TEMPE PERMIT#R23955.PDF

Maricopa County — Formal (2023-02-08)

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# R23955
Status Approved
Page 1 of 2
1 resource(s)
3 booking(s)
Subtotal: $0.00
System User
A. Jerger
Primary Phone Number
(602) 372-1716
Email Address
Jhines@mail.maricopa.gov
Agent Name
Joyce Hines
Organization Phone 1 
Number
(602) 506-6876
Organization Phone 2 
Number
(602) 526-4177
Organization Name
Maricopa County Public Health - 708
Type
Customer 
Community Partner/City User
Organization Address
1645 E Roosevelt St
Phoenix, AZ 85006
Permit # R23955
Status Approved
Date Jan 11, 2023 8:32 AM
Westside Multigenerational 
Center
715 W. 5th St.
Tempe, AZ 85281
PHONE:(480) 858-2466
Permit
Rental Fee
$0.00
Discounts
$0.00
Subtotal
$0.00
Deposits
$0.00
Deposit Discounts
$0.00
Total Permit Fee
$0.00
Total Payment
$0.00
Refunds
$0.00
Balance
$0.00
Maricopa County Vaccine Event
Booking Summary
CSC - Multi Purpose Room (Class/Program)
Center: Cahill Senior Center - Dennis J. Cahill
START DATE/TIME
END DATE/TIME
ATTENDEE
AMT W/O TAX
Feb 1, 2023 4:00 PM
Apr 5, 2023 7:00 PM
--
$0.00
Occurs on selected dates: Feb 1, 2023, Mar 1, 2023, Apr 5, 2023
Facility Notes
Contact the Cahill Senior Center for reservation information. 480.858.2420

# R23955
Status Approved
Page 2 of 2
X:
Date:
Maricopa County Public Health
Customer Type: Community Partner/City User
Customer ID: 36594
Mailing Address: 1645 E Roosevelt St, Phoenix, AZ
85006
Organization Phone 1 Number: (602) 506-6876
Organization Phone 2 Number: (602) 526-4177
Authorized Agent Name: Joyce Hines
Primary Phone Number: (602) 372-1716
Email Address: Jhines@mail.maricopa.gov
X:
Date:
Westside Multigenerational Center
Mailing Address: 715 W. 5th St., Tempe, AZ
85281
Phone Number: (480) 858-2466