1991-07
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MEMORANDUM OF AGREEMENT FOR POYIIÞG PLACES
'8
PRECINCT
15
The Owner (Occupant) agrees to provide a polling-place for the following Elections to be held
on March 10~ 1992 , Sept. l~l992
Sept. 29,1992
Nov. 3~ 1992
at the follo~ing location:
POLLING PLACE
'TELEPHONE NUMBER
.5' {-007
394-4191
(Chamber of Commercevs Number)
To the extent sovereign immunity has been waived, the County of Lake agrees to indemnify and
hold harmless the owner for any claims for bodily injury or property damage occuring on the
occupied premises arising from negligent acts of the County or any of its agents or employees.
Lake County agrees to pay the amount of $
-0-
for each election held at the above location,
CHECK ~HOULD BE ~~E PAYABLE 10:
MAILING ADDRESS:
,~- .
,
DO YOU HAVE TABLES AND CHAIRS AVAILABLE FOR THE ELECTION BOARD MEMBERS TO USE ON ELECTION DAY?
YES
x
NO
YOUR SPECIAL INSTRUCTIONS re use of building, delivery of equipment, election day, pickup' of
equipment and any other instructions you may have.
The building is occupied by the Clermont Area Chamber of Commerce and is open
from 9:00 a.m. - 5:00 p.m. Monday through Friday. Please contact Wayne Saunders,
C~ ~nagerp when you have to get into the building earlier than ~hOO so arrangements
You will use the front door.
rR"-'h~ m.<lñ~ f'n ..nlnck the build-fug.
Person(s) to contact for access to building preceding election for delivery of voting equipment,
6:00 A.M. election day for pollworkers and after the election for pickup of voting equipment.
~
IF POSS;~BLE PROVIDE .1:WO CONTACT PEOPLE
,- D--- --,--'--
Wayne Saunders
NAME
ADDRESS
Joseph E. Van Zi1e
Clermont Citv Hall
NAME
ADDRESS Clermont City Hall
PHONE Nill1BER
394=4081
PHONE NUMBER
394-4081
***** OR *****
A key can be obtained from
NAME
Wayne Saunders
City Hall
(Please make prior arrangements ADDRESS
to pick up a key)
PLEASE FILL IN ALL
INFORMATION NEEDED
PHONE NUMBER
394-4081
1.
Return white copy in
enclosed self-addressed
envelope
Keep yellow copy
MC-I?¡ ///1-- L
~ ~ ~ignature of Owner ~cupant)
2.
,
Address
.'
, ,
ELECTION OFFICE TELEPHONE NUMBER
TAVARES
343-9734
Phone Number
THANK YOU FOR YOUR COOPERATION
Emogene W. Stegall
Supervisor of Elections
Lake County Florida
P.O. Drawer 457
Tavares, FL 32778
PRECINCT
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