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PENA, MARIA JOSEFA
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PENA, MARIA JOSEFA
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Last modified
1/29/2019 11:00:11 AM
Creation date
1/28/2019 8:52:09 AM
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Contracts
Company Name
PENA, MARIA JOSEFA
Contract #
A-2019-011-01
Agency
PUBLIC WORKS
Council Approval Date
1/15/2019
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />;E;• a x fxf?M.3c to 5.. K.*fia �, f T•:.T�1aF, r�:N'A•�R a '. ^N:+N *+Jw•3'•;Er ,.,>., . to <br />Sx- <br />A notary public or other officer 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, or validity of that document. <br />State of California <br />County of 11,s <br />On before me, Oh,!X P1,1,61 fl <br />date Here t sertName and TIA of the Officer <br />personally appeared ,$'Pil`r �r'Je` , <br />Nome(s) of Signers) <br />who proved to me on the basis of satisfactory evidence to be the person whose namei /subscribed <br />to the within instrumen and acknowle ed to a that t /sh /tVey exec ted the same in her/tl�lr <br />authorized capacity(i , and that by s/her/tl�lr signa ure on the instrument the persoril%(, ort a entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />JULY LY I certify under PENALTY OF PERJURY under the <br />Notary Public • California aE laws of the State of California that the foregoing <br />• Orange County paragraph is true and correct. <br />Commission M 2150098 <br />M Comm. Expires Apr 23,20209 WITNESS my hand and official seal. <br />Place Notary Seal and/or Stamp Above <br />OPTIONAL <br />of Notary Public <br />Completing this information can deter alteratio7i 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: <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 <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />❑ Attorney in Fact <br />❑ Guardian of Conservator <br />NumberofPages: <br />Signer's Name: <br />❑ Corporate Officer — Tltle(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />x..3..1•.43.,. r, v:. ,x :%T,+3*A,>N'•'<:: c. s: af, .:.,f,� .m,,r•:4 ..xo+'>. r.E ., BSc <br />C2017 <br />
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