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Last modified
7/11/2022 1:17:52 PM
Creation date
12/31/2020 11:19:09 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Miscellaneous
Approved Date
12/15/2020
Control Number
2020-254
Agenda Item Number
12.A.2.
Entity Name
Community Development Block Grant Housing Applicant List (CDBG)
Conflict of Interest Form FFY-2017
Subject
Laura Moss
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INSTRUCTIONS: <br />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 />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 />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 />Ausby <br />4747 35th Ave.; Vero Beach 32967 <br />_Helen <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 />7866104th 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 PI. SW; Vero Beach 32962 <br />Laura Moss <br />Completed By: Commissioner Printed Name <br />Date: 2- 1 7 126 2,-tn� <br />e <br />, <br />p <br />Signature By: Commissioner Laura Moss so9 <br />f:\community development\cdbg\2017-18 cdbg\conflict ofinterest\irc cdbg-conflict of interest disclosure <br />��:� it l..9 "l ;{77. � t°At;(RAA _n. <br />Attest Jelhiey R. Smith Clerk. of <br />a®rcua cote row COV66ll®r <br />Page 2 of 2 !! <br />
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