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CULP, OSCAR AND RUTH E.-2016
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CULP, OSCAR AND RUTH E.-2016
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Last modified
5/31/2016 5:34:24 PM
Creation date
5/31/2016 5:19:40 PM
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Contracts
Company Name
CULP, OSCAR AND RUTH E.
Contract #
A-2016-087
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 />Yn.. .:!_;S n.f A.. w.S,L fy- :+RYS.fi�(A�1.3'C6 . h; S. N': ise` SYn:£ hC. N.' eS: S' i�f 'k:Cih"SY�L:R.(f"..d:C.GY.iC {n {R..S�iv LS'L'� fY:CYdTF'i.Ct6Y;Cw%SY2l.( <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 <br />Date <br />personally appeared _ <br />before me, Rosa A. Flores, Notary Public <br />Here Insert Name and Title of the Officer <br />David Cavazos <br />Name(s) of Signers) <br />who proved to me on the basis of satisfactory evidence to be the person( whose name# is /are <br />subscribed to the within instrument and acknowledged to me that he /she /lhey, executed the same in <br />his /herAheir authorized capacity(ies); and that by his /her/their- signatures) on the instrument the person,(s), <br />or the entity upon behalf of which the person,(s) acted, executed the instrument, <br />4, ,57� ROSA A.FLORES Commission # 2057129 <br />Notary Public . California z <br />orange County <br />My Comm. Expires Feb 7, 2016 <br />Place Notary Seal Above <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 />1 <br />Signature G Ct <br />Signature of Notary Public <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 />"I :•aF) +.t 9 .ci. a , e ° e'i; . _v;: x t �'.'<.: <. z u,Y"�ev',:: r .e .. c ( 1't l , t; :, <br />©2014 National Notary Association - www.Nationa[Notary.org - 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 <br />
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