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[SIGNATURE PAGE TO AGREEMENT FOR EVIDENCE COLLECTION SERVICES FOR ALLEGED SEXUAL <br />ASSAULT VICTIMS] <br />HOSPITAL: <br />AHMC ANAHEIM REGIONAL MEDICAL CENTER LP <br />d/b/a AHMC Anaheim Regional Medical Center <br />Name: Robert Trautman <br />Title: Interim Chief Executive Officer <br />Address for Notices: <br />AHMC Anaheim Regional Medical Center <br />1111 W. La Palma Ave. <br />Anaheim, CA 92801 <br />Attn: Robert Trautman <br />Fax:714.999.6027 <br />Email:Robert.trautman2ahmchealth com <br />CITY OF SANTA ANA: <br />By: See next page <br />Name: <br />Title: <br />By: <br />Title: <br />Name:_ <br />Title: <br />Address for Notices: <br />60 Civic Plaza <br />Santa Ana, CA 92701 <br />