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APPENDIX D <br />LETTER OF UNDERSTANDING The City, and the Lakewood Paramedic Association, agree to the following <br />change to the MOU on staffing levels. <br />Changes in staffing that occur after the start of shift will not require realignment of staffing. <br />J <br />i <br />istj ti oil <br />MUCK I <br />4- <br />f <br />0 <br />R2.: <br />.: <br />M-13DIC 1. <br />1 <br />):1:D ��: <br />_ <br />4 <br />.:0. <br />... <br />ENS <br />4, <br />4... <br />.-MED1 <br />2 <br />4. <br />MEDI <br />2 <br />1 <br />LAKEWOOD PARAMEDIC ASSOCIATION CITY OF LAKEWOOD <br />Scott Russell <br />President <br />DATE: <br />22 <br />Timothy Dunphy <br />Fire Chief <br />Jennifer Swallow <br />Assistant Law Director <br />