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23A - PROJ - PAVEMENT MAINTENANCE
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01/17/2017
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23A - PROJ - PAVEMENT MAINTENANCE
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Last modified
1/12/2017 3:57:50 PM
Creation date
1/12/2017 2:49:45 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
1/17/2017
Destruction Year
2022
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CALIFORNIA JURAT GOV CODE § 8202 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed fire <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 Riverside <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before <br />me on this Ph day of December, ?_016, <br />Date Month <br />By (1) Edward J. Carlson <br />Name of Signer <br />Proved to me on the basis of satisfactory evidence <br />be the person who appeared before me (.) (,) <br />Name -of- Signer <br />OPTIONAL --- <br />Though the information below is not required by law, it may prove <br />valuable to person relying on the document and could prevent <br />fraudulent removal and reattachment of this form to another document. <br />Further Description of Any Attached Document <br />Title or Type of Document Ownership Aitidavit <br />Document Dale: None Number of Pages: t <br />Signer(s) Other Than Named Above: None <br />23A -16 <br />Top of thumb here <br />Top of Ihumb here <br />REBECCA ANGELA PARKA <br />Commission # 20249A4 <br />aj. `t <br />z ro -s. <br />Notary Public - Cali:ornia z <br />a <br />7 <br />Riverside Gaunt <br />My Comm. Expiros May t7, 2U17 <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before <br />me on this Ph day of December, ?_016, <br />Date Month <br />By (1) Edward J. Carlson <br />Name of Signer <br />Proved to me on the basis of satisfactory evidence <br />be the person who appeared before me (.) (,) <br />Name -of- Signer <br />OPTIONAL --- <br />Though the information below is not required by law, it may prove <br />valuable to person relying on the document and could prevent <br />fraudulent removal and reattachment of this form to another document. <br />Further Description of Any Attached Document <br />Title or Type of Document Ownership Aitidavit <br />Document Dale: None Number of Pages: t <br />Signer(s) Other Than Named Above: None <br />23A -16 <br />Top of thumb here <br />Top of Ihumb here <br />
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