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Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions
kgency Name
City of Pomonalivision. Department. or
Human Resources Department
Sandra Piva, Human Resources Manager
909) 620- 2004 Isandra piva@ci. pomona. ca. us
RECEIVEDCITY CLERK
blit Document
For Official Use Only
Amendment ( Must provide explanation in Part 3.)
Dale of Original Filing:
2. Function or Event Information
Does the agency have a ticket policy? Yes( 29 NO Face Value of Each Ticket/Pass $ 12- 14
Event Description Los Angeles County Fair Date( s) OJ 3 12 09 / 30 / 12
provide T lelExplanation
Ticket( s)/ Pass(es) provided by agency? Yes NoU
Was ticket distribution made at the behest No Yes)nof agency official?
Ifno: Los Angeles County FairName of Source
If yes: Officials Name (Lest, First)
3. Recipients
Uea Section A to identitythe agency' s department or unit. • Use Section B to Identify an Individual. . Use Section C to Identify an outside organization.
A. Name of Agency, Department or UnitNumber of
ncket( s)/ Describe the public purpose made pursuant to the agency' s policyPa.( es)
B. Name of IndividualNumber of
Ticket(5) 1 Identify one of the following: Passes)
Ceremonial Role Other Income
Refer to attached list of 1338Ae 9 sere ° Bmeo rxa aa, meeaew»
individuals
ceremonial Role Other lame
arlieckmp -eemmonbl FON' v-ONertlescrNe aeMw-
Name of Outside OrganizationNumber of
Tick. fe)I Describe the public purpose made pursuant to the agency's policyinclude address and description)
Passes)
4. Ver' ' cationIn;h or ad end un rat nd FPPC ogulations 18944. 1 and / 8942. 1 have marood that the distribution set forth above, ism accordance with the meuimments.
n Pau_ HR/ Risk Mgmt Director 09/ 05/ 12
Signoum 0Agercy Heed N Name Tate ( Month pay. Yead
Comment: FPPC Form 802 ( 4/12)
FPPC Toll -Free Helpline: 8661ASK- FPPC ( 866/ 275- 7772)
LA COUNTY FAIR TICKET DISTRIBUTION
Employees are ONLY allowed to pick their own tickets unless they bring appropriate release form.
rupCHECK ID.before releasing tickets.
Last.Name
ABDUL-RAHMAN
First Name
CAROLINE
of Tickets Date Signature
QABRAMS YVONNE—
ABUNDIS MARIA/
ACEVES
d
DANIEL
ACOSTA DEBRA
AGUTAR RICHARD
l
AGUILAR M. MAYELA
AGUILAR MARTHA
AGUIRRE '. TIM ZZ i lALCALA III EMILIO
ALCALA JR. EMILIO
ALCANTARA CARMEN
ALCARAZ JOSE
ALDARACA ABRAHAM
ALDECOA ALEJANDRA r4O a_
ALEMAN- RAMIREZ_ JORGE
ALEXANDER PAUL
ALLISON \ VELICIA
ANABTAWI NANCY Z Qof N J
ANDERSON ROBERT
ANGULO NORMA
IRODOLFOANTUNEZ
ARENDS LONA IS' L
ARREDONDO SUSANA
ASCENCIO MARINA
ASTORGA HECTOR
Kv-eAc\no YV\.(L'e\ CA, a--- . g -IS 1 2
y1
J
Last Name First Name o Tickets I Date{
fAVILA COLLETTE--
tti'
Signature
1
AVILES FRANK
AYALA ,r
AYALA
CARLOS
p KK ttii
ACKELINE1
BACA TOM
BAILEY JODY
BAKER TERESA
IBAKER ROBERT
BALDONADO NORBERT VI
BAPTISTA
BARAJAS
RICHELLE
JUAN
BARAJAS- GIL SONIA
BARAWID MELENCIO
BARKLEY WALTER
BARKLEY SYLVIA
I
BARLOW CHARLOTTE
BARNES CARLTON
BARNETT DEBORAH'
BARON DAVID
BARR DEBORAH
BARRIOS IRMA J/ 1// Z
BARRIOS ANTHONY
BARRON CHRISTINA
BARSU CARMEN
BASUA III CHRISa7
bL
BEBON ANDREW '
BECERRA CAMPOS JOSE
BECHET LEONARD
BECKER ICHARLES
0
Last Name IFirstName 1# of Tickets IDate Isignature
BECKER ' LENA
BELTRAN
BERGER
SANDRA
ERIC
BERGMANN TIMOTHY
BETANCOURT ROLANDO
BET -KEY SHERYL
BIDWELL MARY ANNE
BIRD MELVON—
BIRTCHER
BISCAYA JOE
BLAKE
BLANK
KENDRA
CHRISTOPHER
GY I Qj
