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CHRISP COMPANY
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Last modified
10/27/2016 4:18:36 PM
Creation date
9/24/2015 7:00:42 AM
Metadata
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Template:
Contracts
Company Name
CHRISP COMPANY
Contract #
16-6851
Agency
Public Works
Council Approval Date
9/1/2015
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />CYm .m. .fm�La. C^..mC/c�f!"/��'�Cmf� •.m ,m•.mS. J�..m .mf/' f21. .4T.. •.ca ,m'.a /� <br />.�L. L�.m�•.avm� <br />A notary public or other officer completing this certificate verifies 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 that document. <br />State of California <br />County of t -f t4Mee49r /) <br />On } 11I 15- before me, Sei'(AnS4 1A12 <br />Date�� �Herq Insert Name and Title of tAe <br />personally appeared d _ kn M i e All is P) <br />Name(s) of <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(@) ishwe <br />subscribed to the within instrument and acknowledged to me that 44e/sheAhrey executed the same in <br />bis/her/4I•& authorized capacity #"), and that by hWher/N*iwsignature(ej on the instrument the person(4 <br />or the entity upon behalf of which the person(4acted, executed the instrument. <br />�uuoonaouunnonununnunmm�mm�umunnnnnnnnnnm�i� <br />a KAY <br />UKES <br />COMM. #2095563 <br />NOTARY PUBLIC• CALIFORNIA <br />ALAMEDA COUNTY =_ <br />My Comm. Exp. Jan. 1, 2019 <br />Ipnnmunnunnnnnmunnnpunnnnnnnnunuuuunnnununnu� <br />I 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 />Signature <br />Sig i tune of I o ary <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 />Number of Pages: <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 />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />
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