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SIEMENS INDUSTRY, INC. (2)
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SIEMENS INDUSTRY, INC. (2)
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Last modified
4/4/2017 11:50:14 AM
Creation date
7/28/2016 3:27:33 PM
Metadata
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Template:
Contracts
Company Name
Siemens Industry, Inc.
Contract #
15-6830
Agency
Public Works
Council Approval Date
1/19/2016
Destruction Year
2021
Notes
Projects
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County of _Orange <br />On . 1_160f ibfore me, Candace Gallaher - Nolary_Public <br />ate Here Insert Name and Title of the Office, <br />personally appeared <br />CANDACEGAL AHER colnmisalon k 2117338 E <br />Notary Public - California n <br />z Orange County <br />aM Camm. Ex tires Jul 2A, 2019 <br />Place Notary Seal Above <br />who proved to me on the basis of satisfactory evidence to <br />be the persou(s)`whose names) is/are-subscribed to the <br />within instrument and acknowledged to me that he/she/they- <br />executed the same in his/herAhoiPauthorized capacity(ies), <br />and that by his/herftair signature( ) -on the instrument the <br />psrson,(s• , or the entity upon behalf of which the person,(.a)- <br />acted, executed the instrument. <br />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,, land a d official se I. <br />Signature <br />Signa ure of otary Public <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 this form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named <br />Capacity(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 />EI Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Number of Pages:--- <br />Signer's <br />ages:___ <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 />
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