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2010-01-19 JCM
Received by:
Chris Masterson 0
Christino Fulton .0
Sue Rose ~
IlL I JLI 12-
#&;<
Town t)fWappinger
Agreerr.ent for the USI~ of the Town
Hall Fa~ilities for Mel~tings
FOR INTERNAL USE ONLY
Serial #:
~.
Date Received:
~Application 0 $100.00 0 Cert.ofLl
o Notified Recreation (date: 10 -/ hQ)
Agreem.ent for the Use of the Town Hall Fal :illties for Meeth.l~s
Dvt-t..~e $"5 Lovl\\-f ()~N.J 0 f- l?t ec. .f--IQ^ ~
Name of Organization or Group
~ JII t'-~
Name of person repre ting the Organization or Group
I,{ . Po., I.(c t.. '0
Address
i
."
..., - Lj.
.
l'f.r -'lIt - 3" 7
Phone No.
This will confinn the arrangements being requested for your groups' use of the Wappinger Town Hall Facilities, as
noted below:
( ) Senior Citizens Room
(;lQ Large Meeting Room
( ) Other: Specify:
The group is not expected to exceed S 0 persons
Date(s): Q{.,t~6fr ~1"'\ Time: -1.:::..ir1i
It should be understood that groups using the Buildings' Facilities for ev, ming meetings must llelect dates when
Town Meetin~ are nonnally scheduled (i.e., Justice Court, Planning Boo rd, etc.) Special requ~sts will be
considered upon their own merit, and arrangements can be made for ilccc as to, and closing, tbi; building at the close
of your meeting.
You and your Organization hereby agree to adhere to the rules set forth ( n the attached page b:lf signature of an
authorized member afyour Organization or group.
The Town of Wappinger reserves the right to suspend temporarily this 81 ;reement should the '1 ,own have need of the
facility for its own purposes. Advance notice will be given as soon as po, Isible on such occasit:1n5.
The Town Clerk should be infonned promptly of any schedule change OJ cancellation of yow' group activities.
Arrangements for access to specific area to be used should be made with the Town Clerk at tb;: time this form. is
submitted.
No application shall be considered approved until it has been submitted 1 0 the Town Clerk fo:r review and
Clearance.
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2010-01-19 JCM
Terms of the agreement must be strictly adhOlC'id to by the c:ontr<lcting gro\: p as any disregard OJ' abuse of the rules
for use of the facilities will result in termination of use by the offending gI )UPt and they will nCll be granted
reinstatement
I have read and understand the rules and regulations for the use of the Fac lities in the Town of Wappinger Town
Hall, and will comply with these requirements.
For:
----
Signed:
no ~v1'e-.s_..
of. er tlc./\..s
(Name ofOroup or Organizatioll)
Approved:
Date::
Date:
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...
TOWN CLERK
Chris Masterson
TOWN SUPERVISOR
Christopher J. Colsey
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
WWWTOWNOFWAPPINGER.US
(845) 297-4158 - Main
(845) 297-5771 - Direct
(845) 298-1478 - Fax
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czamiecki
Joseph P. Paoloni
Office of the Town Clerk
The Following Fax Message Consists of
Including Cover Sheet
:3
Pages
FAX TELEPHONE NUMBER (845) 298-1478
DATE: / (). /3- / 0
TO: ,JACY
FROM:_L -
/
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REFERENCE:
1 (jMw 1- Lu "/PAh1J1A
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IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CONTACT
SENDER IMMEDIATELY.
Sender:
0501236600 P.01/01
T~\NSACTION REPORT
FAX(TX)
~~~~~~~~~===-~~
OCT/13/2010/WED 10:31 AM
TOWN CLERK
Chris Masterson
TOWN OF WAPPINGER
.20 MJDDLEBUSH ROAD
WAPPINGERS FAlLS, NY I.2S90
WWW.TOWNOFWAPPINGBR.US
(845) 297-41S8 . Main
(845) 297.5771 . Direct
(845) 298-]478 - Fax
TOWN SUPERVISOR
Christoph=- J. Colsey
TOWN BOARD
William H. Beale
Vincent Bettina
lsmay Czamiccki
Joseph P. Paoloni
Office of the Town Clerk
The Following Fax Message Consists of
Including Cover Sheet
3
Pages
FAX TELEPHONE NUMBER (845) 298'1478
DATE:
/0" i 3~ / ()
TO:
,t,~
4 ~ .. ()t{ k~
FROM: L-
/
1 ~AJ 1 W~~J<
o c..J- r9 6 T IJ-
REFERENCE:
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CONTACT
SENDER IMMEDIATELY.
Sender: