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Last modified
7/11/2022 1:19:42 PM
Creation date
12/31/2020 11:14:51 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Miscellaneous
Approved Date
12/15/2020
Control Number
2020-253
Agenda Item Number
12.A.2.
Entity Name
Community Development Block Grant Housing Applicant List (CDBG)
Conflict of Interest Form FFY-2017
Subject
Joseph Earman
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1r --•a <br />INSTRUCTIONS: <br />"y Each member shall review the applicant list found below. Members shall place their initials next to <br />any applicant where a real and/or perceived conflict does or may exist. Where no conflict(s) <br />!1 exist, no initials are required. Members shall certify the completion of "EXHIBIT 1: AMENDED" <br />via their printed name and date. Please sign next to your printed name <br />} <br />1 f - <br />1 <br />1 1 <br />EXHIBIT 1: AMENDED <br />INDIAN RIVER COUNTY CDBG APPLICANT LIST <br />APPLICANT NAME <br />APPLICANT ADDRESS COMMISSIONER <br />INITIALS <br />Angela R. Young <br />428136th Ct.; Vero Beach 32967 <br />Helen Ausby <br />4747 35th Ave.; Vero Beach 32967 <br />Theda Holland <br />1166 15th Ave. SW; Vero Beach 32967 <br />Dawn Womack <br />155 47th Ave.; Vero Beach 32968 <br />Larry/Sally Grayam <br />2143 2nd Ave. SE; Vero Beach 32962 <br />Khawndice Colley <br />4269 36th Court; Vero Beach 32967 <br />Luz Marina Leon <br />855 35th Ave.; Vero Beach 32960 <br />Brian/Robin Danforth <br />1465 20th Ct. SW; Vero Beach 32962 <br />"Sharon Schalm (Retired County Employee) <br />7866 104th Ave.; Vero Beach 32967 <br />Cozetta Brown <br />4680 38th Ct.; Vero Beach 32967 <br />Irma/Jimmy Williamson <br />4015 46th St.; Vero Beach 32967 <br />Nickey Mills <br />4190 39th Dr.; Vero Beach 32967 <br />Deloris Morgan <br />1056 9th St SW.; Vero Beach 32962 <br />Sabrina Hill <br />434 20th PI. SW; Vero Beach 32962 <br />Gwendolyn McNeal <br />4200 46th PI.; Vero Beach 32967 <br />Lola Huston <br />4595 41st Ave.; Vero Beach 32967 <br />"Terrence Lee (current County Employee) <br />403141st Square; Vero Beach 32967 <br />Ethel Mae Brown <br />4616 34th Ave.; Vero Beach 32967 <br />Patricia Jordan <br />3456 44th St.; Vero Beach 32967 <br />Patricia Leroy <br />4470 34th Dr.; Vero Beach 32967 <br />Amanda Graham <br />425 15th Pl. SW; Vero Beach 32962 <br />Joseph H. Earman <br />Completed By: Commissioner Printed Name <br />Date: December 16. 2020 °""" "�OAtMlSs�o <br />i & fir, . • "� ' <br />Signature B'ysromrNssio6er oseph H. Earman <br />f.\community development\cdbg\2017-18 cdbg\conflict of interesAirc cdbg-conflict of interest disclosure do'e (�rif�fp • <br />APPROVED AS TO FO RIM <br />Attest* R. Smift Clerk <br />AN �LEGAL WFFICI "Y CfQdtCJeffrey t <br />tWdCWPIA Ilet <br />Page 2 of 2 <br />'..J` Y 01)111T r AT T_O R. NEY <br />
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