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of <br />v <br />D <br />a <br />Edward Byrne Memorial State and Local Law <br />-- Enforcement assistance Formula Grant program <br />This section to be completed by tho Subgrantee: rhis section to be completed by BCA: <br />Continuation of Previous Subgrant711 Yes X No SFY 2041 DCA Contract Number <br />It Yes, eater State Project ID # of Previous Suhgrant 2001 C J - <br />lIe c j _ Unique ID # PA#: CFDA #: 16.579 <br />A Names & Addresses <br />1. Sub rant Recipient <br />Name of Chief Elected Official <br />Fran B. Adams <br />Title <br />Chairman, Indian River Board of County Commissioners <br />Address <br />1840 25" Street <br />City, State, Zip Code <br />Vera Beach, FL 32960 <br />Area CodelPhone # (551) 567-8000 x 490 <br />SUNCOM # Area CodelFax # (561) 770-5334 <br />224-1490 <br />2. Chief Financial <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, FL 32950 <br />Area CodelPhone # (561) 567-8000 SUNCOM # <br />224-1205 <br />Area CodelFax # (561) 770-5095 <br />3. im lementin Agency Government Agency Responsible for Project) <br />Name of Chief E=xecutive Official <br />Kimberly Massung (designed representative) <br />Title <br />Executive Aide <br />Address, <br />1B4025" Street <br />City, State, Zip Cade <br />Vero Beach, FL 32960 <br />Area CodelPhone #(561 y 567-8000 x 1433 SUNCOM # <br />224-1433 <br />Area CodelFax # (561) 770-5334 <br />4. Project Director and Contact Person, if different from Project Director <br />FAA. -4 6n C-1-- ni 1-1. nMl— Anne 1 <br />Name of Project Director Colette Held <br />Title Executive Director <br />E -Mail Address deslcpmen,com <br />Address 250127" Ave., Suite A-7 <br />City, State, Zip Cade Vero Beach, FI 32980 <br />Area CodelPhone # (561) 770.4811 <br />SUNCOM # <br />Area CodelFax # (551 770 4822 <br />Name and Title of Contact Parson Colette Heid <br />Address 2501 27" Ave., Suite A-7 <br />E -Mail Address deslc@msn.com <br />City, State, Zip Code: Vero Beach, Fl 32960 <br />Area CodelPhone # (551) 770-AB11 <br />SUNCOM # <br />Area CodelFax # (561) 770-4822 <br />5ubgren t Appicalion <br />Sec,Uon 11- Pago r of 16 <br />