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w <br /> Application for funding Assistance <br /> Florida Department of Law Enforcement <br /> Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program <br /> Please read instructions before completing this application . <br /> • The term "Department" , unless otherwise stated , refers to the Department of Law Enforcement. <br /> • The term "OCJG" refers to the Office of Criminal Justice Grants . <br /> • The term "subgrant recipient" or "subgrantee" refers to the governing body of a city, county, state <br /> agency, or an Indian Tribe that performs criminal justice functions as determined by the U . S. Secretary <br /> of the Interior. <br /> • The term "implementing agency' is a subordinate agency of a city, county, state agency, or Indian Tribe, <br /> or an agency under the direction of an elected official (for example , Sheriff or Clerk of the Court). It may <br /> also be an entity eligible to be a subgrantee (ex. City of Live OaK) <br /> • Instructions are incorporated in this document by reference. <br /> A. Subgrant Data <br /> 1 . This section to be completed by Subgrantee 2. This section to be completed by OCJG <br /> Continuation of Previous Subgrant? Yes No Project ID # Program Area M CFDA M 16. 579 <br /> If Yes , enter CJ Contract # of Previous Subgrant <br /> SFY 2003 CJ Contract # SFY 2004 CJ Contract # <br /> 2003- CJ — 5A - 10 - 40 -01 - 142 2004 — CJ - - - <br /> B. Applicant Information <br /> 1 . Subgrant Recipient (Subgrantee) <br /> Name of Subgrant Recipient ( Unit of Government) : Indian River Board of County <br /> Commissioners County <br /> Name of Chief Elected Official / State Agency Head : Kenneth R. Macht <br /> Title: Chairman Indian River <br /> Address : 1840 251" Street Area Code / Phone # <br /> 772-567-8000 x 1490 <br /> City, County, State , Zip Code : Vero Beach , FI 32960-3365 SUNCOM # <br /> 224- 1490 <br /> E-mail Address : kmacht@ircgov.com <br /> Area Code / Fax # <br /> 7724704334 <br /> 2. Chief Financial Officer of Subgrant Recipient (Subgrantee) <br /> Name of Chief Financial Officer: edwin Fry County <br /> Title : Finance Director Indian River <br /> Address : 1840 250' Street Area Code / Phone # <br /> 772-5674000 x 1205 <br /> City, County, State, Zip Code: Vero Beach , FI 32960-3365 SUNCOM # <br /> 244- 1205 <br /> E-mail Address : efry@cierk.indian-river.org Area Code / Fax # <br /> 772-770-5331 <br /> 3. Implementing Agency <br /> Name of Implementing Agency: Indian River Board of County Commissioners County <br /> Name of Chief Executive Official / State Agency Head / Subgrantee representative Indian River <br /> (if a subordinate agency of the subgrant recipient) : James Chandler <br /> Title : County Administrator <br /> Address : 1840 25th Street Area Code / Phone # <br /> 772-5674000 x 1408 <br /> City , County, State , Zip Code : Vero Beach , FI 32960-3365 SUNCOM # <br /> 224-1408 <br /> E-mail Address: jchandier@ircgov.com Area Code / Fax # <br /> 772-978-1822 <br /> FDLE Byrne Formula Grant Application Package Grant Application <br /> Section 9 - Page 1 <br /> Rule 11 D-9.006 OCJG — 005 (rev. 04/04/03) <br />