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25N - AGMT BIKE STATION DESIGN
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25N - AGMT BIKE STATION DESIGN
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Last modified
8/16/2018 11:17:47 AM
Creation date
8/16/2018 11:13:17 AM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25N
Date
8/21/2018
Destruction Year
2023
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- CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the Identity <br />of the individual who signed the document to which this certificate Is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Orange `/ } <br />O b before me, Janice Duffek, Notary Public , <br />`- vmne Nato eco ver <br />personall�m peared �_ UtQ't �. �t I11'iIuS �R , <br />who proved to me on the basis of satisfactory evidence to be the personfs�whose <br />name(e) is/aFesubscribed to the within instrument and acknowledged to me that <br />he/sheer executed the same in hisRleI40wif authorized capacity(lee), and that by <br />hislherftheiF signature(sj on the instrument the person(e), or the entity upon behalf of <br />which the person(eyacted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of Califomia that <br />the foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. <br />OFTHEATTACHE:D <br />Document Dale <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />bX Corporate Officer <br />to <br />❑ Partner(s) <br />❑ Attomeyin-Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version wwri.NotaryCiasses.cam 800-873-8865 <br />JANICE DUFFEK <br />Commission lit 2125938 <br />® Notary Public • California _ <br />Dranpt County <br />M Comm, ESIret Gap 5, 2019 r <br />Public Seal) <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />lhirform complier with current California statures regarding notarywordiigand. <br />ifneeded• should be completed andattachrelm the document. Acknowledgments <br />from other starer may be compleredfor documents being sent to that trate ro long <br />as the warding doer not require the Col fomta notary to violate California notary <br />law. <br />• State and County information must be the State and County where the document <br />signals) personally appeared before the notary public for acknowledgment <br />• Date or notarization must be the date that the signcr(s) personally appeal which <br />must also be use same date the aclmawledgment is completed <br />• Thc notary public must print his or her name as it appears within his or her <br />commission followed by a comma and then your qac (notary public). <br />• Print the turrets) of document signals) who personally appear at the time of <br />n01116=gon. <br />• Indicate the correct singular or plural forms by erussing off Incorrect forty (i.e. <br />hNshddsey; is/ata) or dealing the correct forms. Failure to correctly indicate this <br />lnfomtation may [end to rejection of document scoNing. <br />• The notary not impression must be clear and photographically reproducible. <br />Impression must not corer tut or liocs. If seal impression smudges, reseal if a <br />sufficient nice, permits, otherwise complete a different acknowledgment form <br />• Signoras of the notary public must snatch the signature on 01c with the once or <br />the county clerk. <br />4 Additional information is not required but could help to snsore this <br />ulamwiedgmmt Is am mintscd or attached to a different document. <br />v Indicate title a type afattached document, number of pages and date. <br />4 Indicate the capacity claimed by the signer. If the claimed opacity is a <br />corporate omccr, indicate the title (he. CEO, CFO, Smarmy). <br />• Securely attach this docmncm W the sigocd docwtmt with a staple. <br />Gensler I Santa Ana Regional Transportation Bike Station <br />25N-61 <br />
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