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Location Agreements The City of Boynton Beach PRECINCT NUMBER 3136 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: FREEDOM SHORES ELEMENTARY SCHOOL FROM: CITY OF BOYNTON BEACH 3400 HYPOLUXO ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 L7 ❑ TABLES FOR ELECTION WORKERS ❑ RESTROOM FACILITIES AVAILABLE (� ❑ • To provide access to the Polling Place on election day by one of the following means: 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 $ 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. Steven G. Bonino, Chief of Support Operations School District of Palm Beach County SIG RE PRINT NAB 3300 Forest Hill Blvd. C -316 ONE NO. West Palm Beach, FL 33406 561 434 8584 I MAILING ADDRESS (INCLUDE CITY, STATE Steve .Bonino @palmbeachschools.org D E SIGNED AD NAtINPORMATION • 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: (('�� `' 5(p! �Sc1 *1-10 L7 • Name of contact person and telephone number at Polling Place: � EV�oYTI4 47 61 / 3 /cist, (. • Name of contpcit person telep a number fore and after regulir business hours, in case of emergency. 1"C t l,aA f'! 2- l mow, • p ( c 1 S`± 1 ff. 1 �,- • Make checks payable to: 1•1 jA 11/5/2013 10:40 AM S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3136 - Freedom Shores Elementary School.doc The City of Boynton Beach PRECINCT NUMBER 3138 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: CITRUS COVE ELEMENTARY SCHOOL FROM: CITY OF BOYNTON BEACH 8400 LAWRENCE ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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: Ye No CHAIRS FOR ELECTION WORKERS ❑ TABLES FOR ELECTION WORKERS E( ❑ RESTROOM FACILITIES AVAILABLE 12( ❑ • To provide access to the Polling Place on election day by one of the following means: I 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 $ 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 Steven G. Bonino, Chief of Support Operations - School District of Palm Beach County SIGNATURE PRINT NAI 3300 Forest Hill Blvd., C -316 IONE NO. West Palm Beach, FL 33406 561 434 8584 t( )1 MAILING ADDRESS (INCLUDE CITY, STATI Steve .Bonino @palmbeachschools.orR D TE SIGNED ADDITIMAIANPORIVIA . N • 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: • I ,1q,2 7tcl • Name of contact person and telephone number at Polling Place: Vu.ckt4 - 0 tv ci . �5 . , 3 K 4 L • Name of contag, person and telephone number before and after regular business hours, in case of emergency. 64 di u htie • Make checks payable to: N/A S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3138 - CITRUS COVE ELEMENTARY SCHOOL.doc ,.,. The City of Boynton Beach r 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 27 day of 1Joienn best , 20 13 , 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 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 v, Yes No c CHAIRS FOR ELECTION WORKERS 10 ❑ N '''', ire TABLES FOR ELECTION WORKERS 21 ❑ 3 ,, rya ► RESTROOM FACILITIES AVAILABLE l7 ❑ - CD — 1 2 • To provide access to the Polling Place on election day by one of the following means: PLEASE CHECK ONE: ❑ Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day V 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 $ /.Sb • 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. .% ,..10,•,, � 44 VA 0' • / rah A ,A:i # o lttte • is' ' MI • T• i -4/3' -72 SIGNATURE PRI NAME Reach C L L. u / TELEPHONE NO. MAILING N RP M � LUD � CITY, STAT ZIP Reach, T , 33 2 /I /2.7/13 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: wb l.. A vreipi M& 3 1 - Y39`9BSQ • Na • • ' . Ct person nd to - p one number before and after regular business hours, .n ` , j► .•, i. r.As ir1.ldA %y{(ia L+'E1 JiliaUiT 0 — • ' ' ' S.'00 PM • Make checks payable to t.0 . L# es /W a rah -. Ca.lkd Deborah Abour A h�So Freier hours phone. 4 `' "' S: \CC \WP \ELECTION \Year 2014 \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 3� day of 4 , 20 ( � by and between the City of Boynton Be ch, FL, and the owner of the Polling Place located at: 00y/71 laz) es &ck l' tto u NAME OF POLLING LOCATION (Include name and /or room numb r ) uJ t �� rt -eF cc.t�e /3v yr� �✓t Let f)min iun /� -I► L, 3'34 (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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 E ❑ TABLES FOR ELECTION WORKERS (/ ❑ RESTROOM FACILITIES AVAILABLE (J ❑ • To provide access to the Polling Place on election day by one of the following means: V Owner will open Polling Place NO LATER THA!! 5 :00 a.m. on Election Da; 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 $ 56- 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. P /?. tzeana✓e Ltconl KNxPres /o%wt 561 43v —1 37 IG NATURE PRINT NAME TITLE TELEPHONE NO. 5 1 Ccft:n ryie -e, - e ZZ' aye ei leach � i3 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: • Name of contact person and telephone number at Polling Place: r?d / �2 / e/ AL;, }e Co CdGr -,j as-e • Name of contact person and telephone number before and after regular business hours, in case of emergency. P` e&t.rlore L rlo 1 4 ./.5 ° . � '7.- 7 37 • Make checks payable to: 604 L.6- k' 61.5 /' « . A S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3142 - BOYNTON LAKES CLUBHOUSE doc The 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 g day of N , 20 /�, by and between the City of Boynton Beach, FL, a 1 the owner of the Polling Place locajed at: 7 NAME OF POLLING LOCATION (Incl •e name and /•r room rtumaer) 7 5 4 4 • Y ► ,.. L41• •► (POLLING LOCATION STREET ADDRESS, C AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 IR ❑ TABLES FOR ELECTION WORKERS VI ❑ RESTROOM FACILITIES AVAILABLE 15 , ❑ 7 =:e • To provide access to the Polling Place on election day by one of the following means: cia Please check one: r CP Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day a ❑ Owner will provide the Precinct Clerk with a key to the premises prior to Election Days ;7r 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 BEA ON THE ES INDICATED ABOVE. 51, SfSk 411 - " 9 A 4 - SI ATURE P • T NAME TITLE TELEPHONE NO. y-2 3 S A &f 4 &a z/4 3 3v 1/1 s� MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP 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: 4/0L <` ski / "�'�s-3 • Name of contact r 1 son and phor�e number before awl after / regular business hours, in case of emergency. 4 ivtc — - Z Z • Make checks payable to: A S: \CC \WP \ELECTION \Year 2014 \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 to day of A bV S - , 20 ' 3 , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: '23050vro• 3& vcx firrz" ■Sam T l' 3 NAME OF POLLING LOCATION (Include name and /or room number) 35-o) X11. a , - ii GS+ 43.46- OvyAiraJ te c0, , 3 3 3 (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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 CHAIRS FOR ELECTION WORKERS 2 ❑ TABLES FOR ELECTION WORKERS Pr ❑ ' gp ,.,t ^ J � RESTROOM FACILITIES AVAILABLE .1 .• cri cs cn • To provide access to the Polling Place on election day by one of the following means: Cs) CD A 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 $ 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. Cf,��� / 321 SIGN TURE PRINT NAME TITLE TELEPHONE NO. yo Po /` / *v 5 a 6 ez., •y,✓rv•i) . 4 ifa, Z l i G i s MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DA E S GNED 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: .,.S7 1 C�iQe1'"? 4 f • 7,4" 44a 4) • Name of contact person an tele . hone number before and afte regular b iness hours, in case of emergency. , id 10i3 • • Z -- 43 • Make checks payable to: S: \CC \WP \ELECTION \Year 2014 \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 V day of 416/4486e-- , 20 /*, by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: Qy,.Jrp.) Aeolica o.rtr*rie.J NAME OF POLLING LOCATION (Include name and /or room number) -; , ei'Ati Gtg/s,c /IV*, g i4l7bA) ,. .V mac• 334 J4 (POLLING LOCATION STREET ADDRESS, cm AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 Fr ❑ TABLES FOR ELECTION WORKERS 11 ❑ 1 r� RESTROOM FACILITIES AVAILABLE VJ ❑ z e! rri • To provide access to the Polling Place on election day by one of the following means: Please check one: cm -or w r' Se Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day © 7 ❑ 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 $ 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 TH DATES INDICATED ABOVE. ad SIGNATURE P NT NAME TITLE TELEPHONE NO. erli / 2 4S / ,y, *-) , .3as� /0/..t 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: • Name of contact person and telephone number at Polling Place: at-CroProev [ g A L L ) %C'— 7S ' - G4 o • Name emergency of contact person and i /i'.J n /iF telepho a number before - 7 an dd after Mar ess hours, in case of . .�� ZZ S - � - 'L J — 35r regul • Make checks payable to: S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3174 - FIRE STATION #3.doc The City of Boynton Beach 1›.- 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 / ' day of N F? Ll , 20 ).Z by and between the City of Boynton Beach, FL, an the owner of the Polling Place located at: 1.-6.. �� IA-Jo k S '� ,,®U 3 G 0 0 NAME OF POLLING CA ON (Incfude n ame an or room number) 7 c7 2 k 1 ! R , r i _k i D y/v /nN Z.%A-.r L 12- - z- (POLLING CATION STR ADDRESS, CITY AND ZP CODE) r THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ w , _. ..; ;-r TABLES FOR ELECTION WORKERS iK ❑ o RESTROOM FACILITIES AVAILABLE ❑ N PIP - v • • To provide access to the Polling Place on election day by one of the following means: rDz -- -, tr Please check one: - ) 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 $ ) Q 0 , 'i 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 TES INDICATED ABOVE. , ....