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PARK, JOHN P.S. AND GRACE P.C., TRUSTEES - 2016
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PARK, JOHN P.S. AND GRACE P.C., TRUSTEES - 2016
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Last modified
5/31/2016 5:37:37 PM
Creation date
5/31/2016 5:32:18 PM
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Contracts
Company Name
PARK, JOHN P.S. AND GRACE P.C., TRUSTEES
Contract #
A-2016-107
Agency
PUBLIC WORKS
Council Approval Date
5/3/2016
Destruction Year
0
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />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 Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personal whose name is /are <br />subscribed to the within instrument and acknowledged to me that he /sheA#ey executed the same in <br />his /faer /their authorized capacity(ieg), and that by his /herfiheir signature(sf on the instrument the person(', <br />or the entity upon behalf of which the personxacted, executed the instrument. <br />7 ROSH A. # 2057 <br />i Commission # 2057729 <br />i ;;'e Notary Public • California i <br />"$ Orange County <br />My Comm. Expires Feb 7. 2018 <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 />Signature ky s a • A -mow <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 />02014 National Notary Association • www.Nationa[Notary.org • 1- 800 -US NOTARY (1- 800- 876 -6827) Item 45907 <br />
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