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Okaloosa County BOCC — February 16, 2016 — LETF Policy Rev — reading text
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LETF Policy Rev — extracted reading text
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amounts received.
Signature of Applicant Date of Application
Print Name of Applicant
OFFICIAL USE ONLY
I, Larry R. Ashley, do hereby certify that the aforementioned request for LETF proceeds is in compliance with
Section 932.7055, Florida Statutes.
Sheriff Larry R. Ashley
Board of County Commissioners: Approved/Disapproved
Date: Amount approved: $
EXHIBIT “B”
LETF FORM AFFIDAVIT
AFFIDAVIT OF [insert name and title]
STATE OF FLORIDA
COUNTY OF OKALOOSA
BEFORE ME, the undersigned authority, personally appeared [insert name of affiant] who being first duly
sworn, deposes and says:
1 My name is [insert name of affiant]. I currently serve as the [insert title] for [insert name of
entity/organization]. I have personal knowledge of the matters contained within this affidavit.
28 On [insert date of LETF application was approved by the Board], the Okaloosa County Board of
County Commissioners (the “Board”) approved our entity or organization’s Law Enforcement Trust Fund (“LETE”)
Application, which is attached hereto as Exhibit “A.”
3, [Insert name of entity/organization] agrees to utilize the LETF funds in accordance with Okaloosa
County’s Operating Procedures for Law Enforcement Trust Fund and applicable state statutes. Specifically, the
LETF funds will be expended for the following purposes:
a.
b.
FURTHER AFFIANT SAYETH NOT.
[insert name of affiant]
Sworn to and subscribed before me this
day of ,201 .
Printed Name:
Notary Public, State of Florida
My Commission Expires:
Commission No:
Affiant personally known
or produced Identification
Type of identification Produced: