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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 SS. <br />On _January 5, 2010, before me, Karen C. Gerardo, Notary Public <br />Date Name and Title of Officer (e.g., "Jane Doe, Notary Public") <br />personally appeared Cynthia J. Nelson <br />Name(s) of Signer(s) <br />KAREN C. 6ERARDO <br />Commiulon #t 1750070 <br />Notary Pub1iC - California <br />Orono County WComm9p wJtn1A2011 <br />who proved to me on the basis of satisfactory <br />evidence to be the person(s) whose name(s3 <br />isAw?e subscribed to the within instrument <br />and acknowledged to me that bt4sheA4" <br />executed the same in #WherAheir <br />authorized capacity4es), and that by <br />4Wher *eir 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 - /??_ <br />Signatur o otary 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: <br />Document Date: <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 />0 Other: <br />Number of Pages: <br />Signer is Representing:
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