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DUANE GREENLEAF-2016
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DUANE GREENLEAF-2016
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Last modified
1/17/2017 11:39:36 AM
Creation date
1/12/2017 10:50:04 AM
Metadata
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Template:
Contracts
Company Name
DUANE GREENLEAF
Contract #
A-2016-329
Agency
PLANNING & BUILDING
Council Approval Date
11/15/2016
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity 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 />County of o mm f <br />On WGCWbeil (g1��0`/(0 before me, 0�(i� <br />Date p Here InsertNam/ and Titli of the Officer <br />personally appeared''— <br />Nameo-of Signers <br />i <br />who proved to me on the basis of satisfactory evidence to be th ,,.person(s)whose name,(s)are <br />subscribed to the within instrument and acknowledged to me thathefthey executed the same in <br />mer�ueir authorized capacity(iesj, and that by i /�isr�their signature(g) on the instrument the perso t(aj <br />or the entity upon behalf of which the person(z) acted, executed the instrument. <br />- ARd PUBLIC •Ca <br />NDDim <br />LOSAINIM <br />OOWISSI0R a 2106670lA <br />W CONM. EXPIRES APRIL 12, 2019 <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my haq�and official seal. <br />Signature --." i./ <br />Signature of Notary Public <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document I _ <br />Title or Type of Document: th 6 V Document Date: <br />Number of Pages: Signer(s) Other Than Na d Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee LJ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): _- <br />❑ Partner — ❑ Limited ❑I General <br />❑ Individual FI Attorney in Fact <br />LJ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />
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