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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAt4 L. BUTLER, CLERK <br />EXHIBIT C <br />FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />BEACH MANAGEMENT FUNDING ASSISTANCE PROGRAM <br />REQUEST FOR PAYMENT <br />PART 1— PAYMENT SUMMARY <br />Name of Project: Indian River County Sector 3 Beach and Dune Nourishment Project (Wabasso) <br />Local Sponsor: Indian River County <br />DEP Agreement Number: 251R1 <br />Remittance Mailing Address: <br />Billing Number: <br />Billing Type: ❑ Interim Billing <br />Costs Incurred This Payment Request; <br />Federal Share* State Share <br />*if applicable, check box below: <br />❑ FEMA ❑ USACE <br />Cost Summary: <br />State Funds Obligated <br />41 <br />Less Advance Pay <br />Less Previous Payment <br />Less Previous Retained <br />Less This Payment <br />Less This Retainage <br />State Funds Remaining <br />❑ Final Billing <br />DEP Agreement No. 25IR1, Exhibit C, Page 1 of 6 <br />Local Share Total <br />e Q <br />Local Funds Obligated <br />Less Advance Pay <br />N <br />Less Previous Credits <br />Q <br />Less This Credit <br />Local Funds Remaining <br />Q <br />