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BIG BEN INC.
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BIG BEN INC.
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Last modified
4/25/2022 1:10:23 PM
Creation date
4/15/2021 4:11:06 PM
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Template:
Contracts
Company Name
BIG BEN INC.
Contract #
P 21-6446
Agency
Public Works
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT <br />A notary public or other officer completing this certificate vilifies only the Identity of the individual who signed the <br />document to which this certificate is attached, and not the 1ruthfulness, accuracy, or validity of that document. <br />State of California <br />County of San Bernardino /) ss. <br />on JAN 1 4 2021 before me, <br />personally appeared <br />Rebacaa Elizabeth AdCoa <br />�OMM# 2327252 g <br />i AN0EnNjHX,o y u,M p <br />8NlaE/Iey,p�pp eelPilY :! <br />_.,� Mr camm EWree; e5N7f2A <br />Though the Information below Is not required by law, It may <br />removal and reattac <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer <br />Title_ <br />❑ Partner -- ❑ Limited ❑ General <br />❑ Attorney -in -Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />Other: <br />Signer is Representing: <br />proved to me on the basis of satisfactory evidence <br />9 the person whose name is subscribed to the <br />In instrument and acknowledged to me that she <br />:uted the same in her authorized capacity, <br />that by her signature on the Instrument the <br />ion, or the entity upon behalf of which the person <br />d, executed the instrument. <br />I srtify under PENALTY OF PERJURY under the laws of <br />t4 State of California that the foregoing paragraph is <br />tr a and correct. <br />my hand and official <br />U. <br />to persons relying on the document and could prevent fraudulent <br />sm to another document. <br />Of <br />Top of thumb here <br />
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