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Attachment D <br /> FINANCIAL INVOICE <br /> FOR <br /> HAZARDOUS MATERIALS HAZARDS ANALYSIS UPDATE <br /> RECIPIENT: INDIAN RIVER COUNTY AGREEMENT # <br /> AMOUNT AMOUNT APPROVED <br /> REQUESTED BY THE <br /> BY THE RECIPIENT DIVISION <br /> 1 . First Payment $ $ <br /> (50% Hazards Analyses completed/submitted ) <br /> 2 . Second Payment $ $ <br /> ( 50% Hazards Analyses completed/submitted ) <br /> 3. Final Payment $ $ <br /> (approval , distribution & notification) <br /> TOTAL AMOUNT $ $ <br /> (To be completed by <br /> the Division) <br /> I certify that to the best of my knowledge and belief the billed costs are in accordance with the terms <br /> of the Agreement. <br /> Signature of Authorized Official/Title Date <br /> TOTAL AMOUNT TO BE PAID AS OF <br /> THIS INVOICE $ - - <br /> ( To be completed by the Division ) <br /> 20 <br />