| Name | Byron Mack |
|---|---|
| Date | 08/22/2024 |
| Address – Must match your W-9 | 1210 Roanoke Blvd Salem, VA 24153 United States Map It |
| Phone | 5403976226 |
| Email hidden; Javascript is required. | |
| Date(s) services were, or are to be, provided (can be a date range or period) | 9/1/24 – 8/1/25 |
| Amount of invoice ($) | $6000 |
| Services provided (Project Title / Short Description) | Daisy Arts Parade |
| Services provided (details of agreement) | Instruction of audio production |
| Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 1001 |
| 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.) | Byron-Poe-Mack-invoice-.docx |
| 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. | Byron Mack |
| STAFF USE ONLY – Processing Notes | DO NOT PAY. THIS NEEDS TO BE RESUBMITTED WITH GREATER DETAIL |
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