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60 <br />• <br />40 <br />Communk Policing Information Wofthed <br />This worksheet will provide the COPS Office with information about the public safe", <br />concerns of your community and your department's community policing goals and <br />activities. For assistance in completing this worksheet, contact the U.S. Department <br />of Justice response Center at 1-800-421-6778 <br />Your Community Policing Information Worksheet is complete by signing and dating <br />below. Both the lativ enforcement executive and the government executive must sign. <br />Applicant Organization's Legal Name: INDIAN RIVER COUNTY SHERIFF'S OFFICE <br />ORI#: FL03100 <br />We, the undersigned, attest to (lie accuracy P,f the Coninutnity policing Information <br />Worksheet submitted below. <br />Law Enforcement Executive: Title: <br />SHERIFF <br />Name (typed): GARY C. WHEELER <br />INDIAN RIVER CO. SHERIFF'S OFFICE <br />Department; <br />.TUNE 6, 2000 <br />Date: <br />Signature: I (,!•I L ((A t <br />Government Executive: Title: CHAIRMAN <br />Name (typed): <br />FRAN B. ADAMS <br />Government Entity: BOARD OF COUNTY COMMISSIONERS <br />Date: June 13,72000 <br />Signature: <br />PersonCompleting Form: Title: PLANNER <br />'.tame {typed} SANDY SHIELDS <br />DateJUNE 6, 2000 <br />Signature <br />t <br />