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Item 15 - Local Street Preventative Maintenance FY 2021-22
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05/17/2022 Special and Regular
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Item 15 - Local Street Preventative Maintenance FY 2021-22
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4/4/2024 4:42:24 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Item #
15
Date
5/17/2022
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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. accuracv. or validity of that document. <br />State of California <br />County of Riverside <br />on April 11, 2022 before me, Sarah Amanda Langley Notary Public <br />Date Here Insert name and Title of the Officer <br />personally appeared Edward J. Carlson <br />Name(s}of Signer(st <br />7 <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(&) is/are subscribed to the within instrument <br />dh and acknowledged to me that he/she4hey executed the same in <br />*my <br />SARAH AMANDA LANGLEY his/her/heir authorized capacity(ies), and that by his/heF4heiNotary Public - California signature(&) on the instrument the person(&), or the entity upon behalf <br />Riverside County of which the erson s acted, executed the instrument. <br />ommission # 2337877 p ( ) Comm. Expires Nov 20, 2024 <br />I certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNES hand and fficial seal. <br />Signatur <br />Place Notary Seal Above Signature of Notary Pull <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to person relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document <br />Santa Ana Construction Contract <br />Document Date: 04/11 /2022 <br />Signer(s) Other Than Named Above: <br />Capacity(im) Claimed by Signer(e) <br />Signer's Name: Edward J. Carlson <br />❑ Individual <br />X Corporate Officer — Title(s): Vice President <br />❑ Partner u ❑ Limited ❑ General <br />RiGHT THUMBPRINT <br />❑ Attorney in Fact OF <br />❑ Trustee Top of thumb here <br />❑ Other: <br />Signer is Representing: <br />Number of Pages: 3 <br />Signer's Name: N/A <br />❑ Individual <br />❑ Corporate Officer — Title(s): N/A <br />❑ Partner C ❑ Limited ❑ General <br />❑ Attorney in Fact • <br />Top of thumb here <br />❑ Trustee <br />❑ Other: N/A <br />Signer is Representing: <br />
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