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iY <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 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 bX OCJG <br /> Continuation of Previous Subgrant? ❑ Yes ❑ No Project ID # Program Area #. CFDA M 16 . 579 <br /> If Yes , enter CJ Contract # of Previous Subgrant <br /> SFY 2004 CJ Contract # SFY 2005 CJ Contract # <br /> 2004- CJ - _ - - _ 2005 - 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 : Caroline D . Ginn <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 /> Title : Finance Director Indian River <br /> Address : 1840 251h 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 : efry�a) clerk . indian-river. orq Area Code / Fax # <br /> 772 -770-5331 <br /> 3 . Implementing Agency <br /> Name of Implementing Agency: Indian River County Board of County Commissioners <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 /> Title : County Administrator Indian River <br /> Address : 1840 25th 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 : ibaird ircgov . com Area Code / Fax__# <br /> 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 />