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23B - PROJ - HENINGER ELEMENTARY
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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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4�4, <br />State of California <br />County of Los Angeles <br />M <br />Subscribed and sworn to (ox affirmed) before me on this 10 day of October 20 16 by <br />Van Nguyen proved to me on the basis of satisfactory evidence <br />to he the per:son(x' who appeared before me. <br />%- <br />YOTAjo L08Nv6®6 ANtlerBB CtloNfiYae Cauu. flen gip 1r. 2a17 "� ---� <br />—' - - NOTARY'S SIDNATURE <br />A nota y pulZlio or other office completing this certificate verifies only the identity of the Individual who signed the document <br />to which this cert flcate is atfached. and not the truthfulness. accuracv, or validity of that document. <br />PLACE NOTARY SEALIN ABOVE SPACE <br />OPTIONAL INFORMATION <br />The information below is optional. However, it may prove valuable and could prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIMED BYSIGNER(PRIINCIPAL) DESCRIPTION OFATTACIIED DOCUMENT <br />INDIVIDUAL <br />® CORPORATtS OFFICERi rS'ecretary Treasurer, Manager TLCLP-OR TYPEOF DOCUMENT��� <br />PARTNER(S) 'nrLrrs:. <br />A'TT'ORNEY -IN -F. C,ur <br />TRUSTEES) NUMBER OF PAGES <br />GUARDIAN/CONSERVATOR <br />'E <br />OTHER: _.... _..... _.......DAT&OF DOCUMENT $ <br />$ $ <br />$$ <br />OTHER $ <br />$ <br />ABSENT SIGNER (PRINCIPAL) IS REPRESENTING: <br />RIGHT <br />$ NAME01U HRSONrS)ORANTITY(IES) <br />THUMBPRINT <br />OF <br />California Professional Engineering, Inc. <br />SIGNER <br />$ <br />$ <br />$ <br />� 4 <br />$ $ <br />7G7t'OU4 NUMRYBONDS,SUPPLISAND FORMS.ATHTrPl1MWW.VALI.EYSrY.RRA COM bUM-2009VALLEY-SIHRRA INSURANCE <br />23B-41 <br />
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