Laserfiche WebLink
f <br /> INDIAN RIVER COUNTYU/D <br /> FOOD AND REFRESHMENT <br /> DISCLOSURE FORM <br /> SECTION 104 06 ( 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 : [ z d 0 <br /> Meal ( circle one ) : breakfast , lunch , dinner <br /> Provided by * � M <br /> C <br /> 0?4L <br /> Printed name : T& 4G/J 0 c 144cl <br /> Date : <br />