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of <br />40 <br />Page 2 <br />9 Grant Number RE99-29 <br />Payment Request Number 4 <br />In requesting this payment the undersigned represents that helshe is duly authorized to <br />Ed act on behalf of the recipient. <br />Signature of Authorized Representative (NotStampl Date <br />Kenneth R. Macht, Chairman <br />Board of County CommissiWflgtreturn original to: <br />Department of Environmental Protection <br />Solid Waste Section - MS# 4565 <br />2644 Stair Stone Road <br />Tallahassee, Florida 32399.2400 <br />4199 <br />