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EXHIBIT H <br />STATE HOUSING INITIATIVES PARTNERSHIP (SHIP) PROGRAM <br />INFORMATION SHEET <br />LOCAL GOVERNMENT: Indian River County, Florida <br />CHIEF ELECTED OFFICIAL: <br />ADDRESS: <br />SHIP ADMINISTRATOR: <br />ADDRESS: <br />TELEPHONE: <br />EMAIL ADDRESS: <br />ADDITIONAL SHIP CONTACTS: <br />ADDRESS: <br />EMAIL ADDRESS: <br />PLANNER <br />ADDRESS: <br />Joseph E. Flescher, Chairman, <br />Board of County Commissioners <br />1801 27"' Street, Vero Beach, FL 32960 <br />Bill Schutt, AICP, Chief, Long Range Planning <br />1801 27"' Street, Vero Beach, FL 32960 <br />(772) 226-1250 FAX: (772) 226-1922 <br />bschutt@irc og v.com <br />Vickie Johnston <br />1801 27"' Street, Vero Beach, FL 32960 <br />viohnston(a,irc o� v.com <br />Matt Kalap <br />180127"' Street, Vero Beach, FL 32960 <br />EMAIL ADDRESS: mkalapAirc og v.com <br />INTERLOCAL AGREEMENT: NO (IF yes, list other participants in the inter -local agreement): <br />The following information must be furnished to the Corporation before any funds can be disbursed. <br />LOCAL GOVERNMENT EMPLOYER FEDERAL ID NUMBER: 59-6000674 <br />MAIL DISBURSEMENT TO: Board of County Commissioners, Indian River ADDRESS: <br />1801 27h Street, Vero Beach, FL 32960 <br />OR: IF YOUR FUNDS ARE ELECTRONICALLY TRANSFERRED PLEASE COMPLETE THE <br />ATTACHED FORM: <br />❑ NO CHANGE FROM PREVIOUS ELECTRONIC FORM SUBMITTED. <br />Provide any additional updates the Corporation should be aware of in the space below: <br />Please return this form to: SHIP PROGRAM MANAGER, FHFC 227 N. BRONOUGH ST, STE <br />5000 TALLAHASSEE, FL 32301 Fax: (850) 92277253 <br />253 <br />