HomeMy WebLinkAbout2023-039Generated Date: 01/31/2023 20:02
Initials of Applicant's Authorized Representative
A TRUE COPY
CERTIFICATION ON LAST PAGE
Actual Date Amt. Claimed by
Completed Applicant
$ 0
$ 89,692.61
$ 4,484.64
$ 94,177.25
Comments
Federal Emergency Management Agency
Project Completion and Certification Report (P.4)
Mauer: FEMA-3S334DR-FL
Applicant FIDS ID: 061-99061-00 Applicant/Subdivision Name: INDIAN RIVER (COUNTY)
fm Amendment
Approved
Cost CatWork
Pro cted o Elig
9
Proj. Amt.
Share —
)11!!
pone By, Com 1. Date COWL Amount
at In p.
PA -04 -FL -
3533 -PW- I
$0.00
Y B
PA -04 -FL -3533-
02-01-2021 100 $0.00
00011
PW -OWI I(29)
0
589,692.61
N B
PA -04 -FL -3533-
PW-OWII(14)
02-01-2021 100 $89,692.61
PA -04 -FL -
3533 -PW- 0
$4,484.64
N Z
PA-04-FG3533-
01-28-2025 0 $4,484.64
00031
PW -00031(16)
Total for 3 PWs:
$94,177.25
Subgrantee Admin:
$0.00
Grand Total:
$94,177.25
Initials of Applicant's Authorized Representative
A TRUE COPY
CERTIFICATION ON LAST PAGE
Actual Date Amt. Claimed by
Completed Applicant
$ 0
$ 89,692.61
$ 4,484.64
$ 94,177.25
Comments
Generated Date: 01/31/2023 20:02
Federal Emergency Management Agency
Project Completion and Certiflcation Report (P.4)
Disaster: FEMA -3533 -DR -FL
Applicant FIDS ID: 061-99061-00 Applicant/Subdivision Name: INDIAN
J�� .. • o�rnfiee
I hereby cem t the best of my knowledge and belief all work and'cQtgcl are eligib • ' ac6'dnce
D
"PS
the grant condi ' all hest
cla'PAPT
❑ completed, and all toys et�imed en paid ' II. , cP
Signed: Date: ••:
Ap sAuthorized le,resentative
Name of Applicant's Authorized Representative
Title of Applicant's Authorized Representative
9 N F-1EINlaOL0
00VN T Y tV!-Tr7RNEY
-f, iF FLORIDA
tiro+AN AIvR COUNTY
1r18 18 TQtOTIFY THAT THIS 18 A TRUE AND CORRECT
DOPY OF H ORIAIN ON FI THIS OFFICE.
J FF R. IT , C K
BY ^^ D.C.
DATE �cpill ;L
with I certify that all funds were expended in accordance with the provisions of the signed FEMA -State
Agreement and I recommend an approved amount of $
Signed:
Govemor's Authorized Representative
Attest: Jeffrey R. Smith, Clerk of
C;:IaDeputy
•
By.,
Date: