Name | Mary Perrin-Key |
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Date | 07/01/2024 |
Address – Must match your W-9 | 1730 Maiden Lane SW Roanoke, VA 24015 United States Map It |
Phone | 5405294850 |
Email hidden; Javascript is required. | |
Date(s) services were, or are to be, provided (can be a date range or period) | April 16, 2024 |
Amount of invoice ($) | 200 |
Services provided (Project Title / Short Description) | For design services for a mural on the 220/581 bridge on the Roanoke River Greenway |
Services provided (details of agreement) | -Provide a rendering for the 220/581 bridge on the Roanoke River Greenway to advance consideration of approaches. |
Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 0047 |
Add any additional documentation, such as an agreed upon budget, project schedule, additional receipts, breakdown of costs if relevant as one PDF. | |
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. | Mary M Perrin-Key |
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