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Polling Location Agreements .,. The City of Boynton Leach PRECINCT NUMBER 3140 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON LAKES NORTH CLUBHOUSE FROM: CITY OF BOYNTON BEACH 100 REDFORD DRIVE CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. �� BOYNTON BEACH FL 33435 This agreement, dated this � day of O--< ige L , 20 / by and between the City of Boynton Bea b1 FL, and the owner of the Polling Place located at: -1 L A-li J eft, NAME OF POLLING LOCATION (Include name and /or room n mber) (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No - =+ �/ fV ` ,-t CHAIRS FOR ELECTION WORKERS �I ❑ r) a TABLES FOR ELECTION WORKERS ❑ o n RESTROOM FACILITIES AVAILABLE ❑ 3 cnQ ox -n rn • To provide access to the Polling Place on election day by one of the following means: rn � PLEASE CHECK ONE: �y 4J'z`r 4 r' ".arr l�t l l x�` ` 4 'au,'cf `:cav �.' ,� Y" "as< 7 * t,...a�:' „� v-F ! . q .� r re, +,.,,.i �= , x .;.. T'a' •���,E � � �«�Ii �.����� �� �.�, a� "'� -�)k ;ill �x'1 .)‘ THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ /J 471 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON B CH 7 DAT ■/CATED ABOVE. #e X A.( a i rA.2to Ai a) ESe c s i J� • � 4z / - ,a/- J9s-c71 ,, ,"r.**, .n; � r 1 A .r.. �� ; , e)` ■eef ,?3V / ai r2 a • � II 1 ' a. :t EE ka' iy�y )T C e�lr� 1111 . 1 b 1 I "i F a 'l oil .30110ni ' nienid 7 F, a F11 �( � • un� [ b :. � 1 5 � G .' M M1 Yf_ � G .: .. 4:.ue ,: e K .e 1 ,xs r t +}� t� ��`' � � `W i ���, �tv$, K4.. �e�S� �.3k �r. FahRvd�' X1' '1,1. • ; 1�7�T r o�+ ' x C 1,1, �� c , w • ` 4l ! l kkt� E i e I r i- l lrlts f Ir�� z �l�l'�Ir Ire �,; s �.� � '� x: e� ���'� { ' G # d .g+W ".. .. ,a�! ,..` *ate` c,,... a`:,. f w: �+' ` .,414:, • . . � 1 `, �� i i lei+, e'er T'� x at ff ° �Hr3w *� ` v i _pa`s; r 8/13/2012 10:18 AM S \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3140 - BOYNTON LAKES NORTH.doc The City of Boynton Beach PRECINCT NUMBER 3142 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON LAKES CLUBHOUSE FROM: CITY OF BOYNTON BEACH 1 WESTMINSTER LANE CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this S day of `'� , 20 /Z, by and between the City of Boynton Bead, FL, owner gfthe Polling Place located at: NAME OF POLLING LOCATIO (Include na and /or room m er) (POLLING LOCATION STREET ADDRESS, CITY ND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS 2 ❑ o o TABLES FOR ELECTION WORKERS d ❑ fV r Q' z, RESTROOM FACILITIES AVAILABLE d ❑ x = oz X". -*� 'TICE/ • To provide access to the Polling Place on election day by one of the following means: — cep rn a; "E'~.,:, , to' THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ 50, 0 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. L 1 .4' 1 4 fakttA/IligAA:1 P 54 i/3 - X y ;• Y r F`a fi \ 's` \ 5 ' R '9 5yt yy 4 33 t tt 4 .. � s � ' � r hi �'�x � � � te '�'�` x � °f F � ��'�. � , � . � �e , 1 .� � ALAI -• Ik,, , I . � 1 _ � E< < t,, ;tl ,:i i` !l r� ;t ` �t Y,'�;'t'1),1 1 y u�l kLi .‘11;)k ///5-4'14,/ •" [ a r r;' ; 11 11'' I c� r , 1 :' <rl °r 1 ' /, mitetitireach Irv [I?til;ll. 1, 11,4 to' o ne''n 1111 1 1.r`-' ` .. ., _ . .., a.. ad. ,$ / •y. 2 i • x �� t� 0 )1 00' 't ),) rl •l r5 f , f �: l i t .�,�; , � .i' .P + .�:',. „P. :.d'- x :? ` _ ` j �° ,.'3;. 0 .� '.. .. - a �. ;f0k ', «;k. ' ,:,.. " .x. f 8/13/2012 10.53 AM • S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3142 - BOYNTON LAKES CLUBHOUSE.doc rllhe City of Boynton Beach PRECINCT NUMBER 3146 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: NEWPORT PLACE FROM: CITY OF BOYNTON BEACH 4735 NW 7 CT. CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this 2 ` ' day of 0 6s40,, jer , 20 ,' .�- by and between the City of Boynton Bepch, FL, and they own�gf the Polling Place located at: Nam (c NAME OF POLLING LOCATION Include name a' • or room um. - A 1.12 (POLLING LOCATION STREET ADDRESS, CITY 1, Z • CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No t CHAIRS FOR ELECTION WORKERS ❑ r' — � cs, TABLES FOR ELECTION WORKERS ❑ �.. ; RESTROOM FACILITIES AVAILABLE ❑ o -' • To provide access to the Polling Place on election day by one of the following means: c yy ' , o ' 'Y "' ' , (� a e +, THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BE A HON THE DATES INDICATED ABOVE. 1 I I I � � ,, �k >�:.. ,} . 1 ° 0\ P s _ - L 11 0 / 1..',I)1' ! j l 1 r n;# , E ),,E 1E a =.'` w a' E._ Z/ -turf kk4 _ klwx .: k - ` .XL� A. • `ko � �� )I `���i � ' ■■ t If � tf �� k9= 1 r t 1 t Ir `16 1 Y, t' y £i I _ . w " G b i'" 1. d.1 � r za. e. �.. " �, r .: ���� ,' a Si . 11n1 r �1 i i ; ) "" 1�1 �1, �a i ��1 if' oil (il i l e a lf)i 7 'r , , �. r _ ° s F ,;• 3 ` s A _ t 8/13/2012 11:34 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3146 - NEWPORT PLACE.doc The City of Boynton Beach PRECINCT NUMBER 3168 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH FIRE STATION #3 FROM: CITY OF BOYNTON BEACH 3501 NORTH CONGRESS AVENUE CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. /� BOYNTON BEACH FL 33435 This agreement, dated this y' 6 day of a «--- , 20 / Y by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: V"' f ■•firfl Tidy ' 3 NAME OF POLLING LOCATION (Include name and /or room number 3.5v1 Ai. Ai /z-o-. 5 /9th /3y•✓ r f L3,I 3,(1i l' (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 -3 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida :.J Ntutes to be performed by the Election Board are completed: c Yes No CHAIRS FOR ELECTION WORKERS RI ❑ t j 7 `\j TABLES FOR ELECTION WORKERS ❑ c=, RESTROOM FACILITIES AVAILABLE 171 ❑ • To provide access to the Polling Place on election day by one of the following means: P H tie: k vF sJ «° 4xo-� 4, .@ ; 't"' tt . . Av h'i4Sa^ ( 9"rd ° i r r :il � )fl • ¢ '1 t t � }" v t `� ' t' + 5 `�' a'U `,u t ,{* n;T ..r na $ �� x !`.ry '� �ssT4''t;� r t a: j ? , ` 9 ` r 4 e c. l .._x s+-. ,� -r^'? r %,z,'<• f [ • ct.0 y ? . I Y 'c)1 F w � J F,'. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ (. fJ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. /y ' - it� �F!/� L Ki .C-6 6 &:‘ 6 - 7 ;1, i, \ .,. � �• .. '. �.... ' '* '" ,•� �_t ..zt ' \ � ,?.. ': ...� .>• l ' i 1,, k di l � 7 v r`I; )i },. t` ,I:t'i , e.; . ` ;. ,... ttp t L( : t #t t 1 .r, t.1 A . t O . ON ° ar e �A fy Y ' ear a 1 _ • .,�� . t r � F .l k k � $ ery'' c � r .7 � . ��.1 ' . H � ��� � u ;..� w� ^.:�,.a'e.+�eer�.;uw�'��"'�a:' � �.ia�rYa..,wYi #�.��. }4 : tidy' l r° " �I �, )I i�lt lg ��F rl 7 a t, i fi ,. , z I 4 t� � i I �� � III �{G ! 