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23B - PROJ - HENINGER ELEMENTARY
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12/06/2016
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23B - PROJ - HENINGER ELEMENTARY
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Last modified
12/1/2016 4:05:08 PM
Creation date
12/1/2016 3:52:12 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
12/6/2016
Destruction Year
2021
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State of California <br />County of Los Angeles <br />SS. <br />Subscribed and sworn to (or affirmed) before me on this 10 day of October 2016 , by <br />Van Nguyen proved to me on the basis of satisfactory evidence <br />to be the person(a3 who appeared before me. <br />A notary public or other office completing this codificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached and not the truthfulness accuracy or validity of that document <br />MAC, NOTARY SEAL IN ABOVE S'PACh _ <br />The information below is optional. However, it may prove valuableandcould prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OFATT:ACIIED DOCUMENT <br />INDIVIDUAL <br />CORPORATE OFFICER gygs.ident. Secyeyazy,Sxeasurer, Manager TJTLH OR TYPE 0FDOCUMENT <br />PARTNER(S) 'rrivlis) <br />ATTORNEY-IN-FACT <br />TRUSTEE(S) <br />GUA1tDIANICONSERYATOR <br />OTHER: <br />NUMBER OF PAGES <br />DAMOFDOCUMENT <br />0`PliliR <br />@ ABSENT,SIGNER (PRINCIPAL)IS REPRESENTING:G+T <br />4 NANTEOFP8BSON(S)ORr;NTrrrae's) THUMBPRINT <br />OF <br />It California Professional Engincermg, Ino' SIGNER <br />_� <br />0 <br />4 <br />0 <br />IOMOS NWARY BONDS, SUPPLIES AND POR'vIS AT hTT'rPdi4VW1V.VeA1 L61'SI'GIiR1COM X2005-20ON1A[LBYSIERIZA INSURANCE <br />23B-21 <br />DIENt CNU <br />2Q423f3 <br />vlkCOMmi.f <br />iNOlARY <br />P06LIC-OAgFORNiALOS <br />ANGELES COUNTY <br />Mr Caa. EXP. SEP. 2L 2017 <br />NOTARY'S SIUNATURE <br />A notary public or other office completing this codificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached and not the truthfulness accuracy or validity of that document <br />MAC, NOTARY SEAL IN ABOVE S'PACh _ <br />The information below is optional. However, it may prove valuableandcould prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OFATT:ACIIED DOCUMENT <br />INDIVIDUAL <br />CORPORATE OFFICER gygs.ident. Secyeyazy,Sxeasurer, Manager TJTLH OR TYPE 0FDOCUMENT <br />PARTNER(S) 'rrivlis) <br />ATTORNEY-IN-FACT <br />TRUSTEE(S) <br />GUA1tDIANICONSERYATOR <br />OTHER: <br />NUMBER OF PAGES <br />DAMOFDOCUMENT <br />0`PliliR <br />@ ABSENT,SIGNER (PRINCIPAL)IS REPRESENTING:G+T <br />4 NANTEOFP8BSON(S)ORr;NTrrrae's) THUMBPRINT <br />OF <br />It California Professional Engincermg, Ino' SIGNER <br />_� <br />0 <br />4 <br />0 <br />IOMOS NWARY BONDS, SUPPLIES AND POR'vIS AT hTT'rPdi4VW1V.VeA1 L61'SI'GIiR1COM X2005-20ON1A[LBYSIERIZA INSURANCE <br />23B-21 <br />
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