />I, - U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FOR HUD USE ONLY <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROQRAN1 <br />r SECTION 23 SECTION R <br />I <br />Oats of Requisition 6/21/82 Fiscal Year Ending Date 9/30/83 For Quarter Ending 9/30/82 <br />NAIHF, AND ADDRES§ OF PUBC H,XSIN? AGENCY (lnctudinq Zip Code) ACC Contract Number _ A-3409 <br />In(iian River County loar o County Commissioners -- <br />1840 25th at., Suite S-321, Vero Beach, Fla. 32960 Project Number FL29-El32-002A-3409 <br />22� <br />DEPOSITARY BANK (Name, Address and Account Number) <br />-- --- ---- <br />No. of Months in Fiscal Year <br />The First Bankers of Indian River County ivae of Project: <br />Vero Beach, Fla. 32960 Acct. #98-04000-1 ® EXISTING � NEW [-1 RLHAIr. <br />a. Number of Units Under Lease to Eligible Families as of Date of Requisition 0 ~ <br />b. Estimated Number of Units to be under Lease at End of Requested Quarter 28 <br />c. Average Monthly Housing Assistance Payment Per Unit us of Date of Requisition 0 — <br />ESTIMATE OF ESTI MATEDCUMULAIt,,E <br />REQUIRED TOTAL COST ADDITIONAL TOTAL. <br />T <br />DESCRIPTION ANNUAL INCURRED OF' ST REQUO ESTENED <br />D FUNDI <br />CONTRIBUTIONS TO DATE QUARTER REQUIRLO <br />Voucher Numb, -r <br />(2) <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 />0 <br />9,996 <br />0 <br />9,996 <br />2. Preliminary Administrative Expense -After ACC (Account 4012) <br />9-996 <br />0 <br />9.996 <br />3. Total Preliminary Administrative Expense (Lines 1 d 2) <br />NONE%PENDABLE EQUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 7520) <br />0 <br />0 <br />0 <br />0 <br />7,600, <br />_ <br />7,600 <br />5. Property Betterments and Additions (Account 7540) <br />0 <br />7,600 <br />6. Total Nonexpendable Equipment (Lines 4 & 5) <br />7 , 6 )0 <br />- <br />__731600 <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account 4715) <br />140,002 <br />0 <br />5,288 <br />5,288 <br />ADMINISTRATIVE FEE <br />8. Total Administrative Fee Approved for Fiscal Year <br />16,828 <br />8. Monthly Rate of Administrative Fee (Line 8 divided by number of months <br />In fiscal year) <br />1,294 <br />10. Amount Previously Requisitioned for fiscal year <br />0 <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />_ <br />1,294 <br />_ <br />1 294 <br />12. Total Administrative Fee (Lines 10 d 11) <br />0 <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS(Section 8 only) <br />13. Total Independent Public Accountant Audit Costs <br />0 <br />0 <br />SECURITY AND UTILITY DEPOSITS (Section 23 only) <br />14. Total Allowance Approvad for Security and Utility Deposits <br />15. Amount Previously Requisitioned for Fiscal Year <br />0 <br />16. Estimated Additional Amount Required to End of Requested Quarter <br />0 <br />17. Total Security and Utility Deposits (Lines 15 d 16) <br />P 0 <br />- <br />AMOUNT OF THIS REQUISITION <br />18. Total Funds Required to End of Requested Quarter (Lines 3,'6, 7, 12, <br />13d 17) <br />24,178 <br />18. Total Partial Payments Received for Fiscal Year to Date <br />20. Partial Payment Requested (Line 18 minus Line 19) <br />24,178 <br />INSTALLMENT <br />2ND <br />INSTALLMENT <br />3RD <br />INSTALLMENT <br />TOTAL <br />METHOD OF PAYMENTIST <br />21. Requested Installment Payments <br />1 CERTIFY that housing assistance payments have been or will be made only with respect to units which: (1) Gra under lease by Families at the time such <br />housing assistance payments are made except as otherwise provkted in the Housing Assistance Payments Contracts and (2) the Housing Agency has within <br />one year prior to the making of su inspected or caused to be inspected (including Inspection of grounds, facilities. <br />and areas for the benefit and use o e ami les) to assure that decent, safe d sanitary housing accommodations are being provided; that all applicable pro <br />visions <br />visions of the above numbered Con W6fh1il 6�ri AS UP the Ho Ing Agency; and that this requisition for annual contributions has been exam- <br />by me and to the best of my k edger a�,ttietitf ' ' J� t and mplete. <br />esti rya Board of County Commissioners of <br />T__ 1 • r <br />July 14, 1982 t$y�- 1. Hrande ung(Date]f usual <br />and Title of OJ1 Authorized <br />HUD FIELD OFFICE APPROVAL <br />• r <br />(Signature and Title of Official Authorized to Approve) (Date) <br />REGIONAL ACCOUNTING DIVISION PAYMENT GATE CERTIFIED <br />PrBvalidated by: FOR AMOUNT CERTIFIED FOR BY <br />MONTH OF PAID PAYMENT (Initials) <br />(Signature) <br />(Date) s a —e% <br />1 <br />J U L 141982TOTAL r t1un "" IF JL"'& <br />