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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
Metadata
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Template:
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 <br />Los angeles <br />On jD { S 2a1 , before me, <br />DATE <br />I SS. <br />Alicia Nguyen <br />Notary Public, <br />personally appeared VOA f ��P� who p)roved 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 />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 />hand and official seal. <br />NOTARY'S SIGNATURE <br />A notary public or other office completing this certificate verifies only the ideniity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracv. or validity of that document. <br />PLACE NOI:ARY SEAL IN ABOVE SPACE <br />OPTIONAL INFORMATION <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 />❑ I <br />INDIVIDUAL <br />[v <br />CORPORATE OFFICER <br />❑ <br />PARTNER(S) <br />❑ <br />ATTORNEY -IN -FACT <br />❑ <br />TRUSTEE(S) <br />p{2 (�"P'hA- <br />I TLE(S) <br />❑ GUARDIANICONSERVATOR <br />❑ OTHER: <br />SIGNER.(PRINCIPAL) IS REPRESENTING: <br />NAMI 01 I'ERSON(S) OR ILN'l l'IY(1ES) <br />APA 1 2011 <br />DESCRIPTION OFATTACHED DOCUMENT <br />rl i LE OR`I PE OF DOCUMENT <br />NUMBER OF PAGES <br />DATE OF DOCUNINI.____--- _-- - <br />O1HER <br />RIGHT' <br />THUMBPRINT <br />OF <br />SIGNER <br />\01ARYBONDl SLPPLI6SAND I ORMS.ATHTIP hA'R'&',VAI I EY StFRRA_C O\I _ 200>= 00S AI I.[Y-Sfl RR.A1NSURANCE <br />23A-33 <br />
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