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CITY OF SANTA ANA <br />DONATION AGREEMENT <br />Page 4 of 4 <br />[INSERT NAME OF RECIPIENT] <br />a [INSERT TYPE OF LEGAL ENTITY] <br />By: <br />Signature <br />Name <br />Attest: <br />By: <br />Title <br />Signature <br />Name <br />Title <br />Approved as to Form: <br />By: <br />City Attorney <br />EXHIBIT 4 <br />55C -14 <br />