| Name | Simone Paterson |
|---|---|
| Date | 08/12/2024 |
| Address – Must match your W-9 | 3973 Carterdell Rd Salem, Virginia 24153 United States Map It |
| Phone | 5408083843 |
| Email hidden; Javascript is required. | |
| Date(s) services were, or are to be, provided (can be a date range or period) | July 13 – September 2024 |
| Amount of invoice ($) | $1,000.00 |
| Services provided (Project Title / Short Description) | Art Jam at Horton Park |
| Services provided (details of agreement) | Simone’s Placemaking Public Art: Wire Fence Mural |
| Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | #14 |
| Add PDF of Vendor’s Invoice Here (Optional. Use this if you have an invoice already generated from your system. Please use this field to upload a breakdown of costs if relevant.) | Invoice14.pdf |
| Add any additional documentation, such as an agreed upon budget, project schedule, additional receipts, breakdown of costs if relevant as one PDF. | Report1.pdf |
| 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. |
|
| 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. | Simone Paterson |
| STAFF USE ONLY – Processing Notes | DCJ |
•
•