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23B - CONTRACT AWARD CONCRETE REPAIR
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02/05/2019
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23B - CONTRACT AWARD CONCRETE REPAIR
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Last modified
1/31/2019 7:15:22 PM
Creation date
1/31/2019 7:09:52 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
2/5/2019
Destruction Year
2024
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JURAT FORM <br />A notary public or other officer completing this certificate verifies only the <br />identity of the individual who signed the document to which this certificate is <br />attached, and not the truthfulness, accuracy, or validity of that document. <br />STATE OF CALIFORNIA <br />COUNTY OF 'ORANGE ) <br />Subscribed and swom to (or afiiimed) before me on this 31ST day of <br />OCTOBER 720 18 by CHARLES L. FLARE <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />LEXIS SHE 03287 <br />COMM.S2203287 ; <br />i i7eCL+J6�tiI'� (NOTARY SEAL) NOTARYFeeuc*UUFORMA <br />NO YPUBLiC SIGNATURE ORANGE COUNTY <br />Comm. Exp, JULY27, 21)21 <br />OPTIONAL INFORMATION <br />THIS OPTIONAL INFORMATION SECTION IS NOTREQUIRED BY LAW BUT MAY BE BENEFICIAL TO PERSONS <br />RELYING ON THIS NOTARIZED DOCUMENT. <br />TITLE OR TYPE OF DOCUMENT <br />DATE OF DOCUMENT <br />When executing aiurat, a notary shall administer an oath of affirmation to the affiant and shall <br />determine, from satisfactory evidence, that the atliant is the person executing the document. The <br />affiant shall sign the document in the presence of the notary. <br />To order supplies, please contact McGlone Insurmce Services, Inc. at (916) 484 0804. <br />23B-19 <br />
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