Laserfiche WebLink
I <br /> la- - Io - 11 <br /> INDIAN RIVER COUNTY <br /> FOOD AND REFRESHMENT <br /> DISCLOSURE FORM � 711 <br /> SECTION 104006 ( 5 ) ( b ) ( 2 ) OF THE COUNTY CODE <br /> I consumed food and / or refreshments at a single sitting or event , <br /> the cost of which may have exceeded the per diem allowance under <br /> Chapter 112 , F . S . , as follows : <br /> Date of subject event : � L <br /> Meal ( circle one ) : breakfast , lunch , dinner <br /> Provided by : C fpm �f7`ofi :M1d �i a144 rr% yL <br /> Signature : / <br /> Printed 61aemea <br /> Date : <br />