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CCAgenda_94Sep14
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CCAgenda_94Sep14
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11/15/2010 10:51:40 AM
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Release <br /> In consideration of allowances made by the Falcon Heights Fire <br /> Department of the City of Falcon Heights, it is agreed that I hereby <br /> release and forever discharge the City of Falcon Heights, its Fire <br /> department, officers, agents and employees from any and all claim for <br /> damages, compensation, or otherwise which may arise from any and all <br /> incidents which occur while riding with or accompanying such Fire <br /> Department members in the performance of official Fire Department <br /> duties. <br /> Witness my hand this day of 19 <br /> Signature of Passenger <br /> Signature of Parent or Guardian if applicable <br /> Permission is hereby granted to the person named herein, and whose <br /> signature is affixed above, to be a passenger in a fire department vehicle <br /> on the day of 19 from o'clock <br /> .M. to o'clock .M. <br /> Approved by: <br /> Date: <br /> Duplicate copy to be given to Passenger <br />
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