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FLORIDA FINANCIAL ASSISTANCE FOR COMMUNITY SERYL _7.ES ACT OF 1974 <br />(COMUKUNITY SERVICES TRUST FUND) <br />GRANT APPLICATION Page 1 of 7 <br />MAIL TO: <br />Earl Billings <br />Department of Veteran and <br />Community Affairs <br />2571 Executive Center Circle East <br />Tallahassee, F1. <br />32301 <br />1. Local Governmental Unit Applying for Grant: <br />* Submit an Original Copy <br />* PLEASE TYPE - ANS'. -:ER ALL <br />QUESTIONS <br />Name: Indian River County Telephone: ( 309 562-7927 <br />name of town, city or county) <br />Indian River County Courthouse <br />Address: 2145 14th Avenue, Vero Beach, Florida Zip: 32960 <br />County: Indian River <br />2. Delegate Agency (s) : Vocational Training and Sheltered Workshop <br />(applicable only for private non profit corporation e egates <br />3. Person with over-all responsibility of grant: Our Department will <br />contact this person should questions arise <br />Name: John M. Rezanka <br />Telephone: ( 301 562-6854 <br />Address: 1385 16th Ave, Vero Beach, Fla. <br />Signature: <br />- <br />4. Name and address of per on 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: Jeffrey Barton (Finance Officer) <br />Address: P.O. Box 1028 Courthouse Annex <br />Vero Beach, Fla zip: 32960 <br />AUG 51991 ma 47 PnE 79 <br />