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19F - RECEIVE AND FILE PUSH CART
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19F - RECEIVE AND FILE PUSH CART
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Last modified
11/25/2020 12:08:27 PM
Creation date
11/25/2020 12:04:32 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Parks, Recreation, & Community Services
Item #
19F
Date
12/1/2020
Destruction Year
2025
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Exhibit 2 <br />I, the undersigned, hereby declare under penalty of perjury, that I have prepared all <br />answers to the questions posed herein, that I have carefully read and reviewed them, <br />and that all are true. <br />If the establishment is signal ownership or partnership, have the following <br />signature(s) notarized: <br />m <br />TITLE <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />M <br />TITLE <br />On ,20 _ <br />Before me, the undersigned, a Notary <br />Public in and for said State, personally <br />appeared <br />Known to me, to be the person(s) whose <br />name(s) <br />Subscribe to the within instrument, and <br />acknowledge to me that <br />He executed the same. <br />WITNESS my hand and official seal. <br />Notary Public In and For Said State <br />If the establishment is a corporation, have the following signatures notarized: <br />BY BY <br />TITLE TITLE <br />19F-8 <br />
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