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25G - AGMT FOR ASPHALT AND STORM DRAIN
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25G - AGMT FOR ASPHALT AND STORM DRAIN
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Last modified
11/25/2020 12:15:58 PM
Creation date
11/25/2020 12:10:55 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25G
Date
12/1/2020
Destruction Year
2025
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CALIFORNIA JURAT <br />A notary public or other officer completing this certificate verifies only the identity of <br />the individual who signed the document to which this certificate is attached, and not <br />the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Or -A 9t,'- ) <br />Subscribed and sworn to (or affirmed) before me on this I aVtl day <br />of 20 /� , by I1 fi'1nih,,1 kilo ,V t <br />proved to me on the basis of satisfactory evidence to be the person(s) <br />who appeared before me. <br />KIM E. NEWETT <br />COMM. #2228431 z <br />� �-�� Nolary Public -California p <br />z� Orange County <br />M Comm. Ex fires Feb. 7, 2022 <br />(Seal) <br />Signature JZJ�4 - � <br />Optional Information <br />Although the information in this section is not required bylaw, it could prevent fraudulent removal and reattachment of thisjurat to an unauthorized document <br />and may prove useful to persons relying on the attached document. <br />Description of Attached Document <br />This certificate is attached to a document titled/for the purpose of <br />containing pages, and dated <br />Method of Affiant Identification <br />Proved to me on the basis of satisfactory evidence: <br />O form(s) of identification O credible witness(es) <br />Notarial event is detailed in notaryjournal on: <br />Page # Entry # <br />Notary contact: <br />Other <br />❑ Affiant(s) rhumbprint(s) ❑ Describe: <br />0 Copyright 2002-2017 Notary Rotary, PO Box 41400, Des Moines, IA 50311-0502, AI: 3"75G _ 111 1mher 101884. Please contact your Authorized Reseller to purchase copies of this form. <br />
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