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4 <br /> NSIS HIGHER EDUCATION CONSORTIUM University Center at Everett Station <br /> Agreement# <br /> NON CONSORTIUM PUBLIC FACILITY USE AG RE E M E N T: University Center at <br /> Everett Station: <br /> 1. <br /> Facility User: Donna Ambrose Date:09/14/04 <br /> Organization: City of Everett— Everett Transit <br /> Address: 3225 Cedar Street, Everett, WA 98201 Phone: 425-257-8914 <br /> 2. <br /> Rental Date: From: October 1, 2004 To October 1, 2004 <br /> Time: From 10:30 am To 12:30 pm <br /> 3. PAYMENT <br /> Small Computer Lab: <br /> Hr. $_80.00 '/2 Day $ Day $ Quarter$ <br /> Equipment and Technical Support Charges $ <br /> METHOD OF PAYMENT: <br /> Total Amount Due $ 160.00 Check # <br /> PO # <br /> 4. TERMS AND CONDITIONS: Page 2. <br /> 5. FACILITY OPERATING PROCEDURES: Refer to Attachment A. <br /> 6. UNIVERSITY CENTER ROOM RENTAL RATES: Refer to Attachment B. <br /> SIGNATURES: Facility User Date <br /> NSIS Consortium Date <br /> Approved As To Legal Form Assistant Attorney General Signature on File <br /> Proof of insurance provided: Yes No - Not Necessary Gina Murry 9/14/04 <br /> 1 <br />