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23A - PROJ - EDINGER ST REHAB
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11/19/2019
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23A - PROJ - EDINGER ST REHAB
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Last modified
11/14/2019 7:40:49 PM
Creation date
11/12/2019 2:35:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
11/19/2019
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 <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. accuracv. or validity of that document. <br />State of California <br />County of Riverside <br />On September 26, 2019 before me, Courtney Chagas, Notary Public <br />Date Nero Insert name and Title of the Of ,w <br />personally appeared Edward J. Carlson <br />Name(s) of Signers) <br />COURTNEY CHAPAS . <br />Notary Public - California <br />z2 0 <br />Riverside County > <br />Commission # 2172984 <br />M <br />Comm. Ex ires Nov 20, 2020 <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(s) is/are subscribed to the within instrument <br />and acknowledged to me that he/shekhey executed the same in <br />his/heFAI; r authorized capacity(ies), and that by his/heNtheir <br />signature(la) on the instrument the person(s), or the entity upon behalf <br />of which the person(&) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNESS my hand arW official seal <br />Signature V 'v-0 <br />Place Notary Seal Above Signa 7 <br />of NotaV Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to person relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document Bid Bond <br />Document Date: September 24, 2019 Number of Pages: <br />Signer(s) Other Than Named Above: None <br />Capacity(ies) Claimed by Signer(s) <br />Signers Name: Edward J. Carlson <br />o Individual <br />X Corporate Officer —Title(s): Vice President <br />❑ Partner F o Limited ❑ General <br />❑ Attorney in Fad <br />❑ Trustee Tap of thumb here <br />❑ Other: <br />Signers Name: <br />❑ Individual <br />❑ Corporate Officer —Title(s): _ <br />❑ Partner E o Limited o General <br />❑ Attorney in Fad <br />❑ Trustee <br />❑ Other: <br />is Representing: <br />Top of thumb here <br />
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