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WALLACE, EVELYN L.-2006
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WALLACE, EVELYN L.-2006
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Last modified
9/13/2016 4:12:31 PM
Creation date
9/13/2016 9:50:09 AM
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Contracts
Company Name
WALLACE, EVELYN L.
Contract #
A-2016-159
Agency
PUBLIC WORKS
Council Approval Date
6/21/2016
Destruction Year
0
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CALIFORNIA !. <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 <br />On x;41 before me, fE , E lW✓ S, j iy z y� <br />Date Here Insert Name and Title of the Officer <br />personally appeared M A U.VALo,� <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personKwhose name(sf isAwe <br />subscribed to the within instrument and acknowledged to me that he/she/t" executed the same in <br />his /4er- F4heir- authorized capacity(i�), and that by his/hav/4hoir signature,Kon the instrument the person(; <br />or the entity upon behalf of which the person(sf 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 />ROSA A. FLORES WITNESS my hand and official seal. <br />Commission # 2057129 n <br />Notary Public - California z ,t,( ov_ (A , Ro <br />Orange County > Signature (((•�11Y111 /' "d <br />Comm. Expires Feb 7 2019 [ Signature of Notary Public <br />Place Notary Seal Above <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(ies) 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 Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited El General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />Signer Is <br />❑ Guardian or Conservator <br />Representing: <br />02014 National Notary Association • www.NationalNotary.org - 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 <br />
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