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CER'T'IFICATION OF EMPLO'TE!k� r;LECTION <br />PERS-ACT-15 (3/72) <br />(Date) <br />Board of Administration. <br />Public Employees' Retirement System <br />1416 - 9th Street <br />Sacramento, California 95814 <br />I hereby certify: <br />That the following employees of the CITY OF SANTA ANA have <br />expressed tP:air approval or disapproval of said Agency's participation on the <br />Public Employees' Retirement System on the basis described in the Resolution of <br />Intention passed by said Agency's CITY COUNCIL <br />on 19--, in such manner as to permit each employee to <br />separately and secretly express his choice and that the outcome of such election <br />was as follows: <br />Number of Number of votes Number of votes <br />employees eligible approving said disapproving said <br />to vote participation yarticipation <br />a. Local Firemen as defined <br />in Gov't Code Section 20021 <br />b. Local Policemen as defined <br />in Gov't Code Section 20020 <br />ica¢xzd�cx''rxscmcxd�s �s <br />xxk�oxi�c3r.¢aac�t3czE'c�r�x <br />.r3m�c <br />- City Clerk or Secretary <br />sLr t Amendment <br />