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GARCIA BERGARA, AMALIA (2)
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GARCIA BERGARA, AMALIA (2)
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Last modified
3/26/2019 11:18:40 AM
Creation date
3/25/2019 12:36:53 PM
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Contracts
Company Name
GARCIA BERGARA, AMALIA
Contract #
A-2019-041-01
Agency
PUBLIC WORKS
Council Approval Date
3/5/2019
Destruction Year
0
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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 document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California 1 <br />County of Orck- �fi J} <br />On 0I JSI 161 before me, ,IML 4 U bl U <br />D to Here Insert Name and Tit of the Officer <br />personally appeared Ain&Ai 6L U121 GP• i f YG 94% <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personXwhose nameVriis/a> su scrib <br />to the within instrume and acknowledged to me that i4/sh /tt y executed the same in hyo/ er/ eir <br />authorized capacity(i s), and that by hkher/tlycSir signature on the instrument the persontAor the entity <br />upon behalf of which the person(s1 acted, executed the instrument. <br />JULY LV - <br />-Notary Public � California <br />Orange County z <br />Commission # 2950999 <br />M I Comm. I?x Iris - r T, T9 0 <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />OPTIONAL <br />of Notary Public <br />Completing this information can deter altercil o 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: firW b C -O( <br />Document Date: 011,2T Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer - Title(s): <br />artner- ❑ Limited ❑ General <br />Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: lifa-JeA <br />Signer's Name: <br />❑ Corporate Officer - Title(s): <br />❑ Partner - ❑ Limited ❑ General <br />D Individual ❑ Attorney in Fact <br />17 Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />r. I•a;P' 07 1. P t.., r�.Y,.Y .trP:, .:"i„".^'vr :.:. ... -.... x .r.: ..-. r .:�.' ....e'�nl P+., 'a 'i'..: 3'.Zk'.%`..i':x .e, i.r .. <br />V2017 National• - <br />
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