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CITY OF SANTA ANA (2)
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CITY OF SANTA ANA (2)
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Last modified
5/22/2024 10:12:50 AM
Creation date
5/20/2024 1:48:10 PM
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Template:
Contracts
Company Name
CITY OF SANTA ANA
Contract #
N-2024-168
Agency
Public Works
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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 California <br /> County of orgnge <br /> On Ili , ZOjq before me, bSi q 11 Y R�Cayq , �4 a1� �Ubl1` <br /> Date Here Insert Nome and Title of the Officer <br /> personally appeared MWO Wn <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)Q'are subscribed <br /> to the within instrument and acknowledged to me that&shelthey executed the same in Oher/their <br /> authorized capacity(ies), and that by(9her/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 <br /> laws of the State of California that the foregoing <br /> *4y <br /> A6IUL Y.ALCALA paragraph is true and correct. <br /> Notary Public•California <br /> orange county WITNESS my h d and official seal. <br /> Commission*1474325 <br /> comm.Expires Dec 26,2027 <br /> Signature <br /> Place Notary Seal andfor Stamp Above ig a e of Notary Public <br /> OPTIONAL <br /> Completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to on unintended document. <br /> Description of Attached Document <br /> Title or Type of Document: �? �� b��, pl}b11C�i1�eY PQ�2�YI�flt <br /> Document Date: Number of Pages: <br /> Signer(s) Other Than Named Above: <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): <br /> ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General <br /> ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact <br /> ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator <br /> ❑ Other: ❑ Other: <br /> Signer is Representing: Signer is Representing: <br /> Cc)2019 National Notary Association <br />
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