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FULL PACKET_2016-12-06
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FULL PACKET_2016-12-06
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12/5/2016 10:25:30 AM
Creation date
12/5/2016 9:49:40 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
12/6/2016
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />A notary PLibllc or other officer completing this certifical- W lg� of <br />document to which this certificate is attached, and not the truthfulness, accur@oy, or validity of that document. <br />STATE nFCAL|FORN|A <br />County of Omn � <br />On October 5, 2016 before me, _Roby� R. Karga - r - 1 Notary Public <br />personally appeared Christina <br />who proved tomonn the basis vf satisfactory evidence to <br />be the person(s) *h ( s) is/arc subscribed to the <br />within instrument and acknowledged to me that he/she/they <br />executed the sarne in his/her/their authorized capacftyhes), <br />end that by his/her/ther 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 />| certify ounder PENALTY 0F PERJURY under the laws N <br />the State of California that the foregoing paragraph iotrue <br />and correct, <br />Witness he offi <br />mVnmu <br />OPTIONAL <br />Though �m�m document <br />and uvob/ prevent �wudu�nt�removal anJ reattachment nf the Form to another document. <br />Description nfAttaoA*NDocument <br />Title urTypoo/ Document: Bid Bond _ <br />DvoumnntDate: ____ Number vfPages: <br />Gignor(s) Other Than Named Above: <br />Cmpmo/ty(lwo)C|aim:dby8i8nwr(e) <br />Signer's Name: <br />[]|ndividua| <br />[] CorPnqteOHkcer`— TNw( ):__ <br />OPorne OUm�ledOGeneral <br />F1'� Attorney in Fm* <br />[]Tmohm <br />[]Guardian orConservator <br />Oilher <br />Signer is Representliq <br />Signer's Name: <br />El Individual <br />E] Corporate Officer—Tfiiw(s):_ <br />[I Partner OUmitedOGeneral <br />[] Attorney |oFact <br />OTru»tee <br />[] Guardian mConservator <br />Signer is Representing: <br />��U��� <br />���U���m� <br />
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