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NPG, INC.
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NPG, INC.
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Last modified
2/6/2017 10:10:24 AM
Creation date
1/12/2017 12:15:15 PM
Metadata
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Template:
Contracts
Company Name
NPG, INC.
Contract #
16-2667
Agency
Public Works
Council Approval Date
11/15/2016
Destruction Year
2021
Notes
PROJECT
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CALIFORNIA JURAT WITH AFFIANT STATEMENT <br />Cid See Attached Document (Notary to cross out lines 1-6 below) <br />❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) <br />Signature of Document Signer No. 1 <br />State of California <br />County of ORANGE <br />1..,+ti.n..,�.r'v_n..A..n..q...n..h..Ja.h..+y..,M1..ry, <br />L.EXIE SHERWOOD lP <br />ee •.4y,;,:, COMM. # 2031782 <br />NOTARY PUBLIC -CALIFORNIA 0j <br />ORANGE COUNTY <br />Comm. Exp. JULY 27, 2017 <br />Signature of Document Signer No. 2 (If any) <br />Subscribed and sworn to (or affirmed) before me on this <br />30TH day of AUGUST _'2016 by <br />Data Month Year <br />(1) CHARLES L. FLAKE <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who appeared before me (.) (,) <br />(and <br />(2) <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person whoappeared bef re me.) <br />Signature I�cGUDa <br />Signal re of Notary Public <br />Place Notary Seal Above <br />OPTIONAL <br />Though the information below is not required by law, it may prove _ <br />valuable to persons relying on the document and could prevent WON <br />fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here <br />Further Description of Any Attached Document <br />Title or Type of Document: <br />Document Date: Number of Pages: <br />Signers) Other Than Named Above: <br />02007 National Notary Association, 9350 De Soto Ave., P.O. Box 2402• ChlUavorth, CA 9131&2402•w NationalNotaryoig Item85910 Reorder: Call Toll -Free 1-800-876-6827 <br />
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