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23A - PROJ - SAFE TRANSIT STOPS
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06/07/2016
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23A - PROJ - SAFE TRANSIT STOPS
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Last modified
6/2/2016 4:29:48 PM
Creation date
6/2/2016 3:46:42 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
6/7/2016
Destruction Year
2021
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County of Orange <br />On _ +�a- it before me, Nick Markin Notary Public <br />Date Fiore Insert Name and Title of the Oflloer <br />personally appeared Michael Martin <br />Names) oS signor(s)" "_— <br />who proved to me on the basis of satisfactory evidence to <br />be the person( whose nameO is / &N subscribed to the <br />within instrument and acknowledged to me that he /NMEfdy <br />NICK MARTIN executed the same in his /h13MITINYStuthorized capacity(Mk), <br />Commisalan # 1978731 and that by his /� signature(§) on the instrument the <br />( Notary public . California z person(), or the entity upon behalf of which the person(s) <br />Cranrae County v acted, executed the instrument. <br />My CommMay27, tote+ I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Witness my hand and ffb al. <br />Signature <br />Place Notary Seal Above slgnalur R Notary Public <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document <br />Signer(s) Other Than Named <br />Capaclty(ies) Claimed by Signer(s) <br />Signer's Name: _ <br />❑ Individual <br />❑ Corporate Officer -- Title(s):_ <br />❑ Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Number of <br />Signer's Name: _ <br />❑ Individual <br />D Corporate Officer— Title(s): <br />❑ <br />Ej <br />❑ <br />Partner --- ❑Limited ❑ General T' <br />Attorney in Fact <br />Trustee <br />Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />23A -36 <br />
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