Name | Laura Vahlberg |
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Date | 05/30/2024 |
Address – Must match your W-9 | 1218 Floyd Ave. SW Roanoke, Virginia 24015 United States 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 22, 2024 |
Amount of invoice ($) | $400 |
Services provided (Project Title / Short Description) | Provide a 5 Minute Portrait at the Grandin Court Saturday Pancake Breakfast on June 22, 2024. |
Services provided (details of agreement) | Provide a 5 Minute Portrait Activity as outlined in the Arts Connect Neighbors catalog at the Grandin Court Saturday Pancake Breakfast on June 22, 2024 for a two hour session |
Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 04 |
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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