--- /Pj5(7.-- -- 12 &,..- !`IOGf'� �� . /fib -g2-1lO SIGNAATURE PRINT NAME TITLE TELEPHONE NO. r- 7-59-1 - f_7( k 4, 0 So"; 1,6VJE6A MAILING ADDRESS (INCLUDE CITY/STATE AND ZIP CO / M DATE SIGNED ADDI'RONAL 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: k61EQT goof 3n-2Y-3'4,100 / • Name of contact person and telephone number before and after regul r businese- urs, in case of emergency. 3 k fo r t't t • Make checks payable to: I— fl! I�w., Lt.a 1 1 L a it . . I. j j A) 5c , Z bp t S• \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3182 - LAKE WORTH CHRISTIAN SCHOOL.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 day of , 20 , 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 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 M ❑ TABLES FOR ELECTION WORKERS ❑ RESTROOM FACILITIES AVAILABLE peg El • To provide access to the Polling Place on election day by one of the following means: 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 $ 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. � " lfgq,6s f , c c"REw Gdr. S'(, (— 374 SIG PRINT NAME TITLE TELEPHONE NO. /Oo .RofNToa gEAa1+ tat. ✓4 609.1V4 &GA< P. 3 a3 41..? 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: 4? g— PM • Name of contact person and telephone number at Polling Place: -Ce 1 - 7 ? - 1 3 7.2 (8 N or rf4F -4 j • Name of contact person and telephone number before and after regular business hours, in case of emergency. Cl 14►9 4' / C C Paw PoR n S 1 - 3 7 V - .Z 4 St • Make checks payable to: at T y r F 0Y.' i o'., 3 E r+e �f S• \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 4024 - BOYNTON BEACH BOATCLUB PARK.doc The City of Boynton Beach PRECINCT NUMBER 7182 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: CAROLYN SIMS CENTER FROM: CITY OF BOYNTON BEACH 225 NW 12 AVENUE. CITY CLERK'S OFFICE BOYNTON BEACH FL 33435 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 e- CHAIRS FOR ELECTION WORKERS C ❑ — TABLES FOR ELECTION WORKERS 11Y ❑ x RESTROOM FACILITIES AVAILABLE El -15 N OW • To provide access to the Polling Place on election day by one of the following means: Please check one: o 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 $ 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. - NATURE ; P • NT AME TITLE T LEPHONE NO. 10e I✓ boy n Lo n SeQch ei vd , (30y n-k:n bE' 1th 41 33L5 ((- 1- 13 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: • Name of contact person and telephone number at Polling Place: - RanK if elynti 5(k I " • - 62 (DLO • Name of contact person and telephone number before and after regular business hours, in case of emergency. FiCo1K a.& eAcu 5 Lel - !a (o r l - $ a70 • Make checks payable to: Ni F� S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7182 - CAROLYN SIMS CENTER.doc The City of Boynton Beach 4 ( � If 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 day of , 20 , 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 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 .-.. °-, w CHAIRS FOR ELECTION WORKERS 52( 0 = .�, TABLES FOR ELECTION WORKERS Cr ❑ o mOP RESTROOM FACILITIES AVAILABLE = as • To provide access to the Polling Place on election day by one of the following means: ca -. ' Please check one: I 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 $ 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 IN CATED ABOVE. Y / i INAR/' u i ' " / 'jjr TITLE TEL ENO. I GC) £ jeyn+on (Qr&c_h 6\vd, &'cich,i--1- ya5 + 1,- 1 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: • Name of contact person and telephone number at Polling Place: I odd J oh n5nn (b I -14) -(o 550 • Name of contact person and telephone number before and after regular business hours, in case of emergency. Tc 6 , 3 t . t 01 5 - 3 5 - T 3 • Make checks payable to: SU P' S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7178 - EZELL HESTER COMMUNITY CENTER.doc r i ne City of Boynton leach , PRECINCT NUMBER 7178 7 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 1 r- day of nDWni , 201 Il i , by and between the City of Boynton Beach, FL, a d the owner of the Polling Place located at: EZE L-L i°Ea- 2. C' rrvnun i il. Oi - rFe_ NAME OF POLLING LOCATION (Include name h. nd /or room number) NO !7. gaA .1 trmn f Pci-i R._ 3 i4 (POLLING LOCATION STREET ADDRESS, CITY AND ZIP C THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 (``' ,'; z CHAIRS FOR ELECTION WORKERS ❑ "c ' ''.9,t ' Si TABLES FOR ELECTION WORKERS C ❑ r e a RESTROOM FACILITIES AVAILABLE LJ ❑ N D arg N) ----; rr r -' • To provide access to the Polling Place on election day by one of the following means: Please check one: r/ 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 $ 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 i CATED ABOVE. / // In r (pi 4 46fAlsl 1l7 P.1� 7 �- SI NA U PRINT NAME 7 TITLE TE PHQ ENO. I c o£ 0 o y n+o n 6Quc.h S 1 vd , Sou r)+o n P each,-FL..-1 a 5 i U -1- 1 3 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: • Name contact person and telephone number at Polling Place: 1 OCid ` 1 ohn <nn 5(C1 - ln 5,50 LuA� 561 - (c / • Name of contact person and telephone number before and after regular business hours, in case of emergency. TaciC 7)c:1 .5t01 - 3ss5 - ;�2 3 • Make checks payable to: S: \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7178 - EZELL RESTER COMMUNITY CENTER.doc DISTRICT 4 POLLING LOCATIONS MARCH 11, 2014 IMECTICT # NAME 3136 FREEDOM SHORES ELEMENTARY SCHOOL 3400 HYPOLUXO ROAD 3138 CITRUS COVE ELEMENTARY SCHOOL 169 8400 LAWRENCE ROAD 3140 BOYNTON LAKES NORTH CLUBHOUSE 0'4" 100 REDFORD DRIVE 3142 BOYNTON LAKES CLUBHOUSE g 1 WESTMINSTER LANE 3146 NEWPORT PLACE ) 4735 NW 7 CT. 3164 CITRUS COVE ELEMENTARY SCHOOL (✓ 8400 LAWRENCE ROAD 3168 ,- BOYNTON BEACH FIRE STATION #3 p �,� 3501 NORTH CONGRESS AVENUE 3172 BOYNTON BEACH HIGH SCHOOL de BOYNTON PARK RIDGE BLVD. 3174 BOYNTON BEACH FIRE STATION #3 €7� 3501 NORTH CONGRESS AVENUE 3176 1 BOYNTON BEACH HIGH SCHOOL 4975 PARK RIDGE BLVD. 3178 6 , BOYNTON BEACH HIGH SCHOOL 4975 PARK RIDGE BLVD. 3182 / LAKE WORTH CHRISTIAN SCHOOL 7592 HIGH RIDGE ROAD 3184 6 LAKE WORTH CHRISTIAN SCHOOL 7592 HIGH RIDGE ROAD S: \CC \WP \ELECTION \Year 2014 \PRECINCTS BY DISTRICT\DISTRICT 4.doc DISTRICT 2 POLLING LOCATIONS MARCH 11, 2014 PREaNCT ; 3188 BOYNTON BEACH HIGH SCHOOL fl 4975 PARK RIDGE ROAD 3190 LAKE WORTH CHRISTIAN SCHOOL pK% 7592 HIGH RIDGE ROAD 4024 HARVEY E. OYER, JR. PARK (formerly Boynton Beach Boat Club Park) 0 4 ' US #1 AND NE 21 AVENUE 7178 EZELL HESTER COMMUNITY CENTER 1901 NORTH SEACREST BLVD. 7180 ST. JOHN MISSIONARY BAPTIST CHURCH 900 NORTH SEACREST BLVD. 7182 CAROLYN SIMS CENTER OD CC 225 NW 12 AVENUE 7184 ST. JOHN MISSIONARY BAPTIST CHURCH 014, 900 NORTH SEACREST BLVD. S: \CC \WP \ELECTION \Year 2014 \PRECINCTS BY DISTRICT\DISTRICT 2.doc 2 FORWARD CHECKS CITY OF BOYNTON BEACH DIRECT PAYMENT REQUISITION Please issue a check in the amount $ 150 00 . TO: BOYNTON LAKES NORTH C/O DEBORAH AMENDOLA, PROP. MGR 100 REDFORD DRIVE BOYNON BEACH FL 33426 FOR: Use of Boynton Lakes North Clubhouse as a Polling Location for Precinct #3140 on Election Day on March 11, 2014. Requested By: Janet M. Prainito Date: March 13, 2014 Approvals: FUND DEPT BASIC ELE OBJ AMOUNT 001 1310 512 49 15 150.00 Div Head i _ /4 J anet M. Prainito Finance Dept. Tim Howard City Manager Lori LaVerriere 150.00 The City of Boy _ton Beach 1 � 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 2 ' day of Ootiern ben , 20 13 , 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 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 cm-� CHAIRS FOR ELECTION WORKERS 123 0 i \.3 rvim -tea TABLES FOR ELECTION WORKERS 21 ❑ 3 °na Q RESTROOM FACILITIES AVAILABLE 21 ❑ M f t • To provide access to the Polling Place on election day by one of the following means: PLEASE CHECK ONE: o Owner will open Polling Place NO LATER THAN 6:00 a.m. On Election Day qf 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 $ /S0 .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. P ••fR4i�► ad cue- O. •, • ,■,6 la • 0.stoks 01' ! i_ 1.1 • -QS n • SIGNATURE PRINT NAME TELEPHONE NO. io0 R i- PrA n)e i 6t4* .ead F2 3392, 11127/13 MAILING ADDRESS (INCLUDE STATE AND ZIP CODE) D ATE SIGNED A15b AMEN AMN • 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: 1 *vx k •Amededema 1- q3 ?. -9 -? • Na -,- person nd to . one i before nd after rey A ours; ular �usineas �R- o,& • •�71 , r. - tw1.1[E[ � . a-c7 1.1 - • • Make checks payable to: t O • r S eS • u miff _ Called Debora-4, Abou. - A be-�olre rete.r haws ph 5 \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3140 - BOYNTON LAKES NORTH.doc FORWARD CHECKS CITY OF BOYNTON BEACH DIRECT PAYMENT REQUISITION Please issue a check in the amount $ 50.00 . TO: BOYNTON LAKES POA CIO ELEANORE LUONGO 37 WINCHMORE LANE BOYNON BEACH FL 33426 FOR: Use of Boynton Lakes Clubhouse as a Polling Location for Precinct #3142 on Election Day on March 11, 2014 Requested By: Janet M. Prainito Date: March 13, 2014 Approvals: FUND DEPT BASIC ELE OBJ AMOUNT 001 1310 512 49 15 50.00 Div Head 4. � AA i J a net M. Prainito Finance Dept. Tim Howard City Manager Lori LaVerriere 50.00 .. 