| Name | Mike Moran |
|---|---|
| Date | 08/11/2024 |
| Address – Must match your W-9 | 1929 Canterbury Rd SW Roanoke, VA 24015 United States Map It |
| Phone | (319)975-6255 |
| Email hidden; Javascript is required. | |
| Date(s) services were, or are to be, provided (can be a date range or period) | 8/6/2024 |
| Amount of invoice ($) | 300 |
| Services provided (Project Title / Short Description) | Summit Hills National Night Out |
| Services provided (details of agreement) | Provided a modified puppetry activity at the August 6, 2024 Summit Hills National Night Out at Edgewood Christian Church, 1006 Peck Road, NW from 6 – 8 PM. |
| Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 0002 |
| For the funding the creation of new original work, artists must agree to the Terms and Conditions (above) around ownership of work created for the City. This does not apply to the presentation or exhibition of exisiting work. |
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| By typing your name, you attest to the accuracy of information submitted and agree to provide the stated services or affirm that you have provided the services described. | Michael A Moran |
| STAFF USE ONLY – Processing Notes | DCJ |
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