Laserfiche WebLink
DR-700218 <br /> Application for Revenue Sharing 2010 -2011 Stat=Fiscal - . 01 /10 <br /> ,� ( Chapter 218 , Part II Florida Statutea��� <br /> CSEI''\ RTn.•TNT <br /> OF REVENUE <br /> Application deadline is June 30 , 2010 <br /> Mail completed original application to : <br /> Department of Revenue <br /> Revenue Accounting Subprocess <br /> P . O . Box 6609 <br /> Tallahassee , FL 32314 -6609 <br /> ( 850 ) 487 - 1150 <br /> revenueaccounting@dor. state. fl. us <br /> Please TYPE or PRINT <br /> Name of County : Indian River 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 : Peter D . O ' Bryan , Chairman of the Board of County Commissioners <br /> Chief Fiscal Officer : Jeffrey K . Barton , Clerk of the Circuit Court <br /> E - mail Address : ehalsey@clerk . indian - river . org <br /> Official Mailing Address : 1801 27th Street , Bldg . A , Vero Beach , FL 32960 <br /> ❑ Check here if the address represents a change from the previous applications . <br /> Federal Employer I . D . Number ( required for new participants only ) . <br /> Please complete the questions below to determine your eligibility to participate in Revenue Sharing for this fiscal year. <br /> 1 . Have you submitted your financial statements for fiscal year ending 09/30 /08 to the Department of Financial Services <br /> as required by s . 218 . 32 , F . S . ? Yes ONo <br /> 2 . Have you made provisions for annual postaudits of your financial accounts as provided by s . 11 . 45 , F . S . ? <br /> DYes ONo <br /> 03/ 12/2010 09/ 30/2009 <br /> Date of Audit Report Fiscal Year- End <br />