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Notes <br />WIFIA USE ONLY Approved Amount <br />, with an explanation in column <br />9 <br />Other <br />Description of Activity <br />8 <br />Activity Type <br />7 <br />WIFIA Requested Amount <br />EXHIBIT D-6 <br />Invoice Amount <br />, including for application and credit processing; or (f) <br />, which includes construction, reconstruction, rehabilitation and replacement activities; (c) <br />, which includes planning, preliminary engineering, design, environmental review, revenue <br />CITY OF NORTH MIAMI BEACH, By its authorized representative By: _______________________________ Name: Title:___________________________ <br />WIFIA fees <br />Payment Date <br />Construction <br />Invoice Date <br />Development phase activity <br />6 <br />, including capitalized interest, as necessary to meet market requirements, reasonably required reserve funds, capital issuance <br />, which includes acquiring an interest in real property, environmental mitigation, construction contingencies and acquisition of <br />Invoice Number <br />Carrying costs <br />5 <br />Vendor or Contractor Name <br />Date: _______________________ <br /> If seeking reimbursement for internal costs, enter “Internally financed activities.” Vendor’s number indicated on the invoice sent to the Borrower. If the amount requested for reimbursement <br /> by WIFIA is less than the total amount of the invoice, include an explanation for the difference. Specify whether activity is: (a) Provide a brief description of the activities included <br /> in the invoice for which WIFIA funds are being requested and any other notes that will aid in the review of <br />The undersigned acknowledges that if the Borrower makes a false, fictitious, or fraudulent claim, statement, submission, or certification to the Government in connection with the Project, <br /> the Government reserves the right to impose on the Borrower the penalties of 18 U.S.C. § 1001, to the extent the Government deems appropriate. 5678 forecasting and other pre-construction <br /> activities; (b) Acquisition of real propertyequipment; (d) expenses and other carrying costs during construction; (e) H. 9 the disbursement request. <br /> <br />