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20D - AA - TRAFFIC SIGNAL MOD
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20D - AA - TRAFFIC SIGNAL MOD
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Last modified
9/15/2016 4:37:55 PM
Creation date
9/15/2016 3:19:46 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20D
Date
9/20/2016
Destruction Year
2021
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ALL - PURPOSE ACKNOWLEDGMENT <br />State of California <br />C Los Angeles SS. <br />ounty of' <br />On May 4, 2016 before tile, Diem Chu Notary Public, <br />DAIP. — <br />personally appe�'ed _ Van Nguyen _ who proved to me on the <br />basis of satisfactory eviderl(;c to be the persnlly� whose name�-� is' /'VR subscribed to tits within instrument <br />and acknowledged to File that executes; the <br />same in hisbt=Uxzr authorized capacity(in), and that <br />by his /kKx0kxsx signature(%) On the instrument the <br />person(foli, or the entity upon behalf' of which the <br />persoti(�6� acted, executed the instrument. <br />I certify under- PENALTY OF PERJURY under the <br />laws of the Mate of California that the foregoing <br />paragraph is true and correct. <br />DIEM CHU WITNESS my hand and official seal. <br />t P 2042319 <br />NOTARV inAY ppBIIG-f,I,LIFORNIA <br />td8 r11larrr$ QOOA7Y "" <br />rlt Comm t <br />A notary, public or other office completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, aceuracv, or validity of that document. <br />rLncr: NI,I rAav sr.ni. w nnnva srAas <br />OPTIONAL INFORMATION <br />The information below is optional. However, it may prove vah.table and could prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACI TYCLAi1'fEDBY SIGNER (PRINC'IPAL) DESCRII'T ION OFATTACHEDDOCUMENT <br />[] INDIVIDUAL. <br />(. CORPOM) F 012f [CLR Presidcni,. Sceretary,- Treasurer, Manage) 91 rFf Olt l "l'P6OF DOCUMENF <br />Pr112'INLl2(S) Ir1 HS) <br />ATIORNEY- IN- F'AC'P <br />TRU57GL(S) NUMPER OF PAGES <br />E] GUARDIANICONSE,RVATOR <br />_- OTIMR: - . -__- <br />- _...- DATL O( Dt)C UMFiNI <br />SIGINU,R (PRINCIPAL) IS RI I RI1SF-;NTING <br />N /AW UP PHRSOtitn> f In I ?,IIYIIFS) <br />California Professional Engineering, Inc. <br />4!'A If301.1 <br />RIGIIT <br />THUMBPRINT <br />DPRINT <br />OF <br />SIONElt <br />NOMM OUNDS SUPT FIANDI 01018 %1l H, 111 P'\MAAI I A sil.RRA_( OM !II dI 1'ALl1et JrRNVINAt ILtNCI <br />20D -17 <br />
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