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23A - PROJ - CIVIC CENTER ADA
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11/20/2018
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23A - PROJ - CIVIC CENTER ADA
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Last modified
11/15/2018 9:07:34 PM
Creation date
11/15/2018 9:04:01 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
11/20/2018
Destruction Year
2023
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\Contracts / Agreements\ PROJECTS
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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 y-8 rI & } <br />On cIJ before me, P-06iC T d0 H -e P1 clev6o/7 <br />ereinsenname u a oo bar <br />personally appeared MOY 4 (d L. !4fY?Cie4("5crn <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose <br />name(s) is/are subscribed to the within instrument and acknowledged to me that <br />he/she/they executed the same in his/her/their authorized capecity(ies), and that by <br />his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />•s"`"•,n 0.0SIE TOLE00•HENOEfl90H� <br />7:Z77 <br />al.a'colmm.ft 2086732 <br />Los � `. ..•` AV cora. EAP FNov�162015 `s <br />Notal Sig (Notary Public Seal) <br />OF THE ATTACHED DOCUMENT <br />(ride ordescription of attached document) <br />Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attomey-in-Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version vnartNolaryCiasses.rom 600-873-9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />77,isfarm complies with current California statutes regarding notary wording and, <br />ifneeded, should be completed and anached to the document Acknowledgments <br />frvm other states may be completedfor documents being sent to thctstore so long <br />as the wording does not require the California notary to violate California notary <br />law. <br />• State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for aelvowledgmrnt <br />• Date of notarization most be the date that the signer(s) personally appeued which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or her name as it appears withm his or her <br />commission followed by a comma and then your title(notaty public). <br />• Print the marvels) of document signets) who personally appear at the time of <br />notarization. <br />• Indicate the coact singular or plural forms by crossing off incorrect forms (i.e, <br />he/shc/dWr is/aro) orcircling the comeot foams. Failure to couec8y, indicate this <br />information may lead to rejection of documrntternrdirvg. <br />• The notary seal impassion mo be dear and photographically reproducible <br />Impression must not cover text a lines. If seal impression smudges, reseal if a <br />sufficient areapermits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public most match the signature on file with the office of <br />the county clerk. <br />Additional information is not required but could help to ensue this <br />acknowledgment is not misused or attached to a different document. <br />rr Indicate title or typo ofatmched docummi, number ofpaSm and date. <br />S Indicate the capacity claimed by the signer If the claimed capacity is a <br />corporate ofiitty indicate the tide (Le. CEO, CFO, Secretncy). <br />• Securely attach this document to the signed document with a staple. <br />SJ aL rel <br />
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