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COHEN, DAVID P. AND SUMMER L.
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COHEN, DAVID P. AND SUMMER L.
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Last modified
5/31/2016 5:34:11 PM
Creation date
5/31/2016 5:32:17 PM
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Contracts
Company Name
COHEN, DAVID P. AND SUMMER L.
Contract #
A-2016-106
Agency
PUBLIC WORKS
Council Approval Date
5/3/2016
Destruction Year
0
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 17, 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 personO whose name(4 is/are <br />subscribed to the within instrument and acknowledged to me that he /she/they executed the same in <br />his /herAheir authorized capacity0s), and that by his /hefkheif signatureWon the instrument the person(.9y, <br />or the entity upon behalf of which the personxacted, 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 />WITNESS my hand and official seal. <br />Signature k o, 6. ' ,y <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 <br />❑ Other: <br />Signer Is <br />❑ Guardian or Conservator <br />Representing: <br />©2014 National Notary Association - www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item 45907 <br />ROSA A. FLORES <br />Commission 8 2057129 <br />Notary Public - California i <br />As <br />Orange County <br />M Comm. Ex ires Feb 7, 2018 <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 />Signature k o, 6. ' ,y <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 <br />❑ Other: <br />Signer Is <br />❑ Guardian or Conservator <br />Representing: <br />©2014 National Notary Association - www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item 45907 <br />
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