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11/15/2016
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20C - AA - DELHI CHANNEL PROJ
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Last modified
11/10/2016 3:50:12 PM
Creation date
11/10/2016 3:43:16 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20C
Date
11/15/2016
Destruction Year
2021
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E,011 it D <br />GRAMME <br />Approved as to Form MY OF SANTA ANA, a California charter city <br />By: _.... ---__.—..—... By: --._._.,__.._....----..._._.._ <br />Date: <br />Date: <br />mly the Weekly of Ibe m(lividual who signed fie domestic <br />Allah fids carfinoats is aftwbcd, and not the tmthftdness, acomeoy, <br />ar rnlidityof that dooauent. <br />ACKNOWLEDGMENT <br />STATE OF CALIFORNIA ) <br />cavrrTY or .._.... __..._._._.) <br />On ; 20 _..._ before me; <br />(Insert m;m of Notmy Public %fila) <br />personally appeared___.._.._.._....__._.__._.-._._...._-...__.._.....�___—.._....�..—.—._._ who <br />proved to me oathe basis of satisfactory evidence to be the person(;) whose name(;) Wars subscribed to the within <br />insnvmant and aoknowleclg'ed to me that ha/sbefthey executed the sane in his/her/thou authorimd capneity(ies), and that by <br />his/herhheir signatvie(s) an the instrument the person(s), a the entity upon behalf of which the person(s) acted, erecutad <br />the instrument <br />I cetti(y under PENALTY OF PERJURY under the laws of Phe .State of Cantarnia that the f0coB'oing paragraph is ¢rue slid <br />coact. <br />WITNESS my hand and official seal. <br />Signature___'___...__._......_._.�_._._.....____..._ <br />(Soal) <br />$Naha Alla.nelhl iavuioa])iujecluYbl) I' C9 9 05191016 <br />Santa Ana -Delhi Channel Diversion Projeot Agreement D15-013 Page 55 of 69 <br />20C-65 <br />
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