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CARIBOU INDUSTRIES (12)
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CARIBOU INDUSTRIES (12)
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Last modified
1/11/2023 10:53:12 AM
Creation date
1/11/2023 10:52:31 AM
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Contracts
Company Name
CARIBOU INDUSTRIES
Contract #
A-2020-265-05
Agency
Community Development
Council Approval Date
11/17/2020
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CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT <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 ff I ) <br />On -lX' Li before me, ; `r T 1� I p<7 �'' <br />1 (here insert name a title o the officer)personally appeared I"` C�(Jt �. y ra h <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to <br />the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the <br />State of California that the foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />Optional Information <br />YVETTEPGRTUGAL <br />o a COMM. #2322245 z <br />Notary Public •California z <br />z Orange County <br />M Comm. EX fires Mar. 3, 2G24 <br />(Seal) <br />Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an <br />unauthorized document and may prove useful to persons relying on the attached document. <br />Description of Attached Document <br />The preceding Certificate of Acknowledgment is attached to a document <br />titled/for the purpose of <br />containing pages, and dated <br />The signer(s) capacity or authority is/are as: <br />❑ Individual(s) <br />❑ Attorney -in -Fact <br />❑ Corporate Officer(s) <br />❑ Guardian/conservator <br />❑ Partner-Limbed/General <br />❑ Trustee(s) <br />❑ Other: <br />representing: <br />Names) at per50n6) or Entay(m) Signer is Representing <br />Method of Signer Identification <br />Proved to me on the basis of satisfactory evidence: <br />0 Form(s) of identification 0credible witness(es) <br />Notarial event is detailed in notaryjournal on: <br />Page it Entry k <br />Notary <br />Other <br />❑ Additional Signers) ❑ Signer(s)Thumbprint(s) <br />El <br />0 Copyright 2007 .1018 Notary Rotary. PO Box 41400, Des bloines, IA 50311-BAT All F.Ig Ms Reae,ved. LLem Number 101772 Please contact your Authorized Reselle, to purchase copies of thl, form <br />
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