BLANKENSHIP WILLIAM
BOLANDER PATRICK
BOLDUC MARIA• 7 g 1 y AI p,
BOLDUC BARRY Z
BOLTON
BORNER
DETRIA
AUDREY
b--- Z/
BORNER
BOSTROM
BOTTS
JAMES
ALYSSA
DELIA
Z Z
yea
A
BOWLER JOHN
BRANNON MELISSA
BRAUN MAXINE
BRINGAS
BRIONES
BRISENO
MELISSA
REYNALDO
JACQUELINE
IIi
BROWN
BURKE
DEON
MARIA 2- Q' 23- 7 _
ILU S Apo ZEL3
L- 13D. Irf ns; i•£: LfS . , g ao I Z Last Name First Name of Tickets Date Signature
BURKETT LAURIE
BUTLER
BYL
BYRNE
JAMES
TRACY
LINDA
q r
CABADA JAVIER
CABALLERO CHRISTOPHER
CABALLERO CARLOS
CABRERA
CALDERON
JOAQUIN
EDDIE
CALKINS
CALLAGHAN
CANALES
CANO
MARILYN
KAREN
JUANITA
MARTIN
CAPOGNI DON
CAPRARO IPAUL
CAPRARO
CARDENAS
CAMMA
JESUS
CARMONA SYLVIA kzICARRENO GABRIELA
7r,)
bl QIIC
1CARRIGAN SONIA
G o —
11CARVER JULIE Tl 0l
lr7l—
CASEY- AGGERS MAUREEN
CASILLAS
CASILLAS
YVETTE
SERGIO
CASTILLO RUBEN
CASTILLO JOSEPH
CASTILLO IMARSHA
CASTRO CLIFFORD
CASTRO DARRELa
i
a
Last Name First Name of Tickets I Date Signature
CASTRO PRIMITIVO
CATANESE ANTHONY
CERVANTES ANDREA
CERVANTES LEANDRO
CERVANTEZ OMAR
CESENA RICARDO
CHAMBERLAIN PAULA y _ GrG%G`
CHAN RONALD
CHAVEZ JOSE
CHAVEZ JUAN
CHAVEZ
CHEN
GABRIEL
CHI
Z
CHILDERS MATTHEWJ
CHOI
CHOLICO
ARTHUR
GILBERT
CICCO JANICE
CINCOTTA ICHARLENE
CLARY LISA z gJ'/ J- Un
CLIFTON CARMEN
CLUKEY WARREN
COLLINS JENNIFER
CONDIE CHRISTINE
CONGALTON STEVEN
CONLEY JASON
CONTRERAS f EDGAR
CONTRERAS LAURO
CONTRERAS AARON
CONTRERAS MICHAEL
COOPER DENNIS
7- 4
Last Name First Name of Tickets Date ISignature
COOPER TIMOTHY
COREAS SERGIO
CORMACK STEPHEN
CORNELIUS STACY_-
CORONA ROJASLUIS O ' / 4a
CORRALES I MARIO
CORREA EMMANUEL
CORREA RALPH
CORTEZ
COTE
MARIA
DON
Count: 699
CROSS MABEL
CRUZ JAVIER
CRUZ ALICE
CRUZ LUCY
CRUZ ARTURO.
CRUZ JAVIER
CUMMINGS DARRELL
CURIEL ROBERTO
CURRY ALEX
DAMICO
DAVID
COLLEEN
ROBERTA
DAVIS STEVEN
DE ALBA ROSA SC S Ge(f G
DE HATE ERIC z 51/L
DE LA PARRA KAROLINE
DE LA ROSA JUAN
DE LA ROSA JORGE
DE LA VEGA THOMAS
Is
Last Name First Name of Tickets I Date ISignature
DE LEO JOSEPH
DEASON DEREK 2, v_ ql DEFRANK
DEMONACO
BENITA
MARCA/ Jj// AaDEPOLIS JOHN
DEVEE ROBERT
DEWALD JOHN
DIAMOND SHAUN
DIAZ VLADIMIR
DIAZ - SALVADOR
DIAZ LUIS
DIAZ MARYyn
DIAZ NATALIE
DICKEY MARK
DIMALANTA RICHARD
DINH BILLY
DOCKSTADER RONNI
DOLGOVIN JOSEPH
DOMINGUEZ STACIE
DOYLE EARL
DUENAS DARLENE
DUENAS DANIEL
DURAN SABRINA
DYE JEFFREY
EASTMAN - REGINA
ECKEARD JENNA IO
EDSON JONATHAN
ELDRIDGE STEVEN
ELLIS MICHAEL
Last Name First Name of Tickets Date Signature
ERVIN SUSAN
ESCALONA KRIS'OPHERJ
ESCOBAR EDWARD
ESKANDARI ATEFEH JJL ZS- fZ
ESPINOSA DAMIEN
ESPINOSA GERTRUDE
ESPINOZA
ESTRADA
ESTRADA
ESTRELLA
DAVID
EVELYN
DAVID
ESTELA
ESTRELLA ROGELIO
ETHERIDGE MICHAEL '
ETHERIDGE R. MICHELLE
FALLON
FARIAS
PATRICK`
SAMMUEL i.
FARMER KENDRA
FEDORA
FERNANDEZ
ANTHONY
PAUL
FIGUEROA ALDO
FLOM CANDICE
FLORES ELIZABETH
FLORES CRISTINA
S
9- 1- 1I
FLORES FERNANDO
FLORES
FONG-
RUTH
RAYMOND
FOSSETT LETITIA
FRAUSTO DANA
FRAZIER KRISTIAN
FREEMAN GREG
Last Name I First Name of Tickets I Date Signature
FUENTES RUSEN
GAETA IEDUARDOGAETA ROSIE
GALLEGOS RAMON
GALVEZ PATRICIA
GARCIA NANCY
GARCIA JULIE
GARCIA MARIAGj v
fU2 /"
zc
GARCIA IGNACIO
GARCIA JESUS
GARCIA NANCY a 6 1411' G(/ 1(( p•
GARCIA MARIA
eJDJ C GARCIA JOSE If
GARCIA MANUEL
GARIBAY ALMA
GARIBAY RAUL
GARMAN PAMELA
GAUDIOSO MADELINE p yl/L
GAULDING CORA
GIBSON JAMES
GIRON JOHN
GLUBA MARK
GOMEZ JESSICA
GOMEZ DANIEL
GOMEZ MICHAEL
Z- Z01L
GOMEZ ORTEGA JORGE
GONZALES.
