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Florida Department of Revenue <br />Application For Revenue Sharing 1999.2000 State Fiscal Year <br />(Chapter 218, Fart II Florida Statutes) <br />Application must be received by the Department of Revenue <br />prior to June 30 preceding the beginning of the state fiscal year 1999-2000 <br />Please TYPE or PRINT all entries except those requiring a signature. <br />Part One <br />Name of County Iridian River <br />L <br />Name of Municipality <br />Telephone Number (561) 567-8000 <br />Fax Telephone Number ( 561) 770-5331 <br />Mayor or Chairman of Governing Body Kemeth R. Macht <br />Chief Fiscal Officer Jeffrey K. Barton, Clerk of Cir <br />Official Mailing Address 1840 25th Street <br />Vero Beach, FL 32960 <br />County <br />Check here if the address represents a change from the previous application. <br />Federal Employer I.D. Number <br />Part Two <br />(required for new participants only). <br />V-99 <br />DR•700218 <br />R. 03199 <br />To be eligible to participate in Revenue Sharing beyond the minimum entitlement as defined in s. 218.21(7), F.S., for any <br />fiscal year, a unit of local government is required to have fulfilled certain requirements set forth in s. 218.23, F.S., including <br />certification requirements. Signatures by the appropriate official in the signature blocks, where applicable, shall constitute <br />fulfillment of the certification requirements set forth in s. 218.23, F.S. <br />Consistent with the requirements of s. 218.23, F.S., has the applicant: <br />1. Reported its finances for its most recently completed fiscal year to the Department of Banking and <br />Finance, pursuant to s. 218.32, F.S.? <br />" <br />2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, F.S.? <br />Yes kiR No aFebruary 5, 1999_ <br />Date of Audit Report <br />