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41 Department of <br />t tOe~ s <br />_�. Environmental Protection J�99-/D? <br />Twin Towers Office Build.n; <br />Lawson C Dot 21400 Blair Stoat Road VKxmta B WishertQ <br />Ga.ensca, Tallahassee, Florida 32399.2400 5ctrrcary <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />LITTER CSSHTtiDL AND PREV> NTION GRANT QUARTERLY REIWsURS€NEWZ REQUEST <br />I. Grantee: <br />2. Grant Number <br />INDIAN RIVER COUNTY <br />IAC 99-29_ 3. Payment Request Number• 2 4 <br />8. Operating costs (option 1) <br />7. Removal Costs (option 2) <br />max. 36% of Award] <br />8. Education and preventionT <br />Pro, rans_22erating Costs <br />9. Total Expenditures <br />4. Expenditures S. Cumulative <br />l:rom O1 01 99 from 10/01/98 <br />3 31 <br />to 0/99 to — <br />6,214 <br />8,899 <br />td. <br />11. <br />L 6,214 <br />Grant Award d <br />-Prior Reirrl3ursements <br />8,8gq <br />26,316 <br />2,685 <br />12• <br />This Payment Request <br />6,214 <br />13• <br />Total State Payments <br />81899 <br />94. <br />Daiance of Award <br />17,417 <br />In requesting tlZis payment the undersigned represents that he/she is duly authorized to <br />act D -h <br />X. of t e re&s i > <br />igzz <br />nature of Authorizer) Representa 've {Not Stamp] ate <br />KENNETH R. t1b CHT , CHAI ROAN <br />BOARD OF COUNTY CO%,,tISSIONE'RS <br />Please return ori incl to: � li 41 <br />Department of Environmental Protection Y1j <br />Solid Waste Section - IVIS# 4565 i <br />2600 Blair Stone Road / <br />TalZattassee, Florida 32399.2400 <br />418$ ! <br />"Protect, Conserve and Manage Flondo's Environment and N'aturaY Resources" <br />Pnnied on f"kd pop,,. <br />