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SFY 2000 Drug Control and System Improvement Formula Grant Program <br />Edward Byrne Memorial State and Local Assistance <br />This section to be completed by the Subgranfee. <br />This section to be comptefed by BCA: <br />SFY 2000 DCA Contract Number <br />Continuation of Previous Subgrant? d Yes ❑ No <br />If Yes, enter State Project ID ti of Previous Sub®rant <br />c J - - <br />99 1 - I C J I - 9M I - 10 0 D1 181 <br />Unique ID # PA#: CFDA #: 16.579 <br />A. Names & Addresses <br />Hayne of Chief Elected Official <br />Kennoth R. Macht <br />Title <br />Chairman, Indian River Board of County Commissioners <br />Address <br />1 B40 25� Street <br />City, State, Zip Code <br />Vero Beach, FL 32960 <br />Area CodelPhone # (561) 567-6000 x 400 <br />SUNCOM # <br />224-1400 <br />Area Code/Fax # (541) 770.5095 <br />r•r.lof r3ffircr <br />Name of Chief Financial Officer <br />Edwin Fry <br />Title <br />Finance Director <br />Address <br />1840 25"' Street <br />City, State, Zip Code <br />Vero Beach, Ft 32960 <br />Area CodelPhone # (561) 567-6000 x 205 <br />SUNCOM # <br />224.1205 <br />Area CodelFax # (561) 770-5095 <br />imnlnmantinn AnPn" ff,nvarnmant Angnry Rasnnncihla for Proiectl <br />Name of Chief Executive Official <br />Kimberly E. Massung (designated representative) <br />Title <br />Executive Aide to the Board of County Commissioners <br />Address: <br />1840 25" Street <br />City, State, Zip Code Vero Beach, FL 32964 <br />Area CodelPhone # (561) 567-8000 x 1433 <br />SUNCOM # <br />224-1433 <br />Area CodelFax # (5 51) 770.5334 <br />4. Project Director and Contact Person, if different from Project Director <br />FiduRt ha FmnlnvaAfcl of C;nvArnrnnnisi Imnlamantinn Anancvl <br />Name of Project Director <br />Colette Mold <br />Title <br />Executive Director <br />E -Mail Address DESE.0 @ msn.com <br />Address <br />2 50127" Ave., Suite A-7 <br />City, State, Zip Code <br />Vera Beach, FL 32960 <br />Area CodelPhone # (561) 770.4911 <br />SUNCOM # <br />Area CodelFax # (561) 770-4622 <br />Name and Title of Contact Person <br />Colette Meld <br />Address 2501 27" Ave., Suite A-7, <br />E -Mail Address DESLC @ msn.com <br />City, State, Zip Code: Vero Beach, FL 32964 <br />Area CodelPhone # (561) 770-4811 <br />SUNCOM # <br />Area Code/Fax # (561) 770-4822 <br />Subgrant Application Section It - Page 1 of 16 <br />