GONZALES SOCORRO
GONZALES MICHAEL I i
Last Name First Name of Tickets Date Signaturpi
GONZALEZ LILY 8p0%10
GONZALEZ TINA
GONZALEZ MARIA
GONZALEZ NOHEMI IGOVER LESLIE
GRAHAM BRETT
GRANDE GERARDO
GRANT JEFFREY
GREENE CANDICE
GRIGSBY DARYL
GRIMES KENNETH .
GUSS JAMES.
GUTER BRUCE
n
f C
GUTIERREZ SALINA 2 SIS
GUTIERREZ
GUTIERREZ
CAROLYN
EDUARDO Z L/ I' L
GUTIERREZ KRISTIAN
GUTIERREZ
GUTIERREZ
JAIME
PETER
GUZEK JOANN
GUZMAN MARIA
GUZMAN
GUZMAN
M ISABEL
VALERIE
HAGERTY BRIAN
HAMILL GREGORY
HAMILTON ERIC 2 E z I- I 5 l —
HAMILTON DAVID
HAMPTON TIMOTHEUS
HARMON NANCY
Last Name First Name I# of Tickets Date ISignature
HARMON LYLE
HARD PATRICIA
HARRIS JOHN
HARVEY PAUL
HAUPTMANN FRANK
HAWKINS, DEVON
HAYWARD JEFFREY
HEINEMEYER TIMOTHY
HELMS CLYDE
HENDERSON
HENDERSON
HENSLEE
KYLE
CHESTER
BRIAN
4I
HERNANDEZ
HERNANDEZ
HERNANDEZ
CARLOS
LANAE
ANNETTE
HERNANDEZ
HERNANDEZ DE CUEVAS
JOE
MARTHA
HERNANDEZ- ALVEAR CARLOS
HERNANDEZ- MUNOZ CECILIA
HERRERA ERIKA
HERRERA EMMANUEL
HERRING DOREEN lHESS
HOANG
SCOTS
KIM
j` pL̀
2-
HOBBY MONA lHOLMES ZANE 01 ' Z'%` 1
rr
l
HOLMES
HOLTZ
ROBERT
JENNIFER,
HOOKS IGISLAINE I e
e5se kc -d4 -L, _ lY , fs Z
Last Name First Name of Tickets Date ISignature
HORNBY BLAIR
HORTON NICHOLE
HOUR SOK
HOWARD CHRISTINE
HSU ADELAIDEL g1141 0
HSU CHRISTIAN
HURST JEANIEi
IBARRA ANTHONY 2-- l- 1A 1INTERLICCHIA JASON
IWIG ROGER
IZABAL ROBERT
JACKSON DAVID
JAUREGUI LISA
JENSEN CHAD
JENSEN BLAKE
JENSEN NANCY
JIMENEZPORFIRIO2 UO 2 3Ile
LJIMENEZ DANIEL G
JIMENEZ- COLAY LUI 1_
JIMENEZ- ROBLES LANI
JOHNSON BEVERLY
JOHNSON SANDRA c( c
JOHNSON BRADFORD
JOHNSON TRAVIS
JOHNSON DARYLLkI S;/
JOHNSON AMANDA
JONES KIMBERLY
JOSEPH THEOPHILUS
JUAREZ E' RISCILLA
0.
Last Name First Name of Tickets Date Si tyre
JUAREZ CECELIA
a
JUNG HARRY
KAY SHEREE
KEETLE
KELTNER
DAVID
MICHAEL
KILCOYNE KEVIN
KIMBRO JOHN 7,0- 12-
KITTMAN FREDERICK
KNIGHT WILLIAM
KOLLAR JUDITH
KREWSON STEVE
LAGUMBAY ALLAN
MAII _
LAM
LAMA SAUMAAVA
LAMBERT PATRICIA
CHRISTIAN
P25/LANDA G/lt
90/
0aLANDA DAISYa
LANGE MICHAEL
LANIER MONDO c72 OCL IJ' f / Jii="`_
LARA
LARRAGA
JOSEPH
OSEc;
2- P/ Z7/ 1z
Last Name First Name
LATERREUR ANDREW ;
LAZZARETTO MARK
LE BINHH I BIi I VLE PHIJONG
LEE ANTOINE 1LEE DAYNA-
LEE EDWARD
Last Name First Name' of Tickets Date Signature
LEE MICHAEL
LEE CHRISTOPHER
2LEE KAYING 1-
LEMUS LORENZO 7C
LEON JELIZABETH
LEONARD DUANE 2 0 2ll(yLEW CAMERON Q
LEWIS ANDREW 2 j/ jU'IZ
LEWIS CHRISTOPHER
LICEA MICHELLE
LINN JR ELIAS g Ltill?
