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COMMUNITY DEVELOPMENT AGENCY/LATINO HEALTH ACCESS-2009
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COMMUNITY DEVELOPMENT AGENCY/LATINO HEALTH ACCESS-2009
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Last modified
1/3/2012 3:11:15 PM
Creation date
4/20/2010 11:14:47 AM
Metadata
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Contracts
Company Name
COMMUNITY DEVELOPMENT AGENCY/LATINO HEALTH ACCESS
Contract #
A-2007-296-001
Agency
Community Development
Council Approval Date
3/19/2007
Expiration Date
9/22/2010
Insurance Exp Date
5/20/2010
Destruction Year
2015
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of Orange <br />On January 4, 2010, before me, <br />Date <br />personally appeared <br />ISS. <br />Karen C. Gerardo, Notary Public <br />Name and Title of Officer (e.g., "Jane Doe, Notary Public") <br />KAREN C. GERARDO <br />Commission #E 1750070 <br />Notary Public - California <br />Orange County <br />: wwvzeJtn 10,2011 + <br />David N. Ream <br />who proved to me on the basis of satisfactory <br />evidence to be the persons} whose name{s} <br />is/are subscribed to the within instrument <br />and acknowledged to me that he/6heAhey <br />executed the same in hiss"rev <br />authorized capacity#e.64, and that by <br />hissherAheiT signature(s) on the instrument the <br />person{s}, or the entity upon behalf of which <br />the person{s} acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under <br />the laws of the State of California that the <br />foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Place Notary Seal Above v <br />Signature of Notary Public <br />OPTIONAL <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 />Description of Attached Document <br />Title or Type of Document: First Amendment to Contingent Ground Lease <br />Document Date: Dec 31, 2009 <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />? Individual <br />? Corporate officer - Title(s): <br />? Partner -- ? Limited ? General <br />? Attorney in Fact <br />? Trustee <br />? Guardian or Conservator <br />? Other: <br />Number of Pages: 3 <br />Signer is Representing:
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