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. Attachment E <br /> Recipient's Invoice Number : <br /> Financial Report/ Reimbursement Request <br /> Indian River County BOCC <br /> 03- FT- 1 B - 10-40 -01 - f�7,p— <br /> To : Florida Department of Community Affairs <br /> Division of Emergency Management <br /> Date Prepared : <br /> From : <br /> Work Completed : (paraphrase the information provided on the Quarterly Report) <br /> Total Contract Award $ 50 , 000 <br /> Total Expenditures to Date <br /> Amount of this Invoice <br /> Amount remaining on Contract <br /> Original Signature <br /> FEID Number <br /> **TO BE COMPLETED BY DEPARTMENT** <br /> Date Invoice Received : <br /> Date Project Received : <br /> Date Project Reviewed : <br /> Date Project Approved : <br /> Contract Manager Date <br /> 34 <br />