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EASTERSEALS SOUTHERN CALIFORNIA, INC.
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EASTERSEALS SOUTHERN CALIFORNIA, INC.
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Last modified
6/9/2021 4:59:50 PM
Creation date
1/7/2021 2:58:15 PM
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Contracts
Company Name
EASTERSEALS SOUTHERN CALIFORNIA, INC.
Contract #
N-2021-011
Agency
Planning & Building
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 /i/f�f�y ) <br />On t Z/ 9 12-0 V before me, 750o HoI22A9 cyyj ,�a., )U1, <br />Date , / . . , Here Insert Name and Title of the Officer <br />personally appeared <br />Names) of Signer(e) <br />who proved to me on the basis of satisfactory evidence to be the person(*) whose name(e) is/we <br />subscribed to the within Instrument and acknowledged to me that he/sb&6 hey executed the same In <br />his/hevVWwauthorized capacity(iq, and that by hisfherAtxsit'signatureton the instrument the person'E'*), <br />or the entity upon behalf of which the person(*) acted, executed the instrument. <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 />TO, HoauaACFn <br />.corm, s Signature <br />izsC"=2225275 <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: ! <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(fes) 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 />of Pages: <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 />
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