LOCAL GOVERNMENTAL AGENCY. Date Filed L_______ -- -·--- ··--···-· ·················--·-·-- 11 Type of Activity I Facility Service/Item Name I Date(s) Needed Time(s) Needed CHARGES (IF APPLICABLE) Fee Total Fee(s) Due NOTE: Please list the Service/Item on additional blank page(s) ifyouneed space foradditional information CONTACTS/AUTHORIZED SIGNATURE I For School: Principal For Local Government: Parks and Recreation Director or Equivalent Position i ! - ---··· -·-·-··-· ·-··-··-----·-------------- ------------ --- ---- - ---------······----·-- - Title I____ ----- Date ---- ··-·- ---··-------- ----- -- ---- i Name ! Title ! II -- - -- ----- - -- - . -.--------·--·-·--- - -- - -- ---- ------------ - ----- ! -·-· ····-····--····-·- ·--·----
Appears in 4 contracts
Samples: Reciprocal Use Agreement, Reciprocal Use Agreement, License Agreement
LOCAL GOVERNMENTAL AGENCY. Date Filed L_______ -- -·--- ··--···-· ·················--·-·-- 11 Type of Activity I Facility Service/Item Name I Date(s) Needed Time(s) Needed CHARGES (IF APPLICABLE) Fee Total Fee(s) Due NOTE: Please list the Service/Item on additional blank xxxx page(s) ifyouneed space foradditional information CONTACTS/AUTHORIZED SIGNATURE Name iI I For School: Principal For Local Government: Parks and Recreation Director or Equivalent Position i ! - ---··· -·-·-··-· ·-··-··-----·-------------- ------------ --- ---- - ---------······----·-- - Title I____ ----- Date ---- ··-·- ---··-------- ----- -- ---- i Name ! Title ! II -- - -- ----- - -- - . -.--------·--·-·--- - -- - -- ---- ------------ - ----- ! -·-· ····-····--····-·- ·--·----
Appears in 1 contract
Samples: Reciprocal Use Agreement
