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BLONSKA, JASON & JENNIE - 2016
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BLONSKA, JASON & JENNIE - 2016
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Last modified
10/23/2018 11:10:26 AM
Creation date
11/30/2016 1:45:31 PM
Metadata
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Template:
Contracts
Company Name
BLONSKA, JASON & JENNIE
Contract #
A-2016-323
Agency
PLANNING & BUILDING
Council Approval Date
11/15/2016
Destruction Year
0
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CALIFORNIA <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 Californi _ <br />County of <br />On <br />Date <br />personally appeared <br />before me, <br />Here Insert <br />and Title of the <br />PVI dl i e <br />Signero <br />who proved to me on the basis of satisfactory evidence to be the perso whose nam 44a—re) <br />subscribed to the within instrument and acknowledged to me that heFsl €(fit e executed the same in <br />Wa,/her t el uthorized capacity(tesa and that by+tis/trer(tFe signatures on t4 e instrument the person s6 <br />or the en ity upon behalf of whic the persoroacted, executed the instrument. <br />NOTA PUBLIC--CALI�I� <br />LOS ANGELES COUNTY <br />MY COMM. EXPMESCOMMISSION xAPRILL1122, 2019 <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 hg'nd and official seal. <br />Signature <br />Place Notary Seal Above <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 Docu <br />Title or Type of Document: G) / Document Date: <br />Number of Pages: Signer(s) Other Than 4 need Above:-- <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual I 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 t 1 Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑1 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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