This government document is issued by City of Bellflower for use in Bellflower, CA
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https://www.google.com/url?client=internal-element-cse&cx=partner-pub-0841112309333758:4942395610&q=https://www.bellflower.org/FORM%2520-%2520Public%2520Records%2520Request%2520Form%2520(Revised%252006-30-21).pdf&sa=U&ved=2ahUKEwjo1tWHj8L1AhXotYsKHSyQDH0QFnoECAYQAg&usg=AOvVaw0SKHuwpb53ONM2ZLJEmlYU