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• DATE: 8 .. .c _..
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Annual Report Certification for ITEM NO: ' • .- • iv •
State Housing Initiatives Partnership (SHIP)P I',"i X NO: A. -� r •
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On Behalf of Indian River County (Local Government), I hereby certify that the
annual reporting information submitted electronically to Florida Housing Finance Corporation for fiscal years
2012-13,2013-14,and 2014-15, (list all three fiscal years)is true and accurate. I
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Name of Staff Member responsible r submitting annual report: Sasan Rohani i*r w :•�
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/18/15 18/15 0` r ,.�'t :��'
Witness Sign: ure Date Chief Elected 0 l or Designee Signature ' p'.
Misty L. PursPl Wesley S.Davis,BCC Chairman 88/15
Witness Printed Name Chief Elected Official or Designee PrintedName Date
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i x..41...11_ Attest Jeffrey R.Smith.Clerk of
Witness Signature I Date Circuit Court + , Comptroller /
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{'hri stina M_ Cournoyer ."�
Witness Printed Name — ir+,.-�{,.",-e!"
OR
ATTEST(Seal)
Signature Date
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420.9075 (10)Each county or eligible municipality shall submit to the corporation by September 15 of each year a
report of its affordable housing programs and accomplishments through June 30 immediately preceding submittal of
the report.The report shall be certified as accurate and complete by the local government's chief elected official or
his or her designee.
APPROVED AS TO FOR. October 2012
AN-r G' FF ' ' ' .
P / # '
BY
WILLIAM K.DEBRAAL
DEPLOY COUNTY ATTORNEY
F:\Community Development\SHIP\Annual Reports\2014 AR\Annual Report Cerification-2014.docx
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