Precinct 1503 Boynton Lakes NorthThe City of Boyn,ton Beach
PRECINCT NUMBER(S): L503
POLLING LOCATION AGREEMENT FORM
CITY OF BOYNTON BEACH CITY CLERKS OFFICE
TO: BOYNTON' LAKES NORTH CLUBHOUSE FROM; CITY OF BOYNTON BEACH'
100 REDFORD DRIVE CITY CLERK'S OFFICE
BOYNTON BEACH, FL 33426 100 E. OCEAN AVENUE
BOYNTON BEACH, FL 33435
This agreement, dated this LL day of \
2023, by and between the City of Boynton
Beach, FL, and the owner of the Polling Place located at:
Boynton Lakes North Clubhouse
NAME OF POLLING LOCATION (include name and/or room number)
100 Redford Drive, Boynton Beach, FL 33426
(POLLING LOCATION STREET ADDRESS, CITY AND ZIP CODE)
THE OWNER AGREES TO
. Provide the Polling Place for holding the following elections:
GENERAL ELECTION ----------------
RUN-OFF ELECTION (if necessary)
-TUESDAY, MARCH 14, 2023
TUESDAY, MARCH 28, 2023
To provide the following items from 6:00 am, until all closing procedures required by the Florida
Statutes to be performed by the Election Board are completed:
Yes No
CHAIRS FOR ELECTION WORKERS 11 11
TABLES FOR ELECTION WORKERS 171 El
RESTROOM FACILITIES AVAILABLE 0 0
. To provide access to the Polling Place on election day by one of the following means:
1�— Owner will open Polling Place NO LATER THAN 5:30 a.m. on Election Day
El 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 DAT I ES I 11SIPICATED ABOVE,
q ,,y,
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: �ey mL, (uV+ j C-\
Name of cont
emergency.
Make checks p
S:\CC\WP\ELECT10N\Year 202Woffing Location Agreements \District IV\Precinct 1543 Boynton Lakes North Clubhouse,doc