Polling Locations MAIL CHECK TO VENDOR ❑ RETURN CHECK TO DEPT. ❑INCLUDE BACK-UP W/CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ . 250.00
VENDOR #: N/A
TO: The League at VRG, Inc.
2505 NE 2nd Court •
Boynton Beach, FL 33435
FOR: Polling Location Fee for General Election on March 12, 2019.
Requested By: Judith A. Pyle Date: 03/18/19
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: / 001 1310 512 49 15 250.00
Div Head GL �/ `71X'
J th A. Pyle
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
250.00
C AA"r
.' _ : Ct my
The City of 1 oyrnto n teach
‘,
��t; .Fr
PRECINCT NUMBER 7179
on1
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERK'S OFFICE
TO: DOMIENICK MAZZELLA FROM: CITY OF BOYNTON BEACH
VILLAGE ROYAL ON THE GREEN CITY CLERKS OFFICE
2505 NE 2ND COURT 3301 QUANTUM BLVD. # 101
BOYNTON BEACH, FL 33435 BOYNTON BEACH FL 33426
This agreement, dated this �f1 day of Lc ce.mA e r 2018, by and between the City of Boynton
Beach, FL,and the owner of the Polling` Placealocated at:
V11� t. RNO1e. o„ -11-\‘‘ LO, - Lu-o3- C\Lit htti5c
NAME OF POLLING LOCATION(Include name and/or room number)
'a561 NE 1s` Co -*,vf3; 9,kn (Lad, Fl_ 33,135
(POLLING LOCATION STREET ADDRESS,CITY AND ZIP CODE)
THE OWNER AGREES TO
• Provide the Polling Place for holding the following elections:
GENERAL ELECTION — ------- TUESDAY,MARCH 12,2019
RUN-OFF ELECTION(if necessary) TUESDAY, MARCH 26,2019
• 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 F ` _
CHAIRS FOR ELECTION WORKERS (5// ❑ _ ..e r-
TABLES FOR ELE 11ON WORKERS E7/ "- �'
❑ r0,
•
RESTROOM FACILITIES AVAILABLE —
-i r.0 CI .O
: mac.
• To provide access to the Polling Place on election day by one of the following means: b
-ti
-m-.
�/ Owner will open Polling Place NO LATER THAN 6'a.m.on Election Day � rri
0 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$ a1)19. E o 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 BEACON THE DATESINDICATED ABOVE.
•C. /41,(,(1e-). 11:;/11 "bur e /Mfr ax act (rib r e. X 61.4-301--14 4 q
GNATURE t(1 PRINT NAME T1TLE TELEPHONE NO.
.5 05 -4'E 'a."a (ct;ri•. UCyw.6v ( e cL, FL 33935 lel36/IR
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: /AiNi2, E uc>.:i• 1 - 5.11 j'-1 i 317 7
• Name of contact person and telephone number before and after regular business hours, In case of
emergency. 16.,,t,,;,t: /tV---,d:: - '-1.C1-1'c}• S3;',\ i
• Make checks payable to: 1\\c L a9li c. ,k,. \Pik(; , '3 nr.
SACC\WetELECTION\Year 20191POLLING LOCATIONs\Pogling Lncatlon Agreement-1179-ex
t
-
El MAIL CHECK TO VENDOR ❑ RETURN CHECK TO DEPT. D INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of L §___., - ,300:00.
VENDOR # : N/A
1 CI
TO: Seacrest Presbyterian Church
2703 N. Seacrest Blvd.
Delray Beach, FL 33444
FOR: Polling Location Fee for General Election on March 12, 2019.
