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i► <br />Aa <br />�a g <br />4�; <br />PRORfQA. <br />lel:i Bush <br />Governor <br />a0 -1A <br />Department of <br />Environmental Protectio <br />Twin Towers Office Building <br />2600 Blair Stone Road <br />Tallahassee, Florida 32394-2100 <br />inviij- <br />Au�,1g99 <br />�A <br />David B. Suuhs <br />Secretary <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />LITTER CONTROL AND PREVENTION GRANT QUARTERLY REIMBURSEMENT REQUEST <br />1. Grantee: INDTAN RIVM CClU1VN <br />2. Grant Number:— DC00--29 3. Payment Request Number; 2 <br />4. Expenditures 5. Cumulative <br />from O1L0112000 from jaZn11199c1 <br />to 03/31/2000 to __ 03/31/2000 <br />G. Operating Casts (Option 1) <br />6.514 <br />12,758 <br />7. Removal Costs (Option 2) <br />max. 35% of Award <br />8. Education and Prevention <br />Program Operating Costs <br />9. Total Expenditures <br />6,514 <br />12,758 <br />10. <br />Grant Award <br />17F500 <br />11. <br />Prior Reimbursements <br />6,244 <br />12. <br />This Payment Request <br />61_514_ <br />13. <br />Total State Payments <br />12,758 <br />14. <br />Balance of Award <br />4,742 <br />In requesting this payment the undersigned represents that he/she is duly authorized to <br />act on behalf of the recipient. <br />t ntit3 )01 "-D April 18, 2000 <br />Signature of Authorized Representative (Not Stamp Date <br />PRAN B. ADAMS, CHAIRMAN <br />BOARD or 00UNrY OOMMISSIONERS <br />Please return original to: <br />Department of Environmental Protection " Solid Waste Section - MS# 4565 <br />2600 Blair Stone Road " Tallahassee, Florida 32399-2400 <br />"Pro[ec4 Conserve and Manage Florida's Environment and Natural Resources" 6199 <br />Printed an recycled paper. <br />