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STATE AGENCY REQUEST FOR FUNDING FROM INDIAN RIVER COUNTY <br />FISCAL YEAR 2018/2019 <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 <br />gmcmahon@ saol9,org <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that the expenditures or portions thereof for which County funds are being requested are not reimbursed <br />ny er sourc ' <br />Bruce H. Colton, State Attorney, 19`h Circuit <br />Signature <br />Brief description of the Program for which funding is requested: <br />State Prosecution and Victim Services activities <br />5ummary Keoort <br />Amount requested from Indian River County for 2018/2019: $ 305,223. <br />Total Proposed Program budget for 2018/2019: $ 305,223. <br />Percent of total Program budget: 100% <br />Current Funding (2017/2018) $ 222,060. <br />Dollar increase / (decrease) in request: $ 83,163. <br />Percent increase / decrease in request: 37% <br />If request increased 5% or more, briefly explain why: <br />3% increase in Rent Line Item as well as increased Information Technology costs, utility costs, and <br />telephone costs. <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 />