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ROMAN CATHOLIC BISHOP OF ORANGE (4) -2012
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ROMAN CATHOLIC BISHOP OF ORANGE (4) -2012
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Last modified
1/9/2013 4:28:04 PM
Creation date
1/8/2013 2:49:55 PM
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Contracts
Company Name
ROMAN CATHOLIC BISHOP OF ORANGE
Contract #
A-2012-163
Agency
PUBLIC WORKS
Council Approval Date
7/16/2012
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />State of California <br />County of i y'a n! <br />On A )AL 2A U1 L before me, lit S E, /! <br />Date Here Insert ame and Title f the officer <br />personally appeared M I r h4a <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory <br />evidence to be the person whose nameV) is/are <br />subscribed to the within instrument and acknowledged <br />to me that he/shefth'ey executed the same in <br />his/heetl of - authorized capacity(i ), and that by <br />his/herfttrefr signature(A on thlb instrument the <br />LISA E. EMPperson(j), or the entity upon behalf of which the <br />C0 = person(r) acted, executed the instrument. <br />5L otary Public - California <br />ORANGE COUNTY i I certify under PENALTY OF PERJURY under the <br />JULY 24, 2015 laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature: <br />Place Notary Seal Above OPTIONAL Signature of tary Pub' <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 Documen <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 />? Corporate Officer - Title(s): <br />? Individual <br />? Partner - ? Limited ? General Top of thumb here <br />? Attorney in Fact <br />? Trustee <br />? Guardian or Conservator <br />? Other: <br />Signer Is Representing <br /> <br />Signer's Name: <br />Number of Pages: <br />? Corporate Officer - Title(s): <br />? Individual <br />? Partner - ? Limited ? General Top of thumb here <br />? Attorney in Fact <br />? Trustee <br />? Guardian or Conservator <br />? Other: <br />Signer Is Representing <br />?I <br />-. ??•? ??o.????a? ?..,,a?y .,?????QO??? - X111-1-N-d1y.V1y - i-oVU-ua rvviHnx )I-CVV-t5/b-btlZ/) Item #5907
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