Name | Molly Kernan |
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Date | 04/21/2024 |
Address – Must match your W-9 | 3516 Ventnor rd Se Roanoke, VA 24014 United States Map It |
Phone | 3522158797 |
Email hidden; Javascript is required. | |
Date(s) services were, or are to be, provided (can be a date range or period) | 04/27/2024 |
Amount of invoice ($) | $200.00 |
Services provided (Project Title / Short Description) | Provide a Fairy Fest activity at the April 27, 2024 Go Green for Grandin Festival at Raleigh Court Branch Library. |
Services provided (details of agreement) | Provide a modified one day Fairy Fest activity at the April 27, 2024 Go Green for Grandin Festival at Raleigh Court Branch Library in an agreed up time frame during the 9 AM to 1 PM event. |
Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 1 |
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. | Molly Kernan |
STAFF USE ONLY – Processing Notes | OK to pay- DCJ |
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