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23A - CA PROFESSIONAL ENGINEERING FOR BIKE TRAIL AND SADDLEBACK PARK
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12/17/2019
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23A - CA PROFESSIONAL ENGINEERING FOR BIKE TRAIL AND SADDLEBACK PARK
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Last modified
12/12/2019 5:44:31 PM
Creation date
12/12/2019 5:33:11 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
12/17/2019
Destruction Year
2024
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ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of Los angeles <br />I Ss. <br />On I I W Z I� _, before me Alicia Nguyen Notary Public, <br />DAI E j <br />personally appeared �/ n who proved to me on the <br />basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument <br />and acknowledged to me that he/she/they executed the <br />same in his/her/their authorized capacity(ies), and that <br />by his/her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />ALICIA NGUYEN <br />COMM. # 2211346 a <br />ROTARY PURUC-CAUFORN1A <br />LOS ANGELES COUNTY <br />Comm. Exp. AUG. 25, 2021 <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 />NOTARY'SSIGNATURE <br />A notary public or other office 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. accuracv, or validitv of that document. <br />PLACE NO'I ARY SEAL IN ABOVE SPACE <br />The information below is optional. However, it may prove valuable and could prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIMED BY SIGNER (PRINCIPAL) <br />-�/ INDIVIDUAL } <br />[id CORPORATE01-FICER RQSId�xcr <br />❑ PARTNER(S) nTE(s <br />❑ ATTORNLY-IN-FACT <br />❑ TRUSTEE(S) <br />❑ GUARDI.ANICONSERVATOR <br />❑ OTHER.._... <br />SIGNER (PRINCIPAL) IS REPRESENTING: <br />NAME01PBRSON(S) OR I:u I11 ) OLS) <br />DESCRIPTION OFATTACHED DOCUMENT <br />11IL60R 11760E DOCUMENT <br />NUMBER OP PAGES <br />DATE of oocu�mN r <br />RIGHT <br />THUMBPRINT <br />OF <br />SIGNER <br />01HER-... ---- <br />APA IA012VOTARYBONDR,SIPPLILSAND IORMSATIMP'AC'V1'NI VAI. I FYSIFRRA.COM t2005-?ultVMJIV-SIP-RRA INSCRANCE <br />23A-15 <br />
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