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xv.Are auxiliary (supplementary) aides available when requested birthe individual? <br />Per CFR Title 20,29,41 vES[!:(' NO□ <br />Youth Service Provider Information: <br />Dr. Ana Jlmenez-Hami <br />Print First & Last Name <br />�C}-'o� 3-24-2022 <br />Service Provider Signature Date <br />2215 North Broadway, Santa Ana, CA 92706 <br />Business Address <br />714-547-5468 <br />Business Phone Number <br />All infonnation Is subject to validation by SAWDB staff upon approval of award. <br />EXHIBIT 1