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Agency Nage: Indian River County Sheriffs Office <br /> RELATED PARTIES QUESTIONNAIRE <br /> ,,. 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? YES <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 knowledge and belief. I acknowledge my obligation to notify the Office of the Attorney General <br /> VOCA Gran Mana er for this,contract of any changes to the information provided. <br /> Signature Date <br /> Deryl Loar Sheriff <br /> Print Name Title <br /> Page 2 <br /> 104 <br />