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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
Metadata
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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 />r.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-., <br /> <br />. State of California } <br /> <br />, County of (9,"'... _.-., .1._ SS. <br />· r <br />t On ~~~3 J..oOS' before me, O.J va 7 (1 ~J <br />(DATE) . ~ (NOTARY) <br />,. personally appeared ~;o b (' ~... J ~ ,... k..) r:. ('-PO, :....) <br />SIGNER(S) <br /> <br />i D personally known to me - OR- Ci(I proved to me on the basis of satisfactory <br />· evidence to be the person(s) whose name(s) <br />, is/are subscribed to the within instrument and <br />acknowledged to me that he/she/they executed <br />the same in his/her/their authorized <br />capacity(ies), and that by his/her/their <br />signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br /> <br />, <br />i <br />i <br />i <br />i <br />i <br />i <br />i <br />i <br />i <br />. <br />o PARTNER(S) , <br />o ATTORNEY-IN-FACT <br />o TRUSTEE(S) NUMBER OF PAGES i <br />D GUARDIAN/CONSERVATOR . <br />, D OTHER: , <br /> <br /> <br />i DATE OF DOCUMENT i <br /> <br /> <br />i SIGNER IS REPRESENTING: i <br />i NAME OF PERSON,S) OR ENTITY(IES) i <br /> <br />. OTHER. <br /> <br />L._._._.-.-._._._._._._._._._._._._.-1 <br /> <br />J~ SHERLEY A. DODD ~ <br />- on Comm. # 1490382 <br />III NOTARY PUBUC. CALIFORNIA lJl <br />~ OrangeC"n~- <br />Mr Co,,",. expires JUNe 12, 2008 r <br /> <br />WITNESS my hand and official seal. <br /> <br />iL..A..t () lJ~ <br />' NOTARY'S SIGNATU <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 />D INDIVIDUAL <br />D CORPORATE OFFICER <br /> <br />DESCRIPTION OF ATTACHED DOCUMENT <br /> <br />'!TILE OR TYPE OF DOCUMENT <br /> <br />TITLE(S) <br /> <br />APA 1194 <br /> <br />VALLEY.STERRA,800-362-3369 <br />
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