Precinct 1538 Village Royal on the GreenThe City of Boynton Beach
PRECINCT NUMBER(S): 1538
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERK'S OFFICE
TO: VILLAGE ROYALE ON THE GREEN FROM: CITY OF BOYNTON BEACH
2501 NE 1ST COURT CITY CLERK'S OFFICE
BOYNTON BEACH, FL 33435 100 E. OCEAN AVENUE
BOYNTON BEACH, FL 33435
This agreement, dated this _12_ day of _January , 2023, by and between the City of
Boynton Beach, FL, and the owner of the Polling Place located at:
Village Royale on the Green
NAME OF POLLING LOCATION (Include name and/or room number)
2501 NE 1t Court, Boynton Beach, FL 33435
(POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE)
THE OWNER AGREES TO
■ Provide the Polling Place for holding the following elections:
GENERAL ELECTION ------------------------------------------------------TUESDAY, MARCH 14, 2023
RUN-OFF ELECTION (if necessary) -------------------------------------TUESDAY, MARCH 28, 2023
■ 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 x❑
❑
TABLES FOR ELECTION WORKERS x❑
❑
RESTROOM FACILITIES AVAILABLE x❑
❑
■ To provide access to the Polling Place on election day by one of the following means:
X❑ Owner will open Polling Place NO LATER THAN 5:30 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 $150.00.
Election, if it is used.
for the use of the above described location for each
I AGREE TO THE ABOVE CONDITIONS AND WILL MAKE MY FACILITY AVAILABLE TO THE CITY OF BOYNTON
BEACH ON THE DATES INDICATED ABOVE.
SIGNSandra A. Norman President 410-627-2145
ATURE PRINT NAME TITLE TELEPHONE NO.
2505 NE 2nd Ct., Boynton Beach, FL 33435 1/12/2023
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:
• Mon./Fri. _8:30 - 1:30_
■ Name of contact person and telephone number at Polling Place: _Sydney Martin
■ Name of contact person and telephone number before and after regular business hours, in case of
emergency. _561-319-4265
■ Make checks payable to:
■ The League at V.R.G.
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