Dutchess County Board of Elections@6f @6f 2@12 11: @1 8454862483
FOR ]NTER111AL_USE ONLY
Received by: Cl~risti;ae Fulton
3e ~sica Fulton. C7
Date Received; ~ 1(~ /~l ~'
Serial #: ~,~_
~l Application ^ !;140.00 ^ Cert. of LI
^ XVotired Recreati.o:o. (date:~_}
PAGE @2f @3
2010-01-19 JCM
Towxx of Wappizalgex
Agreement ~~~ the Use of the Town
~a11 Facilities for Meetings
Ag reexneaat for the ~ Tse off' the Town Hall. Faci~it~es far 1Vleetiings
~-~-~C YES
Name of Organization or Group
~~~~ ~ ~~~
Name afpcrson repres~~ntirxg tkte Organizati ~n or Group
Address Fhone No.
This will con,~Txn the arrangements beia;tg re tuested for your groups' use of the Wappinger Town Hail Faci.Iities, as
n otcd below:
{) Senior Citizens Room
Large Meeting :~.aom
() Other: Specify:
~~a~:~-r h ~..
The group is Hat expe~t~.d to exceed „_persons ~ ~+ ~ ,l I '. I Ca ~ O b Pit
Date(s):' Z3 ~ I s ~!' + i"'~ vd: Time: GElec fin ~r'~ jtil Gc~y~
Spn~~-
It should be understood that groups using the : buildings' Facilities for evening meetings zuust select dates when
Town Meetings are normally scheduled (i.e. Justice Court, Planning Board, etc.) Special requests will be
considered. upon their otivaa. merit, and. axrang ~.ents can be made for access to, and closing, tie building at the close
ofyour meeti,rag.
You and. your Organization hereby agree to ; .dhere to the rules set forth on the attached page by signature of an
authorized member of,~aur Organization or ~ soup.
The Town of Wappinger reserves the right tt suspend temporarily this agreement should the Towt1 have need of the
facility for its own purposes. Advance Horace will be given as soon as possible on such occasions.
The Town Clerk should be informed prompt; y of any schedule change or cancellation of your group activities.
Arrangements for accts.; to speci:fc area to b ~ vsed should be axzade vs+~ith the Town Clerk at the time this farm is
submiitecL
No appii.cation shall be ~ronsidered approved ~util it has been submitted to the Town Clcxk for review and
Clearance.
06f06f2012 11:01 8454862483 PAGE 03f03
2p 1001-1 ~ JCM
Terxx~s of the agxeeme~xt must be strictly ad tired to by the contracting group as any disregard or abuse of the axles
for use of the facilities wi11 result in termizt, ~~ion of use by the offending group, and they will ztot be granted
reinstatement.
I have seed and u~t.derstand the axles and rel;ulations for tUe use of the Facilities in the Town of Wappinger Towa~
Hall, and will comply •uith these requiremc its.
J '
Signed:
For: Q d~ ~j~}'I Y1
(N une of Group or Organi2ation)
I7ate•
Approved;
----^- -
Trywm Clerk
Date:
•.~
06/06/2012 11:01 84548624$3 r
,. ,
DUTCi~SS + ~~UN'TY BOARD OF ELECTi4NS
~7 CANNON STREET
PQ UG)FiKEEPSIE, NY 12601
WWW.I ~LITCHESSEEECTIONS.COM
PAGE 01103
FACSII /dl~E TRANSMITTAL SHEET
7'O: Christinr: FROM: Dontta Shea, Senior Elections Specialist
COMPANY: 'I'nwn of Wappingers DATE; 6/6/1.2
FAX NUMBEI.: 298.1478 TOTAL NQ. OF PAGES INCLUDING COVER: 3
PH07+1E NUMT3E1t: SENDER'S PHONE N[JMBFR: (845) 486-2474
RE: Facility U~:t. Farm SENDER'S .FA7C NUMBER: (845) 486-2483
_ URGENT _._ FOR REVIEW ___. PI'.~;A,SE COMMENT _ PLEASE REPLY _ PLEASE RECYCLE
NdTESICO~rIMENTS:
Hi Christi,r~e,
Per our phone eanversatian of to ~~y, the Beard of. Elections would likE to hold training
classes oz1, thy. following dates: J ly 19, 5: I5 -- $ PM & August 1.5, 9:15 AM to .r~oo~a.
We also need tl,~e room for the Primary Election on September 1.3 froze. 1.1.:30 AM until
10 PM.
I have attacht~d the Facility Use. k'orzn. Please notify me as soon as these dates are
approved so ~9~at we can notify oa:r inspectors of these classes. Thank you.
;,
~'
G°~C CSC ~M(~D
JUN ~,6 2
,:r`.1
~;, ,.
TOWN OF VVHPPINGER
TOWN CLERK