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Billed to: <br />Fish and Wildlife Conservation Commission <br />FWC Derelict Vessel Removal Grant Program <br />620 South Meridian Street <br />Tallahassee, Florida 32399-1600 <br />Remit payment to: <br />Grantee: Indian River County BOCC <br />FEID #: 59-6000674 <br />Address: 1801 27th Street, Bldg A <br />Vero Beach, FL 32960 <br />INVOICE <br />PROJECT COSTS: <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />Attachment E <br />Invoice No. 25203 <br />Invoice Date: Vl,ndor Fnter Datc <br />FWC Contract #: FWC- 25203 <br />Amount of Grant Award: $6,900.00 <br />Billing Period/Dates of Service: <br />From: \ endor hit-ir Dates <br />(Date Contactor Began Work) <br />To: A endor Inter Date <br />(Date Contractor Completed Work) <br />Deliverables/Services Provided (Scope of Work) — Cash expenditures: I Amount <br />Vessel 1) FWC240NO105262; White 4U Albin Sailboat, Reg: Unknown I $6,900.00 I <br />Total Project Cost: $6,900.00 <br />Grantee Share (0%): — $ N/A <br />Amount for Reimbursement: $6,900.00 <br />I hereby certify that the above costs are true and valid costs incurred in accordance with the project Agreement, and that <br />the matching funds, in-kind or cash, were utilized toward the project in this Agreement. <br />Signed: Date: <br />Project Manager <br />Page 1 <br />