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2004-160
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TREASURE COAST HOMELESS SERVICES COUNCIL , INC . CONTINUUM OF CARE <br /> Exhibit 2R : Project Information/Project Budget <br /> Please be sure to place the Applicant and ProjectName and D UNS number on each page of your <br /> narrative response. <br /> Project Information <br /> 1 . Basic Identification <br /> a. Grantee Name: Indian River County Board of County Commissioners <br /> b . Project Name : CoC Wide HMS <br /> c. Sponsor Name : NIA <br /> d. Address : 1840 250i Street, Vero Beach, FL 32960 <br /> e. Telephone : 772-567-7790 <br /> £ Fax Number: 772-567-7791 <br /> g. Contact Person: Joyce Johnston-Carlson, Dir. County Human Services <br /> h. Project Congressional District: 15 <br /> i. Project 6-digit Geographic Code: 129061 <br /> j . Project Number of Grant Being Renewed : <br /> FL29B109003 PIN: N/A <br /> k. Component/Type: (please check one) THE] PH❑ SSO❑ SH-Th[:] <br /> SH-Ph ❑ HMISE IH❑ <br /> 1. Grant Term : (please check one) 10 2 ❑ 3 (] <br /> This is a one year renewal of a three year grant. <br /> m. Priority Number on Exhibit 1 : Two <br /> 2. Number of Participants/Number of Beds (Identify all that apply)N/A <br /> Predominantly Subpopulation Serve <br /> Serve <br /> 70 % <br /> Chronically Homeless <br /> Severely Mentally Ill <br /> Chronic Substance Abuse <br /> Veterans <br /> Persons with HIWAIDS <br /> Victims of Domestic Violence <br /> Women with Children <br /> Youth (Under 18 years of e <br /> b . Project is in a rural area: <br /> ❑ Yes ® No <br /> c. Sponsor is a religious/faith-based organization: <br /> ❑ Yes E No <br /> d. Number of beds in project : (Specify a number) : <br /> Form HUD 40076 CoC-2RA page 1 <br /> Indian River County Board of Commissioners <br /> Renewal — HNIIS <br /> Duns #0794W989 <br />
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