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IDA FINANCIAL ASSISTANCM COMMUNITY SERVICES ACTIW974 <br />(COMMUNITY SERVICES TRUST FUND) <br />GRANT APPLICATION Page 1 of 7 <br />REPLY -TO: <br />DEPARTMENT OF COMMUNITY AFFAIRS <br />DIVISION OF COMMUNITY SERVICES <br />2571 EXECUTIVE CENTER CIRCLE, EAST <br />TALLAHASSEE, FLORIDA 32301 <br />1. Local Governmental Unit Applying for Grant: <br />Name:Vero Beach, Indian River Co <br />name of town, city or county) <br />* SUBMIT FOUR (4) COPIES <br />(ONE MUST BE ORIGINAL) <br />* PLEASE TYPE - ANSS-'ER ALL <br />QUESTIONS <br />Telephone: $05) 562-7927 <br />Address: P.O. 1028 Vero Beach. Fla zip:32960 <br />° County: Indian River <br />2. Delegate Agency (s) Vocational Training and 'Sheltered Workshop <br />3. Person with over-all responsibility of grant: (Our Department will <br />contact this person should questions arise) <br />Name: .john M. Rezanka Telephone: ?05) 562-•6854 <br />Address: 1.385 16th Ave, :Vero Beacb , Fla 32960 <br />Signature: <br />4.. Name and address of person ffuiorized to receive funds. If this ap- <br />plication is funded, checks will be mailed to this person. All checks <br />will be made payable to the local government. <br />Name: Kathleen Gavett (Finance Officer) <br />Address: P.O. Box, 1028 _ Courthouse Annex <br />.Vero Beach' Fla zip: 32.960 <br />1 79 WK FA,6180 <br />AUG G '. <br />