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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
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
12/6/2016
Destruction Year
2021
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />__ __ - ----- -------------- ____ - ------- --------- e verifies only the identity of the-._-_--__._.-.._..__.,__,__.__. <br />he-Ind-l-vidLT <br />A notary PLibllc or other officer completing this certificate W lg� of theft <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 Ofen0a..".., <br />On October 5, 2016 before me, _Robyn R. Karga - r - 1 Notary Public <br />naha I n S a rl N a rr a of N o I a i y tax i cli y as i k a PI) ears so t r) e oH,(I a I sea I <br />personally appeared Christina <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is/arc subscribed to the <br />within instrument and acknowledged to me that he/she/they <br />executed the same in his/her/their authorized capacftyhes), <br />and that by his/her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the, person(s) <br />acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Witness my he A -a official seaL <br />Signatur <br />Havre Malay Sowl Above sfon4 Z 4in PuIRdbyn R. Kargarl <br />OPTIONAL <br />Though the information below is not required by law it may prove valuable to persona relying on the document <br />and could prevent fraudulent removal and reattachment of the Form to another document. <br />Description of Attarhad Document <br />Title or Type of Document: Bid Bond <br />...... . ... ............ ... I .... ............. . <br />Document Date: ..0clober-5.1.2.0-1 ... 6 .... ......... .......... .... ... Number of Pages: 1 <br />Signer(s) Other Than Named Above: -None-_---.-.- -. -.- ---- ---- Capacity() es) Cfairned by Signer(s) <br />Signer's Name: - Ch " r - stlne_H.pa.n.g ........ __ ........... ..... .. ... ........... <br />I-] Individual <br />[] Corporate Officer rlie(a): <br />[❑I Partner El LimBled 1-1 General <br />F1'� Attorney in Fact <br />F-1 Tiuster, <br />❑ Guardian or Conservator <br />Oilher. <br />Signer is Representing: <br />AUqd_VV.o.dd.. Ir.5.-u ran gp................. <br />Qc0pany........................................... <br />Signer's Name: <br />El Individual <br />E] Corporate Officer —Tfiie(s):.__ <br />[I Partner El Limited E-) General <br />El Attorney In Fact <br />[:] Trustee <br />El Guardian or Conservator <br />[] Other <br />Signer is Representing: <br />23B-24 <br />
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