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Item 20 - Fountain Maintenance Repair Services
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10/17/2023 Regular
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Item 20 - Fountain Maintenance Repair Services
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Last modified
10/11/2023 4:14:58 PM
Creation date
10/11/2023 3:17:56 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20
Date
10/17/2023
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CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of Californian <br />County of <br />On before me, <br />Date Here Insert Name and Title of the Officer <br />personally appeared _ <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 subscribed <br />to the within instrument and acknowledged to me that he/she/they executed the some in his/her/their <br />authorized capacity(les), 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 />4 �• „ KATAINA E, R[CE A <br />r ° Notary Public • CalifOrnia <br />Orange county fi <br />Commission # 2296618 <br />My Comm. Expires Jul I z, 2ff23 <br />Place Notary Seal crud/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph Is true and correct. <br />WITNESS my hand offi <br />Slgnatur <br />Signature of Notary Public <br />V6' 1 FW114.F49.. <br />Completing this Informotion can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: - <br />Slgner(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />13 Corporate Officer - Title(s): _ <br />n Partner o Limited Ci General <br />a Individual D Attorney In Fact <br />Ci Trustee 11 Guardian or Conservator <br />13 Other. <br />Signer is Representing, <br />02018 National Notary Association <br />Number of Pages: <br />Signer's Name: <br />C1 Corporate Officer - Title(s): <br />• Partner - rJ Limited Cl General <br />• Individual 0 Attorney in Fact <br />• Trustee 0 Guardian or Conservator <br />F1Other: -_-_ - <br />Signer is Representing: -_ <br />
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