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25D - AGMT - BRISTOL ST PHASE 3A
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25D - AGMT - BRISTOL ST PHASE 3A
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Last modified
12/1/2016 4:09:58 PM
Creation date
12/1/2016 2:58:10 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25D
Date
12/6/2016
Destruction Year
2021
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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 UridhOf', ) <br />On f li6CCdSg_ before me, j Ll( " Pot ((O <br />Date Here Insert Name and Title of the Officer <br />personally appeared hup J'91ftLtA o <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory_ evidence to be the person(s) whose names) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />e Enueil'c: <br />Y LY <br />Not • California <br />County <br />Co2150099 <br />9011111co A 's' 2 <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 hard and official seal. <br />of Notary Public <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 Document <br />Title or Type of Document: aW b <br />Document Date: ttlJCol 26 r <br />Signer(s) Other Than Named Above': <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />-- - Cf Corporate Officer = Title(s): -- <br />• Partner — D Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />• Trustee ❑ Guardian or Conservator <br />• Other: <br />Signer Is Representing: <br />Number of Pages: <br />Signer's Name: <br />Cl Corporate Officer — Title(s): <br />D Partner — © Limited D General <br />D Individual ❑ Attorney in Fact <br />❑ Trustee D Guardian or Conservator <br />n Other: <br />Signer Is Representing: <br />02016 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />25D-57 <br />
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