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DANG, ANTHONY-2016
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DANG, ANTHONY-2016
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Last modified
9/13/2016 4:02:22 PM
Creation date
9/13/2016 9:53:54 AM
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Contracts
Company Name
DANG, ANTHONY
Contract #
A-2016-160
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 g$ 2-01 before me, DLV6t ND4yVy NM t( <br />Date Here Insert Name and Title of the Officer <br />personally appeared cGLUf�%(h <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persortKwhose name(s�isFare <br />subscribed to the within instrument and acknowledged to me that he /,sheAhey executed the same in <br />his/heFAheirauthorized capacity(ia�s'), and that by his /her4air signature,(5j on the instrument the person(a)s <br />or the entity upon behalf of which the person(syacted, executed the instrument. <br />o. ROSA A. FLORES <br />Commission N 2057129 <br />'ss Notary Public - California z <br />Orange County <br />M Comm. Ex Tres Feb 7, 2018 <br />Place Notary Seal Above <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 />WITNESS my hand and official seal. <br />Signature y oa_ a . (4t�vy <br />Signature of Notary Public <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 ❑ 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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