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2015-243
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2015-243
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Last modified
3/31/2017 10:25:20 AM
Creation date
12/17/2015 10:57:24 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
12/15/2015
Control Number
2015-243
Agenda Item Number
8.N.
Entity Name
Florida Inland Navigation District
Subject
Archie Smith Fish House Phase IIA
Dock Restoration
Area
Archie Smith Fish House
Project Number
IR-15-62
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FIND - Form No. 90-14 <br />Page Two <br />EXHIBIT D (CONTINUED) <br />SCHEDULE OF EXPENDITURES <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Expense Description Check No. Total Applicant FIND <br />(Should correspond to Vendor Name and Date Cost Cost Cost <br />Cost Estimate Sheet <br />Categories in Exhibit "A") <br />Certification for Reimbursement: I certify that the above expenses were necessary and reasonable <br />for the accomplishment of the approved project and that these expenses are in accordance with <br />Exhibit "A" of the Project Agreement. * <br />Project Liaison Date <br />*S. 837.06 Florida Statutes, False official statements. - Whoever knowingly makes a false statement in <br />writing with the intent to mislead a public servant in the performance of his or her official duty shall be <br />guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083 F.S. <br />FIND - Form No 90-14 <br />Effective Date 7-30-02) <br />
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