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EXHIBIT D <br /> FLORIDA INLAND NAVIGATION DISTRICT <br /> ASSISTANCE PROGRAM <br /> PAYMENT REIMBURSEMENT REQUEST FORM <br /> PROJECT NAME: PROJECT#: <br /> PROJECT SPONSOR: BILLING#: <br /> Amount of Assistance <br /> All Funds Previously Requested <br /> Balance Available = <br /> Funds Requested <br /> Less Retainage (-10% unless final) <br /> Check Amount = <br /> Balance Available <br /> Less Check Amount <br /> Balance Remaining = <br /> SCHEDULE OF EXPENDITURES <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 /> FIND-Form No.90-14 (NOTE: Signature Required on Page 2) <br /> Effective Date 7-30-02) <br />