Name | Nicolena Loshonkohl |
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Date | 03/09/2024 |
Address – Must match your W-9 | 4819 delray st nw Roanoke, VA 24012 United States Map It |
Phone | 4127283980 |
Email hidden; Javascript is required. | |
Date(s) services were, or are to be, provided (can be a date range or period) | 6/24-10/24 |
Amount of invoice ($) | 2000 |
Services provided (Project Title / Short Description) | Supporting survivors of domestic violence through art |
Services provided (details of agreement) | Conduct a four- to six- week embroidery workshop with an emphasis of serving survivors of domestic violence. |
Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 5039 |
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. | Nicolena Loshonkohl |
STAFF USE ONLY – Processing Notes | Okay to pay – DCJ – Percent for Art – 35-310-9274-2010 |
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