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40 <br />• <br />Department of 3 3 <br />Environmental Protection <br />Twin Towers Office Building <br />Lawton Chiles 2600 Blair Stone Road Virginia B. Wetherell <br />Governor Tallahassee, Florida 32399-2400 Secretary <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />WASTE TIRE GRANT QUARTERLY/MONTHLY REIMBURSEMENT REQUEST <br />1. Grantee: INDIAN RIM QXWY <br />2. Grant Number: WP99-31 3. Payment Request Number: 3 <br />4. Expenditures 5. Cumulative <br />from 04/01/99 from 10/01/98 <br />to 06/30/99 to 06/30/99 <br />6. Administrative Costs <br />7. Construction or operation <br />of waste tire processind facility <br />858 <br />2,425 <br />8. Equipment Purchases <br />9. Contract for waste tire <br />processing service <br />7,646 <br />21,324 <br />10. Removal of waste tires - <br />mosquito control <br />5,455 <br />16,750 <br />11. Research designed to facilitate <br />waste tire recycling <br />12. Establish waste tire collection <br />centers <br />13. Other -Enforcement, Recycled <br />Tire Products, Education, and <br />Miscellaneous Items <br />14. Total Expenditures <br />13,959 <br />40,499 <br />15. Grant Award <br />57,062 <br />26,540 <br />16. Prior Reimbursements <br />17. This Payment Request <br />959 <br />40,499 <br />18. Total State Payments <br />16,563 <br />19. Balance of Award <br />In requeong this payment the undersigned represents that he/she is duly authorized <br />to act on <br />beh of the <br />Znt. <br />n7-77-49 <br />gnature of Authorize Representative (Not Stamp) Date ` - <br />KENNM R. MACHT, aMIRMAN <br />I30ARD Gr C.CuNTY Ox'II+tISSIONII2S Please return ori inai to: -711 <br />Department of Environmental Protection - MS# 4565 <br />Solid Waste Section " 2600 Blair Stone Road <br />Tallahassee, Florida 32399-2400 <br />"Protect, Conserve and Manage Florida's Environment and Natural Resources" <br />Printed or. recycled paper. <br />