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T-MOBILE WEST CORPORATION (3)
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Last modified
3/14/2017 10:59:05 AM
Creation date
2/3/2011 9:03:42 AM
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Template:
Contracts
Company Name
T-MOBILE WEST CORPORATION
Contract #
A-2010-238
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
12/6/2010
Insurance Exp Date
5/1/2013
Destruction Year
0
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CALIF®RNI. A ALL-PURPOSE ACKNOWLEDGMENT <br />State of California n <br />County of aria <br />On V le 9010 <br />Dale <br />Personally appeared <br />before me, C?OGtrtA . !i. 11 11 ,1 1. ham - f No r. 1 <br />Nere Insert Name ana Title of the Oflrcer ?- <br />' ` ,. CODRUTA ALINA BESOIU <br />COMM. #1855547 w <br />NOTARY PUBLIC - CALIFORNIA -0 <br />CONTRA COSTA COUNTY a <br />My Comm. Expires June 26, 2013 <br />I- X33 236 g <br />WITNESS my an and i' eal? <br />Place NolarySeal Above Signature <br />^ y.??fO?l w j <br />'c <br />and igna of Notary Public <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />could prevent fraudulent removaf and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: M 0 L <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 />- <br />- Partner - D Limited U General <br />? Attorney in Fact <br />- Trustee <br />? Guardian or Conservator <br />- Other: <br />Signer Is Representing.-_. <br />C'20V National Nolan,. Aaacc,mwn <br />Top of V^umb here <br />who proved to me on the basis of satisfactory evidence to <br />be the person4-whose name* <br />within instrument and acknowledged d b toribe e toththe <br />at <br />he/6he*ey-executed the same in his <br />capacity4oe*, and that by his me morized <br />y eii- signatures} on the <br />instrument the'pe?so*{ ,- or the entity upon behalf of <br />which the perso%s-)-acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br />Number of Pages: 3 <br />Signer's Name: <br />Individual <br />Corporate Officer - Title(s): _ <br />- Partner - Ei Limited - General <br />Attorney in Fact <br />- Trustee <br />=' Guardian or Conservator <br />- Other: <br />Signer Is Representing: <br />ToD of Ih;;-rb here <br />B35v De SotD Ave.. PO 6oz 24C2 •+ <br />Cha!s•rorth. CA 91313-2+v2-www.NanonalNaaryorg Ilem kSSDi Reorder Call Tdi-Free 800-6
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