1_ ll� tib 1 c W : ('; , ra. 'ty� �x, ,* sp w,.a .*' 433"3 .. �,. '. ;ra _ Q v€ 8/13/2012 11.39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3168 - FIRE STATION #3 doc The City of Boynton Beach PRECINCT NUMBER 3174 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH FIRE STATION #3 FROM: CITY OF BOYNTON BEACH 3501 NORTH CONGRESS AVENUE CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this Z41' day of (e , 20 '', by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: et y,QQ7o1 # 3 NAME OF POLLING LOCATION (Include name and /or room number) 3.5P, 4 , &Tv ,� - (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS Li ❑ TABLES FOR ELECTION WORKERS P ❑ RESTROOM FACILITIES AVAILABLE L� ❑ • To provide access to the Polling Place on election day by one of the following means: \ 1: 1e . s •„ s Ps � [' G, aes c ., 's s r- � .y ;� x l IIr a �r�i 1 I Rk tT& ���r E I � ls� 1.) b� �' ^rs'I h �l �dl7� � T ��1 �k � I , Ho 0 THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ t for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. Wri ✓ice t i�/1 r��2 �i�� � •=r41 792- - b. k E s, (k i 4 5:5. \� 1�?•��f,Cc o, „ f .�, `? �i� ,., '.:"e ,� °. r &'mIZ '1 ,f k, 4.PCE. . r O'.43 • k ..,,,, r a , �444''`r "..�.ytt � i l� L i� ! 1 ��F F t fl � f � `'t1t ta d k b E I � � � t .. ( I' t ":k 1:. � a �. v� r w l �1 - ; � 1 � � i Y �� 11r1 t �k a r - � I c� ) ' F • �,,.,; , TrT r 7i( 11 l' n1 ie` • i 7i tl lr kil 1 1 r..3.134 " `s .,,.�,, .. jai ` sew_ ,s�.s.�r�sF zs � � � ' �.:'� • l 1 G ! � r r "''�°�� , � .. .�� 4-. ' ._ :. . 4 41:r74a3 . . . . � 4 ^1=1'V4 8/13/2012 11:39 AM S \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3174 - FIRE STATION #3.doc `,. The City of Boynton Beach sr— PRECINCT NUMBER 3182 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: LAKE WORTH CHRISTIAN SCHOOL FROM: CITY OF BOYNTON BEACH 7592 HIGH RIDGE ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this e /4 0 day of _ /JO 0 , 20 / by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: Lake Worth Christian School NAME OF POLLING LOCATION (Include name and /or room number) 7592 High Ridge Road, Boynton Beach, FL 33426 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No -:1 -( CHAIRS FOR ELECTION WORKERS X ❑ C c) �,/ tV r csr ,esl, TABLES FOR ELECTION WORKERS ❑ a - ° t ❑ RESTROOM FACILITIES AVAILABLE _ `" � c.n �*i • To provide access to the Polling Place on election day by one of the following means: c° " Please check one: Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day ❑ Owner will provide the Precinct Clerk with a key to the premises prior to Election Day. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ 100.00 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. Robert Hook Superintendent (561) 586 -8216 SIGNATURE P N NA TITLE TELEPHONE NO. Same as above MAILING ADDRESS (INCLUDE CITY, STATE A D ZIP CODE) DATE SIGNED ADDITIONAL INFORMATION • To provide access to the premises for delivery and pickup of voting equipment before and after each Election, please provide the days /hours facility is open for equipment delivery/pickup: • Name of contact person and telephone number at Polling Place: (561) 586 -8216 • Name of contact person and telephone number before and after regular business hours, in case of emergency. (561) 586 -8216 • Make checks payable to: Lake Worth Christian School 8/13/2012 11.45 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3182 - LAKE WORTH CHRISTIAN SCHOOL.doc The City of Boynton Beach " PRECINCT NUMBER 3184 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: LAKE WORTH CHRISTIAN SCHOOL FROM: CITY OF BOYNTON BEACH 7592 HIGH RIDGE ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this day of , 20 , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: Lake Worth Christian School NAME OF POLLING LOCATION (Include name and /or room number) 7592 High Ridge Road, Boynton Beach, FL 33426 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS ❑ rv '� a TABLES FOR ELECTION WORKERS ' ❑ < •-)'T' N IMP nt RESTROOM FACILITIES AVAILABLE '� ❑ CO rn _ c • To provide access to the Polling Place on election day by one of the following means: cv > Please check one: rn Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day ❑ Owner will provide the Precinct Clerk with a key to the premises prior to Election Day. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ 100.00 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. Robert Hook Superintendent (561) 586 -8216 SIGNATURE T N ME / TITLE TELEPHONE NO. Same as above /`-b MAILING ADDRESS (INCLUDE CITY, STATE AN • ZIP C DE) DATE SIGNED ADDITIONAL INFORMATION • To provide access to the premises for delivery and pickup of voting equipment before and after each Election, please provide the days /hours facility is open for equipment delivery/pickup: • Name of contact person and telephone number at Polling Place: (561) 586 -8216 • Name of contact person and telephone number before and after regular business hours, in case of emergency. (561) 586 -8216 • Make checks payable to: Lake Worth Christian School 8/13/2012 11:45 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3182 - LAKE WORTH CHRISTIAN SCHOOL.doc j The City of Boynton Beach PRECINCT NUMBER 3186 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: LAKESIDE CHRISTIAN CHURCH FROM: CITY OF BOYNTON BEACH 3560 OLD BOYNTON ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this 11.. day of ( bar , 20 1a , by and between the City of Boynton Beach, FL, and the owner of the Pollin Place located at: Lakes 'cat- On nslcn C NAME OF POLLING LOCATION (Include n a a and /or room number) s'bo ()to( t. ( (POLLING LOCATION STREET AD ' RESS, CITY AND ZIP THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS ar ❑ ° `' ca _ TABLES FOR ELECTION WORKERS N RESTROOM FACILITIES AVAILABLE V ❑ • • To provide access to the Polling Place on election day by one of the following means: co is (-) G v / lsbl x (111 t Yb. 1 0 k .'.�� tl: \ `,11 i j 1 „ ' ? „Eta ,i Iy al THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ f \14-- for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. % A:.+ tt. 9 �� L)cr\t den 5 — 1 37 -72?e � . {y . =.za te''k `' \ } ._ 1..,4.. 3S6o pc-0 f ' • "tbl%) et. ' 3 36 1 'r\ i( t:Itk„ IEk I” �� , ; :c'e 1). _ `s < ;���x .�,.,��� t CO .4 I w�i I1 t�t i t 'S ' . r ■ < 1 4 j t1t i `11 '• �� t 1'.� t 1 r a � t'1 �''S < t i ',till.) t o Ii1 �. -E1 I.4it- �:���k -�, �fy ti 1. e � _i � . ? k't'�.J� rt {. � 1 -�k , �;''a-1k ,) F • r % 1 11'1 }_ 1 A< o't x 1 ,n ■I 1 01 ® �i''t e y t ."1, .