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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 <br />On �� C�yn1�eV I Zbl before me, j09A F(6 V6 , 1J D,6 K`1 Eh 1,011G <br />Date ��,Here Insert Name and Title of the fficer <br />personally appeared t �/iy l A CAP, J D 5 <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(sy whose name(s) is/ars <br />subscribed to the within instrument and acknowledged to me that he/shehhcy executed the same in <br />his/her/their authorized capacity(iet), and that by his/heWtheir signature(s),on the instrument the person(s), <br />or the entity upon behalf of which the person(sy acted, executed the instrument. <br />._ •;r..,, • ROSA A. FLORES <br />Commission # 2057129 <br />i ?h'4 <br />Z sz> Notary Public - California <br />Orange County <br />M Comm. Expires Feb 7, 2018 <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 hand and official seal. <br />Signature A. (�A� <br />_ <br />Signature of NotaryPublic <br />Place Notary Seal Above <br />OPTfONAL <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 <br />Title or Type of Document: <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named 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 ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />c 'y '•:�.�; '.ugH,c�...-.. .Lf,� _ ua� ate. , a..� , .uc ti �' � 'aava` tteia`.e� a�.ny ricc a v .isd <br />0 1 • • • • • • • • :11 • �' :11 . •:�aT <br />�1 <br />
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