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25B - AGMT STORMWATER LIFT STATION
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25B - AGMT STORMWATER LIFT STATION
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Last modified
7/12/2018 5:31:44 PM
Creation date
7/12/2018 5:27:05 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25B
Date
7/17/2018
Destruction Year
2023
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CAUFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE 9 8202 <br />Wo--..+_.. <br />I(W ee Attached Document (Notary to cross out lines 1-6 below) <br />See Statement Below (Lines 1-6 to be completed only by document signer[®], not Notary) <br />Signature of Document Signer No. 1 Signature of Document Signer No. 2 fit any) <br />A notary public or other officer completing this certificate verifies only, the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />Countyof CJra-If 0 <br />w.�=>_s <br />CINDY OKAMOTO <br />Notary Public - California <br />Oran08 County z <br />zCommission N 21 " ' <br />amy p Comm. Ex ires Nov 7.'2020$ <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this af�T-day of 2045�1 <br />by Date onth Year <br />(1) 1 0�4 Ylfi' <br />(and <br />Name(s) OfSlgner(s) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) whoappeared b fore me. <br />Signature <br />Signatu f Notary Public <br />OPTIONAL <br />Though this section is optional. completing this information can dater alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: O -j f�Document Date: <br />Number of Pages: — Signer(s) Other Than Named Above: <br />RCO,f?bCXi2+dCYiG4i:4A`��CSx1�9CS2�azg._- 'G3AiGST44Wt�. . <br />02014 National Notary Association - www.NationalNotary.org • 1 -800 -US NOTARY (1-800.876-6827) Item #5910 <br />25B-79 <br />
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