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Last modified
12/12/2019 1:16:22 PM
Creation date
12/12/2019 12:52:28 PM
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Contracts
Company Name
DUSTIN DO
Contract #
A-2019-221
Agency
PUBLIC WORKS
Council Approval Date
11/19/2019
Destruction Year
0
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CALIFORNIA ACKNOWLEDGMENT 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 oraLL l <br />County of C kI.�-i <br />1-1 <br />c ! -A F ¢ ^ \2 t On Q.e5 before me, <br />Date I � Here Insert Nomb and Tit —le of the Officeta <br />personally appeared <br />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 he/she/they executed the same in his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />DMV <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 />Sign re <br />S nature of I oto Public <br />Vr r IVIIAL <br />Completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to on unintended document. <br />Description of Attached Document II <br />Title or Type of Document: ��Y t�aC F,)O ed <br />Document Date: l2 l \2I�� Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signers) <br />Signer's Name: k^Es-'rly Q"A 5, y <br />❑ Corporate Officer — Title(s): <br />❑ Partner— ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />,Other: e- ¢ <br />Signer Is Represe ting: v\- e <br />02018 National Notary Association <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 />ANGELAMMAYNARDNotaryPublic-California <br />.OrangeCounty <br />'Commission M2280fi40 comm. Expires Mar 12, 2023 <br />Place Notary Seal and/or Stamp Above <br />
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