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IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to <br />Consultant Agreement on the date and year first written above. <br />ATTEST: <br />&&� e14 <br />PATRICIA "E. H 'ALY <br />Clerk of the Council <br />APPROVED AS TO FORM: <br />JOSEPH W.FLETCHER <br />City Attorney <br />By: /1 <br />Laura Sheedy <br />Assistant City Attorney <br />APPROVED AS TO CONTENT: <br />STEVEN CXfTCHf 1ELb- <br />Acting Firk Chief <br />CITY OF SANTA ANA <br />DAVID N. REA <br />City Manager <br />MEDICAL ENTER OF <br />SANTA <br />LUIS IKJRI��ERA, M.D. <br />President <br />