LIU LI - PING
LLAMAS; LUIS
LLOYD
LOPEZ
ROBERT
LETICIA
LOPEZ LUPE
LOPEZ ADOLFO z- LOPEZ EVELYN
LOPEZ PABLO
LOPEZ JESSE
9Iy 12, LOPEZ RICHARD
LOPEZ ALFA
LOPEZ BEATRIZ d/
LOPEZ ISHMAEL
LOPEZ JOHN
LOPEZ- HARD WILFRIDO
LOWRY
LUNA
LINDA
KAROLVI
LUNA ANTHONY I I
Last Name First Name of Tickets Date Signa
LUNA HARALD2 8II' j 112
LYCETT-BUSH CAROLE 14 ' 1 LQ j
MACDONALD ADAM
MACHADO RICHARD
MACIAS MARIE11
MACKAY TIMOTHY
GMADRID IRENE
MALLORY MORGAN
MANGRICH
MARES
KATHLEEN
CARLOS
P 12 ilZMARISCAL- VELASQUEZ MAYRA
J212MARQUEZ DAISY
MARQUEZ MARIO
MARTEL MARIE
MARTIN DELANA
MARTIN DELANA
MARTIN STEVEN
MARTINEZ DAMIAN
MARTINEZ JAMIE
MARTINEZ RICHARD
MARTINEZ SHELBY
MARTINEZ JACKIE
MARTINEZ GABRIEL
MATA JUAN
MATAVAO ULA
MATAVAO EPATI
MATAVAO
MATHEWSON
SOPA
CYNTHIA vlZ3 f c
MATTHEWS GARYv •
Last Name First Name I# of Tickets Date Signature
MC CARTHY - TERRENCE
MC CORMACK DOUGLAS
MC DANIEL ADAM
MC DOW DONNA
MC FARLANE ROBERT
MCBRIDE JAMES
MCCRARY ROBERT
MCCRARY ROCHELLE
MCCRARY TIMMOTHY
MCDONALD RONALD
MCPHERSON TIM
MCWADE MARY
MEDELLIN MARK
r MEDINA HUGO V
MEJIA YOLANDA Orm-- MENDOZA ROGELIO
MENDOZA VANERIC
MERINO BEVERLY
Y
MEZA KAREN
MILLARD CHRIS\
MILLER RANDALL
MILLER IAIN
MITTLEIDER STEVE
MONTAGUE KENNETHI
MONTELLANO MAURA pZ
MOODY MICHAEL
MORAN DOROTHY
MORENO ERNEST•
MORRIS —" DARRIN 0- fZ
Last Name First Name I# of Tickets Date_ Signature
MORRIS HOWARD
MOWBRAY ANDREW
MOYA MAXWELL
MULHALL IROBERT
MUNDY GEORGE
MUNIZ CESAR
MURILLO EDGAR
v Z//
p,`
MURILLO ALFREDO i i 7
MURILLO ZORAIDA 8 '14IjZ 1 Ol C+
NAVA ESUS
2—
I
NEADERBAOMER MICHAEL ' Z 4. 2,,
NELMS SHARI
NEVAREZ ROBERT L/ 271L( Lt 1' j
NEWELL DEBORAH'
f
NGO DIANA
NGUYEN
NICOMEDE
MY
KENNIE
1
NINO
NOVELO
PATRICIA
DANEITE
OBENCHAIN THOMAS ZJ / Z
OKADA LARRY
CHRISTINA GOLACHEAOJ11OLIVAMARVIN
OLIVER ROBIN
OLIVIERI MICHAEL
O' MALLEY PATRICK
ORELLANA SHERI
OROSCO CRYSTAL
ORTEGA DAVID1 ' I
Last Name First Name of Tickets Date Signature
OSBURN DUSTIN
OSHAGHI ALISINA
OSMUNDSON MICHAEL
OSORTO ANITA
OUTLEY ROZALUTA
OVIEDO RUBEN
PADILLA THERESA lZ
PADILLA EDGARDI
PAGTAKHAN CHRISTIAN
Z E ( 2,[ 0PARASKA STACIE
Z igj) 2. PARTIDA JORGE
PASINI AMANDA
SPASINI CHRISTOPHER
PATINO SIJIy-
PATINO SIJIFREDO
PAUL SUSAN
PAULSON RANDALL
PAZ
PERAZA
STEPHEN
CARL 0s, d) PEREYRA SAUL
PEREYRA DAVID
PEREZ SERGIO
Z Cfd 1101 ZPEREZ ANTOINETTE
PEREZ LILIANA
PEREZ STEPHEN-
PEREZ MARCUS
GARY 2PEREZ
PEREZ- MONTOYA NISSA
vl` ` J
PERKINS 1PAMELA
Last Name First Name of Tickets Date Signature
PETERSON DOUGLAS
PIEDRA CLARAJ '-
PILARZ MATTHEW
PINKOSKY
PIVA
DANIEL
SANDRAQ
ZPOLIAKON LINDA y[// 2<=`==-
POMROY JOHN
POOL SINDY
POOL SINDY
PRENTICE STEVEN
I1 PUCCIARELLI ALAN
QUEZADA ARTURO C v
1l//e
Z, RAINES LARRY
RAMIREZ LUCYCASILDA
RAMIREZ CRIS "IAN s z3/ 12
z Z( O SRAMIREZ RONALD OI2 l RAMIREZ TOMAS
RAMIREZ VIDES KAREN 2 8-fq- 12RAMIREZ VIDES NORMAN
RAMOS. MARTHA RA Iry
RAMOS MANUEL JAI I_ RAMOS VAZQUEZ FERNANDO
RANDALL
RANGEL
RANDALL
ROSIEn
In
RATCLIFFE TREMALE
REYES VALERIE
BEVERLY b h L{ REYNA
REZA IJOE
RICH JANE I i
Last Name First Name of Tickets Date Signature
RICHARDSON DANIEL Z 12i` lG—
RICHARDSON JAMES
RICO ANDREA WAURIDEAU
RILLORAZA -
DAMON
ALEXANDRO
RIOS ERNESTO 2- Z I Z//• 2
RIVERA CESARZ,
RIVERA RALPH
RIZZO MARY
ROBBINS LOIS
JROBLEDO MARK
ROCHA LUIS
ROCHA CARRIE