Requested By: Judith A. Pyle Date: 03/18/19
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: / 001 1310 512 49 15 300.00
Div Head 46-44111 G ;
Judith A. Pyle /
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
300.00
y-°" The City of Boynton Beach
ti G
�, c;` PRECINCT NUMBER 4066,4066.4070,&7190
tp r4 e
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERK'S OFFICE
TO: RANDY PATTERSON FROM: CITY OF BOYNTON BEACH
SEACREST PRESBYTERIAN CHURCH CITY CLERK'S OFFICE
2703 N. SEACREST BLVD. 3301 QUANTUM BLVD. # 101
DELRAY BEACH, FL 33444 BOYNTON BEACH FL 33426
-
This agreement, dated this Ik day of Ucc Iv"b,; , 2018, by and between the City of Boynton
Beach,FL,and the owner of the Polling Place located at:
Seidl<SIL Py-iUl4. (11Vl6C
NAME OF POLLING LOCATION(Include name and/or room number)
no3 AJ. Set,r:6,1 el,J , )ti-L,4 3.avL, FL vyy
(POLLING LOCATION STREET ADDRESS,CITY AND ZIP CODE)
THE OWNER AGREES TO
• Provide the Polling Place for holding the following elections:
GENERAL ELECTION TUESDAY, MARCH 12,2019
RUN-OFF ELECTION(if necessary) TUESDAY, MARCH 26,2019
• To provide the following items from 6:00 a.m. until all closing procedures required by the Florida
Statutes to be performed by the Election Board are completed:
Yes No —'
CHAIRS FOR ELECTION WORKERS 0 0 c. -<c.
Y'sr� S�
TABLES FOR ELECTION WORKERS ❑ 2e?
RESTROOM FACILITIES AVAILABLE 12k0 -i�.
7.7. c
q'l.
• To provide access to the Polling Place on election day by one of the following means: No
n
=
14 Owner will open Polling Place NO LATER THAN 6 a.m.on Election Day
0 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$ Lam. wceR6 for the use of the above described location for each Election, if
it is used. --P en. r-,..� ;,Gra`i'ffi
I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON
ce-BAC Ory,T(1E ATES NDICATED ABOVE.
Lb'nLQ \E��+\\ k4nauip1. 11- PG44lu0„ S' AA,n,34r� Z(il-16 -c 33
SI NATO PRINT NAME TITLE TELEPHONE NO.
27(.3 N. V .t'rsI iIh'a . )( LAr g.c,h, F1 334tlLi 1Z/IVIS
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:
MO,JA1 - F,,Ja,) g•11- 3..00
• Name of contact person and telephone number at Polling Place: -OM,, e I -PO)17.SA', 1(0 1 y Cie 7 J 9 y
• Name of contact person and telephone number before and after regular business hours, in case of
emergency. T,y Fo-til-tom s(e ,- 3rer)-- ZG13
• Make checks payable to: Sea cies( I2<%)) If2,an (111-.ik
S:\CCtWP\ELECTION\Year 2019\POLLING LOCATIONS\PolllIng Location Agreement-4066,4068,4070,&7190.doc
0 MAIL CHECK TO VENDOR ❑ RETURN CHECK TO DEPT. ❑INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ 380.00
VENDOR #: N/A
TO: GHEHA, Inc.
2556 SW 11th Court
Boynton Beach, FL 33426
FOR: Polling Location Fee for General Election on March 12, 2019.
Requested By: Judith A. Pyle Date: 03/18/19
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: 001 1310 512 49 15 380.00
Div Head �t1/ ."
Judith. Pyle
1
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
380.00
c
The City of Boynton Beach
` :1
a;,.,� '' PRECINCT NUMBER 3200&3202
<?tTS=
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH 07Y(JERK'S OFFICE
TO: SUSHI GEERY FROM: CITY OF BOYNTON BEACH
GOLVIEW HARBOUR CLUBHOUSE QTY CLERKS OFFICE
i �, itS lda, LceMion )2775 SW 14"STREET 3301 QUANTUM BLVD.#101
\,O 'hlqab°X BOYNTON BEACH,FL 33426 BOYNTON BEACH R 33426
Math,1l iSibress �d ren7and4thdated e owner of the pilling Place located aOkat
Ll 202,by and behveen the City of Boynton
%SLu"" Grtey,dv GoIGJ.fLa 1-la-c‘onkr CrlIA-bl10u.se..
