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FLORIDA FINANCIAL ASSISTANCE FOR COMMUNITY SERVICES ACT OF 1974 <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 />* SUBMIT FOUR (4) COPIES <br />(ONE MUST BE ORIGINAL) <br />* PLEASE TYPE - ANSWER ALL <br />QUESTIONS <br />Name: Vero Beach Indian River Co Telephone: 005) 562-7927 <br />name of town, city or county) <br />Address: P.O. Box 1028, Vero Beach, Fla. zip: 32960 <br />° County: Indian Piver <br />2. Delegate Agency(s): Vocational Training and Sheltered 1•1orkshop <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: e,05) 562-6k54 <br />Address: 1385 16th Ave, Vero Beach, Fla 32960 <br />Signature: <br />4. Name and address of persor/authorized 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 Garett (Finance Officer) <br />Address: P.O. Box 1028 Courthouse Annex <br />Vero Beach, Fla. zip:32960 <br />BOOK 41 PAGE65, <br />� � J <br />