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WESTERN DENTAL SERVICES, INC., DBA WESTERN DENTAL-2013
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WESTERN DENTAL SERVICES, INC., DBA WESTERN DENTAL-2013
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Last modified
3/31/2017 11:15:46 AM
Creation date
9/30/2013 9:34:44 AM
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Contracts
Company Name
WESTERN DENTAL SERVICES, INC., DBA WESTERN DENTAL
Contract #
A-2013-116
Agency
PUBLIC WORKS
Council Approval Date
7/15/2013
Destruction Year
0
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT <br />State of California <br />County of Orange SS <br />City of Santa Ana <br />On this 16th day of October. 2013, before me, Rose Ann Trujillo-, Notary Public, <br />personally appeared Carlos Rojas, Acting City Manager who provesj to me on the <br />so <br />basis of satisfactory evidence to be the pamans_ whose nam names (Pars - <br />subscribed to th within instrument and acknowledged to me tha h /sb &/tq _ executed <br />the in /herAhjair <br />same hi authorized pacit /capacities- and that by hi /N&Otheir <br />natur the instrument <br />si aignatu u on t erso parscns; or the entity upon behalf of <br />which the person ersams acted, executed the instrument. I certify under PENALTY OF <br />PERJURY under the laws of the State of California that the foregoing is true and <br />correct. Witness my hand and official seal. <br />NOTARY SEAL Witness my hand and official seal. <br />ROSE <br />commlo Signature of Notary <br />EAN"WIR D31 <br />NoWry POnM <br />Comm. <br />CAPACITY CLAIMED BY SIGNER: SIGNER IS REPRESENTING: <br />❑ Individual(s) <br />❑ Corporate <br />❑ Officers <br />Title(s) <br />❑ Partner(s) <br />❑ General Partner of a Limited <br />❑ Partnership <br />❑ Attorney -in -Fact <br />❑ Trustee (s) <br />❑ Subscribing Witness <br />❑ Guardian /Conservator <br />❑ Other: <br />THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: <br />WESTERN DENTAL SERVICES INC. APN 398 - 454 -12 & 13,1221 E FIRST QUITCLAIM DEED #8479 <br />TITLE OR TYPE OF DOCUMENT: CERTIFICATE OF ACCEPTANCE FOR QUITCLAIM DEED #8479 <br />WESTERN DENTAL SERVICES INC. APN 398- 454 -12 & 13,1221 E FIRST <br />NUMBER OF PAGES: DATE OF DOCUMENT: <br />SIGNER (S) OTHER THAN NAMED ABOVE: <br />
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