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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 agency, <br /> or an Indian Tribe that performs criminal justice functions as determined by the U .S . Secretary 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 also <br /> 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 b OCJG <br /> Continuation of Previous Subgrant? ❑ Yes ❑ No Project ID # Program Area M CFDA #: 16 . 579 <br /> If Yes , enter CJ Contract # of Previous Subgrant <br /> SFY 2004 CJ Contract # SFY 2005 CJ Contract # <br /> 2004- CJ - J3 . 10 - 40 -01 -061 2005 - CJ - _ - _ <br /> B . Applicant Information <br /> 1 . Subgrant Recipient (Subgrantee) <br /> Name of Subgrant Recipient (Unit of Government) : <br /> County <br /> Name of Chief Elected Official / State Agency Head : <br /> Title: Chairman Indian River <br /> Address : 1840 25`h Street Area Code / Phone # <br /> 772-567-8000 x 1490 <br /> City , County, State , Zip Code : Vero Beach , Florida 32960-3365 SUNCOM # <br /> 244- 1490 <br /> E-mail Address : cginn@ircgov . com Area Code / Fax # <br /> 772-770-5334 <br /> 2. Chief Financial Officer of Subgrant Recipient (Subgrantee) <br /> Name of Chief Financial Officer: Edwin Fry County <br /> Indian River <br /> Title: Finance Director <br /> Address : 1840 25th Street Area Code / Phone # <br /> 772-567-8000x 1205 <br /> City, County, State , Zip Code : Vero Beach , Florida 32960-3365 SUNCOM # <br /> 244- 1205 <br /> E-mail Address : of (a)clerk. indian-river. org Area Code / Fax # <br /> 772-770-5331 <br /> 3. Implementing Agency <br /> Name of Implementing Agency: <br /> Name of Chief Executive Official / State Agency Head / Subgrantee representative County <br /> (if a subordinate agency of the subgrant recipient) : Joseph A . Baird <br /> Indian River <br /> Title : County Administrator <br /> Address : 1840 25`h Street Area Code / Phone # <br /> 772-567-8000x 1408 <br /> City, County , State , Zip Code : Vero Beach , Florida 32960-3365 SUNCOM # <br /> 244- 1408 <br /> E-mail Address : baird�° 9 irc ov . com Area Code / Fax # <br /> 1— 772 -978 -1822 <br /> FDLE Byrne Formula Grant Application Package Grant Application <br /> Section 11 - Page 1 <br /> Rule 11 D-9.006 OCJG — 005 ( rev. April 2004) <br />