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23B - PROJ - STREET SIGNAL
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12/01/2015
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23B - PROJ - STREET SIGNAL
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Last modified
11/25/2015 3:20:58 PM
Creation date
11/25/2015 2:05:50 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
12/1/2015
Destruction Year
2020
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 ORANGE ) <br />On /0 - 0 -9' 10 IS' before me, PHILIP VEGA, NOTARY PUBLIC <br />Date Here Insert Name and Title of the Officer <br />personally appeared ELIZABETH H. MENDOZA de McRAE <br />Name(s) of Signers) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are <br />subscribed to the within ins r -ea and acknowledged to me that he /she /they executed the same in <br />his /her /their a ' p, pkoes) no that by his /her /their signatures) on the instrument the person(s), <br />or th on wor �fiavfli <br />r tth9 person(s) acted, executed the instrument. <br />wy PUBUC• CAUFC i <br />Lo$prvcs�uscoua>,' I certify under PENALTY OF PERJURY under the laws <br />My comroflxDlresMAV °�,t016 of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my ha*,prd offal seal. <br />Signature <br />Place Notary Seal Above <br />of Notary Public <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 />0 Corporate Officer — Title(s); <br />❑ Partner — ❑ Limited O General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: _ <br />Signer's Name: <br />C1 Corporate Officer — Title(s): <br />EI Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />El Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />^wM0IM&W--I ?� K -1 ^ M110__1crcon� <br />02014 National Notary Association • www.NationalNotary.org , 1- 600 -US NOTARY (1- 800.876 -6827) Item #5907 <br />23B -19 <br />
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