< na =; x. �," ? ,"p h,z st ���� U �`�� � v,» 1 " , „� * .., , Wi z._. �' 7 2)3 d E • .�, 1A 4 {� - < a 7� ) ..tr was � �� �•, �s a�s,� .,�, 3 E i 'gin .,. � ... 4L � : s 44.4 1r �. .. a.;.,�.... 8/13/2012 11 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3186 - LAKESIDE CHRISTIAN CHURCH.doc tt, The City of Boynton Beach PRECINCT NUMBER 3190 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: LAKE WORTH CHRISTIAN SCHOOL FROM: CITY OF BOYNTON BEACH 7592 HIGH RIDGE ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this �1 day of 0 c. (. b t: , 20 j, by and between the City of Boynton Beach, FL, and the owner, of the Po •ng Place located at: 1--►'� (�� (A )e,? JA-77"., ( 1 ' r 5 NAME OF POLLING J.00ATION Intl de name d r room umber (POLLING LOCATION STREET ADDR CITY AND ZIP CODE)/ THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS ❑ r) TABLES FOR ELECTION WORKERS 1 ❑ RESTROOM FACILITIES AVAILABLE % ❑ cJ -; • To provide access to the Polling Place on election day by one of the following means: �w�a q � *a r , t �� `�1 1•t € €5 t t l a I l am. F a�`�.: ` f t�{ �l ttl �f ..v., ,: ietr l¢�11+.t THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ /0 0 , O 0 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE PATE INDICAT D :OVE. _1r / )( -5 586 -E t x��.. `� fire "�`� s�� sal �". �..�! z � i� + d� „ °r, r � f.� a�� °, �'� ; `��"^ „'1 &.,� f ' i..A,f )1,1 n k� S A 0 10 trC t E, ` s 1 ti €. e �: �� •�.�' ';� • � t tl�``)t''trll`' a t,�j�`".� 1 �iT "t3( 01 0 1 ° ` 10, 11 1 'l '1 `■it iit ;_117 1 yt ') t <� �i 4 � u e t�.14 �•a k,,�,t»�` . - 7 =i} ...\ .,µ..,. ,.,„I......�..t.f tl'.ea ) 1 1 �. � 6 � F w..aa. Jz< •''� r t l 7 t h • ) � ' i t l k° o f f l 4 i r°� k s 7 l 7 4 t jTli It .. ., I' �`, .�''a ��.Jr..,ti _ ... .,N.,,m« -* m �.;, �.�.�"�.`,#� "rs .a ,.'•,',,,,,�..,,.,?`x„ : :.� >.a.eS:Yr .a .. z _. � °, ° � 'e�P`25axe���a,,.,,.�as�c`�'�+� : „s,��� .f�i'.>�.,•Utk: a .� , '..;.wa s�� . . ? 8/13/2012 11:45 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3190 - LAKE WORTH CHRISTIAN SCHOOL doc The City of Boynton Beach PRECINCT NUMBER 3192 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: PALM BEACH LEISUREVILLE #1 CLUBHOUSE FROM: CITY OF BOYNTON BEACH 1007 OCEAN DRIVE CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. x LL BOYNTON BEACH FL 33435 V This agreement, dated this# day of C+O b , 20 , by and between the City of Boynton B ch, FL, and the wner of the Polling Place located at: �ea 3eac L.,e.iso evj Le c ?L&ibh NAME OF POLLING LOCATION (Include name and /or om number) l 00 7 Oc,ea_nJ DRS v e o f ,v f3ee d1 V L 31 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No rN' CHAIRS FOR ELECTION WORKERS d ❑ �-- TABLES FOR ELECTION WORKERS ❑ - RESTROOM FACILITIES AVAILABLE ❑ CO . 217.7 • To provide access to the Polling Place on election day by one of the following means: CY' ",("t„. ar ' ;a t . � s^ t ag .� ¢+.., ) . F , � • � a ,, )_ � u � � i r�l � . . t s° �4 ya ,''"w ". � g '` *. „r „ p^ � ,•1 s '1;71' F nx a `� v k ," THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEAC- p► THE ► T.S INDICATED ABOVE. /,is p even / /� a ( ,� n4t- e _S 512 f t f . ; : r I \ � ,,,„ s } � ' �?. mk €`^ rb.. . l t l /0 ° / 4"/ rt ' £ hfd 4 'a ` �- �s M - /V / 7 . \`l) c "t)i }?ate A e rr . r r 4 !F 1 1•rt x' :vii ∎i !") � I' � w 1 )1 ' 9 ■it t it � � i I /- i i�� �)I rI ( I) 7i ae 1 , I 7 'NPit , 't7:1[IIT7 r tit' 7 i tlior e'-, FC'," `)i oIr 3.60 ,, ;;4. 3- x rfr. 1 w , . r�,c.. .r�� W „w, a+a., : a:. 1 i .. ;. a , *,¢„` ; ' Y ' _, � `°� � E » A �} t, r1.� 1 i � �F _,. �6 . � � Ik! ,' , a 0, r I, c':'Gx��_ +,..,,, .''',. ��+5. __ .- :v,.,.. �_ d�1 �t�, �..:.;`d.k�i° • � F" l �1i} 17,1 , t 7i ill E t' , Hl 0,1 4 •. _ _ ;•.Y 'a'�" e ;�s El;.�. s oi 4 ` . i . l 8/13/2012 11 AM S \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3192 - PALM BEACH LEISUREVILLE #1 CLUBHOUSE.doc �,. The City of Boynton Beach 1 PRECINCT NUMBER 3194 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH FIRE STATION #2 FROM: CITY OF BOYNTON BEACH 2615 W WOOLBRIGHT RD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this l'f day of a ram eiz , 20 ill by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: Zie yeti 70A/ e e.6/ 4 NAME OF POLLING LOCATION (Include name and /or room number) (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS ❑ Er TABLES FOR ELECTION WORKERS ❑ RESTROOM FACILITIES AVAILABLE V ❑ • To provide access to the Polling Place on election day by one of the following means: r r l . f t P tr t ■ t t tCr ■ �. k � �11e ` � < a xe tt >� ,ko-1l , �`�)tl i, THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ 9 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. � '�` /f �/ /�// � � � s/iEF .37g /— 7 L— G 53f L. . ' , 2tifE, , �T w, „ ^ S'� ` f ` ,, 2 r0 /'t 1417 4- iti: 4 "e,4p 4" , 33 V /o tier, r llt H: F, ,( )« ; eX r it`I Or1M !! r Il ) < k � tk � Ei t i�10. � �: °: i ° c � f it ° i F n ! 4 1,:' kl�ra 40 1°;* - : . 1+ s i¢: t.' } , ::� t 1e " z t i�t�l✓`i "'„=aarax� art..dva«:+ E' - .� "''` s, .. -, •'i "' i 4 I t !l� 71 e ht 17X17 ?' rlfl '1 �k� '3 f ``�4 tiSe k 1k1 11 t}i gr, 4 Y ,rn 8/13/2012 11:39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3194 - FIRE STATION #2.doc The City of Boynton Beach PRECINCT NUMBER 3198 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH LEISUREVILLE CLUBHOUSE FROM: CITY OF BOYNTON BEACH 1807 SW 18 STREET CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. ,,,, BOYNTON BEACH FL 33435 This agreement, dated this 4:)‘49 day of ©C� (0er , 20_/2—by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: NAME OF POLLING LOCATION (Include name and /or room numbe$OYNTON LEISUREVILLE (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) 1807 S.W. 28th STREET THE OWNER AGREES TO BOYNTON BEACH, FL 33426 • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No ❑ 7 CHAIRS FOR ELECTION WORKERS �/ r\.) TABLES FOR ELECTION WORKERS Lrl ❑ ,' RESTROOM FACILITIES AVAILABLE E ❑ w > • To provide access to the Polling Place on election day by one of the following means: �? k e• F, t 1l . ? } d , s ) I , k11 1 a'.aC I t . I 4 I ;10t t) .Y � .., � £�ro 5+y ' w G inn '' � ? ) �,.:, 1 �� ltE> .�s�.� ? +li�i�J .■R,I) C „C)rti THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ /00. " for the use of the above described location for each Election, if it Is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEA2H THE It • ES INDICATES) ABOVE. ,!z ,1 ... /,.. e tan le - . 