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FERNANDEZ, JUAN A.-2016
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FERNANDEZ, JUAN A.-2016
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Last modified
6/14/2016 2:49:15 PM
Creation date
6/14/2016 1:14:09 PM
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Contracts
Company Name
FERNANDEZ, JUAN A.
Contract #
A-2016-125
Agency
PUBLIC WORKS
Council Approval Date
5/17/2016
Destruction Year
0
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CALIFORAIA 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 Q Cl'V�G <br />On �uV e l DI 77 tl before me, H rky� Tu.6 z. <br />Date Here Insert Name and Title of the Officer <br />personally appeared *,A CGCU`4% -- <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(g) whose name(s) is /afe <br />subscribed to the within instrument and acknowledged to me that he /she /they executed the same in <br />his /ber-/theirauthorized capacity(jeo, and that by his/herrkMetr signature,os on the instrument the person,(s), <br />or the entity upon behalf of which the persorl(s) acted, executed the instrument. <br />_111 .a, <br />ROSA A.FLORES <br />Commission # 2057129 <br />z <br />Notary Public - California > <br />Orange County <br />M 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 y ,, a . l )taw <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(les) 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 <br />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 <br />Representing: <br />z: c�z.,. v?= cu; cc,• u, csez>cc;c.�= cwCIr:.?*czx;,;c,�,e <br />02014 National Notary Association - www.NationalNotary.org • 1- 800 -US NOTARY (1 -800- 876 -6827) Item #5907 <br />
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