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20A - AA - PED COUNTDOWN HEADS AND PUSH BUTTONS
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01/19/2016
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20A - AA - PED COUNTDOWN HEADS AND PUSH BUTTONS
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Last modified
1/14/2016 4:54:44 PM
Creation date
1/14/2016 3:45:48 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20A
Date
1/19/2016
Destruction Year
2021
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County of Orange ,___ <br />On Q i , b6efore me, Candace Gallaher - Notary Public_ _ <br />pate Here losert Name and ride of the officor <br />personally appeared <br />— _....__- <br />Name(s) of Signar(s) <br />who proved to me on the basis of satisfactory evidence to <br />be the person (,s- )-whose nanne(s)-Is /are- subscrlbed to the <br />�{ <br />within instrument and acknowledged to me that he /sh&they- <br />CANOACE GALLAHER [ <br />Commission N 2117338 <br />executed the same in his /her/their authorized capacity(ies), <br />and that by hisibavAheir signature{sron the instrument the <br />z <br />v Notary Public • California <br />person(&)', or the entity upon behalf of which the person(sr <br />z Orange County J <br />acted, executed the instrument. <br />My Comm, Expires Jul 24, 2019 <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Witness m ' and an official se I.iI <br />Signature. =_ <br />Place Notary Seal Above <br />Signature of Notary Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Number of Pages: _..i._ <br />Signer(s) Other Than Named Above: <br />_ <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer —Tltle(s):__ <br />❑ Partner— ❑ Limited ❑ General <br />❑ Attorney In Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Top of thumb here <br />Signer's Name:_„_. <br />❑ Individual <br />❑ Corporate Officer —Title(s):— <br />❑ Partner — ❑ Limited ❑ General <br />❑ Attorney In Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other; <br />Signer is Representing: <br />20A -18 <br />
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