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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 JURAT <br />GOV CODE 6 8202 <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 Riverside <br />COURTNEY CHAPAS <br />Notary Public - California Z <br />Y <br />Riverside County > <br />`z <br />Commission # 2172984 <br />My Comm. Expires Nov 20, 2020 <br />Place NOGry Seal Above <br />Subscribed and sworn to (or affirmed) before <br />me on this 26th day of September, 2019 <br />Date Month <br />By (1) Edward J. Carlson <br />Name of Signer <br />Proved to me on the basis of satisfactory evidence <br />be the person who appeared before me (.) (,) <br />(2) <br />(And <br />Name of Sianer <br />Proved to me on the basis of satisfactory evidence <br />be the person who appeared before me.) <br />Signature <br />Signal r of Notay Pubic <br />OPTIONAL <br />Though the information below is not required by law, it may prove <br />valuable to person relying on the document and could prevent <br />fraudulent removal and reattachment of this form to another document. <br />Further Description of Any Attached Document <br />Title or Type of Document: Non -Collusion Affidavit <br />Document Date: 9-26-2019 Number of Pages: 1 <br />Signer(s) Other Than Named Above: <br />Top of thumb here <br />Top of thumb here <br />
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