ROCHA
ROCHA
GENOVEVA
ROGER
RODRIGUEZ MARIA
RODRIGUEZ ELIZABETH Z J u5
RODRIGUEZ RYAN
RODRIGUEZ BARBARA
RODRIGUEZ ADRIAN O` L
RODRIGUEZ MICHAEL
RODRIGUEZ HECTOR-—
ROJAS JASMINE
ROJAS VERONICA
ROMAN TIMOTHY
ROSS KIUESHA
RUIZ
RYAN- FLUKER
RYAN
BAMBI C9
SACCA FRANCESCO I
Last Name First Name I# ofTick ts Date Signal e
SALCIDO ALMAa1'
SALCIDO
SALDIVAR
ALBERT
YESENIA1. SALVESON HEATHER
I_
SAMPSON MATTHEW
SAMSON ROSA MARIA
SAMUELS TODD
SANCHEZ DAVID
SANCHEZ IHUMBERTOSANCHEZ JEFFREY o
SCHEPPMANN ROBERT
SCHEPPMANN DAVID
SCHMIDT ROBERT
ROBERTSCHNEIDER II
SCHUSTER MONIKA'
SEAVEY ROBERTA
SERPAN KENNETH
SHOPE
SIACUNCO
RICHARD
MARIA pO 3 L
SIDOW JOHN
SILVEY MICHAEL
SIMMONS CARL
SKORUPSKI LEEANN
SLOWIKOWSKI ALEXANDER
SMITH
SMITH WIENERWIENER 2_
SMITH TONY
SMITH JOHN
H- iG- iL I y . % SMITH PHILIP I
Last Name
SOSA
First Name#
MARIBEL
of Tickets ate
WnU
Ir + I
SOTELO
SOTO- NAJAR
CHRISTOPHER
ARICELA
SPILL MURIEL
SPRAGUE RICHARD
STANLEY
STEPHENS
STEVENSON
STIRES
PATRICE
KARA
TREVOR
GLENN
Z Cl_
pl1
G _
9-1
STONE
STONE
SHAWN
MATTHEW
Q
SUAREZ- MUNOZ
SUESS
SUGIKI
SUTHERLAND
SUTTON
CHRISTINA lfZ-
JAMES
GLENN
BRENDA
LAWRANCE
TAFOYA MICHAEL
TAMBURRO MELODY
TANADA SUSAN 1 fI Y J Wi
TAPIA ABEL
TAPIA ADAM
TAYLOR JAMES
TAYLOR JAMES
TERRELL HOWARD Z d fc - 12
THIBAULT
TORRES
NOEMI
ANGELA
TORRES
TORRES
MANUEL
FELIPE
O r TORRES REYES RAUL
Last Name First Name of Tickets Date Signature
TRIGO
TSAI
TUCKER
RUTH
TERRI
WILLIAM
6 / 2
111 v
TURPIN JENNIFER
UGARTE IDIANA
UGARTE TIMOTHY
URIBE JEROME
URIBE YVETfE
VALADEZ REBECCA
VALDEPENA ROBERT
VALENCIA MARIO
VALENCIA MONICA
VALENCIA
VALENCIA
NEAL
JAIME
Z Z
VANDENBERG MICHAEL
VANDERHEYDEN BRADLY
VARELA AMY
VARNUM
VASQUEZ
VASQUEZ
MICHAEL
ALICIA
ANGEL r
Q
8I3d '
VASQUEZ
VAZQUEZ
ROBERT
EDIL
v
VEGA
VELARDE
DARLENE
CARLOS Z41VELASCO
VELASCO
VENTO
VERA
VERDUGO
CARMEN
RODOLFO
DEBBIE
MARITZA
GILBERTO
0- Z I1 Z
1
All
Last Name First Name of Tickets Date Signature
VIERS ADAM
VILLALOBOS CONRAD
2 nnL- S- VILLANUEVA REGINALD
VILLARREAL
VONG
JORGE
DANNYp
WALLACE MARAe%-
WARD CAROL
WARD DAVID
WARM ANDREW
WASHINGTON IBETTY
WATKINS ROSE
WATKINS DANIEL
WATKINS CHARLES
WEAVER JOSEPH
WEAVER DAVID
WEIDNER LINDA
WELCH SHARON
WESTERN LISA
WESTERN IPAUL
WESTPHAL FRANK
WHITFIELD PATRICIA
WILKIN TIMOTHY h
WILLIAMS MYRA
WILT JANICE
WITTENBROCK DEBORAH
WONG JOAQUIN
WOOD KENNETH 5/%
WRAY STEVEN
StuG
YBARRA LISA
Last Name First Name 1# of Tickets Pate ISignature
YEH AREN
ZANE KAREN
ZENDEJAS LAURA a D IIAZHENG IAMY
or.c PE2 JLisn
ARy'v / J00 n
6ArL4-t 112- Q
Ivi I& q
c j- 12
7
ci Yl e
25
0 9
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
61 NDy PoopPrint Name)
201' qPrint Name) ( Signature)
Aur joI s EmcRPrint Name) r(SiatY) w ; rte
Print Name) ( Signature) 0
oAg gy-xA - , , Print Name) ( Signature)
VP111,Y) Print Name) Signature)
tit,tt-
Print Name) ( Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Hy4z U--74
Print Name) ( Signature)
Date; 8' t4- IZ
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize Laf1 CS
to pick up their allotted Fair tickets from the Human Resources Department.
Erat VoLy\ AetAno%fdc.o. & 46Print Name) ( Signature)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for' the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above enNAeyees.
