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MYERS, DOUGLAS J. & LARENS, JOANNE
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MYERS, DOUGLAS J. & LARENS, JOANNE
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Last modified
4/17/2020 10:52:10 AM
Creation date
9/6/2018 12:30:41 PM
Metadata
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Contracts
Company Name
MYERS, DOUGLAS J. & LARENS, JOANNE
Contract #
A-2018-125
Agency
PLANNING & BUILDING
Council Approval Date
5/15/2018
Destruction Year
0
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M KOLBERG <br /># 2177903 'r <br />JEu000FORNIA N <br />NGE COUNTY r <br />EBF. DEc. 3 t <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 Calif is ) <br />County of �) <br />On before me, VA lvn�� <br />Date "Insert Name anOtle of the Offi <br />personally appeared V IUL - _ <br />�.l Ame(s) of Sianer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) IS/Q-, <br />subscribo the within instrument and acknowledged me that he/she/executed the same in <br />his/he a ) <br />authorized capacity(ies),and that by his/herignature(s) on the Instrument the person(s), <br />or the e Ity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />Is true and correct. <br />_.., . WITNESS my hand and official seal. <br />�, ,a;;V F MORGhN KOLBERG ,� <br />COMM .# 2177993 <br />(() a 8 NOTPRY PNGE CO N'TYDO IA <br />ORANGE COUNTY Signature <br />.. „ Mr CoMu. ezF, DEC, aJ, 2020- Signatur of Notary Pub� <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this Information can deter 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: <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />CL Partner — D Limited C3 General <br />O Individual fJ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />L7 Partner — ❑ Limited ❑ General <br />❑ Individual [_7 Attorney in Fact <br />CI Trustee I.] Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />©2014•National Notary Association www.NationalNotary.org • 1 -800 -US NOTARY (1.800-876.6827) Item 45907 <br />
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