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v <br />D <br />EXHIBIT D <br />FLORIDA INLAND NAVIGATION DISTRICT <br />WATERWAYS ASSISTANCE PROGRAM <br />PAYMENT REIMBURSEMENT REQUEST FORM <br />PROJECT NAME: -- <br />PROJECT SPONSOR: <br />Amount of Assistance <br />Funds Previously Requested &- <br />Balance Available = <br />Funds Requested <br />Less Retainage (10%) & <br />Check Amount = <br />Balance Available <br />Less Check Amount <br />Balance Remaining = <br />SCHEDULE OF EXPENDITURES <br />PROJECT NO.: <br />BILLING NO.: <br />Expense Description Check No. Total Applicant FIND <br />(Should correspond to Vendor Name and Date Cost Cost Cost <br />Cost Estimate Sheet <br />Categories in Exhibit "B") <br />FIND - Form No. 90-24 <br />Rev. 9/3/92 <br />