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Agency Name: Indian River County Sheriffs Office <br />RELATED PARTIES QUESTIONNAIRE <br />4. Have any current board of directors, current agency principal officers, current agency employees, or YES/NO <br />any current independent contractors misappropriated assets or committed other forms of fraud <br />against the agency? NO <br />If yes, describe the nature of the misappropriation. <br />By signing this form, I hereby certify that the information contained in this questionnaire is true and accurate to <br />the best of my kno Ledge and belief. I acknowledge my obligation to notify the Office of the Attorney General <br />V0 Graht�AAarc�.,ef for this contract of any changes to the information provided. <br />OT <br />2/18/2015 <br />Signature 4 Date <br />Deryl Loar Sheriff <br />Print Name Title <br />231 <br />Page 33 <br />