Laserfiche WebLink
• <br />STATE AGENCY REQUEST FOR FUNDING FROM INDIAN RIVER COUNTY <br />FISCAL YEAR 2016/2017 <br />A. Program Cover Page <br />Agency: <br />State Attorney, 19`h Judicial Circuit <br />Contact Person: <br />Gayle W. McMahon <br />Title: <br />Fiscal Director <br />Address: <br />411 South 2nd Street <br />Fort Pierce, FL 34950 <br />Website Address: <br />Program Title: <br />State Prosecution <br />Telephone: (772) 465-3000 <br />Fax: (772)462-1214 <br />E -Mail: gmcmahon(u-�saol9.org <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that penditures o portions thereof for which County funds are being requested are not reimbursed <br />any of r source <br />Bruce H. Colton, State Attorney, 19'h Circuit <br />Signatdre y " - <br />Brief description of the Program for which funding is requested: <br />State Prosecution and Victim Services activities <br />5ummary Report <br />Amount requested from Indian River County for 2016/2017: $ 169,478. <br />Total Proposed Program budget for 2016/2017: $ 169,478. <br />Percent of total Program budget: 100% <br />Current Funding (2015/2016) $ 178,614. <br />Dollar increase I (decrease) in request: ($ 9,136.) <br />Percent increase / decrease in request: (5.12%) <br />If rPnuest increacPH 5% nr mnrP hriaflv PYnInin why <br />The Organization's Board of Directors has approved this application on (date): <br />Name of President/Chair of the Board <br />Name of Exec. Director/CEO <br />Signature <br />Signature <br />83 <br />