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23A - PROJ - CABRILLO PARK SIDEWALK
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10/02/2018
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23A - PROJ - CABRILLO PARK SIDEWALK
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Last modified
9/27/2018 2:41:10 PM
Creation date
9/27/2018 2:31:51 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
10/2/2018
Destruction Year
2023
Document Relationships
CEM CONSTRUCTION CORPORATION
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Path:
\Contracts / Agreements\ PROJECTS\Completed Projects
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 4 1189 <br />A.�SR3#i�!Ni#�71 <br />..... _... __ <br />A notary public or other office) completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, of validity of that document. <br />State of California noY — <br />County of O A-ekJI <br />Oil Dl Z(3 ��a/ before me, N ct� 0�I f�vlzCv- (upt�,, <br />Date 1-16re Name and Title <br />personally appeared S'uS �r fi ill o <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(a) is/ane subscribed <br />to the within Instrument and acknowledged to me that he/stTuAtrey executed the same in his/heRITeir <br />authorized capacity(ies), and that by his/he'rfteir signature(s)=on the instrument the person(s)Tor the entity <br />upon behalf of which the persons) acted, executed the instrument. <br />SANGfAN CH <br />z $ ""'L Not <br />Pubin:- California <br />Los Angeles County <br />=E <br />Commission N 2242935 <br />My Comm. Expires Jun 14, 2022 <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />s <br />Signature - <br />Signature of Notary Public <br />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 />Document Date: 1�r;7 <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer - Title(s): <br />❑ Partner- ❑ Limited ❑ General <br />❑ Individual ❑ Attorney In Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />©2017 National Notary Association <br />CSP/I60-1 <br />NumberofPages: j <br />Signer's Name: <br />FI Corporate Officer - Title(s): <br />❑ Partner- n Limited ❑ General <br />❑ Individual ❑ Attorney In Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: _ <br />Signer is Representing: <br />23A-77 <br />
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