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A TRJEOE PY <br />QTTICATJO V ON LASTPAGE <br />., �,,� H, Ci Pv <br />ATTACHMENT E-1 <br />FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />BEACH MANAGEMENT FUNDING ASSISTANCE PROGRAM <br />REQUEST FOR PAYMENT — PART I <br />PAYMENT SUMMARY <br />NAME OF PROJECT: INDIAN RIVER COUNTY HURRICANE REPAIR PROJECT <br />LOCAL SPONSOR: INDIAN RIVER COUNTY DEP Agreement Number: 141R2 <br />Billing Number: <br />Billing Type: ❑ Interim Billing ❑ Final Billing <br />Costs Incurred This Payment Request: <br />Federal Share* State Share <br />*if applicable <br />Cost Summary: <br />State Funds Obligated $ <br />Less Advance Pay <br />Less Previous Payment <br />Less Previous Retained <br />Less This Payment <br />Less This Retainage (10%) <br />State Funds Remaining <br />Local Share <br />Total <br />Local Funds Obligated $ <br />Less Advance Pay $_ <br />Less Previous Credits $ <br />Less This Credit $ <br />Local Funds Remaining $ <br />DEP Agreement No. 14IR2, Amendment No. 1, Attachment E-1, Page 1 of 4 <br />