Name | Laura Vahlberg |
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Date | 05/30/2024 |
Address – Must match your W-9 | 1218 Floyd Ave. SW Roanoke, Virginia 24015 US Minor Outlying Islands Map It |
Phone | 5405881224 |
Email hidden; Javascript is required. | |
Date(s) services were, or are to be, provided (can be a date range or period) | June 1, 2024 |
Amount of invoice ($) | $600 |
Services provided (Project Title / Short Description) | Provide a 5 Minute Portrait at Not Your Average Weekend on June 1, 2024 from 3-6 pm |
Services provided (details of agreement) | Provide a 5 Minute Portrait Activity as outlined in the Arts Connect Neighbors catalog at Not Your Average Weekend on June 1, 2024 from 3-6 pm |
Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 03 |
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. | Laura Vahlberg |
STAFF USE ONLY – Processing Notes | Okay to Pay – DCJ |
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