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r"r.-J514A3 �s U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS HOUSING ASSISTANCE PAYMENTS PftO;fiAM SECTION 23 0 SCCTION 0 [,] Data of Requisition 2/l/83..____ Fiscal Year Ending Date- 9/30/83 Fat Quarter Ending NAME AND ADDRESS OF PUBLIC HOUSING AGENCY Onciuding 7_(p Code) FOR HUD USE Uh Vnurher Nurr+t„ Indian River County Board of County Commissioners ACC Contract Number .�4t39 1840 25th St., Suite S-321, Vern Beach Fla. 32960 Project Number F�--9-E132-'001 & 002 DEPOSITARY BANK (Name, Address and Account Number) ilio, of Months In Fisced Year 12 The First Bankers of Indian River County Typo of Projact: Vero Beach, Fla. Acct 498-04000-1 a. EIumbar of Units Under lease to Eligible Families as of Date of Requisition stimated Number of Units to be under -Lease at End of Requested Quarter c. Average Monthly Housing Assistance Payment Per Uuit as or lista of Requisition ESTIMATE OF DESCRIPTION REQUIRED ANNUAL CONTRIBUTIONS O EXISTING 0 NEW LI REf4An. 126 a C:41 AW*'ER 15S PRELIMINARY ADMINISTRATIVE EXPENSE ~ 166 ^" EsTihlAtED CUMULA + . TOTAL. COST ADDITIONAL TOTAL INCURRED TO DATE COST TOEND OF REQUESTED ;, FUNDS (1) (2) t3) a C:41 AW*'ER REQUIRED 'b) PRELIMINARY ADMINISTRATIVE EXPENSE ^" I. Preliminary Administrative Expense -Prior to ACC (Account 40101 0 0 2. Preliminary Administrative Exponse-After ACC (Account 4012/ 9, 996 9'_396 3. Total Preliminary Administrative Expense (Lines 1 c4 2) 9, 996 0 9, 996 9.996 9,996 NONEXPENDABLE EQUIPMENT 4• Replacement of Nonexpendable Equipment (Account 7520) ' 0 5. Property Betterments and Additions (Account 7540) 0 p S. Total Nonexpendable Equipment (Lines 4 & s) 0 0 7 600 6 HOUSING ASSISTANCE PAYMENTS — 7. Housing Assistance Payments (Account 4715) 444,363 102,176 102,920 205, 096 ADMINISTRATIVE FEE 8. Total Administrative Fee Approved for Fised Year 54, 309 9. Monthly Rete of Administrative Fee (Line 8 divided by number of months in /bed/ year) 4,525 10. Amount Previously Requisitioned for fiscal year 11. Estimated Additional Amount Required to end of Requested Quarter 27,150 _ 12. Total Administrative Fee (Lincs 1011) 13,575 40, 725 iNDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) - 13. Total Independent Public Accountant Audit Costs SECURITY AND UTILITY DEPOSITS (Section 23 only) 14. Total Allowance Approved for Security and Utility Deposits 0 15. Amount Previously Requisitioned for Fiscal Year 16. Estimated Additional Amount Required to End of. Requested Quarter 0 17. Total Security and Utility Deposits (Lines IS do 16) 0 0 AMOUNT OF THIS REQUISITION 18. Total Funds Required to End of Requested Quarter (Lincs 3, 6, 7, 12, 13417) 263,417 19. Total Partial Payments Received for Fiscal Year to Date 099 20. Partial Payment Requested (Line 18 minus Line 19) , \ METHOD OF PAYMENT- 21. Requested Installment Payments IST 2ND 3RD TOTAL INSTALLMENT INSTALLMENT INSTALLMENT 24 439 24-439 73-,_318 1 CERTIFY that housing assistance payments have been cr will be made only with respect to units which: (1) are under iem,by Fatuities at the time such h0ushv assistance payments are made excopt as otherwise provided in the Housing AnAsUrnce Payments Contracts orb (2) and the Hous Agency year prior to the making of such housing assistance payments, adequate) Inggrounds.hos wirail and areas for the benefit and use of the Families) to assure that decent, safe and sa�nitaryohoussiinaccommodations are be o (including mope d; a ppli Jarit pro. visions of the abova numbered Contract have been g Provided; that all applicable pro complied with b th h1 t hied by nim and to the bast of m kn6' ' X_ A.a t gg Agency; and that this requisition for annual contributions has been exam• Y *v16riiY�lwiref i�"hs�e Ennect arid'ebymplato 'Board r Februar 2, 1983 e Appi-avcd , to fora / and leg uff'�iecy B of Count=y Commissioners Indian River CounLFlari _ ma�rfil'ub (Date) -fuu..i l�w.,prn�, ! Ilia FIELD OFFICE APPROVAL ,� -r (Signature and Title of Official Authorized to Certify) �, yrs i?raizden��ur 1c ar (Signature and Title of n y Attorne y , -� reea••e••� 07- 02 93 uthorired to Approue) (Date) -�•�+^�� r+..L.vurvhhnts UiVItiIUN Prevalideted by: r (signature) (Date) FEB 2 1983 PAYMENT AMOUNT DATE CERTIFIED PAID CERTIFIED FOR BY MONTH OF PAYMENT I (initials)