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CARIBOU INDUSTRIES (7)
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CARIBOU INDUSTRIES (7)
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Last modified
2/12/2021 9:42:56 AM
Creation date
1/27/2021 12:11:50 PM
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Template:
Contracts
Company Name
CARIBOU INDUSTRIES
Contract #
A-2020-265
Agency
Community Development
Council Approval Date
11/17/2020
Insurance Exp Date
3/1/2021
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />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 ofJJ�yy � } <br />On - Lid' 2Qi i before me, <br />Date 1 Here Insert Name nd Title of the <br />personally appeared _ 1 {} } �� t Ra )� VI <br />Name(s) of Signer(s) <br />who:proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />.....E 11111J(I r: rfi CCMM. #29E924ta <br />Notary Public • Californln <br />Orange County <br />M Camm. Ex iras Mar, 3 �. <br />Place Notary Seal Above <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 <br />Signature of Notary Pub <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 Docu,e t <br />Title or Type of Document: i ' Document Date: <br />Number of Pages: Signer(s) Oth r Th Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner = ❑ Limited ❑ General <br />n Individual ❑ Attorney in Fact <br />17 Trustee 0 Guardian or Conservator <br />,0 Other: <br />Signer Is Representing: <br />Signer's Name: <br />• Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual Cl Attorney in Fact <br />❑ Trustee CI Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association - Unnrw.National Notary.org - 1-800-USyNOTARY (1-800-876-6827) Item ik5907 <br />
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