My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2018-029A
CBCC
>
Official Documents
>
2010's
>
2018
>
2018-029A
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/21/2020 12:06:16 PM
Creation date
2/19/2018 3:02:42 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/13/2018
Control Number
2018-029A
Agenda Item Number
8.H.
Entity Name
Florida Department of Environmental Protection
Subject
Beach Restoration Sector 3
Area
Wabasso
Project Number
171R1
Alternate Name
Grant Agreement
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
30
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
fflut LUNY <br />=r e ;FLI PON ON LAST PAQI <br />J.H. SM. CLERK <br />FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />BEACH MANAGEMENT FUNDING ASSISTANCE PROGRAM <br />CERTIFICATION OF DISBURSEMENT REQUEST <br />REQUEST FOR PAYMENT — PART IV <br />Name of Project: Wabasso Beach Restoration (Indian River Sector 3) <br />Local Sponsor: Indian River County <br />DEP Agreement Number: 17IR1 <br />Billing Number: <br />Certification: I certify that this billing is correct and is based upon actual obligations of record by the Local <br />Sponsor; that payment from the State Government has not been received; that the work and/or services are <br />in accordance with the Department of Environmental Protection, Beach Management Funding Assistance <br />Program's approved Project Agreement including any amendments thereto; and that progress of the work <br />and/or services are satisfactory and are consistent with the amount billed. The disbursement amount <br />requested on Page 1 of this form is for allowable costs for the Project described in the grant work plan. <br />I certify that the purchases noted were used in accomplishing the Project; and that invoices, check vouchers, <br />copies of checks, and other purchasing documentation are maintained as required to support the cost <br />reported above and are available for audit upon request. <br />Name of Project Administrator <br />Signature of Project Administrator <br />Name of Project Financial Officer Signature of Project Financial Officer <br />DEP Agreement No. 171R I, Exhibit D, Page 4 of 5 <br />Date <br />Date <br />
The URL can be used to link to this page
Your browser does not support the video tag.