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i <br />7timt4� <br />t]FPARTMENT <br />Application For Revenue Sharing 2000-2001 State Fiscal Year <br />(Chapter 218, Part Il Florida Statutes) <br />OF REVENUE Applfcatlon must be received by the Department of Revenue <br />prior to June 30 preceding the beginning of the state fiscal year 2000.2001 <br />Please TYPE= or PRINT all entries except those requiring a signature. <br />- ; i 6 Mi <br />NameofCounty Indian River <br />OR <br />Name of Municipality _ County <br />Telephone Number { 5611 567-13000 <br />Fax Telephone Number f 561} 770-5331 <br />Mayor or Chairman of Governing Body Honorrhle Fran Adams <br />Chief Fiscal Officer Jeffrey K. 13sart n <br />Official Mailing Address 1840 25th r2troot <br />Vero Bea^Yi L 379611 <br />Check here if the address represents a change from the previous application. <br />Federal Employer I.D. Number <br />(required for new participants only). <br />�-�_6,,) <br />Ute—lfin', <br />DR -700218 <br />R ©3100 <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. FS. <br />Consistent with the requirements of s. 218.23, F.S., has the applicant: <br />t. Reported its finances for its most recently completed fiscal year to the Department of Banking and <br />Finance, pursuant to s. 21€3.32, FS.? <br />Yes � No 0 <br />2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, FS.? <br />Yes J� No 0 6 M_ 25 61 <br />Date of Audit R part <br />