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DUSTIN DO (2)
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Last modified
12/12/2019 1:13:24 PM
Creation date
12/12/2019 12:54:06 PM
Metadata
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Template:
Contracts
Company Name
DUSTIN DO
Contract #
A-2019-220
Agency
PUBLIC WORKS
Council Approval Date
11/19/2019
Destruction Year
0
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CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 <br />E3a �s�aoutx>aa�tt��saIIoar&ass <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 Califainia 1 <br />County of n / <br />On�e_C cf--br�1r `2-1T��— before me, 1 V a 9 Jy i IBC' CJ Ptl b,l I �' <br />Date I t Here Insert Na and Titl of the Officer <br />personally appearedUylS�l�lQ <br />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 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 />------------- <br />ANGELA M. MAYNARD <br />' <br />Notary Public California <br />Orange Countya <br />,,�F <br />4yYJf <br />Commission„ <br />] <br />]11 My <br />LLOU640 <br />Comm. Expires Mar 12. 2023 <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 ind official seal. <br />OPTIONAL <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: (i a VH <br />Document Date: � 11.2I 7�6\9 Number of Pages:_ <br />Signer(s) Other Than Named Above: <br />Capacity(ies) C aimed by Signer(s) <br />Signer's Name: \` n t \s A G e <br />❑ Corporate Officer - Title(s- <br />❑ Partner- ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: if±* Mn. o eY <br />Signer is Repre en� ting: L t a-�4 Cc f , �n t,1+n <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 />
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