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DOMINGUEZ, ERIQ
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Last modified
12/20/2023 12:51:38 PM
Creation date
11/21/2022 4:18:21 PM
Metadata
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Template:
Contracts
Company Name
DOMINGUEZ, ERIQ
Contract #
A-2022-208
Agency
Planning & Building
Council Approval Date
10/18/2022
Expiration Date
10/19/2032
Destruction Year
2037
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL .. <br />P✓P .P ,A<.A s .ALP .. .ACP .q .ACA .A .AL-i��<. 'tom .q , <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 OR1kMG& ) <br />On 20 &4&& — 202Z before me, mp-W-1 C041*KANE r lVoror y , <br />Date Here Insert Name and Title of the Officer <br />personally appeared 4A, y77�� Odrly6A)aL <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 />MARY COCHRANE <br />COMM. #2383834 a <br />X,oi Notary Public - California p <br />z Orenge County <br />Comm. Ez 'res Nov. 20, 2025 <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 w4C„GGirw <br />ignature 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 fom9 to an unintended document. <br />Description of Attached Document //rsin rr,;( Pmlvt , <br />Title or Type of Document: DreyeyeXdh A. e'Jmz4¢ Document Date: <br />Number of Pages: /c( Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: fr,'a Dom na . z <br />❑ Corporate Officer—GTitle(s): <br />❑ Partner — ❑ Limited ❑ General <br />[k Individual J Attorney in Fact <br />❑ Trustee 11 Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />CI Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited CI General <br />❑ Individual I I Attorney in Fact <br />❑ Trustee ! I Guardian or Conservator <br />❑ Other: <br />Signer Is <br />Representing: <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />
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