1 he 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 a id day of 4,1- Z/ -- b-fit/ , 20 / 3 , by and between the City of Boynton Be ch, FL, and the owner of the Polling Place located at: /// /7/1)4 4,t, e$ gItth ci NAME OF POLLING LOCATION (Include name and /or room number) �e5 1 mt ,15 ;k0 - Lame- Boy/71v Lc -lees ivy /gam FL Y34��G (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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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( ❑ TABLES FOR ELECTION WORKERS ti ❑ RESTROOM FACILITIES AVAILABLE CV ❑ • To provide access to the Polling Place on election day by one of the following means: !I Owner will open Polling Place NO LATER THA 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 $ 5'6 " 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. 609/1/ y /1 / P R, � LZea ru Lc���� �� �'resi wr 561 143 —�<f 37 SIGNATURE PRINT NAME TITLE TELEPHONE NO. 3 7 i Lei eA more .1-a-;7 e 5011/1 rl 6-ea ch / -- 33 z., /a I /13 MAILING ADDRESS (INCLUDE CITY, STATE A D ZIP CODE) DATE SIG ED ADDITIONAL INFORMATION • To the premises for delivery and pickup of voting equipment before and after each Election, please provide the days /hours faclitii is open for equipment delivery/pickup: • Name of contact person and telephone number at Polling Place: /? /.cc -6/c • Name of contact person and telephone number before and after regular business hours, in case of emeryenfy. FcecCelvre III 'f 3 ef_ 1 N 37 • Make checks payable to: 6 c ^t!✓! fG ✓) Le, key cT. g S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3142 - BOYNTON LAKES CLUBHOUSE doc Li FORWARD CHECKS CITY OF BOYNTON BEACH DIRECT PAYMENT REQUISITION Please issue a check in the amount $ 100 00 . TO: LAKE WORTH CHRISTIAN SCHOOL 7592 HIGH RIDGE ROAD BOYNTON BEACH FL 33426 FOR: Use of Lake Worth Christian School as a Polling Location for Precinct #3182 on Election Day on March 11, 2014 Requested By: Janet M Prainito Date : March 13, 2014 Approvals: FUND DEPT BASIC ELE OBJ AMOUNT 001 1310 512 49 15 100.00 Div Head / I PitaLlt4 anet M. Prainito Finance Dept. Tim Howard City Manager Lori LaVerriere 100.00 . ( The City of Boynton Beach t ` PRECINCT NUMBER 31F, t POLLING LOCATION AGREEMENT FORM N %'�, �, CITY OF BOYNTON BEACH CITY CLERK'S OFFICE cb � ∎" ' N ' TO: LAKE WORTH CHRISTIAN SCHOOL FROM: CITY OF BOYNTON I ,cc c' c - 7592 HIGH RIDGE ROAD CITY CLERK'S OFFICE ' BOYNTON BEACH FL 33426 100 E BOYNTON BEACH BLVIWN BOYNTON BEACH FL 33435') This agreement, dated this 7 It.- day of No 0 , 20 )3, by and between the City of Boynton Beach, FL, anc(the owner of the Polling Place located at: 1.-4. V c., IA.)o.1 i ( , s ., , J-1 J `� G . nr? 1 NAME OF POLLING CA ON (Include name an or room number) `7 7 I Pr Q ,Q o �,� C, r� `33 l (POLLING L OCATION STR ADDRESS, CITY AND ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCH 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ w a_< TABLES FOR ELECTION WORKERS ❑ o ; C, C '7 - T1 RESTROOM FACILITIES AVAILABLE ❑ N 5 z n0 • To provide access to the Polling Place on election day by one of the following means: ?x ,er Please check one: c s -2). 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 $ '"� • p y � Q ( 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 HSON TH S INDICATED ABOVE. / 11 �) _ ..r. ko14e ,2 0o K 5��16 1` %A Nr�N l , i ��o -A�2j6 SIGNATURE ` ( PRINT NAME TITLE ( �!` TELEPHONE NO. MAIL7- DDa (INCLUDE CM/STATE � DZISDBE� /D, . 13 D 2 NE /I -� )3 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 fadlity is open for equipment deliveryip / idwpp: • Name of contact person and telephone number at Polling Place: ko4EQ T 14 or, lx- c / -2?f_S - • Na me of contact person and telephone number before and after rem ours, in case of emergency. • Make checks payable to: j . A ' l a c , l.✓a 1 7 _ U. A-A) S c, . L.,n j S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3182 - LAKE WORTH CHRISTIAN SCHOOL doc FORWARD CHECKS CITY OF BOYNTON BEACH DIRECT PAYMENT REQUISITION Please issue a check in the amount $ 200 00 . TO: ST JOHN MISSIONARY BAPTIST CHURCH 900 NORTH SEACREST BLVD BOYNTON BEACH FL 33435 FOR: Use of St John Missionary Baptist Church as a Polling Location for Precincts 7180 & #7184 on Election Day on March 11, 2014 Requested By: Janet M Prainito Date: March 13, 2014 Approvals: FUND DEPT BASIC ELE OBJ AMOUNT 001 1310 512 49 15 200 00 Div Head , y / / a t ( M. Prainito Finance Dept. Tim Howard City Manager Lori LaVerriere 200 00 •� The City of Bo, nton Beach PRECINCT NUMBER 7180 I.- 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 j/1 e " day of O 41146. 'A. , 20 , by and between the City of Boynton Beach, FL, and the owner of the Polling Place located at: jI 9/9° /t,/ .S' CA (j2r'S L �' / ✓rf'. i i c�r / ) 6 4l /cA f 4' 1/ 3 C ( J NAME OF POLLING LOCATION (In ude name any /orfoom number) (POLLI G LOCATION STRE; ADDR SS, CITY AND ZIP CO' ) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARCbb11,,204 RUN -OFF ELECTION (if necessary) TUESDAY, MARC25, 10,4 • To provide the following items from 6:00 a.m. until all closing procedures required by gie F,a Statutes to be performed by the Election Board are completed: (..r1 a " a9 Yes No 3 x CHAIRS FOR ELECTION WORKERS ❑ • _2( Ic TABLES FOR ELECTION WORKERS 1:1 RESTROOM FACILITIES AVAILABLE ci ❑ • To provide access to the Polling Place on election day by one of the following means: Please check one: Owner will open Polling Place NO LATER THAN 6:00 a.m. on Election Day a 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: f. • To pay the owner $ /00 L) 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. �� P / mA ,r� /t ; �t /S �.! , Sr=r' �C p lA/�� ..71i/- 7 3 - 377 l 44'et941.1AJ/ov RE PRINT NAM / TITLE T6LEPHONE NO. 9 � cAr'Les/ A J v'a/. Arx /1i:,t/Z ',qe/ ri y.? /3/4 G1 /i 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: 114 -- 1=' E 3 42 .a /71 -- .5 . ,7c) r) • Name of contact person and telephone number at Polling Place: / h el m A iv 415 5(i-. 73.2-:,737'7 • Name of contact and 1 phone number before and after regular bu mess hours, In case of emeigency. /4/ / / , P `f yy (/C � " �t /Ale! „5"1// 1 — 9f2 /o — 11 3 5 • Makecheckspayableto: 5/ • nhfc/ S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7180 - ST JOHN MISSIONARY BAPTIST CHURCH,doc _ he City of Be - nton Jdeach \ PRECINCT NUMBER 7184 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 A) day of bfilWP./h.CJ t'!1" , 20 /3 , by and between the City of Boynton Beach, FL, and the owner of the Poijing Place located at: �,'l h I./ t�) !� , '55 , () / fe,e.1 A // -t ("'� jr %' ! / i'7/ r / NAME OF POLLING LOCATIO(Include name and /or roc num r) q/ .t.% ..5e/q , (-1. Ai ✓,J, ,' ifa,.l rlwc -h /'k 3e/35 (POLLING LOCATION STREET ADDRESS, CITY ZIP CODE) THE OWNER AGREES TO • Provide the Polling Place for holding the following elections: GENERAL ELECTION TUESDAY, MARgii 11,2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARI 25,d�014 o - r " - -- ) op • To provide the following items from 6:00 a.m. until all closing procedures required by�the Ida Statutes to be performed by the Election Board are completed: :c- .3" Nae Yes No ° ! ar CHAIRS FOR ELECTION WORKERS (� i ; ❑ .„ t`ti CV TABLES FOR ELECTION WORKERS lEr ❑ RESTROOM FACILITIES AVAILABLE tEi ❑ • To provide access to the Polling Place on election day by one of the following means: 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 $ /6 i9 ` `/ 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, I , . ' _ : S� / ' : - ■ 7 7 - "' A RE ` / PRINT NAME TITLE TELEPHONE NO. ( 1 d ,c/ 3e,9 cce si e'ii ✓el. 1 &A/4A/ ��w-h /.c .' -V.3 s /- o /3 MAILING ADDRESS (INCLUDE CITY, STATE ANDE) f 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 fadlity is open for equipment delvery/pickup: /,) — / = , ? 4 /2. S 'o . j • Name of contact person and telephone number at Polling Place: /A; iy.e 1/S S,/ 73 437 7 • Name of contact person and telephone number before and after regular business hours, in case of emergency. 1 / l�: e `/ /" j" 1 / x./.if r�r / . • .4(/ - /, - /1 3 • Make checks payable to: .5 I e;A A/ / 5 S /.>!✓/)rf Liep eX, ,„e c /-) S \CC\WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7184 - ST JOHN MISSIONARY BAPTIST doc i 1 Y.1 cu al o (0 a) a) a) a) O) a) a) 0 a) a) a) 0 a) 0 W o o 0 0 o c c c o , 1 o o o 0 o LL z z 4/1- ` z z Z z Z z z j- z z z Z Q. Y y O O W O 00 O O O O O O O W O O O O V Y z z r z z z z z z z z z z z z z Z 'a U U U U U U_ U .--1 N\ 7.q n LD N .--1 ch Cr 1 co 7 M O Lff O Ln N O CO M O O O M Ln M Ln Ln Ln U) u7 N. 