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TERNO, INC.
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TERNO, INC.
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Last modified
11/14/2024 3:13:58 PM
Creation date
5/6/2010 3:24:06 PM
Metadata
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Template:
Contracts
Company Name
TERNO, INC.
Contract #
08-5018
Agency
Public Works
Council Approval Date
4/5/2010
Notes
Project
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• • <br />CALIFORNIA JURAT WITH AFFIANT STATEMENT <br />~J See Attached Document (Notary to cross out lines 1-6 below) <br />^ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Not <br />:, <br />SignaAtre of Documeru Signer No 7 <br />State of Calitomia <br />County of <br />~j HErdRIRUEZ <br />Commission # 1761070 <br />w Notary Public - California <br />los Angeles County <br />W1yConm. E>¢~kesAup 11,2011 <br />Signalise of Document Sk~ner No 2 (lf arry) <br />Subscribed and sworn to (or affirmed) before me on this <br />24th day of _ February 20 10 by <br />Dam Morrth Year <br />(t) Timithy J. Erno <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who appeared before me (.) (,) <br />{and <br />f2) , <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who appeared before me.} <br />n <br />Signature <br />5" elu of Nolery Publ~ <br />Place Notary Seal Above <br />OPTIONAL <br />Though the infwmafion below is not required bylaw, it may prove <br />valuable to persons relying on the document and could prevent <br />fraudulent removal and reattachment Of Phis fprm to another document Top of thumb here Top of thumb here <br />Further Description of Any Attached Documerrt <br />me or Type of Document: Non Collusion Affidavit <br />Document Date: Number of Pages: 1 <br />Signer{s) Other Than Named Above: None <br />Los Angeles <br />®?AO7NattonatNotary0..sa;haton•93FiDpagofoAve POHmc24t~•ChalawoM CA 91313,2402•wwwNatlaralNo~ryorg I[an155B30 Reorder.CaN~dt-Ereal-BOpS76.682T <br />
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