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23A - PROJ - MEMORY LANE SA RIVER PARK
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03/15/2016
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23A - PROJ - MEMORY LANE SA RIVER PARK
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Last modified
9/12/2016 8:17:09 AM
Creation date
3/10/2016 4:44:11 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
3/15/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAI, <br />MEMO,: 1.5.2647 <br />MEMORY LANE - SANTA ANA PJVER PARK <br />OWNL;RSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE )SS: <br />CITY OF SANTA ANA ) <br />---- -- r�aC'Lc.�,elvnan ... �..�...._, being duly sworn, dept'i5es and says: <br />[j INDIVIDUAL Tbat lie /sho is the party making the foregoing proposal: <br />❑ PARTNL'RSHIP That he/she is a member of the co- partnership thin designau;cl as; <br />and who has been and Is duly ve01611tllthll authority to tnak'o and oxaoute h>strunrents <br />for the co- partnership by; <br />who constitute tine other members of the co- paruership. — <br />CORPORATION That he is a% <br />�.C.PSidcn9- nP i', t -mrunt rnntamann7�Tnnr TNP _ <br />a cniloorntion which is rnriltng ehn frnogohng,ptvposal: <br />[ JOINT VENTURE That he is of: <br />one of tite patties nnalung 'the foregding proposal as ajoint Venture, and the he/she has <br />been slid Is duly vested with the authority to Motile instt'umonts for an oil behalf of the <br />Parties making said bill who aro: <br />that such a bid is gelruilre and not collusive or shun, and bas not in any nranne,r sought by <br />codusion to aeeurs�,any a4va at!age against: the City of Santa Aria, or any person interested in the <br />proposed coNrntaat% For h4yff or any other person. <br />t~ <br />Signp nie of dder <br />r <br />Y` <br />Subscribeciand sworn to before Inc this day of Fe ruary 2016 <br />Signature of officer Administering Oath (Notary Public) <br />P -7 of P -17 <br />23A -20 <br />
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