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L ° , o no - l . c 0 no M +-+ M po _ M pS _� d _+ M 2 M O U ' - M O U 8 ( Y O U O U oo co O � + (O (�O ^^ L�6 5 u 11 *k U 4* m U *k lY1 U 2 U *k Ll_ *k CO Ln LL *k CO N OD Ln J Ln CO V) lY1 0_ 2 Ln m U X* 65 on NY (n The City of B o • ynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 -'' FAX: (561) 742 -6090 E -mail: prainitol @bbfl.us www.boynton - beach.org November 9, 2013 GINA NORTH FREEDOM SHORES ELEMENTARY SCHOOL 3400 HYPOLUXO ROAD BOYNTON BEACH FL 33436 Re: Confirmation of Polling Location — Precinct 3136 Dear Ms. North: I would like to thank Mr. Steven Bonino, Chief of Support Operations for the School District for his quick response to my request for information regarding the use of Freedom Shores Elementary School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The premises will be opened on Election Day no later than 6:00 a.m.; ♦ You (Ms. North) are the contact person at the Polling Place whose telephone number is (561) 804 -3105 or on your cell phone at (561) 313 -7956; ♦ The emergency contact before and after regular business hours is Milardy Perez who can be reached on the cell phone at (561) 255 -1821; ♦ There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH . i . • -t M. Prainito, MMC City Clerk Copy to: Steven G. Bonino 5 \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Preanct 3136 - Freedom Shores Elementary School doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD t' BOYNTON BEACH FL 33435 \ (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton- beach.org November 9, 2013 BERNADETTE STANDISH CITRUS COVE ELEMENTARY SCHOOL 8400 LAWRENCE ROAD BOYNTON BEACH FL 33436 Re: Confirmation of Polling Location - Precincts 3138 & 3164 Dear Ms. Standish: I would like to thank Mr. Steven Bonino, Chief of Support Operations for the School District for his quick response to my request for information regarding the use of Citrus Cove Elementary School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The premises will be opened on Election Day no later than 6:00 a.m.; ♦ You, Ms. Standish, are the contact person at the Polling Place whose telephone number is (561) 292 -7007 or on your cell at (561) 348 -4181; ♦ The emergency contact before and after regular business hours is you who can be reached at (561) 292 -7007 or (561) 348 -4181; ♦ There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH .. • - P, net M. Prainito, MMC City Clerk Copy to: Steven G. Bonino S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Preancts 3138 & 3164- Citrus Cove Elementary School doc America 's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD t BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 LYNDON CLEMONS BOYNTON BEACH HIGH SCHOOL 4975 PARK RIDGE BLVD BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location — Precincts 3172, 3176, 3178 & 3188 Dear Mr. Clemons: I would like to thank Mr. Steven Bonino, Chief of Support Operations for the School District for his quick response to my request for information regarding the use of Freedom Shores Elementary School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The premises will be opened on Election Day no later than 6:00 a.m.; ♦ You, Mr. Clemons, are the contact person at the Polling Place whose telephone number is (561) 313 -5254; ♦ The emergency contact before and after regular business hours is you, Mr. Clemons, who can be reached at cell phone # (561) 313 -5254; ♦ There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH in PA-0.4-4t:±0 et M. Prainito, MMC City Clerk Copy to: Steven G. Bonino 5 \CC \WP \ ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Preancts 3172, 3176, 3178 & 3188 - Boynton Beach High School doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742-6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 ELEANOR LUONGO BOYNTON LAKES POA 37 WINCHMORE LN BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location — Precinct #3142 Dear Ms. Luongo: Thank you for your response to my request for information regarding the use of Boynton Lakes North Clubhouse as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on Tuesday, March 25, 2014 if a run -off election is necessary.. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ You will open the premises on Election Day; ♦ You are the contact person at the polling location at (561) 439 -7437 ♦ You are the emergency contact person before and after regular business hours who can be reached at (561) 439 -7437; ♦ The City of Boynton Beach will pay Boynton Lakes North $50 for use of the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH • P et M. Prainito, MMC City Clerk S \CC \WP \ ELECTION \Year 2014\ POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 3142 - Boynton Lakes Clubhouse doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD ( BOYNTON BEACH FL 33435 t I (561) 742 -6060 4 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton-beach.org November 9, 2013 LYNNE STARK LIVE WELL DIRECTOR NEWPORT PLACE 4735 NW 7 CT BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location - Precinct #3146 Dear Ms. Stark: Thank you for your quick response to my request for information regarding the use of Boynton Newport Place as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election. If a run -off election is necessary, it would be held on Tuesday, March 25, 2014. This will confirm the following: • Tables, chairs and restroom facilities are available; ♦ Since your facility is always open, it is not necessary to provide a key; ♦ You are the contact person at the polling location at (561) 586 -6455; • You are the emergency contact before and after regular business hours who can be reached at (561) 586 -6455; and • There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH PACLL4 et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Prec nct 3146 - Newport Place doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton-beach.org November 9, 2013 CHIEF KEVIN R CARTER FIRE STATION # 5 CITY OF BOYNTON BEACH 2080 HIGH RIDGE ROAD BOYNTON BEACH FL 33426 Re: Confirmation of Polling Locations - Precincts #3168 & 3174 Dear Chief Carter: Thank you for your quick response to my request for information regarding the use of Fire Stations #3 as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election. If a run -off election is necessary, it will be held on Tuesday, March 25, 2014. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The polling location will be open no later than 6:00 a.m. on Election Day; ♦ The Battalion Chief can be contacted before or after regular business hours in case of emergency at (561) 742 -6634 for Fire Station #3; ♦ The Station Captain will be the contact persons at the polling location and can be reached by phone at (561) 742 -6606 for Fire Station #3. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH net M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precincts 3168, 3174 - Fire Station #3 doc America's Gateway to the Gulfstream The City of Boynton Beach rd City Clerk's Office k ,,, c e,... 100 E BOYNTON BEACH BLVD ,' BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 ROBERT HOOK SUPERINTENDENT LAKE WORTH CHRISTIAN SCHOOL 7592 HIGH RIDGE ROAD BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location — Precinct #3182 Dear Superintendent Hook: Thank you for your response to my request for information regarding the use of Lake Worth Christian School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on Tuesday, March 25, 2014 if a run -off election is necessary. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; • The owner will open the polling location no later than 6:00 a.m. on Election Day; • You are the contact person at the polling location at (561) 586 -8216; • You are the emergency contact person before and after regular business hours who can be reached at (561) 329 -2858; ♦ The City of Boynton Beach will pay Lake Worth Christian School $100 for use of the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH u �. • et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 3182 - Lake Worth Christian School doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 CHARLIE CRAWFORD RECREATION & PARKS DEPARTMENT CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Location - Precinct #4024 Dear Mr. Crawford: Thank you for your quick response to my request for information regarding the use of Boynton Beach Boat Club as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: • Tables, chairs and restroom facilities are available; ♦ You will provide the Precinct Clerk with a key to the premises prior to Election Day; ♦ You can be reached during normal business hours at (561) 374 -2864; • You are the emergency contact before and after regular business hours who can be reached at (561) 374 -2864. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH • Pita...L.41AD 411P et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 4024 - Boynton Boat Club Park doc America 's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office q 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 MS THELMA LYONS EXECUTIVE SECRETARY ST JOHN MISSIONARY BAPTIST CHURCH 900 N SEACREST BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Locations - Precincts -7180 & 7184 Dear Reverend Chaney: Thank you for your response to my request for information regarding the use of St. John Missionary Baptist Church as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: • Tables, chairs and restroom facilities are available; • The owner will be available to open the facility at 6:00 a.m., but agrees also to provide the Precinct Clerk with a key to the premises prior to Election Day; • Thelma Lyons is the contact at the polling location and can be reached at 732 -2377 during business hours. • Before and after business hours, call Willie McKinney @ (561) 906 -1135; • There is a $100 fee to use the facility and the check will be made payable to St. John Missionary Baptist Church. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH at. et M. Prainito, MMC ity Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precincts 7180 & 7184 - St John Missionary Baptist Church doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton-beach.org November 9, 2013 MARY DE GRAFFENREIDT SENIOR RECREATION MANAGER RECREATION & PARKS DEPARTMENT CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Location - Precinct #7178 Dear Ms. DeGraffenreidt: Thank you for your quick response to my request for information regarding the use of Ezell Hester Jr. Community Center as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The owner will open the facility no later than 6:00 a.m. on election day; ♦ Todd Johnson is the contact person at the Polling Place whose telephone number is (561) 742-6550; ♦ Todd Johnson is the emergency contact before and after regular business hours who can be reached at (561) 385 -2473 or (561) 742 -6550; ♦ Delivery and pickup of voting equipment can be made from Monday through Friday during the hours of 1:00 p.m. until 9:00 p.m. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH A et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 7178 - Ezell Hester Community Center doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742-6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 MARY DE GRAFFENREIDT SENIOR RECREATION MANAGER RECREATION & PARKS DEPARTMENT CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Location - Precinct #7182 Dear Ms. DeGraffenreidt: Thank you for your quick response to my request for information regarding the use of the Carolyn Sims Center as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The owner will open the facility no later than 6:00 a.m. on election day; ♦ Frank Ireland is the contact person at the Polling Place whose telephone number is (561) 742-6641; and ♦ Frank Ireland is the emergency contact before and after regular business hours who can be reached at (561) 667 -8270. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH Y • fl jo et M. 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Ln fq i `""� O_ 5 U Z al L L *U * 0301* 0 <1/4) ...2 LE 1* Lb Ln LE mLn mL Iv cu V)md2 V) LO U* VIm cu Lj The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 r ' (561) 742 -6060 FAX: (561) 742 -6090 E-mail: prainitoj @bbfl.us www.boynton - beach.org o ` November 9, 2013 o GINA NORTH FREEDOM SHORES ELEMENTARY SCHOOL 3400 HYPOLUXO ROAD BOYNTON BEACH FL 33436 Re: Confirmation of Polling Location — Precinct 3136 Dear Ms. North: I would like to thank Mr. Steven Bonino, Chief of Support Operations for the School District for his quick response to my request for information regarding the use of Freedom Shores Elementary School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The premises will be opened on Election Day no later than 6:00 a.m.; ♦ You (Ms. North) are the contact person at the Polling Place whose telephone number is (561) 804 -3105 or on your cell phone at (561) 313 -7956; ♦ The emergency contact before and after regular business hours is Milardy Perez who can be reached on the cell phone at (561) 255 -1821; ♦ There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH tic• . 711 PA.atAJ±O t M. Prainito, MMC City Clerk Copy to: Steven G. Bonino S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 3136 - Freedom Shores Elementary School doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office ,,(7....._,.. , 100 E BOYNTON BEACH BLVD f BOYNTON BEACH FL 33435 (561) 742 -6060 ``� FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us c 0 www.boynton- beach,org c` +. :r as November 9, 2013 4 i r 1 r BERNADETTE STANDISH CITRUS COVE ELEMENTARY SCHOOL 8400 LAWRENCE ROAD BOYNTON BEACH FL 33436 Re: Confirmation of Polling Location - Precincts 3138 & 3164 Dear Ms. Standish: I would like to thank Mr. Steven Bonino, Chief of Support Operations for the School District for his quick response to my request for information regarding the use of Citrus Cove Elementary School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: • Tables, chairs and restroom facilities are available; • The premises will be opened on Election Day no later than 6:00 a.m.; • You, Ms. Standish, are the contact person at the Polling Place whose telephone number is (561) 292 -7007 or on your cell at (561) 348 -4181; • The emergency contact before and after regular business hours is you who can be reached at (561) 292 -7007 or (561) 348 -4181; • There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH •• - P/LQ Li±o do . net M. Prainito, MMC City Clerk Copy to: Steven G. Bonino S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Preoncts 3138 & 3164 - Otrus Cove Elementary School doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 . 1 (561) 742-6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 Jed LYNDON CLEMONS 1 BOYNTON BEACH HIGH SCHOOL 4975 PARK RIDGE BLVD BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location — Precincts 3172, 3176, 3178 & 3188 Dear Mr. Clemons: I would like to thank Mr. Steven Bonino, Chief of Support Operations for the School District for his quick response to my request for information regarding the use of Freedom Shores Elementary School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The premises will be opened on Election Day no later than 6:00 a.m.; ♦ You, Mr. Clemons, are the contact person at the Polling Place whose telephone number is (561) 313 -5254; ♦ The emergency contact before and after regular business hours is you, Mr. Clemons, who can be reached at cell phone # (561) 313 -5254; ♦ There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH l n • PAO:vyt:±0 et M. Prainito, MMC City Clerk Copy to: Steven G. Bonino S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precincts 3172, 3176, 3178 & 3188 - Boynton Beach High School doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 , r FAX: (561) 742 -6090 C E -mail: prainitoj@bbfl.us ' ,.. P J � . l www.boynton beach.org c1" November 9, 2013 - =' L ,�9 t ELEANOR LUONGO BOYNTON LAKES POA 37 WINCHMORE LN BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location — Precinct #3142 Dear Ms. Luongo: Thank you for your response to my request for information regarding the use of Boynton Lakes North Clubhouse as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on Tuesday, March 25, 2014 if a run -off election is necessary.. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ You will open the premises on Election Day; ♦ You are the contact person at the polling location at (561) 439 -7437 ♦ You are the emergency contact person before and after regular business hours who can be reached at (561) 439 -7437; ♦ The City of Boynton Beach will pay Boynton Lakes North $50 for use of the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH W) • PA-CUAttio • et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 3142 - Boynton Lakes Clubhouse doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742-6060 FAX: (561) 742 -6090 �r • E -mail: prainitoj @bbfl.us www.boynton - beach.org ; November 9, 2013 ,5. LYNNE STARK LIVE WELL DIRECTOR NEWPORT PLACE 4735 NW 7TH CT BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location - Precinct #3146 Dear Ms. Stark: Thank you for your quick response to my request for information regarding the use of Boynton Newport Place as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election. If a run -off election is necessary, it would be held on Tuesday, March 25, 2014. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ Since your facility is always open, it is not necessary to provide a key; ♦ You are the contact person at the polling location at (561) 586 -6455; ♦ You are the emergency contact before and after regular business hours who can be reached at (561) 586 -6455; and ♦ There is no fee to use the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH P AA&iga r , et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 3146 - Newport Place doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD ‘g" BOYNTON BEACH FL 33435 .x v cP (561) 742 -6060 ' FAX: (561) 742 -6090 1163 E -mail: prainitol @bbfl.us www.boynton- beach.org November 9, 2013 CHIEF KEVIN R CARTER FIRE STATION # 5 CITY OF BOYNTON BEACH 2080 HIGH RIDGE ROAD BOYNTON BEACH FL 33426 Re: Confirmation of Polling Locations — Precincts #3168 & 3174 Dear Chief Carter: Thank you for your quick response to my request for information regarding the use of Fire Stations #3 as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election. If a run -off election is necessary, it will be held on Tuesday, March 25, 2014. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The polling location will be open no later than 6:00 a.m. on Election Day; ♦ The Battalion Chief can be contacted before or after regular business hours in case of emergency at (561) 742 -6634 for Fire Station #3; ♦ The Station Captain will be the contact persons at the polling location and can be reached by phone at (561) 742 -6606 for Fire Station #3. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH YY) PA-CiLtAt net M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precincts 3168, 3174 - Fire Station #3 doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 '. (561) 742-6060 FAX: (561) 742 -6090 *f", C. E -mail: prainitoj @bbfl.us www.boynton - beach.org November 9, 2013 kve -se- ROBERT HOOK SUPERINTENDENT LAKE WORTH CHRISTIAN SCHOOL 7592 HIGH RIDGE ROAD BOYNTON BEACH FL 33426 Re: Confirmation of Polling Location — Precinct #3182 Dear Superintendent Hook: Thank you for your response to my request for information regarding the use of Lake Worth Christian School as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on Tuesday, March 25, 2014 if a run -off election is necessary. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; • The owner will open the polling location no later than 6:00 a.m. on Election Day; ♦ You are the contact person at the polling location at (561) 586 -8216; ♦ You are the emergency contact person before and after regular business hours who can be reached at (561) 329 -2858; • The City of Boynton Beach will pay Lake Worth Christian School $100 for use of the facility. