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Department of Public Safety <br />Print Nome and Title <br />Date: <br />Calvin Williams, Chief Chief of Police or Sheriff— [Signatnrel <br />Division of Police <br />Print Name and Title <br />Date: <br />Approved as to form and correctness: <br />CITY OF CLEVELAND AGENCY CltyofLakeWOOd <br />BARBARA LANGHENRY, DIRECTOR OF LAW LEGAL COUNSEL Kevin M. Butler, LaAY Director <br />By: By: <br />rt <br />Date: Date: November 30, 2015 <br />Page 13 of 13 <br />