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23A - PROJ - 1ST ST LIFT STATION
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02/19/2019
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23A - PROJ - 1ST ST LIFT STATION
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Last modified
2/14/2019 4:20:07 PM
Creation date
2/14/2019 4:16:45 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
2/19/2019
Destruction Year
2024
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 <br />..�.........................:�;�„r,�.�nx,�:,�.a:.�:;r.,�,;>:.�,�;.��uu,.�:.�;.v.:-,�.;�..W;;•,.v,;w„�„v:.��,x-�,.���w��;.,r:,>^ �,u.;�.,�^�v,.wrr..rx�x�nsrrr.,;.v.,� ;,v:.� <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached and not the truthfidness, accuracy, or validity of that document. <br />State of California <br />County of orange ) <br />On 1 15 1 0 before me, _ <br />Natassia Kirk -Smith Notary Public, <br />personally appeared Vanessa Copeland <br />Name(s) of signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(&) whose name(s) is/are subscribed to the <br />within instnarltent and acknowledged to me that he/she/they executed the same in his/her/their authorized <br />capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(&) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY Linder the <br />NATASSIA KIRK -SMITH - laws of the State of California that the foregoing <br />amy <br />Notary Putnic -California paragraph 1S true and correct. <br />*orange County <br />commission x 225381e WIT NESS rn hand and official comm. Cores Aug 12, 2022 s y <br />sir• <br />Signator <br />signature ofof blic <br />Place Notaty Seal Above <br />-- _----_-__------------- -- --_ ._----- ---- OPTIONAL --------- <br />Though <br />____ ._Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could present fraudulent and reattachment of this form to another document. <br />Description of Attached Document <br />Type or Title of Document: <br />Document Date: <br />Signer(s) Other Than Named <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Vanessa Copeland <br />❑ Individual <br />❑ Corporate Officer - Title(s): <br />❑ Partner: ❑Limited ❑ General <br />® Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Number of Pages: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer-Title(s): <br />❑ Partner: ❑Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: Signer Is Representing: <br />Rev. 1-15 <br />23A-18 <br />
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