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CROSSTOWN ELECTRICAL & DATA, INC.-2012
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CROSSTOWN ELECTRICAL & DATA, INC.-2012
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Last modified
5/4/2020 9:37:01 AM
Creation date
1/14/2013 9:46:04 AM
Metadata
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Template:
Contracts
Company Name
CROSSTOWN ELECTRICAL & DATA, INC.
Contract #
A-2012-177
Agency
PUBLIC WORKS
Council Approval Date
8/20/2012
Expiration Date
6/30/2015
Insurance Exp Date
6/3/2013
Destruction Year
2020
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<br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of a 5n? e-? 5 <br />On ?UI '24)12. before me, _ <br />(Here insert come and title of <br />)i <br />personally appeared _D P'y I D R ]I t= h t2 ?A A A/ G C. <br />who proved to me on the basis of satisfactory evidence to"be the person(s) whose name(s) is/are subscribed to <br />the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized <br />capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and offici eal. <br />Signature of Notary Public <br />ANOREA NEERMANU <br />COMM. 0,11035295 <br />fttory Public • Callfornis <br />Ormw County + <br />Comm. IAa 7, 2015 <br />(Notay Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />/V01?- (0 jLSt)V, 1qff>'r V"- - <br />(Tide or ou of attached document) <br />(ride or description of attached document continued) <br />Number of Pages t Document Date ? <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />? Individual (s) <br />Co Io Offii r <br />(f'itk) <br />? Partner(s) <br />? Attorney-in-Fact <br />? Trustee(s) <br />? Other <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />.fay anbrowledswew completed in Cafifornfa mast contain verbiage erectly as <br />appearr above a the notary section or a separate actnowledgmenr jorm nun be <br />properly completed and attached to that doaanea The oaty eaaaeptlon 1: ff a <br />doe owd is to be recorded au id& of Callfornlm In such kmncea, any ahavwtlre <br />acbwWedsxwd verbiage as may be printed on such a document so long as the <br />vrrblogs doer not requim she notary to do somethirug that it A/egal for a notary he <br />Cal(tornla (Les eot{/ying she -1hortsed capacity of the signer). Please check the <br />doamau earejWly for proper notarial wording and attach thisform ijregwred <br />• state and County information must be the state and County where the document <br />signer(s) personally appeared before the notary public for ackeowledgment <br />• Date of notarization mast be the date that the sigoa(s) personally appeared which <br />carat also be the acme data the acknowledgment is completed <br />• The notary public must print his or her name as it appears within hie or her <br />commission followed by a comm and then your tide (notary public). <br />•'Prud the mamas) of document signer(s) wbe personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect faros (i e. <br />ha/&V%Vy; is /are ) or circling the correct forms. Faihue to correctly indieate this <br />information may lead to rejection of document recording. <br />• 71m notary scat impression must be clear and photographically Mumdueible. <br />Imprettion must not cover teat or Tina. If sal impression smudges, ro-seal if a <br />sufficient area permits, otherwise complete a diffamt admowledgment form. <br />• Signature of the notary public most thatch the signature on file with the office of <br />the county cksk. <br />A Additional information is not required but could help to urea this <br />acknowledgment is not miscued or aawbod to a different doonmeuL <br />O Indicate tide or type of- ttached document number of psga and date. <br />,? Indicate die capacity chimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary} <br />P Securely attach this document to the signed document <br />2008 Vasiop CAPA v12.10.07 800-873-9865 wwwNotaryClassa_eom
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