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AMWEG, GREGORY & NICOLE-2015
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AMWEG, GREGORY & NICOLE-2015
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Last modified
1/22/2016 4:15:26 PM
Creation date
1/22/2016 1:54:12 PM
Metadata
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Template:
Contracts
Company Name
AMWEG, GREGORY & NICOLE
Contract #
A-2015-193
Agency
PLANNING & BUILDING
Council Approval Date
9/1/2015
Expiration Date
9/1/2025
Destruction Year
2030
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />.m�..a.. v�•.cx.: e. .•�c�..a .m a�c>e.�> 1� .cam .a .ar!, •. .a�•.mr �r.me m�..m. m v.a�r. ��.c e.4.. ,. v,r.ar.mr.ar!�. a•. <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 Oy-(Ln� P_ ) <br />On before me, F?lY✓A PC .Flcve5l NtrfztVy IPuo;( <br />Date Here Insert Name and Title of the Officer <br />personally appeared DAVic( <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person..K whose name(4g is/we <br />subscribed to the within instrument and acknowledged to me that he/.shQ /they executed the same in <br />his /berAhair authorized capacity(ies), and that by his /beFAUoir signature,* on the instrument the person(,%j; <br />or the entity upon behalf of which the person(s)'acted, executed the instrument. <br />ROSA A. FLORES � <br />• *' Commission # 2057129 <br />i°, `. Notary Public • California i <br />Orange county <br />M Comm. Ex ires Feb 7, 2018 + <br />Place Notary Seal Above <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 `9� a , � I -" w <br />Signature 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 />❑ 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 <br />❑ Other: <br />Signer Is <br />❑ Guardian or Conservator <br />Representing: <br />✓4L.�.4'✓4'.•✓4�v4V u ✓4`:4'v4�.4v 'USL: •y4'f/ •!/ 'ri4' ✓4�/ .y1.4'• ✓4_. •✓4V r-• ✓4'V 'O5�✓. • "•✓.• ✓iL. 'G <br />
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