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►gib♦2eaa <br />0411) <br />U.S. DEPARTMENT OF HOUSING ANO URBAN uL VLLOPMENT FOR HUD US <br />• REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIOI'NS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM voucher N <br />r SECTION 23 SECTION 8 L77 <br />Dots of Requisition 11/7/83 Fiscal Year Ending Date 9/30/84 For Quarter Ending 3/31/84 <br />NAME ANO ADDRESS OF PUBLIC HOUSING AGENCY (including Zip Code) ACC Contract Number A-3409 <br />Indian River County Board of County Commissioners ProjectNumbarFL29—E132-001 & <br />1840 25th St., Suite S-321, Vero Beach, Fla. No. of. Months inFiscel Year 1_12 <br />DEPOSITARY BANX (Name, Addm" and Account Number) Type of Project: <br />First Bankers of Indian River County <br />Vero Beach, Fla. 32960 Acct. #98-04000-1 11EXISTING 11NFW ClREI <br />L Number of Units Under Lease to Eligible Families as of Data of Requisition 163 <br />b. Estimated Number of Units to be under Lease at End of Requested Quarter 190 <br />c. Avera(p Monthly Housing Assistance Payment Per Unit at of Oats of Requisition 165 <br />ESTIMATE OF ESTIMATED CUMULf <br />kEQU1RED TOTAL COST ADDITIONAL TOT/ <br />DESCRIPTION ANNUAL INCURRED COST TO ENDOF REQUESTED FUNi <br />COi'iTRIBUTIONS TO DATE I QUARTER REUUI <br />(1) <br />(2) <br />(3) <br />(4) <br />(31 <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) <br />0 <br />1 0 <br />0 <br />0 <br />00 <br />2. Preliminary Administrative Expanse—After ACC (Account 40121 <br />0 <br />0 <br />0 <br />0 <br />3. Total Preliminary Administrative Expense /Lines I d 2) <br />0 <br />NONEXPENDABLE EQUIPMEAT <br />4. Replacamettt of Nonexpendable Equipment (Account 7520) <br />0 <br />0- <br />0 <br />_5. <br />0 <br />5. Property Betterments and Additions (Account 7340) <br />1 0 <br />0 <br />0 <br />6. Totd Nonexpendable Equipment (Lines 4 d S) <br />0 <br />0 <br />- <br />HOUSING ASSISTANCE PAYMENTS <br />7. Hou>lin, Assistance Payments (Accounr4713) <br />459,972 <br />53.605 <br />125.400 <br />179.00-c <br />t <br />ADMIXaTRATIVE FEE <br />8. Total Administrative Fee Approved for Fiscal Year <br />59 303 <br />9. Monthly Rste of Administrative Fee (Line 8 divided by number of months <br />` <br />in tiical year) <br />18. Amount Previously Requisitioned for fiscal year <br />4,942 <br />f <br />14 826 <br />14,826 <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />12. Total Administrative Fee (Liner 10d 111 <br />29,652 <br />iNDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) <br />13. Total Indspelldent Public Accountant Audit Costs <br />2,500 <br />0 <br />SECURITY AND UTILITY DEPOSITS (Section 23 only) <br />14. Total Ailtnivence Approved for Security and Utility Deposits <br />15. Amount Pmviowly Requisitioned for Fiscal Year <br />0 <br />0 <br />18. Estimated Additional Amount Required to End of Requested Quarter <br />17. Total Security and Utility Deposits(Lincs 15d 16) <br />0 <br />_ <br />0 —r <br />, <br />AMOUNT OF THIS REQUISITION <br />18. Total Funds Required to End of Requested Quarter (Lines 3.6. 7 12, <br />} <br />13d 17) <br />19. Total Portisi Paymenti liaceived for Fiscal Year to Date <br />�� <br />208.657 <br />108,876 <br />20. Partial Payment Requarted (Line 18 minus Line 191 <br />99,781 <br />IST <br />INSTALLMENT <br />21,40 <br />INSTALLMENT <br />3RD <br />INSTALLMENT <br />TOTAL <br />METHOD OF PAYMENT <br />21. Requested Installment Payments <br />33,260 • <br />33,260 <br />33.261 i <br />99,781 <br />1 CERTIFY that housing assistance p+yinents have been or will be made only with rwnp,�ct to units whish: 11) are undor Irene by Famdl" ct the titre r,4 <br />housing assistance payments are m -,da except as othwwise provktivl in the Housing Assistance Payments Contracts sro '2) thtr linwlrr2 Ag"KV, has witbiri <br />slew yew pnor to the making of suds housitlq�taQelyt.atatlitm.Zttd pr CaU fid t9 be inePertsd (rni :udlR( 1MFfCtlan U( ;,^.O Ynrr►, �U�1I is <br />anI anew /or the benefit and use or the Fdr",die I to assura that gsrwritt safe and sanitary housing accommodations or* being provided; that all 800:cnb/e <br />•vias of tits shore ►wrr+ba►ed Contract ha0a beeK�cvrt►pfiatt;ir Siijepre using A"; and that this requ,.ution for annual cor..ributionz hes teen sxa, <br />load by iiia grid to the best or my k. dad" and 09J..'ef it is,e ir4CA rd eompf(ito. <br />�: t�,°�� Indian River County Board of <br />n.� / Y/ii Lf •' PY flUYt�n-,� L%: <br />ovember 16, 619_84 , ai <br />� 'M. I!! ­ <br />(Date) <br />__�_ t•_. t. t r (Sianatu•e end ]'Itis u/0(ffi/af A�thorued to Certl/YI <br />HUO FIELD CFFiCE APPROVAL <br />(tiignaharr and Title of Offiewi Authorized to Approve) <br />15 <br />N O V 16 1983 <br />(Date) <br />