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04/19/2016
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20C - AA - AGMT - ENGINEERING SRVS
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Last modified
4/15/2016 11:29:35 AM
Creation date
4/14/2016 5:05:08 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20C
Date
4/19/2016
Destruction Year
2021
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CALIFORNIA JURAT WITH AFFIANT STATEM91NIT GOVERNMENT CODE § 8202 <br />VWWN <br />ee Attached Document (Notary to oross out lines 1--6 below) <br />f � See Statement Below (Lines 1-6 to be completed only by document signer[s), not Notary) <br />Signature of Document Signer No, I <br />Signature of Document Signer No. 2 (if any) <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 & <br />"----7-- <br />CINDY OKAMOTO <br />Commission * 2006352 <br />Notary PUNIC -California <br />Orange County <br />MY CDmM Expires F06 3. 2017 <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this AM ,—I day of <br />�, 20,�k_ <br />by Date Month Year <br />(and <br />Name(s) of Signors) <br />proved to me on the basis of satisfactory evidence <br />to be the perso�orwho appeared before me. <br />Signature _(a <br />Signatu f Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can doter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document 3 a 6 /a Ae..' <br />Title or Type of Document: ocurnent Date: <br />Number of Pages: — Signer(s) Other Than Named Above: <br />�v�wlavw wr(w'om �W�y4w W xno.Kx: C-T, We'0 <br />02014 National Notary Association • www.NationalNotary.org - 1- 800 -US NOTARY (1.800- 676 -6827) Item #5910 <br />20C-50 <br />
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