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CIVIC CENTER MEDICAL ARTS 2-2004
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CIVIC CENTER MEDICAL ARTS 2-2004
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Last modified
1/3/2012 3:10:01 PM
Creation date
11/20/2004 5:18:28 PM
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Contracts
Company Name
Civic Center Medical Arts Associates
Contract #
A-2004-090
Agency
Community Development
Council Approval Date
5/17/2004
Expiration Date
9/30/2004
Destruction Year
2009
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of Orange <br /> <br />On June 30 , 2004, before me, <br /> <br />personally appeared <br /> <br />David N. Ream <br /> <br />8CLAlJOIA M. FERNANDEZ-SHAW <br />Commission 11133667~ <br />, .' ' Notary Public - California ~ <br />Orange County <br />t.t;Comm. ÐcplresJan 25, 200e <br /> <br />Place Notary Seal Above <br /> <br />}SS, <br /> <br />Claudia M. Fernandez-Shaw, Notary Public, <br />Name and Title of Officer (e.g., "Jane Doe, Notary Public") <br /> <br />Namc(S)OfSigne, <br /> <br />Gr personally known to me <br />D proved to me on the basis of satisfactory <br />evidence <br />to be the person~) whose nam~ <br />subscribed to the within instrument and <br />acknowledged to me that~~hcithey executed <br />the same in ß/f¡er/th~;l authorized <br />capacity(it:s'), and that by .Qheritheir <br />signature(šTon the instrument the personýif, or <br />the entity upon behalf of which the perso¥ <br />acted, executed the instrument. <br /> <br /> <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons 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 /> <br />Document Date: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner -- D Limited D General <br />D Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />D Other: <br /> <br />'. <br /> <br />\\çda-ch\uscrsICShaw\DesktopIGcneral NotaryForm.doc <br /> <br />" ,. . " " .. <br /> <br />" . " ,", t. . <br /> <br />Number of Pages: <br /> <br />RIGHT THUMBPRINT I <br />OF SIGNER ~ <br /> <br />Top of thumb here <br /> <br />,.' . <br /> <br />.. .. . . ..' '.. ..' ,'.. ,. <br /> <br />..' . <br />
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