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COMMUNITY DEVELOPMENT AGENCY/LATINO HEALTH ACCESS 1B-2010
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COMMUNITY DEVELOPMENT AGENCY/LATINO HEALTH ACCESS 1B-2010
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Last modified
1/3/2012 3:11:15 PM
Creation date
11/29/2010 12:05:06 PM
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Contracts
Company Name
COMMUNITY DEVELOPMENT AGENCY/LATINO HEALTH ACCESS
Contract #
A-2007-296-02
Agency
COMMUNITY DEVELOPMENT
Insurance Exp Date
5/20/2011
Destruction Year
0
Notes
A-2007-296; 01; 02
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of Orange <br />WITNESS <br />myhand and official ?seal. <br />Place Notary Seal Above _ k <br />Signs re f Notary Public <br />On November 17, 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) - -it <br />KAREN C. GERARDO <br />Commission #E 1750070 <br />Notary Public - California <br />Orange County <br />*C6rrrn.W0_1A11A2011 <br />who proved to me on the basis of satisfactory <br />evidence to be the persons) whose name{s} <br />iskar-e subscribed to the within instrument <br />and acknowledged to me that 4e/sheAhey <br />executed the same in 4+slher h& <br />authorized capacity{ies), and that by <br />#islher h& signature{s} on the instrument the <br />person{), 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 />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 />? Other: <br />ISS. <br />Number of Pages: <br />Signer is Representing:
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