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A TRUE COPY <br />UcK i IN <br />"Wrm"r <br />SYSTEMS ACCESS FORM (CONTACTS) <br />FEMA/GRANTEE PUBLIC ASSISTANCE PROGRAM <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />Subrecipient: Indian River County Date: <br />Box 7: Other (Read Only Access) Box 8: Other (Read Only Access) <br />Name Name <br />Ryan Lloyd John A. Titkanich, Jr. _ / <br />oignawre /,may/ . L ( c y <br />Organization / Official Position <br />Emergency Management Coordinator, Emergency Management <br />Mailing Address 1801 27th Street <br />City, State, Zip Vero Beach, FL 32960 <br />Daytime Telephone <br />(772) 226-3944 <br />E-mail Address rllo d @� 9 irC ov.com <br />Y <br />Box 9: Other (Read Only Access) <br />county Administrator, Indian River County BOCC <br />Mailing Address <br />1801 27th Street <br />City, State, Zip <br />Vero Beach, FL 32960 <br />Daytime Telephone (772) 226-1202 <br />E-mail Address <br />jtitkanich@ircgov.com <br />Box 10: <br />Other (Read Only Access) <br />Organization / Official Position <br />Organization / Official Position <br />Mailing Address <br />Mailing Address <br />Mailing Address <br />Mailing Address <br />City, State, Zip <br />City, State, Zip <br />Daytime Telephone <br />Daytime Telephone <br />E-mail Address <br />E-mail Address <br />I Box 11: Other (Read Only Access) Box 12: Other (Read Only Access) <br />Name I Name <br />Organization / Official Position <br />Organization / Official Position <br />Mailing Address <br />Mailing Address <br />City, State, Zip <br />City, State, Zip <br />Daytime Telephone <br />Daytime Telephone <br />E-mail Address <br />E-mail Address <br />LS.brecipient's: <br />ipient's Fiscal Year (FY) Start: Month:October Day: 1st <br />ipient's Federal Employer's Identification Number (EIN) 59-6000674 <br />ipient's Grantee Cognizant Agency for Single Audit Purposes: Florida Division of Emergency Management <br />FIPS Number (If Known) 061-99061-00 <br />12 <br />