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F_ <br />MG, 13 1980 Boa 44 phv 261 <br />• 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 />OFFICE 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 - ANSt?ER ALL <br />QUESTIONS <br />Name: INDIAN RIVER COUNTY Telephone: (30_4 562-7927 <br />name of town, city or county) <br />Address: P.O. Box 1028, Vero Beach Fla zip: 32960 <br />County: INDIAN RIVER <br />2. Delegate Agency (s) : VOCATIONAL TRATNTN , AND SRFT.TFRFn wnRysNnP <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: (109) 562-6854 <br />Address: 1385 16th Ave. Vero Bea <br />Signature: <br />4. Name and address of persoi 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 Garrett (Finance Officer) <br />Address: P.O. Box 1028 Courthouse Annex <br />Vero Beach Fla zip: 32960 <br />\\ <br />