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH `• • / n l n I PAEi. 4 LtO or et M. Prainito, MMC City Clerk S \CC \WP \ ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 3182 - Lake Worth Christian School doc America's Gateway to the Gulfstream The City of Boynton Beach .0 City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton - beach.org M c November 9, 2013 CHARLIE CRAWFORD RECREATION & PARKS DEPARTMENT CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Location - Precinct #4024 Dear Mr. Crawford: Thank you for your quick response to my request for information regarding the use of Boynton Beach Boat Club as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ You will provide the Precinct Clerk with a key to the premises prior to Election Day; ♦ You can be reached during normal business hours at (561) 374 -2864; ♦ You are the emergency contact before and after regular business hours who can be reached at (561) 374 -2864. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH . Pitzt...u.Ajo ► et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 4024 - Boynton Boat Club Park doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 •? (561) 742 -6060 ' FAX: (561) 742 -6090 ,. G E -mail: prainitoj @bbfl.us www.boynton - beach.org s ° November 9, 2013 A �. I MS THELMA LYONS EXECUTIVE SECRETARY ST JOHN MISSIONARY BAPTIST CHURCH 900 N SEACREST BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Locations - Precincts -7180 & 7184 Dear Reverend Chaney: Thank you for your response to my request for information regarding the use of St. John Missionary Baptist Church as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and on March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The owner will be available to open the facility at 6:00 a.m., but agrees also to provide the Precinct Clerk with a key to the premises prior to Election Day; • Thelma Lyons is the contact at the polling location and can be reached at 732 -2377 during business hours. ♦ Before and after business hours, call Willie McKinney © (561) 906 -1135; ♦ There is a $100 fee to use the facility and the check will be made payable to St. John Missionary Baptist Church. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH r et M. Prainito, MMC ity Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precincts 7180 & 7184 - St John Missionary Baptist Church doc America's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton-beach.org 9, 2013 MARY DE GRAFFENREIDT SENIOR RECREATION MANAGER RECREATION & PARKS DEPARTMENT CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Location - Precinct #7178 Dear Ms. DeGraffenreidt: Thank you for your quick response to my request for information regarding the use of Ezell Hester Jr. Community Center as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The owner will open the facility no later than 6 :00 a.m. on election day; ♦ Todd Johnson is the contact person at the Polling Place whose telephone number is (561) 742-6550; ♦ Todd Johnson is the emergency contact before and after regular business hours who can be reached at (561) 385 -2473 or (561) 742 -6550; ♦ Delivery and pickup of voting equipment can be made from Monday through Friday during the hours of 1:00 p.m. until 9:00 p.m. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH A et M. Prainito, MMC City Clerk S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 7178 - Ezell Hester Community Center doc America 's Gateway to the Gulfstream The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 4.) (561) 742 -6060 )- FAX: (561) 742 -6090 E -mail: prainitoj@bbfl.us www.boynton- beach.org =r 1 - y November 9, 2013 ti �� :) MARY DE GRAFFENREIDT SENIOR RECREATION MANAGER RECREATION & PARKS DEPARTMENT CITY OF BOYNTON BEACH 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 Re: Confirmation of Polling Location - Precinct #7182 Dear Ms. DeGraffenreidt: Thank you for your quick response to my request for information regarding the use of the Carolyn Sims Center as a polling location on Tuesday, March 11, 2014 for the City of Boynton Beach Municipal Election and March 25, 2014 if necessary for a run -off election. This will confirm the following: ♦ Tables, chairs and restroom facilities are available; ♦ The owner will open the facility no later than 6:00 a.m. on election day; ♦ Frank Ireland is the contact person at the Polling Place whose telephone number is (561) 742 -6641; and • Frank Ireland is the emergency contact before and after regular business hours who can be reached at (561) 667 -8270. Again, please accept my sincere thanks for your willingness to serve the City of Boynton Beach. If you have any questions or concerns, please contact me. Sincerely, CITY OF BOYNTON BEACH Yen, Act.,./„Ito et M. Prainito, MMC City Clerk 5 \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Confirmation Letters \Precinct 7182 - Carolyn SimsCenter doc America's Gateway to the Gulfstream City of Boynton Beach Precincts and Polling Places, Districts 2 and 4 As requested the precincts and polling places for The City of Boynton Beach Districts 2 and 4 are as follows: 189 17.) BOYNTON BEACH DIST 2 (7 Precincts) 3188, 3190,4024,7178,7180,7182,7184 C O BOYNTON BEACH DIST 4 (13 Precincts) tY 3136, 3138, 3140, 3142, 3146, 3164, 3168, 3172,3174,3176,3178,3182,3184 BB City PCT Add'I pct(s) Location District(s) 4 3136 f Freedom Shores Elementary 4 3138 3164 Citrus Cove Elementary 4 3140' 4 3142 4 3144k 3146 Newport Place 4 3168✓ 31741 ., Boynton Beach Fire Station #3 4 and 2 _ 3170* 3172, 176 , 3178, 3188' ' Boynton Beach High 4 and 2 3148; 31841, 318Z'3184'3190' Lake Worth Christian School 2 4024/ (name change only) 2 7178/ 2 7180" 7184/ St John Missionary Baptist Church 2 7182'/ *denotes a precinct number that is not part of the municipality but is assigned to a location that does have municipal precincts assigned The locations highlighted in green above are changes that will be made by the SOE before the end of the year. Since the change for precinct 4024 is a name change only, I don't know whether all voters will receive new cards or whether it will be changed in our system for future cards only. All voters in precinct 7182 will be sent new voter cards listing their new assigned location at Carolyn Sims Center. Both the locations highlighted in green have returned their agreement forms. The locations highlighted in red above have not yet returned their polling location agreement form. As we discussed, I don't know for sure whether the two Boynton Lakes neighborhoods will agree to allow the use of their clubhouses or not. It is possible that they would allow the City of Boynton Beach to use them but not the SOE, so I would try them and see what happens. If I hear back for sure from either that they will not allow us to use them, I will let you know as soon as possible. If the location name is not highlighted, an agreement form allowing its use has already been returned. I don't yet have a form returned for Ezell Hester, so I have attached a blank one to this email. Would you please help get it to the right person for completion? Prainito, Janet From: Rachel West <rachel @pbcelections org> Sent: Tuesday, November 05, 2013 11 38 AM To: Prainito, Janet Subject: 2014 polling locations Attachments: Boynton Beach polling locations 2014 docx, 7178 Ezell Hester Community Center pdf Good Morning, Janet: As per our telephone discussion this morning, please find attached chart of all precinct numbers and polling places assigned to Boynton Beach Districts 2 and 4. The chart explains which locations are new (or a change of name only) for 2014, and which locations have yet to return their polling location agreement forms. One such location is Ezell Hester, so I have attached a blank form for that location in the hope that you can assist me in getting it to the appropriate person for completion. Please let me know if you require any further information, or if I can be of any further assistance to you. Radel What Election Specialist o Palm Beach County Supervisor of Elections Office o 240 South Military Trail CO 0 West Palm Beach, FL 33415 direct: 561- 656 -6237 fax: 561- 656 -6220 email: rachel(c�r pbcelections.org PLEASE NOTE Under Florida law, email addresses are public records If you do not want your email address released in response to a public records request, do not send electronic mail to this entity Instead, contact this office by phone or in writing Florida Statute 668 6076 1 7178 PALM BEACH COUNTY ,,.JPERVISOR OF ELECTIONS POLLING LOCATION AGREEMENT FORM THIS AGREEMENT, dated this day of , 20 by and between Susan Bucher, Supervisor of Elections, Palm Beach County, Florida, and the owner /representative of the Polling Place located at EZELL HESTER COMMUNITY CENTER NAME OF POLLING LOCATION (Include name and /or room number) 1901 N SEACREST BLVD, BOYNTON BEACH, FL 33435 POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE OWNER/REPRESENTATIVE AGREES • To provide a Polling Place for holding the following Elections & PRIMARY ELECTION TUESDAY, AUGUST 26, 2014 'r NET GENERAL ELECTION TUESDAY, NOVEMBER 4, 2014 cis • To provide the following items from 6 00 a m until closing procedures required by Florida Statutes are completed by the Election Board CHAIRS FOR ELECTION WORKERS (circle) YES NO NUMBER OF CHAIRS AVAILABLE e e TABLES FOR ELECTIONS WORKERS (circle) YES NO SIZE OF TABLES AVAILABLE �o� RESTROOM FACILITIES AVAILABLE (circle) YES NO AIR CONDITIONING /HEATING (circle) YES NO • To provide access to the Polling Place on election day by one of the following means (circle) YES NO Owner will open Polling Place NO LATER THAN 6 00 a m on Election Day (wcle) YES NO Owner will provide the Precinct Clerk with a key to the facility prior to Election Day S TA TEMENT OF INDEMNITY. The Palm Beach County Supervisor of Elections shall be responsible for damages, as found legally liable for and to the extent permitted by law, arising out of injury or damage to persons or property directly caused