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23A - PROJ - RESIDENTIAL STREET REPAIR
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02/02/2016
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23A - PROJ - RESIDENTIAL STREET REPAIR
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Last modified
1/28/2016 4:29:21 PM
Creation date
1/28/2016 3:18:18 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
2/2/2016
Destruction Year
2021
Document Relationships
EBS GENERAL ENGINEERING INC.
(Related to)
Path:
\Contracts / Agreements\ PROJECTS
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California All - Purpose Acknowledgement <br />State of California ) <br />County ofancre <br />On ` "4� a before me, William E. Ellis, Jr, a Notary Public <br />personally <br />JDaenh A. Nanci <br />WILLIAM E. ELLIS JR. <br />Commission # 2927999 z <br />r' Notary I'Alic • California <br />Orange County <br />My Comm. kx Irea 00123 2019 W <br />Notary Public Seal <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other than Named Above: — <br />Capacity(ies) Claimed by Signer(s) <br />0 Individual <br />0 Corporate Officer-: <br />0 Partner - 0 Limited 0 General <br />0 Attorney -in -Pact <br />0 Trustee <br />0 Guardian or Conservator <br />0 Other: <br />Signer is Representing: <br />who proved to me on the basis of satisfactory evidence <br />to be the person(N) whose nameXis /awsubscribed to <br />the within instrument and acknowledged to me that he/ <br />she,Ahe3 executed the same in his /hcrft,eie authorized <br />capacityoes,), and that by his /hrrftheir signatureNon <br />the instrument the person,, or the entity upon behalf <br />of which the personN acted, executed the instrument. <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 />t Gfd L <br />Notary Public Signature <br />of Pages: <br />23A -15 <br />OPTIONAL <br />0 Individual <br />0 Corporate Officer: <br />0 Partner - 0 Limited 0 General <br />0 Attorney -in -Fact <br />0 Trustee <br />0 Guardian or Conservator <br />0 Other: <br />Signer is Representing: <br />
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