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WALKER, ROBERT DANIEL - 2016
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WALKER, ROBERT DANIEL - 2016
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Last modified
4/23/2021 3:33:12 PM
Creation date
11/23/2016 3:16:35 PM
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Template:
Contracts
Company Name
WALKER, ROBERT DANIEL
Contract #
A-2016-300
Agency
PUBLIC WORKS
Council Approval Date
10/18/2016
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL .. <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 />CountryV'�-ofUfa ) <br />On hbey- �J�I'�O�lt before me,'()5A A, T jbVCS. Ar,66 hA6)Ic <br />Date Here Insert Name and Title of the Otficer <br />personally appeared I)Mt G` CAVA1r05 <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s') whose name(a) isfare <br />subscribed to the within instrument and acknowledged to me that hef51heA44ey executed the same in <br />his/hentheir authorized capacityW,, and that by his/herftheir signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s)'acted, executed the instrument. <br />ROSA A. FLORES <br />r'='o <br />Commission S 2057129 <br />Notary Public . California i <br />s <br />Orange County <br />My Comm. Expires 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 CJ4- a . Ainw <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(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ 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 ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />LSf✓G�'L'v�.:�Gl✓.GLd.'ti?vi�.✓.VS'JS�✓"eISC✓.'L✓.S'✓iV.'e�ti4'v 'tom«,<L.:'u:\.:� ✓ �✓:V:<�:�Y.V S\✓4�✓.:' <br />
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