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• <br />10 <br />40 <br />Page 2 <br />Grant Number BEQU-29 Payment Request Number 2 <br />In requesting this payment the undersigned represents that helshe is duly authorized to <br />act on behalf of the recipient. <br />April 18, 2040 <br />Signature of Authorized Representative Not Stamp pats <br />FRAN B. ADAMS, CHAIRMAN <br />goARD of ODUMy COt+lt•9iss-TONERflease return original to: <br />Department of Environmental Protection <br />Solid Waste Section - MS# 4565 <br />2500 Blair Stone Road <br />Tallahassee, Florida 32399-2400 <br />5/99 <br />��4.�,' �" die?�F r i ; "pr!]:,rgw � _ -• <br />r..4iUL99:' .04 On <br />I' t{ <br />