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23A - NEW PARK AT 6TH & LACY
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03/05/2019
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23A - NEW PARK AT 6TH & LACY
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Last modified
2/28/2019 7:30:27 AM
Creation date
2/28/2019 7:25:13 AM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
3/5/2019
Destruction Year
2024
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CALIFORNIA ALL-PURu' r v.0 t D •,t M CIVIL CODE <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 Orange ) <br />On 01/11/2019 before me, A• MacFarlane, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared Rebecca Haas -Bates <br />Name('s),of SignerN <br />who proved to me on the basis of satisfactory evidence to be the persons} whose names} is/ara <br />subscribed to the within instrument and acknowledged to me that fie/she/they executed the same in <br />his/her/their authorized capacity(, and that by his/her/their signaturejs) on the instrument the person(s), <br />or the entity upon behalf of which the persons) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />A.MACFARLANE <br />":' Notary Public -California Signature.�s!/`<��� <br />g Orange County 'Signature of Notary Public <br />z Commission a 2188592 - <br />My Comm. Expires Mar 27.2021 <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration 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: Bid Bond Document Date: 01/11/2019 <br />Number of Pages: One I Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Rebecca Haas -Bates <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ( Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Developers Surely End Indemnity Comoanv <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />n nther. <br />Signer Is Representing: <br />u%w¢'v 'gcQ;ti rv0.. .y dq�4«'SL.v"<v a '.vq'Y'riv 'v4wPvsV4r'+N:. 'v 'rvA 'v'✓q'a{�s<wi 'a -GCC <br />23A-17 <br />
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