111 e r : i • en (pi 732-Z307 f )' t..! t ,. .,,z r :: a.1 a ,a • xa... a w 11, . I :.4 t 4 [sa Se I r ST , L_. h FL 33y2(o /0 ul/ \;1, \iv), • $ k " !f '' i tl 1 ' 6E 1 1 E j ,, ' I (`r ,) Z7 ir r ;1 , i 1 1 °fld re4tia „- p..' ` r k tTM e MOJV "' � - 7 too A M g .'3 a 1 . -k h t ' ` 1 t ' � , .s» . 4 .lit 1 ''' r G� I N l ` . �� "'' � ' , . 2.— •`I :I°, von �w ` i ' ,! 1 1 7� nig4a (i li TlInit ' It' a" t, P } � '"'. @ 8/13/2012 11:39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3198 - BOYNTON BEACH LEISUREVILLE CLUBHOUSE.doc 12 /7 TNOV he Cit aM 10 . 41 of Boynton Beach VII ed•ulra OFFICE PRECINCT NUMBER 3200 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: GOLFVIEW HARBOUR CLUBHOUSE FROM: CITY OF BOYNTON BEACH 2775 SW 14 STREET CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this 7 day of k 14/ , 20 /---fay and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: NAME OF POLLING LOCATION ( nclude name .nd /or r•om n ber) G '� i / i (POLLING LOCATION STREET ADDRESS, CrIY AND ZI' CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS le ❑ TABLES FOR ELECTION WORKERS T( r%) ❑ �'� O � RESTROOM FACILITIES AVAILABLE rn • To provide access to the Polling Place on election day by one of the following means: z ( �:. mv» ; . � . � <, \ Cll , , )1111 : l7 1 NC fi�r* ,�" k iC1)+) 11f 7i 3 � Ski's" i �, �.ae�x ". �i k `x ¢l e, i ,< . ��I t '. w ) tii,il 1 1 fT n' THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ /7(C; .� for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BE ONTHED .DABO . / fir_ 7 � ,.l©S(°i1111 Q DES' //S 2764a 1)2& '� r F E t l k, .) \tit . -��, (' 4 F ""'.t" ms.q`x*� "'`. � � . k .., 1 � +' � t c.¢ »SYa •� ` i �ie C !� .,'�' 1[ ��I„., 'I.E.§�11 1 t f' oh 1 )t 1 7t (Oil) _PP . ' ' / , 0 — /— s -- 3 76 d— awe F / . •�a F i 1 a e t x , . ; ":�'° `£ i 1 i C' r € . ", t y .:'� .� .a . €.fi. � h,l.f , ,,''�l � s -, )E � I��`rs �{���. .r� . � ��1 , 4`3'A. '� .. r ?� arx"�� ` =' • rn ,..fix }' '�?�?' ..e.M.ac m L s...— !� to ii i ',�i� lil �llril�, �igr ���)�i` ttl iit i tr,� � ° use. •fit _�,, x.. �k1 i 1 _ �..w �, .. ..:;. ,.,� .. .ws ti..? v.., -_ �.. �x.0 -t, 8/13/2012 11.39 AM S• \CC \WP \ELECTION \Year 2013\ OLLING LOCATION INFORMATION \Polling Location Agreement - 3200 - GOLFVIEW HARBOUR CLUBHOUSE.doc The City of Boynton Beach tri ado 9\ PRECINCT NUMBER 320 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: GOLFVIEW HARBOUR CLUBHOUSE FROM: CITY OF BOYNTON BEACH 2775 SW 14 STREET CITY CLERK'S OFFICE BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVD. ?? BOYNTON BEACH FL 33435 This agreement, dated this ifeaftLeA--- g a� d ay of /» , 20 , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: GOLFVIEW HARBOUR CLUBHOUSE NAME OF POLLING LOCATION (Include name and /or room number) 2775 SW 14 STREET, BOYNTON BEACH, FL 33426 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by tia Fq Statutes to be performed by the Election Board are completed: C - � -n Yes No ro -< co ❑ CHAIRS FOR ELECTION WORKERS TABLES FOR ELECTION WORKERS U ❑ 'n � rn RESTROOM FACILITIES AVAILABLE t ❑ — rrri • To provide access to the Polling Place on election day by one of the following means: f`Ivo.ac .Ghccic cn n, ❑ Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day 11 Owner will provide the Precinct Clerk with a key to the premises prior to Election Day. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ 175.00 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. Josephine De Santis Treasurer (563.) 738 -5643 SIGNATURE PRINT NAME TITLE TELEPHONE NO. 1360 SW 27 Avenue, Boynton Beach, FL 33426 MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED ADDITIONAL INFORMATION • To provide access to the premises for delivery and pickup of voting equipment before and after each Election, please provide the days /hours facility is open for equipment delivery/pickup: CALL JOSEPHINE (561) 358 -3762 • Name of contact person and telephone number at Polling Place: Josephine De Santis (561) 738 -5643 l 'f: tt t �n� ¢a !,. 1 t f i �� ->I n e t° +� = �� .•F r hineDe ni 5.1 7 .- 64 •rC -II# .1 3. -37.2 • Make checks payable to: Golfview Harbour Estates HOA or Tonv Laterrera (561) 542 -0092 8/13/2012 11:39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3200 - GOLFVIEW HARBOUR CLUBHOUSE.doc The City of Boynton Beach PRECINCT NUMBER 4020 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: LAKESIDE CHRISTIAN CHURCH FROM: CITY OF BOYNTON BEACH 3560 OLD BOYNTON ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. n BOYNTON BEACH FL 33435 This agreement, dated this N day of O ' J Yl , 20 1 - , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: LAKESIDE CHRISTIAN CHURCH NAME OF POLLING LOCATION (Include name and /or room number) 3560 OLD BOYNTON ROAD, BOYNTON BEACH, FL 33436 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No N =� CHAIRS FOR ELECTION WORKERS El p - o TABLES FOR ELECTION WORKERS I T ❑ o RESTROOM FACILITIES AVAILABLE ❑ c�i CD -r1 co .. • To provide access to the Polling Place on election day by one of the following means: cn rnrn Please check one: V Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day ❑ Owner will provide the Precinct Clerk with a key to the premises prior to Election Day. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ N/A for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. y�11 i� t Denise lion Ueerden (561) 737 -7288 �I c A RE PRINT NAME TITLE TELEPHONE NO. 3560 Old Boynton Road, Boynton Beach, FL 33436 MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED ADDITIONAL INFORMATION • To provide access to the premises for delivery and pickup of voting equipment before and after each Election, please provide the days /hours facility is open for equipment delivery/pickup: Uan u e&den • Name of contact person and telephone number at Polling Place: Nickv Von Ueerden — 737 -7288 • Name of contact person and telephone number before and after regular business hours, in case of emergency. Nickv� n �.r en (561) 523 -1700 V Q • Make checks payable to: n/a 8/13/2012 11:45 AM S \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4020 - LAKESIDE CHRISTIAN CHURCH.doc ,. r l he City of Boynton Beach r PRECINCT NUMBER 4022 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: TARA LAKES CLUBHOUSE FROM: CITY OF BOYNTON BEACH 43 TARA LAKES DR EAST CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. ` (.)e.. BOYNTON BEACH FL 33435 This agreement, dated this/ ay of , 20P', by and between the City of Boynton Beach, FL, and the owner of the ollin Place 1 ca d a Y /1 G g L j rdPf or) S .cJ N E OF POLLING LCATION (I lude name nd /o om numb ) (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No p CHAIRS FOR ELECTION WORKERS /7( ❑ r*) TABLES FOR ELECTION WORKERS ❑ �z RESTROOM FACILITIES AVAILABLE ❑ "Ica w �rn Co rn D c-) • To provide access to the Polling Place on election day by one of the following means: 1 � az r. 7 t ' *�^xrx m.a.c > { °� ra. 1 ALA IC °t ; .11. 