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r.WO-52663 tJ U L .141982 0 Phu 453 <br />s ' U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM <br />SECTION 23 SECTION 8 <br />FOR HUD USE ONLY <br />1 Voucher Number <br />Date of Requisition 6/21/82 Fiscal Year Ending Date 9/30/83 For Quarter Ending 12/31/82 <br />NAME AND ADDRESS OF PUBLIC HOUSING AGENCY (including Zip Code) ACC Contract Number A-3409 <br />Indian River County Board of County Commissioners PCC C ntractNumbumber A-32-002 <br />1840 25th St., Suite S-321, Vero Beach, Fla. 32960 Pro ec Months in Fiscal Year 13 <br />DF�SITARY BANK (Name, Address and Account Number) Type Of Project: <br />The First Bankers of Indian River'County <br />Vero Beach, Fla. 32960 Acct. #98-04000-1 ® EXISTING []NEW CI REHAii. <br />a. Number of Units Under Lease to Eligible Families as of Date of Requisition <br />0 <br />b. Estimated Number of Units to be under Lease at End of Requested Quarter <br />_ <br />40 (estimate) <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition <br />0 <br />ESTIMATE OFESTIMATED <br />CUMULATIVE_ <br />REQUIRED <br />TOTAL COST <br />ADDITIONAL <br />TOTAL <br />DESCRIPTION <br />ANNUAL <br />INCURRED <br />COST TO END <br />OF REQUESTED <br />FUNDS <br />CONTRIBUTIONS <br />TO DATE <br />QUARTER <br />REQUIRED <br />(1) <br />(2) <br />(3)_ <br />(4) <br />(5) <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) <br />2. Preliminary Administrative Expense—After ACC (Account 4014 <br />3. Total Preliminary Administrative Expense (Lines 1 & 2) <br />NONEXPENDABLE EQUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 75201 <br />5. Property Betterments and Additions (Account 7540) <br />6. Total Nonexpendable Equipment (Lines 4 & SJ <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account 4715) <br />ADMINISTRATIVE FEE <br />S. Total Administrative Fee Approved for Fiscal Year <br />9. Monthly Rate of Administrative Fee (Linc 8 divided by number of months <br />in fiscal year) <br />10. Amount Previously Requisitioned for fiscal year <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />12. Total Administrative Fee (Lines 10 & II) <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) <br />13. Total Independent Public Accountant Audit Costs <br />SECURITY AND UTILITY DEPOSITS (Section 23 only) <br />14. Total Allowance Approved for Security and Utility Deposits <br />15. Amount Previously Requisitioned for Fiscal Year <br />16. Estimated Additional Amount Required to End of Requested Quarter <br />17. Total Security and Utility Deposits (Lines 15 & 16) <br />AMOUNT OF THIS REQUISITION <br />19. Total Funds Required to End of Requested Quarter(Lines3, 6, 7, 12, <br />13d 17) <br />19. Total Partial Payments Received for Fiscal Year to Date <br />20. Partiol Payment Requested (Line 18 minus Line 19) <br />40.002 <br />16,828 <br />1,294 <br />0 <br />0 <br />0 1 0 <br />3,882 <br />.5 ,176 <br />0 <br />0 <br />0 <br />0 <br />53,641 <br />24,178 <br />IST 2ND I 3RD <br />METHOD OF PAYMENT INSTALLMENT INSTALLMENT INSTALLMENT -TOTAL <br />21. Requested Installment Payments 9.821 821 <br />1 CERTIFY that housing assistance payments have been or will be made only with respect to units which. (1) are under (ease by Families at the time such <br />housing swktWWA payments are trade except as otherwise provided in the Housing Amistance Payments Contracts and (2) the Housing Agency has within <br />arta year prior to the making of such housing assistance payments, adequately irnpected or caused to be Inspected (including Inspection of grounds, facilities, <br />and areas for the benefit and use of the fa W to assure that decent, safe and sanitary housing accommodations are being provided; that all applicable pro <br />visions of the above numbered Contract4l>t�ff ency; and that this requisition for annual contributions has been exam- <br />(ned by rete and to the best of my knowldge an &6 efao��and eo lets. <br />Board of County Commissioners <br />;1 and legal ficiadc � TnAi nn Pitresr <br />my 14, 1982�t / -� C <br />(Date) 4.fi D. - - - , - .q_ (bis nature and <br />HUD FIELD OFFICE APPROVAL <br />I C ty- Attorne <br />(Signature and Title of Official Authorized to Approue) <br />REGIONAL ACCOUNTING DIVISION <br />PAYMENT <br />Prevalidated by: FOR <br />MONTH OF <br />(Signature) <br />(Date) <br />(Date) <br />AMOUNT DATE CERTIFIED <br />PAID CERTIFIED FOR BY <br />PAYMENT pnittals) <br />Tr1yn,C744i 4.,4,.4 ,Tt, ria 10')I, HUD -52663 <br />