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• <br />• <br />AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY <br />FISCAL YEAR 2019/2020 <br />A. Program Cover Page <br />Agency: <br />Contact Person: <br />Title: <br />Address: <br />Website Address: <br />Program Title: <br />Gifford Progressive Civic League <br />Godfrey E. Gipson <br />Director <br />4855 43rd Avenue <br />Vero Beach, FL 32967 <br />Telephone: (772) 567-1435 <br />Fax: (772) 569-5563 <br />E -Mail: • <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 />by any other source. <br />Signature <br />Aft)44,42-p()V OCl& N� G;,i7s T/t'`e--/'D!' <br />Print nan)and title(' <br />ti <br />Brief de•.cription of the Program for which funding is requested: <br />A. Voting precinct for local and national elections <br />B. Meals on wheel lunch five (5) days per week,,..---, <br />� <br />C. Community organization's meeting weekly and monthly ,,'L=F fs,`} <br />D. School relative activities <br />E. Tonin hall meetings <br />F. Health care check-upsAPR 1 1 20i9 <br />G. Church held functions 2 <br />H. Gifford Youth Orchestra weekly practices \ ry�, <br />( <br />Summary Report <br />Amount requested from Indian River County for 201912020: <br />Total Proposed Program budget for 2019/2020: <br />Percent of total Program budget: <br />Current Funding (2018/2019) <br />Dollar increase / (decrease) in request: <br />Percent increase / decrease in request: <br />$12,185.00 <br />$12,185.00 <br />OA <br />If request increased 5% or more, briefly explain why: <br />241 <br />