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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 />[I 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 />m <br />fDS <br />U •, 1wr' -1782 E <br />0 .","a. ALIFORNIA G7 <br />"�NTY 27, 2017 <br />Signature of Document Signer No.2 (if any) <br />Subscribed and sworn to (or affirmed) before me on this <br />17TH day of NOVEMBER _20 16 , by <br />Data Month Year <br />(1) SPENCER FLARE <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 />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who appeared before me.) <br />Signatures aL7�o� <br />Signature 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 We <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 1 Chatsworth, CA 91313-2402• www.NationaiNotary.org Item #5910 Reorder: Call Toll -Free 1.800-876.6827 <br />
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