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DAO, LOYD VAN-2016
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DAO, LOYD VAN-2016
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Last modified
5/31/2016 5:34:38 PM
Creation date
5/31/2016 5:32:20 PM
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Contracts
Company Name
DAO, LOYD VAN
Contract #
A-2016-109
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 />�^. M. FC+ cC.. M. r: F. cbSSSY '.�f�C�C®".�,F'�`w,t`.Gf'�S',E. CAS`• i�`. c�^. M, MMFV^:- 1-.- wa��^, �(` �C+ 6e�. 6�6�C6- -.Y'.E£�„?S`.�.�.�"cA.c.^- �-(+�. <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 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(df whose nameX is /are <br />subscribed to the within instrument and acknowledged to me that he /she/they executed the same in <br />his /harAheir authorized capacity(jeS), and that by his /herftheir signature(sfon the instrument the person(g, <br />or the entity upon behalf of which the personXacted, executed the instrument. <br />ROSA A.FLORES <br />Commission # 2057129 <br />u - Notary Public - California z <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 oxC LA - c""Ji nU Y <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 />©2014 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800- 876 -6827) Item #5907 <br />
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