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San Leandro Community Library <br />English as a Second Language Services <br />2022-2023 ESL21-2-53 <br />Page 26 of 27 <br />Authorized Representative Signature <br />ORGANIZATION <br />Name: Address (official and complete): <br />AUTHROIZED REPRESENTATIVE <br />Signature: Date: <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 />DocuSign Envelope ID: DCA8C45C-40E8-4A10-8C66-47E0D13A5032 <br />12/29/2022 <br />Greg Lucas <br />In Process