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<br /> <br />GOB Reimbursement Request <br /> <br />Date: <br /> <br />Office of Capital Improvements <br />Attn: Roger T. Hernstadt, Director <br />111 NW 1 sl Street, Suite 2100 <br />Miami, Florida 33129 <br /> <br />Attached please find the required reimbursement forms requesting payment in the amount of <br />$ for the following: <br /> <br />GOB Proiect Name & GOB Proiect Number <br /> <br />Amount <br /> <br />I certify that all the attached documents have not been previously reimbursed or submitted for payment and that <br />all of the expenditures comply with the terms and conditions of the contractual agreement, Miami-Dade County <br />Ordinance 05-47 and the Building Better Communities Bond Program Administrative Rules and have attached <br />our monthly report (Exhibit E) providing the latest project update. <br /> <br />Sincerely, <br /> <br />Authorized SignaturelTitle <br /> <br />Date <br /> <br />Building Better Communities <br /> <br />Exhibits - Administrative Rules <br />