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R.J. NOBLE COMPANY (3)
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R.J. NOBLE COMPANY (3)
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Last modified
4/25/2022 1:02:39 PM
Creation date
10/29/2019 1:02:06 PM
Metadata
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Template:
Contracts
Company Name
R.J. NOBLE COMPANY
Contract #
18-6909
Agency
Public Works
Council Approval Date
10/1/2019
Document Relationships
23A - PROJ - BRISTOL ST REHAB
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\10/01/2019
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CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 <br />�03�nrno®E ItfP[iH€ raiara�rB� <br />A notarypublic 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 validityof that document. <br />State of California l <br />County of ORANC117 1} <br />On <br />09/04/19 before me, J. DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Ofrcer , <br />STEVE MENDOZA <br />personally appeared <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed <br />to the within instrument and acknowledged to me that heisheli" executed the same in hisfhefMteir <br />authorized capacity(ies), and that by his/hef;4hair signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the persons) acted, executed the instrument. <br />J. DE IONGH <br />. Commission # 2128504 <br />a °-d Notary Public - California - <br />z Orange County <br />My Comm. Expires Oct 28. 2019 r, <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 />Signature <br />OPTIONAL <br />of Notary Public <br />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: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <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 />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited <br />❑ General <br />❑ Individual <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />�eee®e®sreeee <br />02018 National Notary Association <br />
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