For Office Use Only
· Fees Paid: ____________________ Date: ____________________
· Cleaning Deposit Received: $50.00 ☐ Yes ☐ No
· Access Code Issued: ☐ Yes ☐ No Valid From: ____________ To: ____________
· Post-Event Inspection Date: ____________________
· Cleaning Deposit Returned: ☐ Yes ☐ No Date: ____________________
· Staff Initials: ____________________