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KORMX, INC.
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Last modified
11/14/2024 3:05:19 PM
Creation date
1/20/2011 12:54:14 PM
Metadata
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Template:
Contracts
Company Name
Kormx, Inc.
Contract #
11-6742
Agency
Public Works
Council Approval Date
1/18/2011
Notes
Project
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California l <br />County of Los Angeles 1i <br />On November 15 ? 2010 before me, M_ S_ Rodriguez ? Nota Public <br />Date Here Insert Name antl Title of the Officer ' <br />personally appeared GRACIE LOPEZ <br />Name(s) of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person( whose name( is/a? subscribed to the <br /> within instrument and acknowledged to me that <br /> tae/she/t+?r-executed the same in kris/her/t?iair authorized <br /> capacity(i®s), and that by Farslher/EHsr? signature( on the <br /> instrument the person(pr), or the entity upon behalf of <br /> which the person($) acted, executed the instrument. <br />M. 5. RODRIGUEZ <br />NOTARY PUBLIC -CALIFORNIA <br />- I certify under PENALTY OF PERJURY under the laws <br /> <br />LOS ANGELES COUNTY <br />C of the State of California that the foregoing paragraph is <br /> <br />? <br />OMMISSION s 1872651 - <br />MY COMM. EXPIRES )AN. 2, 2014 true and correct. <br /> WITNESS my hand and official s?l. <br /> Signature <br />Place Notary Seal Above Signature of Notary Public <br /> OPT/ONAL <br />Though the information be/ow is not required by /a w, it may prove va/uab/e to persons relying on the document <br />and cou/d 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: __ - ___ Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />I 'I Individual <br />I _I Corporate Officer -Title(s): <br />I__ I Partner - Ci Limited CJ General _ _ _ <br />Attorney in Fact <br />C.I Trustee Top of Ihumb Here <br />C I Guardian or Conservator <br />I. I Other: <br />Signer Is Representing: <br />Signer's Name: <br />O Individual <br />CJ Corporate Officer -Title(s): <br />I...I Partner - C7 Limited L 1 General _ <br />l Attorney in Fact ? - <br />I_. TfUStee Top of thumb here <br />L._I Guardian or Conservator <br />u omer: <br />Signer Is Representing: <br />(§)200] National Notary Associallon- 9350 De Soto Ave.. PO-Bos 2402 -Chatsworth, CA 91313-2402-www_NationalNOtary.org Item p5907 Heortler: Gall Toll-Free 1-BOo-B76-682
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