La.Yu iPrint Name) rig nature)
Date: " 1/ 1'— ) 7-
AUTHORIZATION TO RECEIVE L.A.-COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name)
A/, JPrint Name)
ucL>voy CcU2GcPrint Name)
tPrint Name)
Signature)
i - nature)
Si;;
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Signature)
SUGI( CI GLE-N Print Name) ( Signature)
Print Name) ( Signatur
Print Name) Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
3 zi E• 1"_Z IC 7ZPrint Name) ( Signature)
Date: //`/// 2
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the
51-eU,e/ z) a rJSPrint Name)
0/41, y/jPrint Name)
Lam, S \,J <; f\jPrintName)
Print Name)
e
Human Resources Department.
D",1 6, k C SbuTr
Print Name) ( Signatu
Print Name) ( Signatu
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibi' ty if these tickets are lost
s. before I am able to deliver them to the above employee
a 20
Print Name) `If'
Date: 0 — I -e%— / Z,
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel a
to pick up their allotted Fair tickets from the
U LO 3( 0-/, 0 . Print Name)
uthorize
Human Resources Department.
Signature)
i
Print Name) ( Signa-Tu—re)
Oa(-.// - hoe 7c= C14Print Name)
jp̀ r z IQ lPrint Na( he)
CiiL,&,2-, r,0 0 1. 1Z-0 - ZOP47— Print Name)
it ci Q',*) 0 lI • l 6SEn/?
Print Name)
9 le /2 ms sPrint flame)
Signature)
l
Signature)
QCc2d o4
Signature
ture -
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsib lity if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date: —/, q —/ Z
W
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department' personnel authorize
to pickup their allotted Fair tickets from the Human Resources- Department.
Print Name) Sgnature)
Print Name) ( Signature)
Print Name)
T-
Print Na e)
Print Name)
L'f,: Ck Y) j iro coir.y ayN- S
Print Name)
sfe-11c- e4Print Name)
irs/ Ai_iss
milI understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibi' ty if these tickets are lostbefore I am able to deliver them to the above employees.
X/wo YI / iP '2—lc C/ — Print Name) Oignatu
Date: f — /y / Z
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize DA lelto pick up their allotted Fair tickets from the Human Resources Department.
10Name) nature)
rn1o^ I CCA-1PrintName) ( Signature)
Print Name) ( Signature)
Print Name) ( Signature)
Print Name) ( Signature)
Print Name) ( Signature)
Print Name) ( Signature)
PA"
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees,--.,,
fFrn , trvt«
Print Name)
Date:
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize SI M-ir q-{? to pick up their allotted Fair tickets from the Human Resources Department.
AT'lli . lae-je
Print Name)
J0-V c-iy-AP jTPrint Name)
VV e sa riPrint Name)
A -- Signature)
4 fllAktj- u
Signature)
Priame) ( Si nature)
G h( ; s S n
Print Name)
Print Name)
1
Print Name)
L\-\iLSignature,
y nature)
1 \ Qevoev, Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employee
DitvtPrint Name) ( Signature
Date: R—, f/ '?,— tlZ-
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name)
nclncuPrint Name)
Print Name)
L; K,%- L, Byrne, Print Name)
Dortf eA 14e- r r i nom,
Print Name) J
CARGOS NFRNAN Dig? Print Name)
6z,Aie P Print Name)
Signature)
Signature)
rn (/ Signature) (/
Signature)
Signature)
Signature)
Jv&/ fy\,aL ogv
J AM\QvVb-- wV-. V\ QYY1I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date: 2? —/ I/ /
Signature)
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human
a a Nac Print Name) v
De0on A kL%asPrint Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Resources Department.
Signature) U
1 / n, Tfiyl knJrSignature)
Signature)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
C,/ Li2iA P12=- o qPrintName)
Date:
Signature)
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Hur
MEc q ZAjY-N, Print Name)
ULII Grp Ad IPrint Name)
Print Name)
nt Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature) '
Signature)
na ure)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
M PA --N JL4— Print Name)
Date:
Signature)
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize Y % 22 FC Z 117c, f, 3to pick up their allotted Fair tickets from the Human Resources Department.
f %f%C/ EPrint Name) ( Signature)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
G 30s.3Print Name) ( Signalure) re)
Date: F— 16-- 12
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Wastewater Department personnel authorize
MCL c-( 1 -, On QQ, to pick up their allotted Fair tickets from the HumanResources Department.
1tA.
Print Name)
zi-,161elw--Jo 69
Print Name) ( Signature)
s
P( nt Name)
C M ) A CAPrint Name)
Print Name) Z?! 5
Sig atur
ri
ntNpinee) ( Si natur
Print Name) ( Signatur
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
1. 16,, Loa e ZPrint Name)
i(
Signa e)
Date:
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
jhe below Public Works Department personnel authorize
1kerr, 5 to pick up their allotted Fair tickets from the HumanResources Department.
3-6.4tJ DeW4ti:> Print Name) Signature) ,
Zx', fit., M I I _ Print Name) ( S
L' s f -e. I g) v-2 -- Print Name) I( ature)
Ali 0 k2ez
V
Print Name) ( Signature)
Print Name)
Print Name)
Print Name)
Signature) --------
a J . Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lost Ibefore I am able to deliver them to the above emplo es.
Print Name) ( ignature)
Date: Z*— ( 6- 12,
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
Tie below Public Works Department personnel authorize
VAa4-(-; f C) (- r-, s to pick up their allotted Fair tickets from the HumanResources Department.
