2004-02
FEB-03-2004(TUE) 11:35
02/82/2ßB4 22:41 3523433685
LAKE CO ELECTIONS
P.001/001
PAGE 01/01
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Memorandum of Agreement for Polling Places
Prec.inct 15
The Owner (Occupant) 8I:TCCS to proYldc :a pCJlIIl:Jg place tor the fð.1lowlng .Electiðns to be hcld 00:
Pres. Preference Primary: TQesda~ ~arch :~OO4 F'Jnt Primary: Tuesday. ð!!2Vst 31. 2004
~.....;;.. '(FI..PyI'fU99d1!'. ~""I -: 11, '1 Guer41 Election: Tul!sdSlv. November 1. 2004
at the foQowln¡ IDation:
JenkiN Auditorium, 691 W. Montrose St., Clermont
tOLLING PLACE TELEPHONE NUMBER: ~
To the ment ~vcrcigD Immunity has been waived, the County of Lake agrees to indemøify and hold hanDIes..
the cnvncr Cor aD)' cJaiOl9 tor bodJly injury Or property damagl: oc:currlng on the oecQpied premises arislDG from
ncgIJgant acts of the County Of aa)' of its agc,.t. or employees. Lake County agJ'ce$ to pay the .mount of
S for Cl1ch dectioD held at tbe aOO"c loc:atioo.
CHECK SßOVLDBE MADE PAYABLE TO:
MAIUNG ADDRESS: -
Do you bave Tables and eJaai:'1lll'Vllllablc r~r the. dIction bcard D1cmbÇ1'S to esc Oll,eIectioa day! Yes '" ,No-
YOtJR SPECIAL INSTRVcnONS regarding USe of buildmg. deJlvery of equipment, eleçtloD d8y, pidcup of
equipmcnt and or other Snstl"1lcdol1s you may bnYc.
.
PerIOD(S) to contact for acuss to buildiag prcccdlnc eJection for delrvery or voting equipment, 6:00 A.M. eÌection
day for pDU"'or~ and alter the election for .pickup ohoting equipment. .
rtL IF POSSIBLE PROVIDE TWO COM ACT PEOPLE" -
Name-1:bwa :CÇ~ NlUJ1c :J1:; MQt¡
Addres... LÞli \ W. IJ1&n-b-O2l... ÇL Addre5W StÞ~
rj.er t1t\O ~ ~ L ~ !:t11..L
PhoneN",mber 3'52. j 4. q PbolleNumbcr
~.*.Ok"..*
AKEYCANBEOBTAINEDFRO~ Name i . ..p PboDeNlIIDberesz... =lic.J. c.¡.DKI
. :I~ ¡..~
Address 7.ØI.EO~ I~,q .1 "'~ ;>M2a-.
nEASE FlU. IN ðJL. 1NFORM4 no ~ ~ ~ ~ '"1'/ ~ . <=> '2-1. '
NEEDF.;J) AND RETURN om COpy
IN THE ENCLOSf;P ENVELOPE ature of Ownù (Oc ant) ,
"':?O. ~ 1'Z.o'2.J~ J (j e~~..:.:rL 3lf1:1ø.. O)JC
Address .
~-z.. ~l../~
PhoDe N Itmber
11IANI< YOU FOR YOtTR COOPERATION
EJection OCficr Pbone NuD1bcr
EmoKcne W. Stegall
Lake County SÞpervisor ofE1c:ctioJlS
P. O. Dr.\lwer 457, TavU'cs, FJonda 32718
RECEIVED
JAN 3 1 ~DO3
(352) 343-9734
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SUPERVISOR OF ELECTIONS
LAKE COUNTY. FlORIDA
~DD Y. - Dd..-