1,0r THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner �� for the use of the above described location for each Election, if it is used. I • GREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON TH % TES IND •TED ABOVE. a .. : s E;. i M1, i _ _� , �`, :^i r�,` -' \ <iitt �i1�? VIE } t��;e }Ic ,4. e n = ,1,:I • ,,, + :1: I` 1 r � � [ t F k � I $ V c l't tw 14 X71 �i.�� ,,,,t,i 't' ).}� w17 < J . a l l i 1<1I 17 , <j � .e z r , <) �_, I li l } Y8 1 1tI ° 'l . tl ' 1I .1�< �/ �`.. §FEi6; i };�'� ' ' t)'11 16 it! c .� Y t,. °�;,E..,I- t "�„' ° . f vt s' vat ' �', as >a.` ry - 1 5iF ltd �,1�� 1tl1�Il"F ill �r ! �I 7c �`<' ail lil �� 1� "IIfT�I 1)II Iii - it YEi Fit n 4 4E t v 1 ht 1 ,. _„+ s ti .,..�....,.e„a'` . , .�,.. �" y. sz.', 's €a.._ ,- �.as..v w r X t 7 i i i t r ;It/ 7 7 s " st a ^ ''4 : "'At + k ;e I ERi c To Pi cK C,IP 9 8/13/2012 11 :39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4022 - TARA LAKES CLUBHOUSE.doc The City of Boynton Beach PRECINCT NUMBER 4024 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH BOATCLUB PARK FROM: CITY OF BOYNTON BEACH US #1 AND NE 21 AVENUE CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this oZ day of 0 C 7 . , 20 /? , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: 3 NAME OF POLLING LOCATION (Include name and /or room number) lot I" , 1= E4 6AAL /fIGllwAY !90 %,) ion) 19646(i 33K?..r (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS Er ❑ TABLES FOR ELECTION WORKERS E' ❑ RESTROOM FACILITIES AVAILABLE Irk" ❑ • To provide access to the Polling Place on election day by one of the following means: i� �: '"�3 +*tz f �* } ° �^ ; _� r17 I ,i ,.. s�'6..F ' . 'ir ,+xi ue x}�x k xt °e p .: � rv^q„ �. m ysa .an[.. r. . x 1 .n>*� - t y.;? •hd " ! ;k. t.. I1 '.� �,r_�„J <. 5.�!�., �1{�. 'mot. t��. )�',. � i m ..;'�k� � )t. �.11,�l !�.F �. „: THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. .. / d �' C ra -, -CR crgEw 1-dr. (e( 't 2-6,Z 1 .,,. kr. I I ,., 4f � k. i a ti . z wY N „ ,, , „ „.`. Li � I ,. a a w • , 1 ; ' k) i' 6F 00 £ oYrrisN) d &4a (f 4 0 1 0 vY te a- G et — y�. 1)01,[ 1 ; )'l'\ '�Ii /:t 4, \ E iF :. 1. • •yi 5 -"'"`( fr ' I t 1 ll 35}t F I �.r a t m. ,,. °..a5. ro I4 _ .. ` 4 'Ailich t 4'i .`i }.,: I rat . #q� -°p>p y :` r ' e, v. x,. °M` � +.'i°' Y ' ”" ' �i " I ` ;±; 1 ,.�„" `-y C .J-' ' ,I c � Ttl fi tr`I Y `F t� ful � . F )I $ � III 11 i t I A * ; >.w a,`'�a "Y 8/13/2012 11:39 AM S• \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Po!!mg Location Agreement - 4024 - BOYNTON BEACH BOATCLUB PARK.doc The City of Boynton Beach PRECINCT NUMBER 4026 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: STERLING VILLAGE AUDITORIUM FROM: CITY OF BOYNTON BEACH 500 S FEDERAL HIGHWAY CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 100 E BOYNTON BEACH BLVD. A' BOYNTON BEACH FL 33435 This agreement, dated this / Pj ' day of A200 L E , 20 i Z, by and between the City of Boyntori Beach, FL, and tI � a owner of t Pollin Place located at: �w g ` c' l.t - V C 1 � Gt C L IAA l Ll r te(� ^ t L ` G NAME OF POLING LOCATION (I elude na e and mb r room nu) t ; - 00 �; F •• It Mme` L( tiocue-z, 0 - 33113S (POLLING LOCATION STRErf ADDREtt, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No ry =, CHAIRS FOR ELECTION WORKERS B' ❑ i- -n rno TABLES FOR ELECTION WORKERS ❑ tit z RESTROOM FACILITIES AVAILABLE ❑ S u; o z -n -n o • To provide access to the Polling Place on election day by one of the following means: m if l F ) _h h... .:� ,. `tt ,,. `r, l :;5' t rlt , ,F�`,5�� }I 1 "C �.x.ry k?. wtn xz4 -� " - a(ll ' I ; �., 1 six l�1. ,: • ! ,'a' ! 1 �4) „..;11 )b'4 ) THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ /DO. 00 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON :EACH OI' T g DATES INDICATED ABOVE. V amps J- pdc t" 2 i - az� ;l , t " i '* , . L * ! 94, be - _ 1 FL 3 c 1/-/-/A (kik \ slot, ( ;, k 'trs s �`t i r 4 m� i �" i `s P l r �.a� a° { = > : w 1 i l`.. -.- k..4 d ,! u� ,-�.t. .. ;fw ` 'e.` - a ):1:1E, ; f r `) E 4 "; Ia t `. r) u3....� 17 ! 7 i i a..s.)11 `f1 r hr� o b f thr ) � EI� 'k� �; I � 'tk '� e'� '��; .l a,, . da x 6111 °? LC � � � ;��F.1 ..��1 "� �.� �I 7 6 . ;'r :`. -0P � :-. . �.. 6, .,....s. i t p a , , i 1 arc 1 sr y -§,,- �,.� ^x , �lil �l I tf it r7 Ir�l }} i r�)i� 1i1 � �l� i r� j 11lr, 7r1,1� � �la�l � flj; 1 .s. ... '�1, a )r ,. _ x .. ; �x� 'a4 s`s.� .,. .zk c.. €;k 4` � ;K. . kr ` ' 11 c G 7 �. i ) I , v d .,....oil �. cx..:Sa;, - �i_a . " . `.€A,., a. T:, , "° .. a ...� .� a. „a... a i. 8/13/2012 11:39 AM S' \CC\WP\ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4026 - STERLING VILLAGE AUDITORIUM.doc _; The City of Boynton Beach PRECINCT NUMBER 4036 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: CHRISTIAN MISSIONARY VISION FROM: CITY OF BOYNTON BEACH (BETHESDA TABERNACLE) CITY CLERK'S OFFICE 2923 S FEDERAL HIGHWAY 100 E. BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 BOYNTON BEACH FL 33435 This agreement, dated this ,`9 day of 004 , 20 by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: g4k3 - % 3 ° '� n✓ / G! - 334,3.x` NAME OF POLLING LOCATION (Include name and /or room number) /lvw 7t4,6 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) g,74,3 se,. THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: Y GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No k� C) -4 CHAIRS FOR ELECTION WORKERS [H ❑ 7:4 TABLES FOR ELECTION WORKERS 12r ❑ c r-co RESTROOM FACILITIES AVAILABLE [H El ▪ "5z __ oz • To provide access to the Polling Place on election day by one of the following means: m ✓ rn� ,15�. ri Wt l��J 1 �� E i )OO t S � ,.a.4 �f THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. as -... , .. Lv y, rJ& s - 67 1 901--32 /9" d a 1 i <�r`I`��l'r);' i I,A r,rje � :t I I }1! tr i 1;t � I�l l 1 1 2„ _ . z �..,. .; j lily ' 7,1 �i ' �I G�i �: � i,)i tti.i IF 'i i , iuI li ,.. • s�. . � .. , . I 1 - Yr r r o r am g� o-..t. .��, , .:, � .b .., r ,:'c� &„ a �. �^ u ^. 