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Application for Revenue Sharing 2008-2009 State Fiscal Year <br />(Chapter 218, Part II Florida Statutes) <br />DEPARTMENT <br />OF REVENUE <br />Application deadline is June 30, 2008 <br />Mail completed original application to: <br />Department of Revenue <br />Revenue Accounting Subprocess <br />P.O. Box 6609 <br />Tallahassee, FL 32399-6609 <br />(850) 487-1150 <br />Please TYPE or PRINT <br />Name of County INDIAN RIVER <br />OR <br />Name of Municipality County <br />Telephone Number (772) 226-1206 <br />Fax Telephone Number (772) 770-5331 <br />Mayor or Chairman of Governing Body Sandra L. Bowden <br />Chief Fiscal Officer Jeffrey K. Barton, Clerk of the Circuit Court <br />E-mail Address jbarton@indian-river.org <br />Official Mailing Address 1801 27th Street, Vero Beach, FL 32960 <br />W1Check here if the address represents a change from the previous application. <br />Federal Employer I.D. Number <br />(required for new participants only). <br />DR -700218 <br />R. 04108 <br />i <br />Please <br />complete the <br />questions below to determine your eligibility to <br />participate in Revenue Sharing for this fiscal <br />year. <br />1. Have you submitted your financial statements for fiscal year ending 09/30/06 to the Department of Financial Services <br />as required by s. 218.32, F.S.? <br />OYes O No <br />2. Have you made provisions for annual postaudits of your financial accounts as provided by <br />s. 11.45, F.S.? <br />()Yes ONo <br />03/05/2008 <br />Date of Audit Report <br />09/30/2007 <br />Fiscal Year -End <br />