11115. Print Name) ( ignat e)
gnnES Mc 2 iD -
Print Name) nature)
D61 n A FrA t1.S- tiPrint Name) ( re)
Print Name)
w• EJ.-G C oyC Print Name)
G GYD f if+S
ture)
Signature)
iSignal re)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above emplo ees.
rim15rint Name) ( ignature)
Date: g"- f& - 1Z
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Mpf , Print Name) ( Signature)
LuPC Lo10,52-
Print Name)
Print Name)
print Name)
VeY>ugu4 Print Name)
Print Name) ( Signature)
iTtfRedo Pa+; N0jI61-9
Print Name) igna ure)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name) ( Signature)
Date: - C/ / j --// L
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name)
Print N me)
L - q r z—
rnt Name)
Signature)
I
Signature) J
CGc G ' — So S Print Name) nature)
PrintName) ( Signature-)
taco );( ZCq—rr6, 6 1
PrintName) ( Signature)
Print Name) ( Signatu
I
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date:
S L. p L' iCC- LX4,0 .- K v
Signature)
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name) ( Signature)
Print Name)
rint Name)
M 1W,& Print Name)
nt Name)
Print Name)
Signature)
Signature) V
Signatur
Print Name) ( Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date:
Signature)
SC,Wt L V0W-Ac-,-CL C4- Itiv
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name) ( Signature)
IJoy c ( a -dPrint Name)
Print Name)
91,, f i i Tiffin Clete
Print Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date:
Signature)
Sam L O rp K-11
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize Paul Capraro to pick up their allottedFair tickets from the Human Resources Department.
Michael Olivieri
Print Name) Signature)
Jennifer Collins r0aV --7Z, Print Name) ( nature)
Mike Ellis
Print Name) ( Signature)
Print Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
ye PAUL UPP-AR-6
Print Name) ( Signature)
Date: 6 - /Y—! Z
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
QQ pI
The below Police Department personnel authorize ! J n0 \ ' 4" L S J
to pick up their allotted Fair tickets from the Human Resources Department.
P- Pit -v L- 5, . JPrint Name)
oJ-
Print Name)
S TEv
Print Name)
Signature)
5A-r,,L) Z S
p (
Signature)
Signature)
S7 -vcIf ---
Print Name) ( Signature)
t ^^ V I c CrL 1--Y 14L
Print Name) ( Signature)
Print Name) ( Signature)
Print Name) ( Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date: 3// Y-( /
Signature)
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorizeI ! J t-AP
to pick up their allotted Fair tickets from the Human Resources Departent.
Print Name) ( Signature)
Print Name) ( Si
Mm{i.11,iM
Print Rame)
Print 'Name)
Print Name)
Print Name)
Signature)
f-o'A- Sj,- V4 — \ 2
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are losthefnra I am ahlP to rtaliver them to the above employees.
Date: v
Signature)
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human
Print Name)
Print Name)
r s6rn , t1 tvardPrint Name)
Resources Department.
Signature)
Signature)
Signature)
Print Name) ( Signature^
f- Z Foot K4 0P14 C9 WES 305-53
Print Name) ( Si nature)
Print Name)
Print Name)
t/ IZIC - 1GVtLLI IV
Sir4 re)
ig
r
ee
Q^
I understand that I am responsible for the safekeeping and di; designated for the above personnel. I accept full responsibilitybefore I am able to deliver them to the above employees
AgCyS C- 61--OE7, Print Name)
Date: Q_I 4 l 1 L
of Fair tickets
tickets are lost
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize ri
to pick up their allotted Fair tickets from the Human Resources Department.
ST%/, —: ( n")/ l
Print Name) (
Ly Print Name)
Print Name) (:
Print Name)
a
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
IV
Print Name) ( n ture)
Date; 9 ' `- 10
J
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize 100 MAOto pick up their allotted Fair tickets from the Human Resources Department.
Mtn Ut-% 0 U, 0 &*- Print Name) ( Si ature)
U.[ 0sPrint Name)
2Yi S i/ OARZ- 1
Print Name)
Print (Name)
VCU
IAV-NIIDIy
Print Name)
V- Pnnt Name)
Print Name) Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
DcJPc P KolCvPrint Name) ( pignature)
Date: 0W
r
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize t' 1 CC X02( T' Zl vl;Zto pick up their allotted Fair tickets from the Human Resources Department.
L.. • L .,^' . c r ZPrint Name) Name) ( Signature?,
Print Name)
P-,,- V a, Print Name)
Print Name) ( Signature)
n2 Cry\ lac u,. JPrint Name) Sig ature)
4 Print Name) ( Signa wr j)
Print Name)
OnIALD 14rp0NA4D
re)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name) ( Signatu
Date: - 5 2Z \ t 2
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize I MkfiOf MtCyto pick up their allotted Fair tickets from the Human Resources Department.
Print N e) ture)
Print Name) ( ignature
E&, //"//, ePrint Name
Print Name) ( signature)
Signat e)
IROGER ILO (& Print Name)
Print Name)
Print Name)'
dA?OL- Signa ure) `
JA lygnature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
imZr (C- &% APrint Name)
Date: ( , 1( Z
i
Sig ature)
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorizeto pick up their allotted Fair tickets from the Human
AAELL/ Mr- c9,ARy # 3o4G8
Print Name)
eI/\ —F,- 4t-3Print Name)
bsz-fj 9M8Print Name)
nIe, m : Don, U 3oSs)
Print Name)
Print Name)
Print Name)
Print Name)
Resources Department.
cSi ature)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date:
Signature)
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name) ( Signature)
Print Name)
Print Name)
Signature)
Sig
Print Name) re)
7' 1"e111x6z— Print Name)
C k -o\ 06 SePrint Name)
RN rPrint Name)
Signature)
Signa ure)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name)
Date: U I
Signature)
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel a
to pick up their allotted Fair tickets from the
IA?-.
Print Name)
Tu u E GRRQ P, Name)
Print Name)
Priv Name)
PrintiName)
Print Name)
Print Name)
uthorize i tt P LF— AN-D42A2
Human Resources Department.
