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Polling Place Contact Information <br />Early Voting Polling Location: <br />Intergenerational Recreation Center <br />Please complete the information below; then return to us with the completed Agreement. <br />(Please print clearly) <br />• Main Contact Person: )4e V #-A <br />Telephone # (s): Office: _ 722-226 - !7e) 2 <br />Home: <br />Cell: -7W -26?-���rl <br />Email: 1Cadarr.�s�. /Id : c�.��,ye%' o ✓ <br />• Secondary Contact Person: <br />Telephone # (s): Office: 7 7 2 - A24, - l77.7 <br />Home: <br />Cell: -7 7 Z -9?s" - 90YS' <br />• Is there any upcoming construction at your location? Yes No I---_ <br />• Who is responsible for the moving of furniture, etc. to make room for the polling room setup? <br />Polling Location ^� OR Elections Office <br />• Will the Elections Office be given a key and alarm code to your location? Yes No d" <br />• If the Elections Office is not provided a key and alarm code, will the Contact Person listed, provide <br />access to the Elections Office staff every day of early voting by 7:00 a.m.? Yes -' No <br />If the contact person is letting the Elections Office staff into the location, <br />you must fill out the Emergency Contact Person Information below: <br />• Emergency Contact Person: l�ev.y A4 bmf <br />Telephone # (s): Office: <br />Home: <br />Cell: 7 %2. -262-g'%l <br />