8/13/2012 11:39 AM S. \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4036 - CHRISTIAN MISSIONARY VISION.doc The City of Boynton Beach PRECINCT NUMBER 4050 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: HUNTERS RUN EASTGATE COURTSIDE CAFE FROM: CITY OF BOYNTON BEACH 3500 CLUBHOUSE LANE CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this 2.j day of a , 20 / 2.-, by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: .� • 12..'S (1 �, Co.�.crz s, C K- r /''revti.n S NAME OF POLLING LOCATION (Include name and /or room number) C eA.$ l+C' L4 H F� 3's (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No -- CHAIRS FOR ELECTION WORKERS 0" ❑ - -a r.� TABLES FOR ELECTION WORKERS iSV ❑ re' RESTROOM FACILITIES AVAILABLE ❑ �? • To provide access to the Polling Place on election day by one of the following means: u r'; .1 11 .111 1 I t��l� 1'1 a i11 �iir t�t2 1 .(1 , , l I 1 .. �v 1 ' r 1 tl 1 ` e Il r ff � ..r e fll 't i i { � r �� J1 � �` ) )i THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATE INDICATED ABOVE. A*A,,r,O„ / j 51, l 131 2 �.'.� i‘��,�ll_� , �� " ',1.: fr rot's, �� E M tn � #,ixy Soc. C »s • ' Lb' -►s ' . nRa..l CTZc i 4� .wr,, n «. Xw n4ti,.. �. v ;, ti 5 gill ' t�� �� €� i � �l or, v11A',jr ,.i.. r l; y ��v�k -'Y r . �1�, I .,)' it t?tt kli f `i1 a�f�`1C 7 /11 k11 I < ,t�1 )p.l a.E t, t,��, k � .1 I�t ��I.l .. e >.r �.a. r' !Hi li;�i li jr H 8/13/2012 11:39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4050 - HUNTERS RUN COURTSIDE CAFE.doc The City of Boynton Beach 1 yr PRECINCT NUMBER 4054 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: LAKEVIEW BAPTIST CHURCH FROM: CITY OF BOYNTON BEACH 2599 N SWINTON AVENUE CITY CLERK'S OFFICE DELRAY BEACH FL 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this U day of N 6 in k ( , 20 1 by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: NAME OF POLLING LOCA (Include name and /or room number) as c ,w hA uef . \cam B.ea L1,-< Tb 33-q --4 4 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by a Flb?id Statutes to be performed by the Election Board are completed: 55 ""<© Yes No ca rn CHAIRS FOR ELECTION WORKERS ! ❑ -� x TABLES FOR ELECTION WORKERS ❑ N � rYt RESTROOM FACILITIES AVAILABLE ❑ ut mn • To provide access to the Polling Place on election day by one of the following means: It :10 �� 1, tl .'t'. \ F ' t o > ,.s n "E" '" �"a pp�: i -: p m-* "a; r ° t�rt 1� ,, , , , � ; ' E,. �t�i 1, r.i� ,. 841E t'�l i ,Ga `�t�!f_ ,.�A. �'k;!.1 THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ I �1 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. 1 V a(e-i01 r/E �.'� q e 1 551 j /— 7b5S 7 s e hx- ' , d .�;; t. l x� S a r ,w >,, P #v �,. ; ;) i'' C) �; k / 4 �` \ 3. I f �t� 1117 E � =�:n� `c� ��; � \ Ik! ti i �, CO O.'', � �1- {k'° la. k t Ott e Est Pk .. I ,=f I -I l 1 [ tll II ;r: } r-11 F .,., 11 00'04 } , f � l ' ' ' ) �'�t' i 1 : ` k l i di , ' 00 1 1 ' 1 " l i 4 I , ` ' l t 1 1 . 0 , 1 0 1 � r t) — 'T .v�� 9 f; rrn - �(�m siitt C -` "t"i ; e -,r �,a t ,."' i' 1 + "t�a�.. f : ^ . s "�,`,.` e w ,e t.. 1,1, 1 co' 8/13/2012 11:45 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4054 - LAKEVIEW BAPTIST CHURCH doc (---/ The City of Boynton Beach 4oGa, s \ — PRECINCT NUMBER -49315 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: CHRISTIAN MISSIONARY VISION FROM: CITY OF BOYNTON BEACH (BETHESDA TABERNACLE) CITY CLERK'S OFFICE 2923 S FEDERAL HIGHWAY 100 E. BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 BOYNTON BEACH FL 33435 This agreement, dated this day of , 20 , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: Christian Missionary Vision Fellowship Hall NAME OF POLLING LOCATION (Include name and /or room number) 2923 S. Federal Highway, Boynton Beach, FL 33435 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: - N r Yes No o . <o CHAIRS FOR ELECTION WORKERS Li ❑ IV m o TABLES FOR ELECTION WORKERS i ❑ au-< � _ �' o RESTROOM FACILITIES AVAILABLE L� / 1=1 _ ° .• -nmrn � rr'i n • To provide access to the Polling Place on election day by one of the following means: = Please check one: / V Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day o Owner will provide the Precinct Clerk with a key to the premises prior to Election Day. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ N/A for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON :EACH ON THE DATES INDICATED ABOVE. A r , .- Levoyant Derisca Adm. (561) 201 -3214 PRINT NAME TITLE TELEPHONE NO. Same as above /7/2 -V/4 MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED , 4 �^ a • s r '!'` , � � � � a r � f 1 ° r� rf1Y Fr }U � ( s P - I r � � t h l �f�� I ei � It , � � ,g � r ow � - .- ��'.:, r�� 1 r l �,� r ii , I‘ -' 0 ' f. m it lit , 1 le c 0, 'yti' L.vo yn#ilT J.)E rr • Name of contact person and telephone number at Polling Place: Levvont Derisca (Lee) (561) 201 -3214 • Name of contact person and telephone number before and after regular business hours, in case of emergency. • Make checks payable to: 2923 S. Federal Highway, Boynton Beach, FL 33435 8/13/2012 11.39 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4036 - CHRISTIAN MISSIONARY VISION.doc ,( L •� ,, // // * kjUf •1 1 Avf /s, .If /"7irtu S (.;X e� c-li, ( rC-e .fZ!° ?`/CJ -�i/eU ; The City of Boynton Beach PRECINCT NUMBER 4066 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: SEACREST PRESBYTERIAN CHURCH FROM: CITY OF BOYNTON BEACH 2703 NORTH SEACREST BLVD. CITY CLERK'S OFFICE DELRAY BEACH FL 33444 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this day of Y , 20 la, by and between the City of Boynton Beach, FL, and the owne of the Polling Place located at: \ NAME OF POLLI L CATION (Include name an /or room number 4 I \ `t�; �� L 4 (POLLING L CCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS ® ❑ ° r TABLES FOR ELECTION WORKERS NZ ❑ RESTROOM FACILITIES AVAILABLE El ' = • To provide access to the Polling Place on election day by one of the following means: 4 • >r t si-`.^ t k`�kefi[w = h . ° _ 1 . ., "� °V �. � . ;Ti r ies . �.,x j *� �.�.�e 'S 5�.�p � i tu �, ,. p s t g � ; a a ,.� , , ; Aa.�s` .�1 «�� .�`� Via!l �'; : � a�n ka �J' I� a�'1:, � c x:4 � �� � 11 .�t�lLli h k ) � �. .`. ,l .� ,.���4a ,) THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH 0 THE DATE NDICATED ABOVE. - •��o. �1� r nom'. 1 _ , C ,\< r( - s I t t 1, 11 y -RA '`,1 \N�c� alp � ti c;S -SI VcA 1�U� cx, F L 33444 "\\ \� ' .. .,,,K�1�,' R 1,�.it �kal�,tk'�;l • kk EIi ∎1 16. L 4., + ° . '` h te '' .. , r, . r — se 11 �1 ` I ? , if , IMP f 1 k �� 'r�k 1 � l�1 1111 �1� �S � kl ! �� • »' i '!5. kV ;. r 5 � i y K' w'v' '''# a „j, 1 k� . u; 5 '1- [ ,.:... y `Z t ' y # ; .,e y , t' 7 >a" a s a,?'�ti 1 v; i C °'s u - 1,1'4 '�l1 t i Y ,te ' ^., lf. 8/13/2012 11 AM S. \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4066 - SEACREST PRESBYTERIAN CHURCH.doc The City of Boynton Beach ;r .. PRECINCT NUMBER 4068 POLLING LOCATION AGREEMENT FORM C1TY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: SEACREST PRESBYTERIAN CHURCH FROM: CITY OF BOYNTON BEACH 2703 NORTH SEACREST BLVD. CITY CLERK'S OFFICE DELRAY BEACH FL 33444 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this day of ‘At' ' r.� z,c , 20 \ by and between the City of Boynton Beach, FL, and the owner of the Polling Place locate at: -4 \ 44,-c ‘ c� NAME OF POLLING LOCATIN (Include name and /or room n tuber) L (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: co Yes No CHAIRS FOR ELECTION WORKERS ) ❑ ray c-4' TABLES FOR ELECTION WORKERS ❑ �2 RESTROOM FACILITIES AVAILABLE ❑ • - iy n • To provide access to the Polling Place on election day by one of the following means: r..� � � 1 , 3 0::11/111 ;., )f���l <�� �3 kE� � :.. t ��tfw� � � > �� a liit� � il �.. � ?� t ': ' 'It k 11i � ,.��. ) t1 E I' �. `' k� � �'; , t l 01z:071 :011! °? i l0 THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH 0111THE ATE INDICATED ABOVE. 'AA r — S" 31 .. ., A -,,. :a } "r°x k + ?'2u �= x =.:r ...6. � .1 � .1t `�;�'A`Y.i' »x, C : _�� s a } v tdt�..,: ;'+ "110'1,` Y `-.� t c . v�, 1 `4 1 ° 3 •s� -�2 i r a, r,c,� 1 L 1► \) =1\ t`I' ,`,i "_ sf k �, ; I (j l r F z \I 1: \`t , e't�G�,.. # lr' 3 _ � 0\1 .;.k.tii •a,..a?+ - rte: -4uJ i¢`. e` 1i°v "n r ��i'i -41 f1��,:yi,k,'�r�. •�����l ��.i 74-ri r��I1 rn W ��r��i�lf e CIE 7�(l'i C tr t�c�r"S � { ` dry ... i H' � j `� i ). mow i t t t ,.: I � € t M- ,1 - 4 , 3� Akt 3.�a 6 ' a �. �,� c c. � 1111 4 1 } }P 4k�. tJ , ! 1 '`) 1 i .... ° -! { t .� J t� rs �{� ) , . ,.. xlctto-.,. , , .�.Y.,, 1 i� `il ' ?i' 1 11 F "1111 `1'' � i` 111 z, » II; � i '1iiHr ) '' Irk j wi t .,, %` 1 r e ,.'c„ K FZ s >, -...r A'ti'S � " :r'... ..,; °' ^, x y . >. `�`` 4.- ,Y�, "' -:''E bx, 8/13/2012 11:45 AM S. \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4068 - SEACREST PRESBYTERIAN CHURCH.doc The City of Boynton Beach PRECINCT NUMBER 4070 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: SEACREST PRESBYTERIAN CHURCH FROM: CITY OF BOYNTON BEACH 2703 NORTH SEACREST BLVD. CITY CLERK'S OFFICE DELRAY BEACH FL 33444 100 E BOYNTON BEACH BLVD. i BOYNTON BEACH FL 33435 ` This agreement, dated this day of Y' ZvY))•■t' , 20 1"-)., by and between the City of Boynton Beach, FL, and the owner of the Polling Place located fit: NAME OF POLLING LOCATIOI?(In lude name and /or room number) 1 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS IS3 ❑ TABLES FOR ELECTION WORKERS 21 ❑ y CD RESTROOM FACILITIES AVAILABLE V El i - -�' ry r+, • To provide access to the Polling Place on election day by one of the following means: "^ , -:, r + 111 , r , ' r . �. VIII €ral .. 1 ..,..kl.` . € c � �'t� < € }. t �') 'l�ll 3, 7 77 .. ". € I ..... '7` Et 1 , THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH 0 THE DATE DICATED ABOVE. A ' n �Sc1 , ck, A 4 <,S%(\...2,1'\ ;' € i;A ! � ����^'� ..� � � �8:; . et 4 �: I„ \ ), I ,�. �� I '€: t7 i�x •.1.1,� < � `C StS t)) \��c � O � � . ort\ '4 0. isekc. \\ .. 4 11\ 1 ) � t o � � " f \ ` 4 � ; [ s C r ( k ). , € €'I Il'ii.\ 1 �Y F I��I II f .f� L _ )i 1 it 1€€ ( „ .,; 1 .1 �' F�I �l �j`i� t)€1ll'2€ II'h �f ':' 7 €€lI�'� €l�'�€,f.�'I��,'ii1ll � '�� ms. tt sr a ,.. .q.> } '�, J �-1 � 3 P ...,.. -.� ^t' -,m mo w,' : ** «r i �3 `" € i ' • � �' .l r�l� e f � ��i i�Y ul f � �t 1� )°,1, • r f v ` k ; �_' re : w a' w :srm`* € . ' r 'k § > ''fi C 's` 1 .. , €�� c � � !'`^ sin s'� � .t€Z �'��_ �t';� 8/13/2012 11:45 AM S" \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4070 - SEACREST PRESBYTERIAN CHURCH.doc The City of Boynton Beach PRECINCT NUMBER 7178 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: EZELL HESTER COMMUNITY CENTER FROM: CITY OF BOYNTON BEACH 1901 NORTH SEACREST BLVD. CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 100 E BOYNTON BEACH BLVD. `` ��,,, BOYNTON BEACH FL 33435 //�� This agreement, dated this �J� day of UIO�..,/'J , 20 by and between the City of Boynton Be ch, FL • and the o ner of the Polling Pla located at: NAME OF POLLING LOCATION (In lud 'e na and /or room ber) / 9D/ /7 CSe40 es' (q /i / , gJ7la� f (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all dosing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No - _J CHAIRS FOR ELECTION WORKERS tad ❑ TABLES FOR ELECTION WORKERS wr ❑ , RESTROOM FACILITIES AVAILABLE ❑ N • To provide access to the Polling Place on election day by one of the following means: — -;? - •:3 7 ° f�l t � W r11. � •� '3*t '"x ✓an.x' kh' �.t.. -. �* .% r y q, "<+. ;;qCa ": S -e ,+.., � 4,., K ey x :. .,.a x�Y^X •:3i: fi l yT, ,[ ),1`C1.. 1 ■)t 111■ 6` �•Cd s ki �1 �JF�I ... 01 ... 1 0I 1' ; , } x. THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE D' ES INDICATED ABOVE. � ' /11/ iii / i. // .r. J' e/i . li' / i i , lt(\t A� o xnn a �- rk r+auk t,, • 'tI Y, .�T �ti I II t I t ; F y �. t ril�T � t7 i1 `�� F c -i . i `t `! r'- t'tt t 5 t - 7, u-t � 1 �'t ti�ti- �til 7�,zt �(k- �slll��l )i s t1��7� ��li�ltiX ,F��j 11 „1. tG,� ?.o �7,ol. - '/) !l/ f c f itl_l'raf” 1111 ) , ) ,,6 1 I . y l: t /- 1t lf; � R '') 1 1,1 e , ` sh a v,. x" *, y�, `5.` 8/13/2012 11:45 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7178 - EZELL HESTER COMMUNITY CENTER.doc The City of Boynton Beach — PRECINCT NUMBER 7180 f POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: ST JOHN MISSIONARY BAPTIST CHURCH FROM: CITY OF BOYNTON BEACH 900 NORTH SEACREST BLVD. CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this .��' day of /(/D ✓e n h e 2 , 20 /,2 , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: . Joh ,J/4 ;5 i A p] ('% is 4 / le//v til 51),p f //9// NAME OF POLLING LOCATION (Include name and /or room number) r- -� 9 100 Al Se4 ('i e5/ Al /c/. lac/Allan/ / Aere/, /"— L 33g/ 5 5 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Jy Yes No Z ru - o --1-< CHAIRS FOR ELECTION WORKERS ❑ 'c r r rn TABLES FOR ELECTION WORKERS ❑ ca MC C/1--v FACILITIES AVAILABLE ❑ oz • • ;r1,1 O c • To provide access to the Polling Place on election day by one of the following means: �' m = " b. " It, s k 'I C YL if ..f'.. 1 ct.kr [•' I > ' .,, 1 ..' '' r x� � � .... � ' � , �'� .. r t r ', r f I ) l I I I 4 l ' I k �� � ; � � ,., � .