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C> <br />C> <br />1. Grantee: INDIAN R <br />2. Grant: Number: 47f'©0--31 3. Payment Request Number: 3 <br />4. Expenditures 5. cumulative <br />from from. _i_04p] % _q9_q. <br />to to 03131J2-nnn1 <br />6. Administrative Costs <br />Department of <br />1,483 <br />7. construction or operation <br />FLOR, A <br />Environmental Protection <br />d ` — <br />Twin Towers Office Building <br />jeb flush <br />2644 Blair Stone Road David B. Struhs <br />Governor <br />Tallahassee, Florida 32399-2400 Secretary <br />9. Contract for waste tire <br />DEPARTMENT OF ENVIRONMEUTAL, PROTECTION <br />WASTE TIRE GRANT QUARTERLy/MONTHLY REY14BURSEMENT REQUEST' <br />1. Grantee: INDIAN R <br />2. Grant: Number: 47f'©0--31 3. Payment Request Number: 3 <br />4. Expenditures 5. cumulative <br />from from. _i_04p] % _q9_q. <br />to to 03131J2-nnn1 <br />6. Administrative Costs <br />1,483 <br />7. construction or operation <br />of waste tire processing facility <br />8. Equipment Purchases <br />9. Contract for waste tire <br />940 <br />17,157 <br />processing service <br />10. Removal of waste tires - <br />10,227 <br />mosquito control <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 />940 <br />15. Grant Award <br />57,106 <br />16, Prior Reimbursements <br />27 <br />17. This Payment Request <br />940 <br />l i i 77—a t 18. Total State Payments <br />7// 01 ou <br />28,867 <br />28,239 <br />19. Balance of Award <br />In requesting this payment the undersigned represents that he/she is duly authorized to act on <br />behalf of the recipient. <br />Signature of Authorized Representative (Not Stam Dt} Date <br />t"RAN B. ADAMS, CHAIRMAN <br />BOARD OF OODU1Y COMMISSIONERSPlease return oriclinal to: <br />Department of Environmental Protection ` Solid Waste Section - IVIS# 4565 <br />„ 2600 Blair Stor Qoad' Ta)l4gassee, Florida 32399-2400 rgg <br />Protect Lansetve ori anpgC Harr us nY+rannaem and Natural Qestaurces" <br />Pnmcd an rccrckd yoprr. <br />