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1 <br />Customer Name: CITY OF PLEASANTON <br />Account Title : <br />Tax ID Number: <br />000000000 <br />I Card of <br />_ _ <br />Account <br />Number(s): <br />Telephone Number: <br />Date: 9/28/2015 <br />ADDITIONAL SIGNATURES <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />❑Manual <br />OR <br />❑Facsimile <br />E-MAIL ADDRESS <br />PHONE NUMBER <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />❑Manual <br />OR <br />°Facsimile <br />E-MAIL ADDRESS <br />PHONE NUMBER <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />°Manual <br />OR <br />°Facsimile <br />E -MAIL ADDRESS <br />PHONE NUMBER <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />°Manual <br />OR <br />°Facsimile <br />E -MAIL ADDRESS <br />PHONE NUMBER <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />°Manual <br />OR <br />°Facsimile <br />EMAIL ADDRESS <br />PHONE NUMBER <br />PN: 1125418 DOC ID: 2 <br />Page 4 of 51 <br />