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20C - AA - STREET LIGHT MAINT
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10/01/2019
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20C - AA - STREET LIGHT MAINT
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Last modified
9/26/2019 7:46:41 PM
Creation date
9/27/2019 4:09:08 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20C
Date
10/1/2019
Destruction Year
2024
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JURAT <br />......................................... <br />State of California <br />County of Los Angeles SS. '"" � <br />Subscribed and sworn to(oraffirmed) before me on this I _ day of . - 20 �" It <br />, by <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />h ALICIA NGUYEN <br />COMM. X 2211346 ! <br />NOTARY PUBLIC •OAUFORNIA <br />LOS ANGELES COUNTY <br />Comm. Exp. AUG. 25, 2021 <br />A notary public or other office completing this certificate verifies only the idWity of the individual who signed the document <br />to which this certificate is attached. and not the truthfulness. accuracv. or validitv of that document. <br />PLACE NOTARY SEALINABOVE SPACE <br />OPTIONAL INFORMATION <br />The information below is optional. However, it may prove valuable and could prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIMED BY SIGN�E�R (PRINCIPAL) <br />DESCRIPTION OF ATTACHED DOCUMENT 1 <br />INDVIDUAL <br />� <br />d <br />� �` ~ � <br />1 <br />CORPORATE OFFICER <br />TITLE TYPE OF DOCUMENT 1 <br />❑ <br />PARTNER(S) TITLES) <br />/ ❑ <br />ATTORNEY -IN -FACT <br />I 1 <br />1 ❑ <br />TRUSTEE(S) <br />NUMBEROFPAGES / <br />❑ <br />GUARDIAN/CONSERVATOR <br />❑ <br />OTHER: <br />DATE OF DOCUMENT ; <br />1 <br />/ <br />1 <br />/ <br />OTHER <br />ABSENT SIGNER (PRINCIPAL) IS REPRESENTING: <br />RIGHT <br />/ NAME OFPERSON(S)ORENTITY(IESI <br />THUMBPRINT <br />1 <br />OF <br />♦ <br />SIGNER <br />1 <br />♦ <br />1 <br />1 <br />1 <br />/ <br />1 <br />1 <br />1 <br />1 1 <br />1 ♦ <br />101i'_O(1R NOTARYBONDS,SUPPLIESAM)I'ORMSATHTTP://WWW.VALLEY-SIERRA.COhi i)2005-21H18VALLEY.SIERRAINSURANCE <br />20C-33 <br />
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