�.� I . , � ti ..:..., l rt,1< > k r. ! .�4 W.. t K..:. > THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ 3(.26 = ° ° for the use of the above described location for each Election, if It is used. I AGREE TO THE ABO E CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH O HE D i NDICATED ABOVE. LL g �' a� ea:- ✓ r � ..,, ;navtc�o-,, '.� a+r,, <, r . c. r a1., . �.... .,, t,..,."?sa�s <.$^: r:A khI >z Ar. , ,. ,: c` w k. ��: t..!4 , ►►1• - > ay.. bo , -}on 1 • 1,... 3 l Ir I a �.. ..�_ ..... . , , . .....� .�. s . p.G � � 4 1 � `:� t) � � a. � � � < a. ���'� w Sxm >. , �_.z. �,o," ' .,..w? ... y r1E; .,Flr,l`f <<`Ir`f),ti I \14f q e r. _ rs. = .._!... ti: , ,..r_: _...�,. - It i . f I n,lf , f t � 'r, I �I rx �, r' 4 y. , i , '- ..,- .�� _ i fi 1, `�r s ,111E �h 1'kll'' I �') �� 4�; 4,�; fl ) , lr b �: ih L_ �k .r� I ° ' rr, 11 ... Ir 'kl`1r , Cir rr.* i {�' � ..,-- .... .... ti.__ , .. .._ ...- � x266 r , �o:r,.r> q ::�.' •te a ', i , 6 '.. r p' °, y ^M f{ ry� r,, �_, ', ,r t r : { � I �� l I I� t I I 1 1 f r `1 4 I ( r � q -, ,- <y z.aa .... : ..r . ,,.v �+. .wrd't , h Ls. +,1.41 'i x' :r . t . ... . a . � .w- : s..,.n w... .... , aS.A .y.aa .,., st t ... - ,uw �_... .. ....wu s`' s . usvt r_s 4 8/13/2012 11:45 AM S. \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7180 - ST JOHN MISSIONARY BAPTIST CHURCH.doc The City of Boynton Beach PRECINCT NUMBER 7184 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH CIVIC CENTER FROM: CITY OF BOYNTON BEACH 128 EAST OCEAN AVENUE CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 100 E BOYNTON BEACH BLVD. i BOYNTON BEACH FL 33435 This agreement, dated this t '1 day of 0 b , 20 , by and between the City of Boynton Beach FL, and a owner of the Polling Place located at: firl 1.IJ it GA- - Li NAME OF POL NG LOCATION (I l ude name an /or room number) (POLLING LOCATION STZET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: c:D Yes No CHAIRS FOR ELECTION WORKERS El ❑ ^� TABLES FOR ELECTION WORKERS PS ❑ RESTROOM FACILITIES AVAILABLE V ❑ `•� • To provide access to the Polling Place on election day by one of the following means: THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ AfI i4 for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. gee ��, ,;. �.v, `?•'. >,-� ._ nk ,w���,. .4... 4 ,I, „A,� \1 l_.k fi ,�. .,�v ,.� y.,w �t ,�t '. �� R F e _6jl _ w -�., .�. x t , �.. ..,.� �.��� _...5 T �f��ti� ? �.�i .Aa �� I;� Eni�tl ^'';�`:�z Y''� °^u. ��� �a.r s �' �.e...•'� `s i .. t� n ` r I ..� ; ,,. `/ 1,1 ,11 (�I� 7i :ro J cif �., ,,�, r,« .�`� Z � ' ��; VE ;di �: ft! ��It „> t-1`�ll}t1 ')r f { . m, A �'� l ..., 6! , Llt�'� '�. I;`;i1 ' °17� {lI� ` t �� 1�� ) '�iS� ^< .. , ,.,. , . ;' , _...,. 8/13/2012 11:45 AM S: \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7184 - BOYNTON BEACH CIVIC CENTER.doc The City of Boynton Beach PRECINCT NUMBER 7186 ■ POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH CIVIC CENTER FROM: CITY OF BOYNTON BEACH 128 EAST OCEAN AVENUE CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 100 E BOYNTON BEACH BLVD. � BOYNTON BEACH FL 33435 This agreement, dated this 2 c I day of , 20, / ?- by and between the City of B nton Beach, FLL nd the owner of the Polling Place located at: NAME OF POLLING LO, Include name and /or room number) \ c ( e oce ( 3.3 '7.2 5 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: _ Yes No n - CHAIRS FOR ELECTION WORKERS C3' ❑ ry .,- c= c.n , TABLES FOR ELECTION WORKERS Lam] ❑ r , - = RESTROOM FACILITIES AVAILABLE lE ❑ =r - -- • To provide access to the Polling Place on election day by one of the following means: =-- 5. „aa -, tdr.. 1 »,d �d a, 1111,',,1 _ :1(1 ,; ..,' ; \ I, .- k ),(f 1, ;t<. -' e_`aG ?.1 4 L` ys , , ' � ' ag � t _,,, „ t 4 ri �t,a C" ;1 3, ' ksa ��f 4 ,i 1 i 1 , );;',, , !l' 1 ; , , + I , THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ Rf //a- for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATES INDICATED ABOVE. ,l (o2y3 �i i , /,..�, 0-) � _.1- �n.� ca. .6 ► I t . K et. S I PX o i k^ `1 4 Z ( 2-8 (:. ilr cvr )-k_ 6 3 3 ` As .. ., ..,... ..J L , 1 1 , C . , I I �„ i ¢ ice.. � � �A � . 6 . � ,, , l� � a * ,C: - a� �e k�^ xu..kac: � t , ` 6 � . B [ 5 Wr n .. e ' i ' w7i IT e i- lil r " 01 t , ' }iii I (t ■ r , 1 L fy ' .I ti , kj, 1. 4 r 11 r ,. }.t ; rl YS 1i1 T1U1 llr r ' ' , ',+7 ..., tea: r a ., f ' "+ �, � i� ul _�. �I` r`i � �i7 �� �lrt� Y '� , <�� t� . re I, a .. _... � .. _ ,.,. ..., 1, 1 5 t' , ltl, l i , 1 ,,T lt' `r mil 1t ;*, ,.• ", ... ,.. w t 4, ?r.. .:„. ;'e"*, ss`''',f "x'! ,,I. ii4. �## 1 �x..a s , ....., ',�„ ,w,. .,'.. , 8/13/2012 11:45 AM S• \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7186 - BOYNTON BEACH CIVIC CENTER.doc The City of Boynton Beach C - PRECINCT NUMBER 7190 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: SEACREST PRESBYTERIAN CHURCH FROM: CITY OF BOYNTON BEACH 2703 NORTH SEACREST BLVD. CITY CLERK'S OFFICE DELRAY BEACH FL 33444 100 E BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 This agreement, dated this day of 14a , 20 1 3 ., by and between the City of Boynton Beach, FL, and the owne „of t e Polling Place located � - 3 C_ ce, t'•S � j � `C � &i � r u y 1r\ NAME OF POLLING LOCATION (Inclu•e name and/or room number) • � r Q. \ .► cc ��\ � � � . \\ L_ AL-L\ (POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 12, 2013 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 26, 2013 • To provide the following items from 6:00 a.m. until all closing procedures required by the Florida Statutes to be performed by the Election Board are completed: Yes No CHAIRS FOR ELECTION WORKERS !NJ TABLES FOR ELECTION WORKERS ❑ -* . n _ RESTROOM FACILITIES AVAILABLE ❑ • To provide access to the Polling Place on election day by one of the following means: a, w i <.., In�- �� f l , I „ AI , }..�il t '..�` to I ' , ` ! C , t l . L � .,,, -.� .�- ..t � 1 ,.!, o � <.�.t. . , 1 I � )i ■ 1 THE CITY OF BOYNTON BEACH, THROUGH THE CITY CLERK, AGREES: • To pay the owner $ for the use of the above described location for each Election, if it is used. I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON BEACH ON THE DATE DICATED ABOVE. „, \., \/\\ , <„,, ( 12 i t' 4 ^ -' • t; R, �.ax.+:rv xx:�t +:F.. s. w ^4,* [ "E ., , , T F s,(z, tik) J)t \c �����. �L33' ���� (;,W P iA r e, c-c , c i1 'Ir.� ,a�. , �6''S% . ; 8/13/2012 11:45 AM S• \CC \WP \ELECTION \Year 2013 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7190 - SEACREST PRESBYTERIAN CHURCH.doc