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11A - ORD AMEND DA AGMT MACARTHUR
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11A - ORD AMEND DA AGMT MACARTHUR
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Last modified
1/3/2012 4:29:46 PM
Creation date
7/1/2008 11:28:10 AM
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Template:
City Clerk
Doc Type
Agenda Packet
Item #
11A
Date
7/7/2008
Destruction Year
2013
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />~~~~._._._._._._._._._._._.. . <br /> <br />County of <br /> <br />} <br /> <br />State of California <br /> <br />On <br /> <br />Date <br /> <br />before me, <br /> <br />Here Insert Name and Title of the Officer <br /> <br />personally appeared <br /> <br />Name(s) of Signer(s) <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is/are subscribed to the <br />within instrument and acknowledged to me that <br />he/she/they executed the same in his/her/their authorized <br />capacity(ies), and that by his/her/their signature(s) on the <br />instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br /> <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 /> <br />WITNESS my hand and official seal. <br /> <br />Place Notary Seal Above <br /> <br />Signature <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 Document <br /> <br />Title or Type of Document: <br /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer(s) <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 Conservator <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 Conservator <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <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 />@2oo7NationalNotaryAssociation.9350 De SotoAve...p.o:Bo~2.w2:Ch~;':;o"rth~cA913= <br /> <br />11A-9 <br />
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