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COLLINS, PHILIP G. AND KRISTIN 1-2005
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COLLINS, PHILIP G. AND KRISTIN 1-2005
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Last modified
1/3/2012 3:10:37 PM
Creation date
12/20/2005 3:38:27 PM
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Template:
Contracts
Company Name
Collins Philip G. and Kristin
Contract #
A-2005-274
Agency
Public Works
Council Approval Date
11/21/2005
Expiration Date
11/21/2015
Destruction Year
2020
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<br />ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />State of California <br /> <br />County of <br /> <br />}ss. <br /> <br /> <br />On <br /> <br />before me, <br /> <br />person all y appeared <br /> <br />o personally known to me <br /> <br />- OR- <br /> <br />~~CARMEN M. MELENDEZ~ <br />- Comm. # 1473747 <br />III NOTARY PUBLIC. CALIFORNIA lJl <br />~ Orange County - <br />My Comm. Eljlites March2,2008 T <br /> <br />/J,. M j:O' (.. E' IllDE7 <br />(:"IOTARY\ <br /> <br />1)(( proved to me on the basis of satisfactory <br />I evidence to be the person.(.l(Uyhose name(s <br />is/~bscribed to the within instrument and <br />acknowledged to me that he/s.he.L1J;le'fexecuted <br />the same in his/ber/tlT&- authorized <br />capacity(.i.e1A-;- and that by his/RIH/tRe~ <br />signature~n the instrument the personEst,- <br />or the entity upon behalf of which the <br />perso~ted, executed the instrument. <br /> <br /> <br />OPTIONAL INFORMATION <br />The information below is not required by law. However, it could prevent fraudulent attachment of this acknowl- <br />edgment to an unauthorized document. <br /> <br />CAPACITY CLAIMED BY SIGNER (PRINCIPAL) <br /> <br />o INDIVIDCAL <br />o CORPORATE OFFICER <br /> <br />TITLE(S) <br /> <br />o PARTNER(S) <br />o ATTORNEY-IN-FACT <br />o TRUSTEE(S) <br />o GUARDIAN/CONSERVATOR <br />o OTHER: <br /> <br />SIGNER IS REPRESE"in"iG: <br />NA\lE OF PERSON(S) OR E"iTlTY(iES) <br /> <br />APA5iY9 <br /> <br />DESCRIPTION OF ATTACHED DOCUMENT <br /> <br />TITLE OR TYPE OF DOCUMENT <br /> <br />NUMBER OF PAGES <br /> <br />DATE OF DOCUMENT <br /> <br />OTHER <br /> <br />RIGHT THUMBPRINT <br />OF <br />SIGNER <br /> <br />. <br />. <br />~ <br />" <br />is. <br />~ <br />~ <br />15 <br />u <br />'" <br /> <br />VALLEY-SIERRA. 800-362-3369 <br />
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