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23A - PROJ - ROADWAY IMPROVEMENTS
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06/21/2016
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23A - PROJ - ROADWAY IMPROVEMENTS
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Last modified
6/20/2016 9:44:25 AM
Creation date
6/16/2016 3:23:48 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
6/21/2016
Destruction Year
2021
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UALIFFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />.O<.w kv a <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 �t/02/2015 _ before me, J. DE IONGH, NOTARY PUBLIC <br />Date Here Insert Name and Title of the Officer <br />personally appeared STEVE MENDOZA <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons} whose names} Is/are- <br />subscribed to the within Instrument and acknowledged to me that he/she /they- executed the same in <br />his/herlAbeir authorized capaclty(fes} and that by his /her /their signature(*on the Instrument the person(s); <br />or the entity upon behalf of which the person(s) acted, 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 />J. OE IONGH WITNESS my hand and official seal. <br />Commission N 2126504 <br />z m Notary Public - California a <br />Orange County ` Signature__- _ <br />Comm Exs 1e 2g +g Signature of Notary Public <br />v 8 <br />J. DE IONGH <br />Place Notary Seal Above <br />-- -..._. ._.____ <br />P - - - __ __ <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 />0 Corporate Officer — Title(s): _ <br />0 Partner — ❑ Limited ❑ General <br />❑ Individual 1.1 Attorney in Fact <br />❑ Trustee 0 Guardian or Conservator <br />i Other: <br />Signer Is Representing: <br />Signer's Name: <br />0 Corporate Officer — Title(s):__ <br />C' Partner — 0 Limited 0 General <br />0 Individual 0 Attorney In Fact <br />0 Trustee 0 Guardian or Conservator <br />0 Other: <br />Signer Is Representing: <br />02014 National Notary Association • www,NationaiNotary.org - 1- 800 -US NOTARY (1- 800- 876 -6827) Item #6907 <br />23A -17 <br />
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