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23A - PROJ - STREET REPAIR
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05/05/2015
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23A - PROJ - STREET REPAIR
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Last modified
4/30/2015 3:44:06 PM
Creation date
4/30/2015 3:41:12 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
5/5/2015
Destruction Year
2020
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CALIFORNIA ALL-PURPOSE ACKNOWLEDOMENT CML CODE § 1189 <br />A notary public or other officer completing this cerfifieate verities only the Identity of the Individual who signed the <br />document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of Mat document. <br />State of California ) <br />Countyof Los Angeles ) <br />On MAR 19 2015 before me, C. Phillips, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared C. P. Brown <br />Names) of Signer(s) <br />who proved to me on the basis of satisfactory evidence. to be the person(O whose namee) is/2M <br />subscribed to the within instrument and acknowledged to me that he/ahattfvay executed the same in <br />his4wf1# #*authorized capacity(ies), and that by hls/MOUe* signatures) on the instrument the person($), <br />or the entity jupon behalf of which the person(s) acted, executed the instrument. <br />1 certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />=N1 <br />Signature <br />MYLOS <br />5gna of Notary Public <br />Comm <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this Information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document, <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Number of Pages: Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer - Title(s): �,___, _ <br />El Partner — El Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />0 Trustee ❑ Guardian or Conservator <br />n Other. <br />Signer Is Representing: <br />Signer's Name: <br />• Corporate Officer — Title(s): <br />• Partner — ❑ Limited 0 General <br />• Individual ❑ Attorney in Fact <br />• Trustee 11 Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />L� C_,a a 01. �.ZG rY vtv.. ✓'. wSL .c — [.,. st �tuS� 4� n . ^3.x.,4 v Q0., .n4.< 5 _... ntLifl <br />23A -33 <br />
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