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4W <br />40 <br />r <br />x FLORiT <br />Department of <br />Environmental Protection <br />Twin Towers Office Building <br />feb Bush 2600 Blair Stone Road [?avid B. Svuhs <br />Governor Tallahassee, Florida 32399-2100 Secretary <br />DEPARTMENT OF ENVIRONNENTAI. PROTECTION <br />WASTE TIRE GRANT QUARTERLY/MONTHLY REYMBURSEMENT REQUEST <br />1. Grantees INDIAN RIVER COUNTY <br />2. Grant Numbeirt ;VrOO-31 3. Payment Request Nu-bar:--.L--- <br />4. <br />umbars44. Expenditures S. CumuAntizre <br />from 04/1120-01— <br />to <br />4 1 2000to -0613OLMOto a 3C1/ nnn�. <br />C. Administrative Costs <br />7. Construction or operation 111 <br />of waste tire processing facilit <br />8. Equipment Purchases <br />S. Contract for waste tire <br />rocessin service E3 799 <br />10. Removal of waste tires - 5 726 <br />mosquito control <br />11. Research designed to facilitate <br />waste tire recycling <br />12. Establish waste tire collection <br />13. Other - Enforcement, Recycled <br />Tire Products, Education, and <br />Miscellaneous Items <br />14. Total Expenditures <br />1) <br />-7ali <br />14 636 <br />15. <br />Grant Award <br />16. <br />Prior Reimbursements <br />17. <br />This Payment Request <br />1,594 <br />15,953 <br />57,106 <br />28, <br />14,636 <br />43,503 <br />13,603 <br />In requesting this payment the undersigned represents that helshe is duly authorized to act on <br />behalf of the recipient. <br />Signature of Authorized Representative (Not Stampj Date <br />FRAN B. ADAMS, CHAIRMAN <br />HOARD OF COUNTY COMMISSIONERS Please return ori nal to: <br />Department of Environmental Protection ' Solid Waste Section - MSH 4565 <br />2604 glair Sto eA f " Tajl,?"ssee, Flori ja 32398-2400 6189 <br />ProEecr, Conserve ori anoge flan ❑ s tnvuortnvent an Noturol Resources" <br />printed on retyskd'pop ff.. <br />14 636 <br />15. <br />Grant Award <br />16. <br />Prior Reimbursements <br />17. <br />This Payment Request <br />18. <br />Total State Payments <br />19. <br />Balance of Award <br />1,594 <br />15,953 <br />57,106 <br />28, <br />14,636 <br />43,503 <br />13,603 <br />In requesting this payment the undersigned represents that helshe is duly authorized to act on <br />behalf of the recipient. <br />Signature of Authorized Representative (Not Stampj Date <br />FRAN B. ADAMS, CHAIRMAN <br />HOARD OF COUNTY COMMISSIONERS Please return ori nal to: <br />Department of Environmental Protection ' Solid Waste Section - MSH 4565 <br />2604 glair Sto eA f " Tajl,?"ssee, Flori ja 32398-2400 6189 <br />ProEecr, Conserve ori anoge flan ❑ s tnvuortnvent an Noturol Resources" <br />printed on retyskd'pop ff.. <br />