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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 />...................,.,..,.x,;n.:::���.;�.br �.�r..��.. �>n;:w�.v;�.,vc��..�.;�...,.��,.�;.�c ��,w„�;r;.�.,w,:w,�.,u.4:.w..�,.�.,�:.u,:s..�,.�„w,.�,r;.�..�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 truthfulness, accuracy, or validity of that document. <br />State of California <br />County of 0 <br />On 10/16/2018 before me, V. Copeland , Notary Public, <br />personally appeared AliYazdanshenos <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are subscribed to the <br />within instrument and acknowledged to nue that he/shefthey executed the same in his/heiftheir authorized <br />capacity(ies), and that by his/herkheir 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 under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />V. COPE -ANO paragraph is true and correct. <br />Notary Public- California <br />Orange County <br />Comneseon k 2220462 WITNES�,�ispy hand Id official seal <br />My Comm, Explres Nov 2, 2021 <br />Signator . <br />r ve 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 Nmned 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 Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Nmnber 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-25 <br />Rev. 1-15 <br />
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