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23A - PROJ - CIVIC CENTER RE-CAULKING
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08/16/2016
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23A - PROJ - CIVIC CENTER RE-CAULKING
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Last modified
8/11/2016 4:33:01 PM
Creation date
8/11/2016 3:24:52 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
8/16/2016
Destruction Year
2021
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ACKNOWLEDGMENT <br />rA notary public or other officer completing this <br />certificate verifies only the identity of the individual <br />who signed the document to which this certificate is <br />attached, and not the truthfulness, accuracy, or <br />validi� of that document. <br />State of California <br />County of ___ Sacramento ) <br />On 6/14/16 before me., <br />Sarah M Marinelli, Notary Public <br />(insert name and title of the officer) <br />personally appeared Kimberly Ann Farris _ <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are <br />subscribed to the within Instrument and acknowledged to me that he /she /they executed the same in <br />his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph Is true and correct. <br />rorro. SARAIi M. MARINr:I.LI <br />WITNESS my hand and official seal. Commission a 1987480 z <br />Notary Public - California z <br />// Sacramento County > <br />Z/�Seal) Si F.xpi A 5 2016 <br />gnature CJ My Comm, <br />OPTIONAL <br />Though the information bolow Is not requirad b,y law, it may prove valuable to persons relyrng on the document <br />and could proven' fraudulent romoval and reattachment of this foam to another docmnent. <br />Description of Attached Document <br />Title or Type of Document: __ bla utonG_____ ._- <br />Document Date: 6/14/16 Number of Pages: <br />Signers) Other Than Named Above: ___ <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: -- <br />Corporate Officer— Title(s): <br />• Individual <br />• Partner — 0 Limited ❑ General Top of mama here <br />X1 Attorney in Fact <br />C j Trustee <br />• Guardian or Conservator <br />• Other: <br />Signer Is Representing: _ <br />Western Surma Cqm ap ny _ <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Individual <br />T <br />O Partner — O Limited +J General Top of mcmn ncre <br />CI Attorney in Fact <br />Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />23A -16 <br />
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