2551v SIJ I I- el NAME OF POLLING LOCATION(BNfude name and/or room number)
' ya.4e)n BeceklFl-3304
heh®�Lellso.�lf.el¢t 2`775- S! ) / y ` S i f.�o Linder P .ck.a4 VL. 33916
qhc xbd 9/�b FaX (POLLING LOCATION STREET ADDRESS,CITY AND ZIP CXOD
SDI-rib- i%l -al THE OWNER AGREES TO
• Provide the Polling Place for holding the following elections: ..
GENERAL FLECTION TUESDAY,MARCH 12,2019
RUN-OFF ELECTION(if necessary) TUESDAY,MARCH 26,2019
• To provide the following iters nom 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 LW' El
TABLES FOR ELECTION WORKERS EY ❑
RESTROOM FACILITIES AVAILABLE e- ❑
• To provide aures to the Polling Place on demon day by one of the following means:
❑ Owner will open Polling Place NO LATER THAN 6 a.m.on Benton Day
18/Owner will provide the Precinct Clerk with a key to the premises prior to Elation Day.
THE CITY OF BOYNTON BEACH,THROUGH THE CITY CLERK,pq�5�
??QC O ,n udy.60fl praeraets 32.00 c3z02 -pl.r sorb koM n,.,c
• To pay the owner f 3 do for the use of the above desamrd location for each Election,W
it Is used.
I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON
ON THE DATES DICATED ABOVE.
ill Su21.111 &erg? 1l- 5-6/-5Tb-13/6 i
-SIGNATURE OO PRINT NAME TITLE TELEPHONE NO.
2ss4 Sic) //"-C or fli, ik, *f. 331os /kit-019
MAKING ADDRESS(INCLUDE CITY,STATE zip CODE) D 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 d//dh'ery/pidcup:
• Name of contact person and telephone number at Polling Pace:SIISO 4(4F 4S'o t- /a -/36/
or C La rail Woe thein F,e4 sbl364
• Name of contact person and telephone number before and alter regular business hours,In case offyg0
emergency.
• Make rheas payable to: G t +1/4 A h e.
SY2tWABEcfOAYs 2019JmWNG LOCATIONS\Patina Lm s Janet•3200&32010s
A �
E MAIL CHECK TO VENDOR ❑ RETURN CHECK TO DEPT. ❑INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ 200:00
VENDOR #: N/A
El
TO: Boynton Lakes North
100 Redford Drive
Boynton Beach, FL 33436
FOR: Polling Location Fee for General Election on March 12, 2019.
Requested By: Judith A. Pyle Date: 03/18/19
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: 001 1310 512 49 15 200.00
Div Head dc-Wirt
.(i
JuA. Pyle
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
200.00
_ Agi
.it
:f 5. ti fL i
-; . N
The City of Boynton Beach
PRECINCT NUMBER 3140&3142
-�toN e
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERK'S OFFICE
TO: JONATHAN SOTO FROM: CITY OF BOYNTON BEACH
BOYNTON LAKES NORTH HOA CITY CLERK'S OFFICE
100 REDFORD DRIVE 3301 QUANTUM BLVD. # 101
BOYNTON BEACH FL 33436 BOYNTON BEACH FL 33426
This agreement, dated this 18 day of De C e 2018, by and between the City of Boynton
Beach,FL,and the owner of the Polling Place located at:
(.5, 1-,1-.Nle•-er h,or's'1-. (2,l✓bi.rNbe
NAME OF POLLING LOCATION(Include name and/or room number)
Io !le A{orn Or;vt, (Sayn'Wn 1) e ►r1., 12c f 3vi- .
(POLLING LOCATION STREET ADDRESS,CITY AND ZIP CODE)
THE OWNER AGREES TO
• Provide the Polling Place for holding the following elections:
GENERAL ELECTION TUESDAY,MARCH 12, 2019
RUN-OFF ELECTION(if necessary) TUESDAY, MARCH 26,2019
• 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 W 0
Z• N ,
RESTROOM FACILITIES AVAILABLE ❑ of
nv
m2
• 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 a.m.on Election Day
kr 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$ c9 LA.A L.:it�)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.
