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40 <br />40 <br />•• <br />• .._ .:i. .. 9: <br />local�Lndian River County Commissioners __ <br />Or C rY) <br />♦ <br />Th -'s <br />P_o5_ ^.• ~e. _ _1CJ_51��1Oe'J' )1? _ 'n,mLkdo._iU1JLRquferral <br />C•alacat-a -B C :: Mt ntal Health Association in Indian River County <br />Ac= -2s:: 1020 21st Street, P.D. Box 427, Vero Beach, Florida 32960 <br />Contact P_rsnn- Jane M. Baldwin, Executive Director <br />T=1e or.e: ( 305 ) 562-5713 <br />T "X E"Xe:nnt Nu-rbar' 07 01078 0058 <br />copy o, the CeStlalcate oL <br />iacoi�o.a~.on} <br />7XPEN. S :S CASE T'i-'Z`ciD <br />_. <br />Salaras Executive Director <br />5,000.00 <br />Six Months <br />2. <br />Ra tal <br />3. <br />Tavel <br />•S: <br />Sunol=es <br />�^. <br />0tl1@z -: on attac.hnen } <br />6 . <br />T0T..I, (1ines 3. t'irouga 5) w� <br />5,000.00 <br />7 • <br />Salazies A. Information and Referral A. <br />3,700.00 B.15,465.60 <br />coordinator <br />S. <br />'pr. �a1 S 8,clg unteer time 24hrs for 6 months <br />11200.00 <br />200 x 6 months <br />9. <br />...:.vel •20 per mi 1 e for 750 miles �._ <br />150.00 <br />10. <br />:u.ipnent Page 6 A <br />5,253.00 <br />ll. <br />Ct.'�er (sneci`v on ar_tachm�eat; <br />3,005.80' <br />Pacc- 6 A <br />12. <br />TOT_',L ( lines % t ;rou :a 11) <br />12,113180 � 16,665.60 <br />13. TOTAL E3tPS:tSES (ling o and line 12) <br />17013.80 16,665.60 <br />70TAr 5''DCE^_ 33,779.40 <br />THE DELEG;oTE PGMICY FZRrBY A?PROV'S TF:xS AP?L11-:,7:.0N ,AND i; „L CCMnLY <br />41-TH ALL RUL, S, REGULATION'S AND CONTRACTS R L1',a'i;iG THEZCSTO: <br />APPRO E'D BY: Judy <br />ATTESTED BY: Jame M. Baldwin <br />`: arae (S,�r•. R :' '1 e ; <br />Executive Dir::ctor <br />Title <br />// <br />