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4/27/2021 <br />Form Page: State Agency <br />iY� 4 t <br />St INDIAN RIVER COUNTY STATE AGENCY FUNDING REQUEST <br />A. Program Cover Page <br />Agency: State Attomey, 19th Judicial Circuit <br />Contact Person: Gayle W. McMahon <br />True: Fiscal Director <br />Address: 411 SOUTH 2ND STREET <br />Program Title: state Prosecution <br />Telephone: 772-465-3000 <br />Fax: 772-462-1214 <br />Email: 9mcmahon@saol9.org <br />Website Address <br />By checking the "I Agree" box and entering your name below, you certify that information contained in this application <br />22 1 Agree accurately reflects the activities of this agency and that the expenditures or portions thereof for which County funds <br />are being requested are not reimbursed by any other source. <br />Your Name Thomas R. Bakkedahl jTitle State Attorney, 19th Judicial Circuit <br />Brief description of the Program for which funding is requested: <br />Prosecution and victim Services activities320469 <br />Summary Report <br />Amount requested from Indian River County for 2021/2022 <br />Total Proposed Program budget for 2021/2022: <br />Percent of total Program budget <br />Current Funding (2020/2021) <br />Dollar increase/ (decrease) in request <br />Percent Increase I decrease in request <br />If request increased 5% or more, briefly explain why: <br />The Organization's Board of Directors has approved this application on (date): 05/01/2021 <br />Name of President/Chair of the Board <br />Name of Exec. Director/CED <br />$320,469 <br />$320,469 <br />100 % <br />$343,451 <br />($22,982.00) <br />-6.69 <br />1 67 <br />httpsJ/www.ircgov.com/forms/State_AgencylState_Agency.php?sfm_sid=1505 1/2 <br />