QKle•ty417r�' Y I.4e di-y1/177i{ V A Sb I-41 5 2tr�`y
SIGNATURE PRINT NAME TITLE TELEPHONE NO.
1 cc (Zed-4ra Or✓e i (S I, /.4 iter.-c.l FL ? s ( 24, 12//yly
MAILING ADDRESS(INCLUDE CITY,STATE AND 1IG 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:
SUI
• Name of contact person and telephone number at Polling Place: �cn.1-n,r..-, j- , L o S A 4 39-9 Th
• Name of contact person and telephone number before and after regular business hours, in case of
emergency. T , ...yw-A F _Z v :r .S-b )- 3 a%-
• Make checks payable to:Q 01 Ao r` 1 r,lu)
S:\CC\WP\aECr1ON\Year 2019\POLLING LOCATIONS\Pollling Location Agreement 3190&3192.doc
ID MAIL CHECK TO VENDOR ❑ RETURN CHECK TO DEPT. ❑INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ 100.00
VENDOR #: N/A
TO: Temple Beth Kodesh
501 NE 26th Avenue
Boynton Beach, FL 33444
FOR: Polling Location Fee for General Election on March 12, 2019.
Requested By: Judith A. Pyle Date: 03/18/19
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: 001 1310 512 49 15 100.00
Div Head 4-
Judi A. Pyle
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
100.00
d n
l
24,
n The City of Boynton Beach
y
„ E PRECINCT NUMBER 7178
re N:2:
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERKS OFFICE
TO: SHEILA SERAS FROM: CITY OF BOYNTON BEACH
TEMPLE BETH KODESH CITY CLERK'S OFFICE
501 NE 26TH AVENUE 3301 QUANTUM BLVD. # 101
BOYNTON BEACH, FL 33444 BOYNTON BEACH FL 33426
i i-h
This agreement, dated this 111 day of_I)EC EH R c P. 2018, by and between the City of Boynton
Beach, FL,and the owner of the Polling Place located at:
—�
I cHfLE ETH Kt./be-Sc.',
NAME OF POLLING LOCATION/ u � nu(Include name and/or room number)
t�0I I�.L- 0ti HVIJo'/NITU (S EAc-H 33ga4S
(POLLING LOCATION STREET ADDRESS,CITY AND ZIP CODE)
THE OWNER AGREES TO
• Provide the Polling Place for holding the following elections:
GENERAL ELECTION TUESDAY, MARCH 12,2019
RUN-OFF ELECTION(if necessary) TUESDAY, MARCH 26, 2019
• 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 r''
CHAIRS FOR ELECTION WORKERS g 0 O jC
r'? n„
mr.
TABLES FOR ELECTION WORKERS f2 0 `''
r.",,>_
RESTROOM FACILITIES AVAILABLE GL ❑ ro E�r-- __
N 'vim
nm
• To provide access to the Polling Place on election day by one of the following means: r"nn
Eff Owner will open Polling Place NO LATER THAN 6 a.m.on Election Day
0 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$ I U 0,ii n 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 ATES INDICATED ABOVE.
,-- ' (a., SrfiEILA .Sg-kAs ocpicC HAi✓At•'r 1?6-V51x5)-
SIGNATURE PRINT NAME TITLE TELEPHONE NO.
