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San Leandro Public Library <br />Main Branch Library <br /> 2021-2022 BF-1-21-231 <br /> Page 33 <br /> <br />Authorized Representative Signature <br /> <br />ORGANIZATION <br />Name: Address (official and complete): <br />AUTHROIZED REPRESENTATIVE <br />Signature: Date: Click or tap here to enter text. <br />Printed Name of Person Signing: Title: <br />STATE OF CALIFORNIA <br />Agency Name: California State Library Address: 900 N Street, Sacramento, CA 95814 <br />Signature: Date: <br />Printed Name of Person Signing: Title: California State Librarian <br /> DRAFT