HomeMy WebLinkAboutContract 46006-A1 CITY SECRETAlWt1 _
`s CONTRACT NO.
ZOIR AMFNQMENT
EVENT SCHEDULING FORM
x, a2gollianj. Ctl00merengages HQkpltai tQ provide certain screening or bltaminotipr s to Its
ernplayoes at the Event,Event Cake,Event Time,and Eve L"atlon provided.In the below
male, As of the ReServatlon Date, the parties have onflmed thio reservation for the Evuot;
listed fn the below table. Rursvant to the Agreement,Hospltal has the,rlght to uncel the Event
due to low particlpatlan,meaning that the minlmUrh nu.mt er of participadr thes o
scraentng(as listed Irn the below table)was not schedulvd At laaut three(3)RAYS PRIOR TO THE
Evert Date,
( Minlroum
Event Data and -event Screening provided at` AarticIpants.per
Event 'fit td, Event Location Event Screening
_. _ . CITY OF FORT �....�..�., _-
Welinesa Idr MOW,=00-19; WORTH.1000
I Life Mobile Zo15 THROCKMORMN
i Rcroening Sgrwrting Ttmet Rem> FORT WARTH,
I F.ver,t 41LM _TUX0 75101 Momillogr4phy screbnln o 19 Porth pant
Tuesday,Ottobet 29, CITY OF FORT
W.Qlineu.for- 2015 WORT111000
1 Life Mobilo. Scroonin.R Time;ftrn THROCKMORTON
krooMing apm FORT WORTH,
Event TEXAS 76101 Mammoa rah Rbr�enln t 19 Partici ahts.._.
Wedn0sd6y,Octdbfr CITY OF FORT I ..
I Wall m for ;t1;2M5 WORT 1t 1000
Life Mehile RcreanIn&Time.Ram- THROCKMQRfi( N
I SuWing Spm FART WORTH, j
i f avpnt TEXAS 7C C i Marnmograpby Scresnlrlgs 19 pa�tlelpants.
fihursday,October 22, CITY OF FORT
f
Vdailne�s fot X915, WORTH 1000
Life M"Ile Sue-c-oing Time;darn- TKRQGKMORTON
SereenInR Apm FORT WORTH; I
_TEXAS.76101 Y 1 Mammography ScreQnirla� 19__ Partielpartts_��
' Frl0y,October. 233 CITY t?F FORT
Welin@ss for Nan WORTH 1090
Ul`Q Mublle UroeRing Tim01,Rem F THRQGKMORTON I
;'crvonlnp IPM FORT WORTH,
F r nc fi EXAS 76181 Mgroq �a.h Scre nlh x t partl�ifaant
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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MAS F!t AITH HARM
MONODIST PTY OF FPRT WORTH
(yH'0SPT1AL FORT WOR
r
Namat Nams ` VS "
Tltlet1 - Titl�t S_s i � r Y
faster Dater J>= �uf
i
Approved As To Form Only. APP OVED AS TO FORM�LEGALITY-
TbrM A.Dai
A8811M t General C,ourtsei
Assistant City Attorney
0 Aid
s J. K er i
�o Secr�etwy
_ 13
f
j
NO M&C REQUIRED
i
t
OFFICIAL RECORD
I
CITY SECRETARY l
1 FT.WORTH, TX