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EXHIBIT C <br />FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />BEACH MANAGEMENT FUNDING ASSISTANCE PROGRAM <br />REQUEST FOR PAYMENT <br />PART 1— PAYMENT SUMMARY <br />Name of Project: Wabasso Beach Restoration Proiect— Sector 3 <br />Local Sponsor: Indian River County <br />DEP Agreement Number: 221R1 <br />Remittance Mailing Address: <br />Billing Number: <br />Billing Type: ❑ Interim Billing ❑ Final Billing <br />Costs Incurred This Payment Request: <br />Federal Share* State Share Local Share <br />$ c e <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 <br />State Funds Remaining <br />DEP Agreement No. 221R1, Exhibit C. Page 1 of 5 <br />Total <br />Ir <br />Local Funds Obligated <br />Less Advance Pay <br />Less Previous Credits <br />Less This Credit <br />Local Funds Remaining <br />