Signature
611--
Signature)
Signature)
Sig
re)
nature)
I understand that I am responsible for the safekeeping and distribdesignated for the above personnel. I accept full respons ility if 0before I am able to deliver them to the above emplovei s. A
Print Name)
Date:/' /.
yv 5
Fair tickets
ats are lost
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize64 &!'-——
to pick up their allotted Fair tickets from the Human Resources D partment.
a, sl,)P % 5Print Name) ( Sign ture)
L%i 4n nf cr-.. Cc nJ / // ed—/
J/
Print Name) ( Signature)
X 2 i_
Print Name) ( Signatur6)
00
Print Name)
Print Name)
eeE ". l ' fl 4tio
Print Name)
Print Name)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if t e tickets are lost
before I am able to deliver them to the above employees!)„
Print Name) ignature)
Date: 2 2'
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
KSI SM uTIEP—P-FzPrint Name) ( Signature)
Print Name) ( Signature)
Print Name)
P2-CRU9 CHcn.
Print Name)
Print Name) Signature)
Print Name) ( Signature)
Print Name) ( Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name) ( Signature)
Date:
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize " 4^ to pick up their allotted Fair tickets from the Human Resources Department
M RfZ i ry kcc- n c i
r
Print Name) ( Signatu )
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore l am able to deliver them to the above employees.
Print Name) ( Signature)
I
Date: 271 2/
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize Lisa CMY-yto pick up their allotted Fair tickets from the Human Resources Departme t.
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
x./S& 0 - Print Name)
Date; dd I"Z"
Signature)
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize , 4 / J ._/ to pick up their allotted Fair tickets from the Human Resources Department.
cJCG1A2bu l :: zPrint Name) ( Signat re
i). GJ/-q- f// jPrint Name)
Print Name)
M - A-R Print Name)
A . Z)DO & vD
Print Name)
C . J >J SemPrint Name)
Print Name)
122
j - Signature)
Signature)
A rc;,,... f ... oN
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees., 7
Print Name)
Date: ll
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorizer /,- D //
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
5Signatyre) -(
lqSignature)
Signature)
Signature)
Signature).
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution Fair tickets
designated for the above personnel. I accept full responsibility if thes ckets are lost
before I am able to deliver them to the above emolovee
Print Name) ( Sig
Date:
AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS
The below Police Department personnel authorize SU V I a Ccv " oll ito pick up their allotted Fair tickets from the Human Reso es Department.
Print Name) I ( Sign ture)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Print Name)
Signature)
Signature)
Signature)
Signature)
Signature)
Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Nbme) ( Signa ure)
Date. 0/ "/
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize
to pick up their allotted Fair tickets from the Human Resources Department.
Print Name)
anoy-ed kPrint Name)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
Print Name) ( Signature)
Date:
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize t7 L A R -ft- P 18- 0 1? - 6to pick up their allotted Fair tickets from the Human Resources Department.
Z)Qj) r0 1., )/ L7 4 2t/ ! ozZ-7G
Print Name) ( S' ature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
Print Name) Signature)
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
C L_A2-FE P1 n LAPrint Name) ( Signature)
Date: 9— a -o l d—
AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS
The below Police Department personnel authorize et L. A R.A- 1" t F -1) 9Ato pick up their allotted Fair tickets from the Human Resources Department.
D r o\ r M. M o r a N n# M- YY7m , Print Name) ' ( Signature)
o n- / L-vi. Print Name)
n
Print Name)
Sl xr( Ivp InnsPrint ame)
j/jQ oS Al3gt— mac
Print Name)
Print Name)
C c(VJC2. coree- ' - C, &. Print Name) ( Signature
I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.
C LA- g -A- 101 E Gni, Print Name) ( Signature)'
Date: 8 - 90- 11-
Fair Tickets Sign -Out Sheet
Commissioners
First Last of Tickets Date Signature
Candace Barry 20
l
Daryl Beans 2
Antonia Brookshire 2
Rochelle Bryant 2n
Diana Butcher 2
Andi Cam ognone 2
Manuel Castille' os 2
Kenneth Cottle 2
Dena Davis -Island 2
Frank Delgado 2
Douglass Dorado 2
Peter Dumaual 2
Demecio( Mitch) Elias 2
NAJuan Carlos Garcia 2
A/ /
t l(/ - Cz1
Ethel Gardner 2 Z
Carlos Go tia 2 j 9 ! I 17 1ZAnthonyGranillo 2
Valerie Guzman 2
Vicki Hahn 2 r / 7 4
Maricruz Hernandez 2z /
7/ 1 i
Mary Hurtado 2
Arturo Jimenez 2
Kimberly Johnson 2
Kathleen Jones 2 C' 0 / 1
Daniel Kelly 2 54 o(/
Page 1 of 2
Fair Tickets Sign -Out Sheet
Commissioners
First Last of Tickets Date Signature
Bao Tam Le 2
Nancy Leanos 2
Jacqueline Macias 2
Douglas Malo 2
Stephanie Marin 2 3U/ I Z
Debra Martin 2
Joy IMcAllister 2
Veronica Michalowski 2
Edgar Miranda 2
Joseph Mladinov 2 O8 21 JL
Cindy Moore 2
Denton Mosier
2HelenMosierMosier 2 I L 1
Jerry Perez 2
Rebecca Ramos 2
l
Adriana Robledo 2
Michael Schowalter 2
Edward Starr 2
Mario Suarez 2 ZL
Larry Taylor 2 I
Robert Torres 2
Page 2 of 2
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