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____________________________________________________________ _____________________________ 4.Signature of authorized person (Required) Date Signed <br /> ____________________________________________________________ 5.Printed name of authorized person (Required) <br /> ____________________________________________________________ 6.Title or position of authorized person (Required) <br />____________________________________________________________ 7.Printed e-mail for authorized person (Optional) <br />____________________________________________________________ 8.Phone for Library/Library System (Required) <br />____________________________________________________________ 9.Printed name of contact person, if different from No. 5 above (Required) <br />____________________________________________________________ 10.Title or position of contact person (Required) <br />____________________________________________________________ 11.Phone for contact person (Required) <br />____________________________________________________________ 12.Printed e-mail for contact person (Optional) <br />Brian Simons <br />4/29/2022 <br />Library Director <br />bsimons@sanleandro.org <br />510-577-3942 <br />Michael Hamer <br />Acting IT Manager <br />510-577-3339 <br />mhamer@sanleandro.org