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Unit ID and Name: 100031 Inman River W Vv <br /> Annual Financial Report filed electronically? State Use Onl <br /> Yes ® No Initials Date <br /> � • ; , ` Financial Officer Name: Jeffreyx Barton AFR Tracked <br /> If yes indicate method : <br /> Financial Officer Title : Clerk of circuit court FTP Diskette st, E-Mail <br /> Audit Tracked <br /> Mailing Address : 1840 25th Street Date completed Audit Report was received: 03 / 10 12005 Rev/Exp <br /> City Address : Vero Beach Complete <br /> State: Fl <br /> Financial Condition Information <br /> Zip Code : 32960-3394 Amount of outstanding long -term debt: $ 112 , 127 , 483 <br /> Email Address : [ dbernardo@clerk . indian- river . org (As of the end of fiscal year ended 09/30/2004. The term "long-term debt" means any agreement <br />or series of agreements to pay <br /> -- - - - <br /> Phone Number: (??z) s6?-s000 money, which, at inception, contemplate terms of payment ]-year in-duration) <br /> Phone Extension : 12os Have you experienced a financial emergency in fiscal year ended 2004? F?kl Yes No <br /> If yes, have you complied with Section 218.503(2) , Florida Statutes? MYest No <br /> Contact Person 's Name : Diane Bernardo (ie: Have you reported a financial emergency if there has been one ?) <br /> Contact's Phone Number: (772) 567-8000 Use separate page for response if needed . <br /> MINEW <br /> Contact's Extension : lzos <br /> FAX Number: <br /> Mail Completed Forms and Required Attachments/Enclosures to: <br /> (77z) 77o-5331 <br /> Department of Financial Services <br /> State of Florida Bureau of Accounting <br /> Certification Annual Local Government Financial Report 200 E. Gaines Street <br /> Finan <br /> We the undersigned certify, to the best of our knowledge, that the information reported Fiscal Year 200Finan <br /> herein or submitted electronically is accurate and complete. Tallahassee, Florida 32399-0354 <br /> Thomas S . Lowther <br /> Counties and Municipalities Only <br /> Name <br /> Chairman Enter the utility service tax rates for the following : <br /> itle Electricity n/a <br /> Telecommunications n/a <br /> X Signature of Chairman of Government Board (required ) Water n a <br /> Jeffrey K . Barton Natural Gas n a <br /> Name b. ( t lis Cable Vision n/a <br /> Clerk f • the' -fir " 4 Cdv rt Fuel Oil n a <br /> T' x , + Propane n/a. <br /> X SigniptL p e Financial Of ii�41r$quired ) Other in a <br /> �. <br /> FORM DFS -o�j%4DZ% Rev . ' 11/02/2004') <br />