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DE LANCELLOTTI, ANYA-2007
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DE LANCELLOTTI, ANYA-2007
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Last modified
10/21/2013 11:36:37 AM
Creation date
12/7/2007 10:12:57 AM
Metadata
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Template:
Contracts
Company Name
LANCELLOTTI, ANYA DE
Contract #
A-2007-271
Agency
PLANNING & BUILDING
Council Approval Date
12/3/2007
Destruction Year
0
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />.~~. <br /> <br />State of California <br />County of 0 Y ~.f> <br />On ~ ro ;).007, <br />Date I <br /> <br />personally <br /> <br />appeared <br /> <br /> <br />,'c <br /> <br />- <br /> <br />M personally known to me <br /> <br />J~-::=~,;.-f <br />i_Notary PublIc - CaMfomIa I <br />j _ _ _ ~~~eo;6:~ <br /> <br />D proved to me on the basis of satisfactory evidence <br />to be the person~" whose name~re subscribed <br />to the within instrument and acknowledged to me that <br />~he;ltl,ey executed the same in @hcf/tReir <br />authorized capaci~, and that by @hQr.ltheif' <br />signature~ on the instrument the person~; or the <br />entity upon behalf of which the person~ acted, <br />executed the instrument. <br /> <br />Place Notary Seal Above <br /> <br />WITN S my hand and official seal. <br /> <br />~n6~ a ~ <br /> <br />Signature of Notary Public <br /> <br />OPTIONAL <br /> <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 /> <br />Description of Attached ppcument () <br />Title or Type of Document: HI SfD yi c- tY?)~1; <br /> <br />Document Date: N D v. / (p , ~'J.o 07 <br /> <br />Signer(s) Other Than Named Above: An tad p <br /> <br />R,P ~'>,y V,;'A::n'o n ~ 'f.~i?-K+ <br /> <br />Number of Pages: / + <br /> <br />LeU) (' P 110++ I <br /> <br />~apacity(ies) Claimed b{y s~nerL <br />Signer's Name: D1..J I C. . <br />o Individual <br />~ Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or ConseNator <br />o Other: <br /> <br />Top of thumb here <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or ConseNator <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />-,;, ~-'- -:-:,~. - -~,-:-- -----y-y <br />@2004 National Notary Association' 9350 De Soto Ave., P.Q, Box 2402' Chatsworth. CA 91313-2402 Item No, 5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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