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25Q - PARK RESTROOM JANITORIAL SVCS
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25Q - PARK RESTROOM JANITORIAL SVCS
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Last modified
1/3/2012 4:32:11 PM
Creation date
4/30/2008 2:34:06 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Item #
25Q
Date
5/5/2008
Destruction Year
2013
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of Los Angeles <br />On April 9, 2008, before me, DONNA M. GREEN, Notary Public, <br />personally appeared MARY SMITH, <br />who proved to me on the basis of satisfactory evidence to <br />be the person( whose name is/atesubscribed to the <br />within instrument and acknowledged to me that <br />h~/she/tI~ executed the same in hi-s/her/tl~i-r-authorized <br />capacity(i~, and that by h+s/her/them-signature~;~ on the <br />instrument the person~~), or the entity upon behalf of <br />which the person() acted, executed the instrument. <br />r ~~ ~ , <br />~j ~ ~ O~,i1vt. ;t1 r r;33~9 ~l <br />;1 ~ L I I ''I .+ p l`rur ~LIFGRN!A~y <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br />WITNESS my hand and official seal. <br />Place Notary Seal Above <br />/ . <br />Signature ~~ ~~`'; ; ~; ,~ ,') i ' _.:: r; <br />- ~ <br />Signature of Notary Public / <br />Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent <br />fraudulent reattachment of this form. <br />~' <br />CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMEIy,'f~'f <br />^ INDIVIDUAL -' <br />^ CORPORATE OFFICER <br />^ PARTNER(S) ^ L[MITED <br />^ ATTORNEY-IN-FACT <br />^ TRUSTEE(S) ~~' <br />^ GUARDIAN/CONSERVATOR ~--'` <br />OTHER: <br />SIGNER IS REP TING: <br />NAME OF SON(S) OR ENTITY(IES) <br />25Q-129 <br />
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