by or resulting from the sole negligence of the Office of the Palm Beach County Supervisor of Elections or any of its officers or employees The owner shall be responsible for damages, and shall indemnify save, and hold harmless the Palm Beach County Supervisor of Electrons for damages or claims arising out of injury or damage to persons or property caused by or resulting from the negligence of the owner alone or in connection with a third party or any of Its employees, agents, invitees quests or representatives The Palm Beach County Supervisor of Elections shall be listed as an additional insured to any existing insurance policy for the premises and a certificate of insurance shall be issued listing the Palm Beach County Supervisor of Elections as an additional insured no less than thirty (30) days pnor to the polling event Nothing in this provision shall constitute as a waiver of sovereign immunity 1 AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE SUPERVISOR OF ELECTIONS ON THE DATES INDICATED ABOVE SIGNATURE PRINT NAME TITLE TELEPHONE DATE SIGNED MAILING ADDRESS (INCLUDE CITY,, STATE AND ZIP CODE) E -MAIL ADDITIONAL INFORMATION • To provide access to the premises or delivery and pickup of voting equipment before and after each Election, please provide the days and hours facility is open for the delivery and pickup of voting equipment • Name and telephone number of emergencycontact person before and after regular business hours NAME TELEPHONE ALT TELEPHONE EMAIL • Name and telephone number of contact person at Polling Place on Election Day NAME TELEPHONE ALT TELEPHONE EMAIL • Two alternate contacts NAME TELEPHONE ALT TELEPHONE EMAIL NAME TELEPHONE ALT TELEPHONE EMAIL SUSAN BUCHER, SUPERVISOR OF ELECTIONS SIGNATURE DATE SIGNED SOE CONTACT Rachel West TELEHONE 561- 656 -6200 EMAIL rachel @pbcelections org FAX 561 - 656 -6220 ill lie N > 111 , Tr 0 0 0 0 N W 0 0 0 0 0 0 0 0 0 0 , Z z Z Z I a. 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City Clerk's Office ri( -7.- 100 E BOYNTON BEACH BLVD • BO YNTON BEACH FL 33435 a 1 ' (561) 742-6060 FAX: (561) 742 -6090 ta( E -mail: prainitoj @bbfl.us sr ,--° www.boynton- beac w D November 6, 2013 A MS ANGELA USHER THE SCHOOL BOARD OF PBC 3300 FOREST HILL BLVD WEST PALM BEACH FL 33406 -5816 Re: Municipal Elections — March 11, 2014 — Polling Location Agreements 3136 - FREEDOM SHORES ELEMENTARY SCHOOL 3176 - BOYNTON BEACH HIGH SCHOOL 3138 - CITRUS COVE ELEMENTARY SCHOOL 3178 - BOYNTON BEACH HIGH SCHOOL 3164 - CITRUS COVE ELEMENTARY SCHOOL 3188 - BOYNTON BEACH HIGH SCHOOL 3172 - BOYNTON BEACH HIGH SCHOOL Dear Ms. Usher: The City of Boynton Beach will conduct municipal elections on Tuesday, Narch 11, 2014 for Mayor At- Large and City Commission Districts I and III. The polls are open from 7:00 a.m. until 7:00 p.m. A Run -Off Election, if necessary, would be conducted on Tuesday, March 26, 2014. I have enclosed Polling Location Agreements for each precinct within the polling locations within the schools. Please review each form and fill in all pertinent information. _ ' . L t.2 t i 1' —t_ VI_.. in , _ e F F 2 , z s `o ,...1_,_A.,,,,, _ ' ' a -. i 1 ', i11 L ' _5x °t l ir ° d p ' as Please encourage the person filling out the form to include the information requested. If there is a fee to use the facility, please include the amount in the space provided and indicate at the bottom of the form to whom the check should be made payable. Thank you in advance for taking the time from your busy schedule to assist us in this way. Please return these agreements to me in the enclosed self - addressed stamped envelope by Thursday, December 5, 2013. C confirmation letter for each polling location will be sent to you. If you have any questions or concerns, please do not hesitate to contact me. Again, thank you for your willingness to serve the City of Boynton Beach in this capacity. Very truly yours, CITY OF BOYNTON BEACH o et M. Prainito, MMC City Clerk Enclosures S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Transmittal of Polling Location Agreement to The School Board of PBC doc The City of Boyi,. _on Beach PRECINCT NUMBER 3 1'„ POLLING LOCATION AGREEMENT FORM r CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: FREEDOM SHORES ELEMENTARY SCHOOL FROM: CITY OF BOYNTON BEACH 3400 HYPOLUXO ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 100 E BOYNTON BEACH BLVD. tan 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ ❑ TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑ • To provide access to the Polling Place on election day by one of the following means: o Owner will open Polling Place NO LATER THAN :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 $ 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. SIGNATURE PRINT NAME TITLE tEL`EPHONtNO. MAILING ADDRESS'(IINCLUDEIXIY, SLATE A'NDZIPCODE) DATE SIGNED • 'lid PtOv„I lti 4D 000010 4I x - *Ref* i6liS111;�'pliii(tti'ik►1 a • Name of contact person and telephone number at Polling mince: • Name -Of contact .P 3p ;and telephone lltlii e�iiji►•' P RA** ',.err of • Make chore payable to 11/5/2013 10 40 AM S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3136 - Freedom Shores Elementary School doc The City of Boys_ ..on Beach PRECINCT NUMBER 2138 r.� ) POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE r- TO: CITRUS COVE ELEMENTARY SCHOOL FROM: CITY OF BOYNTON BEACH 8400 LAWRENCE ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ ❑ TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑ • To provide access to the Polling Place on election day by one of the following means: • Owner will open Polling Place NO unit 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 $ 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. SIGNATURE PRINT NAME TITLE TELEPHONE NO. MAILING ADDRESS (INCLUDE CITY, STATE AND flP CODE) ' DATE'SIGNED • Te3 pyckykleaceeetto 'the pprenlpa liar e> id a and a It H `Ieit, Mess* p g ; i1 1 r S., : ° `:` d011ttlr F ii ilrlp • Name of contact person and telephone number at Polling Place: • Nance of ouktecteyereee and telephone nuMber , before' andeafter regtitiu' t f131tr case of ernei en y • Make checks payable to 5 \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3138 - CITRUS COVE ELEMENTARY SCHOOL doc The City of Boyi_,on Beach PRECINCT NUMBER 3. °D POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE ' TO: CITRUS COVE ELEMENTARY SCHOOL FROM: CITY OF BOYNTON BEACH " s 8400 LAWRENCE ROAD CITY CLERK'S OFFICE BOYNTON BEACH FL 33436 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ ❑ TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑ • To provide access to the Polling Place on election day by one of the following means: • Please check one ❑ Owner will open Polling Place NO LATER THAN 6:00 a.m. on Elettlon 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 $ 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. SIGNATURE PRINT NAME TITLE TELEPHONE NO. MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED ADDITIONAL INFORMATION • To provideatcasa to the, prentiset " 1 blil b $ e Boil a 'ter each Election, Please provide d'aysl otlia , t yin> " # s iii fDr'e • ` : a a - +' p • Name of &intact person and telephone number at Polling Plate: • Name of ems" pen- and telephone mildbit1/4 hilfarld, efterAagitleShaillailitart lye of eittergency, • Make checks payable to: S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3164 - CITRUS COVE ELEMENTARY SCHOOL doc The City of BoyL an Beach PRECINCT NUMBER 3172 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH HIGH SCHOOL FROM: CITY OF BOYNTON BEACH 4975 PARK RIDGE BLVD. 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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: .33 Yes No k CHAIRS FOR ELECTION WORKERS ❑ ❑ U. 0 TABLES FOR ELECTION WORKERS ❑ ❑ -Z . RESTROOM FACILITIES AVAILABLE ❑ ❑ 4 • To provide access to the Polling Place on election day by one of the following means: ,e 0 Please check one: o Owner will open Polling Piece NO LATER THAN 8:00 a.tn. on Election Day o Owner will provide the Precinct Clerk with eli key to the premises prior To Election Day. 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 SIGNATURE PRINT NAME TITLE TELEPHONE NO. MAILING ADDRESS (INCLUDE +CITY, STATE AND ZIP CODE) DATE SIGNED ADDITIONAL INFORMATI# • To prbwide access to the, premix � for a r� C before and after each Election, ieate rirSritlte the tfa boors f pftfttip: • Name of contact person and telephone number at Poiling Placer • Name of contact person and telephones au ber ` eke,,sue After„ regUitar: bn furs; =ait Case of emergency. • Make checks payable to: S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3172 - BOYNTON BEACH HIGH SCHOOL doc The City of Bop_ on Beach PRECINCT NUMBER 3176 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH HIGH SCHOOL FROM: CITY OF BOYNTON BEACH 4975 PARK RIDGE BLVD. 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ ❑ p TABLES FOR ELECTION WORKERS ❑ ❑ CP RESTROOM FACILITIES AVAILABLE ❑ ❑ g' 3 • To provide access to the Polling Place on election day by one of the following means: Please check one: ❑ Owner will open Polling Place NO°LATEIt THAN 6:00 am. on' Elettidit Day ❑ Owner will provide the Precinct Clerk viilth a key to the prefldses prlor-to Election Day. 