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San Leandro Public Library <br />English as a Second Language Services <br /> 2023-2024 ESL21-3-41 <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: E3D1E6B5-ECD8-45D7-B4CD-230528B8419F <br />7/18/2023 <br />Greg Lucas <br />7/19/2023 <br />Brian Simons <br />300 Estudillo Ave. San Leandro, CA 94577 <br />Library Director <br />San Leandro Public Library