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VASILJ, INC.
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Last modified
11/14/2024 3:14:09 PM
Creation date
7/2/2013 7:27:51 AM
Metadata
Fields
Template:
Contracts
Company Name
VASILJ, INC.
Contract #
12-6605
Agency
Public Works
Council Approval Date
6/17/2013
Notes
Project
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State of California <br />County of _�('LC?_ <br />On t:.5 ¢ �tG t 'Lbefore me, <br />Hare <br />personally appeared <br />y KENT W. 16 Sf <br />CaMff.q 188 5167 <br />LOS NGELES AY CMf EXP Ac&a R22, n <br />xIA N <br />who proved to me on the basis of satisfactory <br />evidence to be the person(s) whose name(s) is /are <br />subscribed to the within instrument and acknowledged <br />to me that he /she /they executed the same in <br />Halloor/their authorized capacivocts), and that by <br />his /her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and colerect. 'I <br />WITNESS my <br />Signature: u-" <br />Place Nnta,r eeel ¢n[Vn /Slenln Abov¢ � 510 i fNOl Public <br />OPTIONAL — I <br />Though the information below is not required by law, it may prove valuable to persons Belying on the document <br />and could prevent fraudulent removal and reattachment of thts form to another document. <br />Description of Attached Documee° <br />Title or Type of Document: �"r'- u(! =C"Pd toyft' <br />Document Date: ci� o 2. yz t Number of ages: , —. <br />Signal (a) Other Than Named Above: _ <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name:__ <br />Signer's Name: <br />i Corporate Officer— Title(s): <br />❑ Corporate Officer— Title(s): <br />O Individual <br />❑ Individual <br />El Partner — ❑Limited J General <br />Tap of murno Here <br />L Partner —1-] Limited 7 General <br />Top of thumb here <br />❑ Attorney In Fact <br />L Attorney in Fact <br />Trustee <br />L Trustee <br />• Guardian or Conservator <br />❑ Guardian or Conservator <br />• Other: <br />L Other: <br />Signer Is Representing: <br />Signer Is Representing: <br />)aio N.Wrol NaWUM,n .W•Moe6om <br />
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