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[SIGNATURE PAGE TO AGREEMENT FOR EVIDENCE COLLECTION SERVICES FOR ALLEGED SEXUAL <br />ASSAULT VICTIMS] <br />HOSPITAL: <br />AHMC ANAHEIM REGIONAL MEDICAL CENTER LP <br />d/b/a AHMC Anaheim Regional Medical Center <br />Name: Richard Castro <br />Title: Chief Executive Officer <br />Address for Notices: <br />AHMC Anaheim Regional Medical Center <br />1111 W. La Palma Ave. <br />Anaheim, CA 92801 <br />Attn: Richard Castro <br />Fax:714 999 6027 <br />Email:rcastro@ahmchealth.com <br />DEPARTMENT: <br />Santa Ana Police Department <br />By: See next page <br />Name: <br />Title: <br />Address for Notices: <br />60 W. Civic Center <br />Santa Ana, CA 92701 <br />Attn: <br />Email: <br />5 <br />25D-7 <br />