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Cont'd from pg 2 . cx hlbtT Application Evaluation Review Sheet Applicant Name : JAPPI . #335 : Bynam Ag Services, Inc Address : 19704M Ave , Vero Beach , FL 32966 Tract Number(s) : Field Number(s) : All in Indian River County Date : Nov . 7 , 2003 VI. Review Summary: Land Use/Field : Acres : Citrus Groves 51189 Best Management Practices Applied For: 3. Precision Application Equipment ( 1 piece of equipment) . Total BMP Costs: 60% Cost Share: Div by Total Eval Points : Div by Acres, times 100 = Applicant Score Applicant Cost: $ 14 , 962 . 00 $ 8 , 977 26- 8 . 65 $5 , 985 V11. Remarks : )111L Designated CoAVOivationisto A 17 (Signatu ) Date' (Checked By) Date: VI . S Board Ap Date (Applicant Signature) Date Privacy Act Statement: The fo ing statements are made in accordance with the Privacy Act of 1974 (5U .S .C . 522a) . The authorities for requesting the information to be applied on this form are: 16 U . S . C . 590a-f (Soil and Water Conversation) ; 16U .S . C . 3801 et seq . (Food Security Acto of 1985 , as ammended) , and the regulation promulgated theruder. The information requested is necessary for the evaluation of an application , development and implementation of a conservation plan as the basis for satisfying program eligibility and compliance requirements , and for providing technical education , or financial assist- ance under the previously mentioned authorities . Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical , educational, or financial assistance. This information may be furnished to other USDA agencies , the Internal Revenue Service, the Department of Justice, or the other State or Federal law enforcement agencies , or in response to orders of a court, magistrate, or administrative tribunal. IRSWCD Page 3 ( 10-26-01 )