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06/19/2018
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25E - AGMT - ON-CALL ENGINEERING SRVS
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Last modified
6/19/2018 10:21:24 AM
Creation date
6/14/2018 7:55:56 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25E
Date
6/19/2018
Destruction Year
2023
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JURAT WITH AFFIANT STATEMENY G10VERNMENT4ODU§ M2 <br />Idea Attsched Document:(N614ty to gross outlines 14 below) <br />0 See Staten'ient Below (Lines 1-6 to be Completed only by document aigner[al, not Notary) <br />Signature of Document Signer No. 1 Signature of Document Signer No, 2 Of any) <br />A notary public or .other officer completing this cortilicato ver)ffes only the Identity of the. individual who signed the <br />document to whioh this. certificate Is attached, and not the truthtuinsee, accwoy or validity of that document <br />State of California . — <br />County of <br />JENNIFER KINNIE <br />rommisaton # 20M52 <br />Notary public - Pallfamis <br />graligs County <br />-+. y <br />"into.goli0, Mi <br />Subsoribed and sworn to (or affirmed)) before me <br />on this —&— day of (?hyr2q <br />by to M th , " �sYeer <br />(1) 4t Y L Gj' b(�Ivy(/.r <br />(and <br />Nams.(s) of Sdgnor(s) <br />proved to me on the basis of satisfactory a Id o <br />to be the pors-„gn( o app d b me. <br />Public <br />Seat <br />Place Notaty Seal Mom <br />OPTIONAL <br />Though this section is optional, completing this Informatlon can doter alteration of the docut or; <br />fraudulent reattachment of this form to stn unintended ocument <br />Dosoriptlon of Attached Document tt p n1 (' yI s,4 <br />Title or Type of Document: if tN�/tici till! _ `�U.Document Date: <br />Number of Pages: ,_,..,_, Signer(s) Other Than Named Above: <br />02M National Notary Assoclatlon - www.NationatNotary,org , '1 -800 -US NOTARY (1.900876.0827) ftern#5910 <br />25E-292 <br />i <br />i <br />
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