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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
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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 <br />CIVIL CODE 1189 <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 truthfulness, accuracy, or validity of that document. <br />State of California <br />County of <br />On 10/1612018 before me, V. Copeland , Notary Public, <br />personally appeared <br />Nanie(s) <br />AliYazdanshenas <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(&) is/are subscribed to the <br />within instrument and aclmowledged to me that he/shefthey 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(s) acted, executed the instrument. <br />I certify corder PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />V COPELAND r paragraph is trite and Correct. <br />Notary Public - Califomla <br />Orange County <br />Commisson 02220482 WITNESSMYlyandtind official sea <br />My Comm. Pxplres Nov 2, 2071 <br />Signature: _ <br />Signa re of Notary Public <br />Place Notary Seal Above <br />--------------------------- OPTIONAL ---------- ._.____.__ <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 Above:_ <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 Pact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <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: <br />23A-19 <br />Rev. 1-15 <br />
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