HomeMy WebLinkAboutExhibit 4City of Miamj
Department of Environmental Protection
Actual Cost Contract Payment Request
(Grantee)
Billing Period: January 2005 - October 2005
DEP Division: Recreation and Parks
Date: October 21. 2005
Watson Island Bay Walk No.12-00461
(Project Name and Number)
Billing #: 1- INITIAL {Restroom Only)
DEP Program: FLWC
Contractual Services
FPS-A040
Grantee Labor
FPS•A040
Employee Benefits
( /. of Salaries)
Direct Purchases: Materials It Supplies
FPS-A042
Grantee Stock
FPS-A043
Equipment
FPS-A044
Land Value
Indirect Costs
(15% of Grantee Labor)
TOTAL PROJECT COSTS s
CERrIPICATION: I hereby certify that the above
expenses were incurred for the work being
accomplished in the attached progress reports.
/ Adj.:7 /o/
Meredith J Nation, Project Administrator Dale
Proiect Costs This Billing Cumulative Project Cost
167,516.72
$ 167,516.72
CERTIFICATION: I hereby certify that the documentation
has been maintained as required to support the project
expenses as reported above and is available for audit upon
request.
Project Financial 011ie r
s
DEP USE ONLY
STATE FUNDING PARTICIPATION:
Total project costs to date
State Obiigation to date
State retairtage ( %)
State obligation remaining
State funds previously disbursed
State funds due this billing
Reviewed and approved by:
16V2 e /e
Date
An u.lCo,ifom,.J dy200S