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25D - AGMT - LIGHTING ROSS ANNEX PARKING
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11/20/2018
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25D - AGMT - LIGHTING ROSS ANNEX PARKING
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Last modified
11/15/2018 9:18:03 PM
Creation date
11/15/2018 9:12:47 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Finance & Management Services
Item #
25D
Date
11/20/2018
Destruction Year
2023
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />LtoAnotary public or other officer completing this certificate verifies only the Identity of the Individualwho sighedthe document <br />which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document, <br />State of California , <br />County of J} 4, t V <br />On ,91AAI&S 2,01'] DI � before me,mls—hyliq - niAck-yut):71�� i���ic, <br />pate Here Insert Name and Title of the <br />'Ofrcer <br />personally appeared <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence'to be the person(s) whose name(s) Is/are subscribed <br />to the within Instrument and acknowledged to me that he/sheithey executed the same In hls/her/their <br />authorized capaclty(les), and that by his/her/their slgnature(s) on the Instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />GHrvSTINA LYNN NENRICNSEN <br />Notary vubut • Callfornia <br />eRlvarldsCounty <br />commisslon # 22521d2a22 <br />•L My Comm, ExplresAu 2, <br />Place Notary Seal and/or Stomp 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 />'Signature . _ J`S A 1 <br />Signature of Notary public <br />W r I wrvrar. <br />Completing this information can deter alteratlon 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: Number of Pages; <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Slgner(s) <br />Signer's Name: <br />D Corporate Officer — TRIe(s): <br />El Partner— D Limited D General <br />D Individual ❑ Attorney In Fact <br />13 Trustee ❑ Guardian of Conservator <br />11 Other: <br />Signer Is Representing: <br />Signer's Name: <br />0 Corporate Officer — Tltle(s)_ <br />❑ Partner— ❑ Limited 17 General <br />❑ Individual 17 Attorney In Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other. <br />Signer is Representing: <br />___ .._.. ...... ... .. ...,,:. ... •a:,. x.::,.vv,sx.'...,. ,: v.�. .. �,. N�3a r.;r,...':..or.3n.e-n :. I,�:I ri.:.f�.e.da 4#s, .:'.eS <br />02017 <br />25D-83 <br />
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