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DINH, THAT VAN AND TRAN, KIEM CUCHI-2016
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DINH, THAT VAN AND TRAN, KIEM CUCHI-2016
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Last modified
5/31/2016 5:34:52 PM
Creation date
5/31/2016 5:19:37 PM
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Contracts
Company Name
DINH, THAT VAN AND TRAN, KIEM CUCHI
Contract #
A-2016-084
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 />C.K;tY.c:C,4�fK %Snl:( <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, Rosa A. Flores, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared David Cavazos <br />Names) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person,(sr whose namejej is /.are <br />subscribed to the within instrument and acknowledged to me that he /sho /-theyr executed the same in <br />hisMerftheir authorized capacity(lesp; and that by his /her/their•signature,(sy on the instrument the person,(a7, <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 />ROSH A. FLORES WITNESS my hand and official seal. <br />Commission # 2057129 <br />j r �„ ® -- Notary Public - California z �_ , %, <br />Z ", ` Orange County Signature ) lL <br />My Comm. Expires Feb 7, 2018 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 />©2014 National Notary Association ^ www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 <br />
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