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40 <br />0 <br />i <br />ATTACHMENT B <br />FLORIDA DEPARTMENT CP ENVIRONMENTAL PROTECTION <br />FLORIDA BEACH EROSION CONTROL PROGRA14 <br />REOVEST FOR PAY14ENT - PART I <br />Name of Project: Ambersand/ Wabasso Beach Restoration <br />Grantee: Indian River County DEP Contract Number: 98IR1 <br />Billing Number: Billing Period: <br />Costs Incurred This Payment Request <br />Contractual <br />Cost Summary <br />State Funds Obligated <br />Less Previous Payment <br />Less This Payment <br />Less Retainage (102) <br />Less Previous Retained <br />State Funds Remaining <br />1,173,208 <br />State Share <br />Local Funds Obligated <br />Less Previous Credits <br />Less This Credit <br />Local Funds Remaining <br />$ 1,092,639 <br />Certification: I cartify that this billing is correct: and is based upon actual <br />obligations of record by the grantee; that payment from the State Government has not been <br />received; that the work and/or services are in accordance with the Department of <br />Environmental Protection, Bureau of Beaches and Coastal System's approved Project <br />Agrasment including any amendments thereto; and that progress of the work and/or services <br />are satisfactory and are consistent with the amount billed. <br />Name of Project Administrator <br />Signature of Project. Administrator Date <br />Name of Pro2eet E'Inanciai Otticer Signature of Project Financial Officer Date <br />Attachment B, DEP Project Agreement No. 98IR1, kmendment No. 3, Page 1 of 2 <br />