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INDIAN RIVER COUNTY STATE AGENCY FUNDING REQUEST <br />A. Program Cover Page <br />Agency: <br />Florida Forest Service Telephone: 863-467-3235 <br />Contact Person: <br />Joseph deBree III Fax: 863-467-3223 <br />Title: <br />Forestry District Manager E -Mail: ioseph.debreeiii(a)FDACS.GOV <br />Address: <br />5200 HWY 441 North <br />Website Address: <br />FDACS.gov <br />Program Title: <br />Fire Control Assessment <br />I Agree - By checking the "I Agree" box and entering your name below, you certify that information <br />contained <br />in this application accurately reflects the activities of this agency and that the expenditures or portions <br />thereof for <br />which County funds <br />are being requested are not reimbursed by any other source. <br />Name: <br />Sally Joyner Title: Administrative Assistant I <br />rsneT aescnpiion or ine program Tor wnicn Tunaing is <br />Fire Control Assessment FY 2024-2025. <br />tiummary Ke ort <br />Amount requested from Indian River County for 2024/2025: $12,107.97 <br />Total Proposed Program budget for 2024/2025: $12,107.97 <br />Percent of total Program budget: 100% <br />Current Funding (2023/2024) $12,107.97 <br />Dollar increase / (decrease) in request: $0.00 <br />Percent increase / decrease in request: 0% <br />request increased 5% or more, briefly explain why: <br />The Organization's Board of Directors has approved this application on (date): 03/12/2024 <br />Name of President/Chair of the Board: <br />Name of Exec. Director/CEO: <br />172 <br />N/A <br />N/A <br />