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GRANT APPLICATION P"cle 6 of 7 <br />•Indian River County Corm i.ssion <br />.al governmental ),,it Applyinc}: .aii, c unt:y, or city <br />Delegate Agency <br />aNTRACTnAL INFOR1dATION - Complete one for each <br />r neral <br />.ame of. Delegate Anency: Economic 9ffoortuniLi_es Council__ <br />Vero BeachFla. 32960 <br />,ddress: <br />1316 20th St., P. 0. Box 27661� <br />Contact Person: Arlene S. Elmore -=----- <br />Telephone:56-7_4177 n_ -__r 567-E -- <br />Tax Exempt Num attach p of the certifzcdte of incorporation <br />If none, <br />DELEGATE AGENCY BUDGET FOR THIS PROGRAM <br />AD}1IP7ISTRATI VE FXPFNSFS <br />1. <br />Salaries---__- ---- ----- ---- �� <br />2. itental Soace_------- _ _ -_ <br />---- <br />3. Travel_ _._._- ----- _ - <br />9. -<upnlies_ - - - - _-- <br />5, Oth.r (sieZ-' _on attachment) •- - _ - _ _ - <br />6, *:MTAL ilines_1_thro�inh_5) _ <br />P?20rR1�t.} F>:PFNSFS <br />�. <br />Salaries _ _ _ _ _ _ _ ._ _ - - - - _ - _ PooJ.._ _ _ - - +175.00 _ <br />g, DentalSnace_ _ _ _ - - - - _ - - - - - _ - —1,500 <br />9.- <br />10. f gui}�ment_ _ - - - - - llcat _ -- _ _ _ 1 :680-.00_ _ <br />- _ _ _ -- - [� 35 5.00___ <br />]1. Other (sPeci+Y nn attachment) - _ -- _ - <br />12. 'TOTAL (lines-7-throui1h_I ) - - - - -- - - - -. - - 4,355.00 <br />13- TOTAL L-'XPF.NSES_(line -6_and_line 12) - - .--- -- - - - - - -` <br />-*may not exceed 158 of line 13. <br />T11T DrLr�+T•TF AGr.�1CV .BY. APPi2OVFS THIS APPLIC70'IOTI AND WILL COMPLY. <br />1•11TH ALL NULrS, P}GULATIONS XND CONT <br />ftAC']'S RELATING THERETO: <br />411'►t-4AO <br />ArPnnVFD nv: Aclnii,ni5tYat:-i.�te�.] Si<orlt -- �. lgnature) ! <br />(' C— ) <br />