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 SIGNATURE PRINT NAME TIRE TELEPHONENO. MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED ADDr oNAL.1NWOMATXOC4 • To provide to the nemIses for ,ie , amdefter each Election, pee hide the deye /'hodrs' i ' `in li fot - awa t • Name of contact person and telephone number et Polling place: • Mme of coact person and telephone nu r re iA erftee er *Ou of erroernmity. ° ; • Make checks payable to S \CC \WP \ ELECTION \Year 21)14\ POLLING LOCATION INFORMATION \Polling Location Agreement - 3176 - BOYNTON BEACH HIGH SCHOOL doc The City of Boyi_ _on Beach PRECINCT NUMBER 3178 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH HIGH SCHOOL FROM: CITY OF BOYNTON BEACH 4975 PARK RIDGE BLVD. 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 y CHAIRS FOR ELECTION WORKERS ❑ ❑ 3 TABLES FOR ELECTION WORKERS ❑ ❑ c , RESTROOM FACILITIES AVAILABLE ❑ ❑ :sew x — :3 • To provide access to the Polling Place on election day by one of the following means Please check one: ❑ Owner will open Polling Place NO LATER THAN MOO aim. on Election Day ❑ Owner will provide the Precinct Clerk with a key to the premises priorto Election Day. 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. SIGNATURE PRINT NAME TITLE TELEPHONE NO. MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED ADDITIONAL INFORMATION • To proidde accesS to the grandees fOr g and ic�,o efl der each Elec ioi,t, l►) `piiovietf the ila`ys /iloar f "h i)1 y' A ta - ' " : p; • Nettie of eontaet person and telephone number at Polling Piece: • Harnett cent** person and telephone number before end air , rem* , b Slfi> . hoursi it c of emergency. • Make checks payable to: S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3178 - BOYNTON BEACH HIGH SCHOOL doc The City of Boyi an Beach PRECINCT NUMBER 3188 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH CITY CLERK'S OFFICE TO: BOYNTON BEACH HIGH SCHOOL FROM: CITY OF BOYNTON BEACH 4975 PARK RIDGE BLVD. 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 CD ,:.) CHAIRS FOR ELECTION WORKERS ❑ ❑ �. TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑ *t •x, Jp N • To provide access to the Polling Place on election day by one of the following means: ( 4 P Please check one: ') ❑ Owner v011 open Point* Place NO tAltIttlitift640 bnilitith llr'Oey ❑ Ownerwiltpitrvride the PriedndillirkiiltitkettithipAtillirahy. 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, 5IGHATMIREt PRINT NAME TI I1 ir' TEL HONEIIO. ki11IUNG' (1h'CCi OE'alsto srAve minttp` of DMtS1GNi O ADDfl1ON7tLINktillitA N • 7 ` s • hanie qt Orson end � phon+ rim t Oh gti ee: `. - • Plaktidamdtt Piyehlito: - ' S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 3188 - BOYNTON BEACH HIGH SCHOOL doc The City of Boynton Beach City Clerk's Office 1 100 E BOYNTON BEACH BLVD i BOYNTON BEACH FL 33435 (561) 742 -6061 , . FAX: (561) 742 - 6090 °' •; f E -mail: prainitoj @ci.boynton- beach.fl.us k ) www.boynton- beach.org 4 , c'°°' November 6, 2012 � -° �� tl , t. 4, - ,.) MS MARY DEGRAFFENREIT ; RECREATION & PARKS DEPARTMENT 100 EAST BOYNTON BEACH BLVD. BOYNTON BEACH FL 33435 RE: MUNICIPAL ELECTION – MARCH 11, 2014 – POLLING LOCATION AGREEMENT - PRECINCT #7178 (Ezell Hester Community Center) Dear Ms. DeGraffenreit: The City of Boynton Beach will conduct municipal elections on Tuesday, NIa '1 , 2014 for City Commission Districts II and IV. The polls are open from 7:00 a.m. until 7:00 p.m. Poll workers must be able to access the polling location by 6:00 a.m. on Election Day. Please note that if there is a need for a Run -Off Election, it will be conducted on Tuesday, March 25, 2014. In preparation for the election, I have enclosed a Polling Location Agreement. Please take a moment to review the form and fill in all pertinent information. Please'pay particular attention to the areas that are highlighted. That information is vital to the election process and will help to eliminate confusion on Election Day. If there is a fee to use the facility, please include that amount on the form. Also, indicate at the bottom of the form to whom the check for use of the facility should be made payable. I appreciate you taking the time to assist us in this way. Please return this agreement to me in the enclosed self - addressed, stamped envelope by Thursday, December 5, 2013. As soon as I receive the completed form, I will send you a confirmation letter. If you have any questions or concerns, please do not hesitate to contact me. Again, thank you for your willingness to serve the City of Boynton Beach in this capacity. Very truly yours, CITY OF BOYNTON BEACH (Pet M. Prainito, MMC ity Clerk Enclosure Copy: Wally Majors S \CC \W^/P \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Transmittal of Polling Location Agreement - Precinct 4024 -Ezell Hester Center doc America's Gateway to the Gulfstream I r The City of Boy._�on 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 day of , 20_, 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 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • To provide the following items from 6:00 a.m. until all closing procedures required by the a Statutes to be performed by the Election Board are completed: 'wmP Yes No •t u° , zJ CHAIRS FOR ELECTION WORKERS ❑ ❑ ° �F C) i TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑ �� • To provide access to the Polling Place on election day by one of the following means: Please heck one n Owner will open Polling Place NO LATER THAN SS00 a.m. on Election Day o Otimer will provide the Precinct Clerk with a key to the premieres prior to Election Dray, 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. SIGNATURE PRINT NAME TITLE TELEPNONENO, MAILING ADDRESS (INCLUDE CITY, STATE AND ZIPCODE) DATE SIGNED ADDm0NAL 1"NAtUON • To provideoccess to N1e'r a mic a d � 0 = 4 � and of each Election, de` r ayt't�/hourss raty`Is • Name of contact person and telephone number at Poking Place: • Name- of contact person and telephone number before, and aft r gU is sJtot aht. ta#ti of emergency. • Make checks payable to S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7178 - EZELL HESTER COMMUNITY CENTER.doc The City of Boynton Beach City Clerk's Office 100E BOYNTON BEACH BLVD r BOYNTON BEACH FL 33435 (561) 742-6061 FAX: (561) 742 -6090 E -mail: prainitoj @ci.boynton- beach.fl.us www.boynton-beach.org November 6, 2012 MS THELMA LYONS ST JOHN MISSIONARY BAPTIST CHURCH 900 N SEACREST BLVD BOYNTON BEACH FL 33435 RE: MUNICIPAL ELECTION — MARCH 11, 2014 — POLLING LOCATION AGREEMENT - PRECINCTS #7180 & 7184 Dear Ms. Lyons: The City of Boynton Beach will conduct municipal eleatiions - ton Tuesday, NOt i I1, 2014 for City Commission Districts II and IV. The polls are open from 7:00 a.m. until 7:00 p.m. Poll workers must be able to access the polling location by 6:00 a.m. on Election Day. Please note that if there is a need for a Run -Off Election, it will be conducted on Tuesday, March 25, 2014. In preparation for the election, I have enclosed Polling Location Agreements. Please take a moment to review the forms and fill in all pertinent information. Please pay particular attention to the areas that are highlighted. That information is vital to the election process and will help to eliminate confusion on Election Day. If there is a fee to use the facility, please include that amount on the form. Also, indicate at the bottom of the form to whom the check for use of the facility should be made payable. I appreciate you taking the time to assist us in this way. Please return this agreement to me in the enclosed self - addressed, stamped envelope by Thursday, December 5, 2013. As soon as I receive the completed form, I will send you a confirmation letter. If you have any questions or concerns, please do not hesitate to contact me. Again, thank you for your willingness to serve the City of Boynton Beach in this capacity. Very truly yours, CITY OF BOYNTON BEACH ' et M. Prainito, MMC City Clerk Enclosure m� Copy: Wally Majors S \CC \WP \ ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Transmittal of Polling Location Agreements - Precincts 7180 & 7184 - St John doc America's Gateway to the Gulfstream The City of Boy, on Beach PRECINCT NUMBER 7180 POLLING LOCATION AGREEMENT FORM CITY OF BOYNTON BEACH u l Y 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 , 20 , 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 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ ❑ w� Li TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑ N • To provide access to the Polling Place on election day by one of the following means: Please check one: o Owner will open Polling Place NO LATER THAN 6:00 a:m. on Election Day d Owner will provide the Precinct Cleric with d key to the prenriltes prior t e Electron Day. 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. SIGNATURE PRINT NAME TITLE TELEPHONE NO. MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE) DATE SIGNED ADDm'° SNAL oRMA'I toN • To provide accent the:prendsele far „ O rarid'afber each Mai* tole prro'vide this days /hours • Name of contact person and telephone number at Polling Placer , • Name of corrttrct; person. and telephone nw,nber belbfe rwrrt<,afte r, re bueii •tlo ;,hr itisa of errrgency: • Make checks payable to S \CC \WP \ELECTION \Year 2014 \POLLING LOCATION INFORMATION \Polling Location Agreement - 7180 - ST JOHN MISSIONARY BAPTIST CHURCH doc ( -� ,, The City of Boynton Beach PRECINCT NUMBER 71tS POLLING LOCATION AGREEMENT FORM r 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. e = BOYNTON BEACH FL 33435 to 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: 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 11, 2014 RUN -OFF ELECTION (if necessary) TUESDAY, MARCH 25, 2014 • 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 ❑ ❑ TABLES FOR ELECTION WORKERS ❑ ❑ RESTROOM FACILITIES AVAILABLE ❑ ❑