-1:1
Sot IV & co 1;4 A,c r,Ir/rc,) ?L-Flc1+ 15/.._ .33`/31 /a./r,-/in'
MAILING ADDRESS(INCLUDE CITY,STATE AND ZIP CODE) DATE SIGNED
ADDIITONAL 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:
MON — i-HukS - 9-a FPI - 9-rio,)J
• Name of contact person and telephone number at Polling Place: S e{El L.A .I RL, .W:43-
•
daY• Name of contact person and telephone number before and after regular business hours, in case of
emergency. Pa Et 7 PEPIGE
LS 7%.4. -,S-9.7- 9 49
• Make checks payable to:
S:\CC\WP\ELECTION\Year 2019\POLLING LOCATIONS\Pollling Location Agreement-717e doc
MAIL CHECK TO VENDOR ❑ RETURN CHECK TO DEPT. ❑INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ • 250.00
VENDOR #: N/A
El
TO: St. John's Missionary Baptist Church
900 N. Seacrest Blvd.
Boynton Beach, FL 33435
FOR: Polling Location Fee for General Election on March 12, 2019.
Requested By: Judith A. Pyle Date: 03/18/19
FUND DEPT BASIC ELE OBJ AMOUNT
Approvals: 001 1310 512 49 15 250.00
Div Head k cee,
Ju Head ;
h A. Pyle
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
250.00
�„ n•
The City of Boynton Beach
tr.cu
s
CLERK'S OFFICE
•
R`
' \,. DEF. 13 FII 3
��,, I PRECINCT NUMBER 7180&7184
ON e r_ t
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERKS OFFICE
TO: THELMA LYONS FROM: CITY OF BOYNTON BEACH
ST.JOHN MISSIONARY BAPTIST CHURCH CITY CLERK'S OFFICE
900 N.SEACREST BLVD. 3301 QUANTUM BLVD. # 101
BOYNTON BEACH, FL 33435 BOYNTON BEACH FL 33426
This agreement, dated this IIIA day of DBC.Cm ha- 2018, by and between the City of Boynton
Beach, FL,and the owner of the Polling Place located at:
S4• TOAAi Miss nutty AaDlisi Lei] / 70//ou/sh / ll.4
NAME OF POLLING LOCATION(Includh name and/or room nu al
900970 Al. .SCAeIrsi Rlvd. 6ec1,u10AIAeael3P 3343c
•(POLLING LOCATION STREET ADDRESS,CITY AND Z4P CODE)
THE OWNER AGREES TO
• Provide the Polling Place for holding the following elections:
GENERAL ELECTION TUESDAY, MARCH 12, 2019
RUN-OFF ELECTION(if necessary) TUESDAY,MARCH 26,2019
• 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:
YesYe-/ No
CHAIRS FOR ELECTION WORKERS LN 0
TABLES FOR ELECTION WORKERS hf ❑
RESTROOM FACILITIES AVAILABLE f� 0
• To providepraccess to the Polling Place on election day by one of the following means:
hf Owner will open Polling Place NO LATER THAN 6 a.m.on Election Day
C 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$of . 1:1)0 for the use of the above described location for each Election, if
it is used. L-) Q�y> .9•.,c��"
I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON
BEACH ON THE DATES INDICATED ABOVE.
061
/aof //I/Y/1/rte lhelplA ,�i out er ,SceaeIAU/ 12-4377
N RE . ' /J PRINT NAME / TITLE 1TELEPHONE NO.
9DO Al. ,S CA/'k 1°5? /til vc//A- n/`/,u/o.✓ 6•491; FL.33'/3 s Ia/���/,4
MAILING ADDRESS(INCLUDE CITY,STATE/AND ZIP CODE) - DATE SIGNED
ADDITIONAL INFORMATION
• To provide access to the premises for delivery and pickup'of voting equipment before and after each
Election,please provide the days/hours facility Is open for equipment delivery/pickup:
//
• Name of contact person and telephone number at Polling Place: I/i I teed //i/Sou 56/•788•.>l7/8
• Name of contact rs�n and telephone number before nd age regular business hours, in case of
emergency. (d 1)ri,t�ie/5 ¶&i .30 Sff�S
• Make checks payable to:_Ci. \0A.A//111.-55.a AMA8r/ ,Bp/Ii$J (/)//lrch
5:\CC\W P\ELECnON\Year 2019\PO W NG LOCATIONS\Pollling Location Agreement-7180& 184.doc