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PRINT NAME AND TITLE <br />Department: Police Department <br />Hong Chou, Chief Technology Officer <br />3130 S. Harbor Blvd., #430, Santa Ana, CA <br />92704 <br />(Address) <br />COUNTERSIGNED: <br />By: <br />(714) 434-9936 (714) 434-9937 <br />(Phone Number) (Facsimile Number) <br />SRAP97-731950 95-478331-5 <br />License Number Tax ID <br />25P-8 <br />