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e-1 <br />4b <br />FILORR��A� <br />_ <br />feb Bush <br />Governor <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />LITTER CONTROL AND PREVENTION BRANT QUARTERLY REIMBURSEMENT REQUEST <br />1. Grantee: <br />2. Grant Numbers LC00-29 3. Payment Request Number: 3 <br />4. Expenditures 5. Cumulative <br />from 04/01/2000 from 10/01/1999 <br />to 06/30/2000 _ to 6673-672565 <br />6. Operating Costs (Option 1 ) <br />4,742 <br />c� <br />Department of�t`;1, <br />Environmental Protectlo <br />i <br />max. 35% of Award <br />Twin Towers Office Building <br />2600 Blair Stone Road <br />..... <br />David B. Struhs <br />Tallahassee, Florida 32399-2400 <br />Secretary <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />LITTER CONTROL AND PREVENTION BRANT QUARTERLY REIMBURSEMENT REQUEST <br />1. Grantee: <br />2. Grant Numbers LC00-29 3. Payment Request Number: 3 <br />4. Expenditures 5. Cumulative <br />from 04/01/2000 from 10/01/1999 <br />to 06/30/2000 _ to 6673-672565 <br />6. Operating Costs (Option 1 ) <br />4,742 <br />17,500 <br />T. Removal Costs (Option 2) <br />max. 35% of Award <br />8. Education and Prevention <br />program operating Costs <br />9. Total Expenditures <br />10, <br />Grant Award <br />17 500 <br />11. <br />Prior Reimbumements <br />12,758 <br />12, <br />This Payment Request <br />4,742 <br />13. <br />Total State Payments <br />17,500 <br />14. <br />Balance of Award <br />_0_ <br />In requesting this payment the undersigned represents that hershe is duly authorized to <br />act on behalf of the recipient. <br />A L� �1u1 u 18 anl�n <br />Signature of Authorized Representative (Not Stamp) Date <br />FRM B. ADAMS, 01AIRMAN <br />BOARD OF ODUN'N COMMISSIONWS <br />Please return original to: <br />Department of Environmental Protection' Solid Waste Section - IVIS# 4565 <br />2.600 Blair Stone Road ' Tallahassee, Florida 32399-2400 <br />5/99 <br />"Protect, Conserve and Manage Florida's Environment and Natural Resources" <br />Famed on recycled paper. <br />