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23A - PROJ - SAFE ROUTE KING ELEM
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10/18/2016
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23A - PROJ - SAFE ROUTE KING ELEM
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Last modified
10/13/2016 2:52:28 PM
Creation date
10/13/2016 2:48:59 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
10/18/2016
Destruction Year
2021
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KIM <br />a <br />0 State of California <br />Los Angeles SS. <br />� County ol'._� , <br />3 ,Subscribed and Sworn to (oi affirined)'before are on this 10 _—day of October 20 16 by <br />? Van N u cn <br />_ proved to me on the basis of satisfactory evidence <br />9 <br />b <br />to be the persbn(kl who appeared before me. <br />4 <br />4 <br />0 <br />t. 9.,3 �'• COMM.N 2042313 N <br />(� a� ���iy$jtl YGiriNY PUB4IG.CA41f0A;lIA 1:✓' ``W <br />�%! C0Y Afl8EliS AOUR,Y l - <br />h,Y C0110.1. Exp. SEp 21, 0911 <br />NOTARY'S SRINNI URC <br />9 public or other office completing this certificate verifies only the identity of the individual who signed the document <br />LAn'otaiy <br />h this certificate is attached, and not the truthfulness. accuracv. or validity of that document. <br />rI.M V NO'T'ARY SIiAI-IN AI30 VH5VACF <br />OPTIONAL INFORMATION <br />� <br />p The infor,nal'ion below is optional. However, it may prove valuable and could prevent fraudulent attachment <br />9 <br />4 of this form to an unauthorized docu,nent. <br />t <br />� <br />ty CAPACITY CLAIMED 13Y SIGNER (PRINCIPAL) DESCRIPTION OIi ATTAC HUD DOCUMENT <br />� <br />4 ❑ INDIVIDUAL, <br />iFLXI CORPORATE Oh1'tCl6R }C. IS1 Bt eSSCS nY,3leasurer, Manager TLk2. 012 'PYPI3 OF DOCl1MENT <br />[� PARTNBR(S) rntets! <br />❑ AI-I-ORNU-IN-r-ACr <br />NUMBER OF 1�'\GLS <br />4 [] '(RUSTUE(,S) <br />�i ❑ (;uAROIA.N,/CONSERVATOR <br />Q <br />G ❑ OTIIGR: <br />4 --------- DMI, OF DOCUMENT <br />$ <br />R OTHER � <br />� <br />11 <br />ABSENTSIGNER(PRINC3ti'ALJTSREPRESENTING: RIGHT <br />r <br />NAM In OF PrusaN(S; ON [N ITY01-10 THUMB PRINT' <br />a CalifolniaProfessionalFn ineering,.Inc. OF <br />SIGNER <br />9 <br />H <br />d <br />fi <br />..414 v' ,..,5. r o.-^.c:°.i ... .�,P ,... ,{r. 414v <br />I W0,08 NO I',ARYBOND.S, S ITUES AND FOR MS Ar II I-FP//WWWAA IJ.LY SHAMN COM 50200i1U011V4L1.1zY-3IFZRAINSt RAW <br />23A-21 <br />
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