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ESTRADA, TINA MARIE-2016
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ESTRADA, TINA MARIE-2016
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Last modified
5/31/2016 5:35:08 PM
Creation date
5/31/2016 5:19:36 PM
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Contracts
Company Name
ESTRADA, TINA MARIE
Contract #
A-2016-082
Agency
PUBLIC WORKS
Council Approval Date
4/19/2016
Destruction Year
0
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />srX.X4 4:. r.-ecs;rc :cs_,rcr ^.ncrr x-cx <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 ) <br />On May 10, 2016 before me, <br />Date <br />personally appeared <br />Rosa A. Flores, Notary public <br />Here Insert Name and Title of the Officer <br />David Cavazos <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(sy whose name(sj is /are <br />subscribed to the within instrument and acknowledged to me that he/sho/they executed the same in <br />his /her4teif authorized capacity(ies); and that by his /her /their- signature,(e) on the instrument the person(sy, <br />or the entity upon behalf of which the person(s) 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 />ROSA A. FLORES <br />WITNESS m hand and official seal. <br />Commission # 2057129 y <br />Notary Public - California z <br />Orange County Signature <br />Ex fire <br />PAy Comm. s Feb 7, 2018 J <br />Signature of Notary Public <br />Place Notary Seal Above <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 ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />. ._r_e�,. -!e:.. <.. . -,vr�° .X:!;t, e,, '.e rp,�,v ✓c1 ^,�¢�" ,v �. _. . c.,. .,: c r ;:<e.t eV ...zti:?Yf -fx{ <br />02014 National Notary Association - www,NationalNotary.org - 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 <br />
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