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sr Ta of caSiF�pal�nq <br />tto aeie <br />oMPsutrtttNrovJusnce <br />r�yTp wnaaeam:ovao++� <br />If!! REQUEST FOR LIVE SCAN SERV) <br />E <br />A nt Sudm! on <br />AMDE S <br />ORI f nmmwa by <br />o man <br />ype <br />"— <br />_ <br />' Type "fttceatse/G�rb o rmvwonung <br />tMe Ltuenun7oawaema.Itassb:md by t7W.:+.w awe <br />e.sr9nee <br />COM ng Age Cy Infom UOM <br />c1tY Santa <br />00247 <br />Agee A 80ord informaaon <br />i e <br />ss <br />20 C C Qe tar laza M 24 <br />TlfYany Nguyen <br />t ser P. .Box <br />C tYame me a ry fpr all schod subtrassionsi <br />Santa Ana - GA 92702 <br />(714 847-8388 <br />Lay s a�Ap <br />'� pAp <br />r <br />App rn IrrForrna)ion: <br />' <br />mo <br />g--uRl-^ <br />POter e I <br />CAKA A <br />�St <br />yE3ex� Female <br />i <br />-t�^"� neerojinbeap <br />MEW_I <br />' <br />`– i ���/ fir✓' i <br />Lffi <br />mber114145;263 <br />q <br />Pict® Hbitt (3>aEa ersecurity Ntunnar <br />1111is4 + <br />Nurnhar j <br />I <br />Your umbeC Level of Service: x Doi FBI <br />I pcn�n:as.'tno.�ara.'aeana+u�n.n � •! <br />I <br />If re -s Wttission, Bit olfgitlal ATI number. Xyl NMMGW <br />(Muth ovide pmol of rejection) <br />F.mpla#nar (AddiioHal response for agencies specified by statute): <br />or <br />i <br />! Slst@ ZIP Code Telephone Number ;p90- cal) <br />r <br />Live 4- Transaction Completed By: ( . <br />Name of eSator--- ... . .._..,-, ...... _:,. - - _..--- :Data ... ... .:............. .. . . .. - <br />Tran + JSpen�y LSIt] /lT rdl,Mhx ! n,neuM Ceoee♦etllBWad ' <br />1 M(RKAL-LI'm Scan Opelm- SECOND COPY -MDlF�nt 7HIRDC <br />II O+Y or neadadi-ftequeaing Agonoy <br />APPR VED AS TO FORM <br />f <br />I I LISA E. STORCK <br />! I Assistant City Attorney <br />I I 3l <br />