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23C - PROJ - WASHINGTON ELEMENTARY
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23C - PROJ - WASHINGTON ELEMENTARY
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Last modified
12/1/2016 4:06:04 PM
Creation date
12/1/2016 3:52:25 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23C
Date
12/6/2016
Destruction Year
2021
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CALIFORNi[A ALL-PURPOSE ACKNOWLEDGMENT <br />. ........ . .. <br />A notary public or other officer completing this certificate verifies only the identify 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 />Countyof 0ra_n,gE,t ...... -.1 ................ I-- ..... ........... .... .............. .......... .. ... ...... - ------ <br />On October 5, 2016 before me, Robyn R,.,nma0. ... ...... .. ..... . ..... ......... . ......... ........ . Notary Public, <br />. ..... ..... <br />. <br />............Insert Nam, of Notary exactly he A a�;i;ZWon the offidal sen) <br />personally appeared ..Christine Hoeing . . . ...... . ..... ..... ............ ... .......... . . ...... ... ........... <br />&M 9 2115276 :0 <br />weyi,I R. KARGARI <br />';TARYFUBII,A6�011NIAX <br />ORANGE COUNTY <br />my Gomm L*2INE 13, ffiN9 <br />pl@,e, Nukery Seal Above <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is/are subscribed to the <br />within Instrument and acknowledged to Me that he/She/they <br />executed the same in his/her/their authorized capacity(les), <br />and that by his/her/their Slgo2ture(s) on the instrument the <br />person(s), or the entity upon behalf of which the percon(s) <br />scled, 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 official I <br />Signa <br />Robyn R. rgan <br />6�t� - or Mi'�;� ;Ziic <br />sign of o <br />OPTIONAL - <br />Though the information below is not required by law it tray prove vahjablP to persons relying on the document <br />and could prevent fraudulent removal and reattac anent of the form to another clocument. <br />Description of Attached Document <br />Title or Type of Document: bid bond ...... <br />... . .................... . . .............. . ............ ............... ... <br />Document Date: , 0 b_g1p,_er . ..... ..... .... ... Number of Pages: <br />Signer(s) Other Than Named Above! Ngliq ..... ...... . . ......... ... . ....... <br />capacity(ies) Claimed by Signer($) <br />Signer's Name: .Christine.Floang ........ .... . .. ........... ...... <br />.... ....... <br />j Individual <br />F-] Corpof ate officer Title(s): ----- ---- - - ---- __ - - <br />r'l Partner I Wmited DGeneral <br />[0 Attorney in Fact <br />Trustee <br />Guardian or Conservator <br />Other. <br />Signer is Representing: <br />QjR.--, <br />,Signer's Name: <br />7 Individual <br />D Corporate Officer <br />E] Partner F - - - I Limited [] General <br />[] Attorney in Fact <br />El Trustee <br />E] Guardian or Conservator <br />[I Other: <br />Signer is Representing: <br />23C-26 <br />
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