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GERDA, JOSEPH JR. & PAYNE, KIM-2015
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GERDA, JOSEPH JR. & PAYNE, KIM-2015
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Last modified
1/22/2016 4:16:37 PM
Creation date
1/22/2016 4:14:44 PM
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Contracts
Company Name
GERDA, JOSEPH JR. & PAYNE, KIM
Contract #
A-2015-274
Agency
PLANNING & BUILDING
Council Approval Date
12/1/2015
Destruction Year
2030
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Nos <br />CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <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 }SS. <br />On December 22, 2015 before me, Teresa M. Ramirez Notary Public <br />Name and Title of Officer (e.g., "Jane Doe, Notary Public ") <br />personally appeared Francisco Gutierrez <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) <br />is /are subscribed to the within instrument and acknowledged to me that he /she /they <br />executed the same in his /her /the# authorized capacity0es), and that by <br />his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which <br />the person(s) acted, executed the instrument. <br />_ _ I certify under PENALTY OF PERJURY under <br />y]�.VQ*AMg TENESA M. R MINE }Z� the laws of the State of California that the <br />Commission# 2024676 L foregoing paragraph is true and correct <br />Notary Public - California z orange county WITNESS m hand and official seal. <br />Comm. Expires Jun 12, 2017 Y <br />d�- <br />J Signature of Notary ublic <br />Place Notary Seal Above /// <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: Mills Act Agreement / Historic Property Preservation Agreement <br />2215 North Ross Street, Santa Ana CA 92706 <br />Document Date: 12/01/15 Number of Pages: 8 <br />Signer(s) Other Than Named Above: N/A <br />Capacity(ies) Claimed by Signer(s) RIGHT THUMBPRINT <br />OF <br />Signer's Name: Francisco Gutierrez <br />❑ Individual Top of thumb here <br />❑ Corporate Officer — Title(s): _ <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />® Other: FMSA /Executive Director on behalf of City Manager <br />Signer is Representing: City of Santa Ana <br />
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