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CHP 465(Rev.2-12)OPI 076 <br /> WITNESSETH: By and in consideration of the covenants and conditions herein contained, <br /> Rina's Run and the CHR do hereby agree to the above terms and conditions. <br /> STATE OF CALIFORNIA REQUESTOR'S NAME <br /> Department of Californi . ghW97-PatrgI <br /> Commander Si ature Date Signature Date <br /> B.Koenig Stephanie Hobbs <br /> Printed Name Printed Name <br /> Captain Race Director <br /> Title Title <br /> 265 610 S.Mohler <br /> Location Code Address <br /> Ripon CA 95366 <br /> For use by City/County Clerk,if applicable city state zip Code <br /> (209)599-6861 <br /> Approved as to form by Date Telephone Number <br /> Page 3 of 3 An lntemationallyAccredded Agency Chp465 1112.pdt <br />