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LUCAS BUILDERS, INC.
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Last modified
12/1/2023 4:18:02 PM
Creation date
7/31/2020 2:07:47 PM
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Template:
Contracts
Company Name
LUCAS BUILDERS, INC.
Contract #
P 19-6426
Agency
Public Works
Council Approval Date
7/7/2020
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL .. <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 Orange ) <br />On July 20, 2020 before me, Priscilla Moonier, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared Saman Silva <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person() whose name( is/ace <br />subscribed to the within instrument and acknowledged to me that he/sfwfidwy executed the same in <br />his/bwlftair authorized capacity(b*, and that by hisMA (ftojk signature(R) on the instrument the person(s), <br />or the entity upon behalf of which the person(W acted, executed the instrument. <br />PRISCILLA MOYNIER <br />Notary Public- California <br />Q-0 <br />Orange County <br />Commission p 2235918 <br />My Camm. Expires Apr 18, 2022 <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signature {Q���j(� <br />Signature of Notary Public <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, 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: Payment Bond <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <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 />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 />02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />
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