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MINH DIEU, RICHARD AND TIEN - 2016
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MINH DIEU, RICHARD AND TIEN - 2016
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Last modified
10/18/2016 11:11:04 AM
Creation date
10/17/2016 10:22:57 AM
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Template:
Contracts
Company Name
MINH DIEU, RICHARD AND TIEN
Contract #
A-2016-220
Agency
PUBLIC WORKS
Council Approval Date
8/2/2016
Destruction Year
0
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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 <br />On r�'y)c ,ST��t�..t)'t before me, �7 i,�b' ✓t,S 1�D "{'g,r.� �}ul��iG <br />Date Here Insert Name and Title of the Officer <br />1 <br />personally appeared `�C�V( A CAV u1 a <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name(s)' is /are <br />subscribed to the within instrument and acknowledged to me that he /she %they executed the same in <br />his /herA -heir authorized capacity(iesT, and that by his /titer /their signature(.9yon the instrument the person(s), <br />or the entity upon behalf of which the person(sracted, executed the instrument. <br />zC„ <br />I <br />•ROSA A. FLORES <br />Commission # 2057129 <br />Notary Public - Calilornia a <br />Orange County <br />M Comm. Ex fires 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 ` 9_ 6 a , C° /o.ey <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(les) Claimed by Signer(s) <br />Signer's Name: <br />• Corporate Officer — Title(s): <br />• Partner — C Limited ❑ General <br />• Individual ❑ Attorney in Fact <br />F1 Trustee J 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 rJ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1 -800- 876 -6827) Item #5907 <br />
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