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do <br />40 <br />EXHIBIT D <br />FLORIDA INLAND NAVIGATION DISTRICT <br />WATERWAYS ASSISTANCE PROGRAM <br />PAYMENT REIMBURSEMENT REQUEST FORM <br />PROJECT NAME* <br />PROJECT SPONSOR: <br />PROJECT NO.: <br />BILLING NO.: <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 />Expense Description <br />(Should correspond to <br />Cost Estimate Sheet <br />Categories in Exhibit "B") <br />FIND - Form No. 40.24 <br />Rev. 4!3142 <br />N <br />SCHEDULE OF EXPENDITURES <br />Check No. Total Applicant FIND <br />Vendor Name and Date Cost Cost Cost <br />