HomeMy WebLinkAboutExhibit 19Exdaibi#1D
IPLEASE sumo THIS FORM ON MUNIQEALfl1ES LETTERHEAD
Date:
COS Reimbursement `Request
Office of Capital Improvements
Attn: Roger T. Hernstadt, Director
1111 NW 151 S1ree1, Suite 2100
1 Miami, Florida 33129
Attached p:lease find the required reimbursement forms requesting payment in the ,amount of
S for the following:
GO8 Project Narne & rGOB Project Number
r
Afnounl
I certify that all the attached documents have not been previously reimbursed or submitted1or payment and [that
1 all of -the-expenditures comply with the-te-rms end conditions of the contractual agreement, Miami -Dade County
Ordinance 05-47 and the Building Better Communities Bond Program -Administrative•Rutes and haveattached
I our monthly report (Exhibit E) providing the latest project update.
Sincerely,
Authorized Si-gnalure[Titfe
D a4e
J
• Building Better Communities Exhibits - Administrative Rules