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County Indian River <br />STATE OF FLORIDA E911 BOARD <br />E911 STATE GRANT PROGRAM APPLICATION FORM <br />Total Amount Requested: <br />Project Title: <br />$36,857.65 <br />CaII Taking Map <br />1. Board of County Commissioners Chair: <br />Mailing Address: 1801 27th Street <br />City: <br />State: <br />Phone: <br />Email Address: <br />Bob Solari <br />Vero Beach <br />FL <br />( 772 ) 226-1438 <br />Zip: 32960 <br />Fax: <br />bsolari@ircgov.com <br />2. County 911 Coordinator: Tad Stone <br />Mailing Address: <br />City: <br />State: <br />Phone: <br />Email Address: <br />4225 42rd Avenue <br />Vero Beach <br />FL <br />( 772 ) 226-3859 <br />Zip: 32967 <br />Fax: <br />tstone@ircgov.com <br />3. Federal Tax ID Number: <br />59-6000674 <br />Application for E911 State Grant Program , revised 01/2018 <br />Page 10 <br />W Form 3A, incorporated by reference in Fla. Admin. Code R. 60FF1-5.003 E911 State Grant <br />