| Name | Victoria Ferguson |
|---|---|
| Date | 08/12/2024 |
| Address – Must match your W-9 | 2538 Maycrest St. NW Roanoke, VA 24012 United States Map It |
| Phone | 5405201658 |
| Email hidden; Javascript is required. | |
| Date(s) services were, or are to be, provided (can be a date range or period) | Summer 2024 by December 15, 2024 |
| Amount of invoice ($) | $3,000 |
| Services provided (Project Title / Short Description) | Grant Recipient |
| Services provided (details of agreement) | This grant will be used to fund a reading of a play from local authors. The play is< Fan Me with a Brick and will be scheduled before the end of October. |
| Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 0001 |
| 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.) | Invoice-to-City-for-Grant.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. |
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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. | Victoria P Ferguson |
| STAFF USE ONLY – Processing Notes | DCJ |
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