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ATTICUS WEGMAN-2016
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ATTICUS WEGMAN-2016
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Last modified
1/17/2017 11:40:04 AM
Creation date
1/12/2017 11:22:45 AM
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Template:
Contracts
Company Name
ATTICUS WEGMAN
Contract #
A-2016-353
Agency
PLANNING & BUILDING
Council Approval Date
12/6/2016
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 t �Ur(Anae ) <br />On No2Vw�9Pr7/ 2Z�(p before me, �h�IQ�1 a0X <br />Date Here Insert Name and Title of the Officer <br />personally appeared <br />of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the persons) acted, executed the instrument. <br />y HILLARY ROSE BOX <br />Notary Public - California <br />a -r ` Orange County <br />Z b4 Commission N 2154475 <br />M, Comm. Ex ires May 24, 2020 <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 a d official seal. <br />Signature <br />,Iignaiure 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 <br />Title or Type of Document: <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) 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 />02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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