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Application for Funding Assistance Florida Department of Law Enforcement Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program 4. Project Director Name of Project Director: Howard Rich County ( Implementing Agency Employee) Title: Sergeant, Corrections Indian River Address: 405541 " Avenue Area Code / Phone # 772-978-6305 City, County, State, Zip Code: Vero Beach , Indian River, FI 32960 SUNCOM # E-mail Address: hrich@iresheriff.org Area Code / Fax # 772-978-6313 5. Contact Person Name of Contact Person: Kimberly M . Poole County (if other than Project Director) Title: Planner/Grants Manager Indian River Address: 4055 41 " Avenue Area Code / Phone # 772-978-6214 City, County, State, Zip Code: Vero Beach , Indian River, FI 32960 SUNCOM # E-mail Address : kpoole(a.iresheriff.org Area Code / Fax # 772-567-9755 6. Person Responsible For Financial Reporting (if known) Name: Kimberly M. Poole County Title: Planner/Grants Manager Indian River Address : 405541 " Avenue Area Code / Phone # 772-978-6214 City, County, State, Zip Code: Vero Beach , Indian River, FI 32960 SUNCOM # E-mail Address: kpooleairesheriff.org Area Code / Fax # 772-567-9755 7. Person Responsible For Programmatic Performance Reporting (if known) Name: County Title: Address: Area Code / Phone # City, County, State, Zip Code: SUNCOM # E-mail Address: Area Code / Fax # 8. Service Provider Contact Person Name: Kimberly Poole County Title: Planner Indian River Address : 4055 41s' Av Area Code / Phone # 772-978-6214 City, County, State, Zip Code: Vero Beach , Indian River, FI 32960 SUNCOM # E-mail Address: kpoole(cDiresheriff. org Area Code / Fax # 772-567-9755 FDLE Byrne Formula Grant Application Package Grant Application Section 11 - Page 3 Rule 11 D-9.006 OCJG — 005 (rev. April 2004)