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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 <br />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 6, i�" 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(a) of Signer(s) <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 instrument and acknowledged to me that he /sheithey executed the same in <br />his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the Instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />pYi1LIP VHGA e <br />QOOMM.>F 1977088 NOTARY FVBCLIFOBN�A LOS ANGELes COUNTY MY Comm. E��Y 712016 = <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 h4rd and offi kal seal. <br />Signature <br />Signature of Notary Public <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:.,_, Signer(s) <br />Document Date: <br />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 />CJ Individual El Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />0 Other: _ <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />C1 Individual © Attorney in Fact <br />• Trustee ❑ Guardian or Conservator <br />• Other: <br />Signer Is Representing: i <br />MM^z�: ; sd^.- e-rsws .00l <br />02014 National Notary Association • www.NationaiNotary.org - 1- 800 -US NOTARY (1- 800 -876- 682'7) Item #5907 <br />23B -22 <br />
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