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23A - PROJ - WALNUT PUMP STATION
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09/20/2016
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23A - PROJ - WALNUT PUMP STATION
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Last modified
9/15/2016 4:39:14 PM
Creation date
9/15/2016 4:18:55 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
9/20/2016
Destruction Year
2021
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 <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 Orange ) <br />On S i before me; Barbara Copeland Notary Public, <br />personally appeared Stephanie Hoang <br />Navue(x) of Si�ier(s} <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the <br />within instrumnent and acknowledged to me that he/sheftincr executed the same in his/her /their authorized <br />capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />°BARS RAC I certify under PENALTY OF PERJURY under the <br />&ARBARACCRELANQ <br />_ <br />or _f - Commasion # 2016348 laws of the State of California that the foregoing <br />a4,., rte: =; = Notary Pt;hilo• Ca <br />ltfornla paragraph is true and correct. <br />Cranle County <br />tvty Comm. Expires qar f n. 10114 WITNESS my and and official seal. <br />Signature. - <br />8ig amore of ' fary Pa c <br />Place N��tar¢0ext Above <br />OPTIONAL <br />_____ T hough the information below is not required by law, it may prove valuable to persous relying on the document <br />and could present fraudulcut and reattachment of tins form to another document. <br />Description of Attached Document <br />Type or Title of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Stephanie Hoang <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 />Number of Pages: <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 />❑ Guardian or Conservator <br />❑ Other: - - - - <br />Signer Is Representing :__ <br />23A -17 <br />Rev, 1 -15 <br />
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