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<br /> EXHIBIT B <br /> Office of Capital Improvements <br /> Request for Advance Payment <br />Date I I <br />Grantee I I <br />Grantee Vendor Number I I <br />(FederallD Number) <br />Bond Series I Other I I <br />GOB Project Name & GOB Project Number I I <br />GOB Project Amount I I <br />Amount of Advance Requested I I <br />Reason For Requested Amount I I <br />Certification <br />/ hereby certify that this request is in compliance with the Office of Capita/Improvements Building Better Communities <br />Bond Program Administrative Ru/es, Article 11/ Section fC(B) governing the request for advance payments. I also certify <br />that this advance shall be maintained in a separtae interest bearing account, that these funds will not be co-mingled with <br />other funds and that all interest earned will be repaid to the County. / further agree to account for this advance within one <br />(1) year of the approval date, indicated below, and before any subsequent reimbursement requests are submitted. <br />AUTHORIZED SIGNATURE DATE <br />Administrative Use Only I <br />Amount Approved Authorized Signature Date <br />