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23A - PROJ - RESURFACING PARKS
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07/05/2016
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23A - PROJ - RESURFACING PARKS
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Last modified
6/30/2016 3:59:32 PM
Creation date
6/30/2016 3:14:29 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/5/2016
Destruction Year
2021
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CALIFORNIA ALL- PURPOSE. ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document tc 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 June 6, 2016 before me, <br />Christine T, Hoang Notary Public, <br />Date <br />Insert Name of Notary exactly as it appears on the official seal <br />personally appeared Terah Johnston <br />Names) of Sprer(s) <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is /are subscribed to the <br />within instrument and acknowledged to me that he /she /they <br />executed the same in his /her /their authorized capacity(ies), <br />and that by his /her /their signature(s) on the instrument the <br />NE T NDANG <br />person(s), pr the entity upon behalf of which the persons) <br />fl 2008757 � <br />7q7CH <br />acted, executed the instrument <br />ELICCALIFORNIA E CCUPdTY <br />cerClfy under PENALTY OF PERJURY under the laws of <br />XF,,FEB25,2D17 <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Witness my In nd an i eal <br />Signature _ _ <br />Place Notary Seal Above <br />Si®natu of NCt ry Public C nsttne oang <br />OPTIONAL <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 the form to another document. <br />Description of Attached Document <br />Title or Type of Document: Bid Bond <br />Document Date: June 3 2016 <br />Number of Pages: 1 <br />I <br />Signer(s) Other Than Named Above: None <br />Capacity(ies) Claimed by Signer(s) <br />I <br />Signer's Name: Terah Johnston <br />Signer's Name: ` <br />❑ Individual <br />❑ Individual <br />❑ Corporate Officer— Title(s): <br />❑ Corporate Officer — Title(s): _ <br />❑ Partner ❑ Limited ❑ General <br />❑ Partner ❑ Limited ❑ General <br />R1 Attorney in Fact <br />❑ Attorney in Fact <br />❑ Trustee • <br />❑. Trustee • <br />❑ Guardian or Conservator Top of thump here ❑ Guardian or Conservator Top of thuhib here <br />❑ Other: <br />❑ Other: <br />Signer is Representing: <br />Signer is Representing: <br />International Fideli ty_ <br />_ <br />Insurance Comm <br />23A -13 <br />
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