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25O - AGMT - USER FEE STUDY
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04/18/2017
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25O - AGMT - USER FEE STUDY
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Last modified
4/17/2017 11:13:45 AM
Creation date
4/13/2017 5:47:32 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25O
Date
4/18/2017
Destruction Year
2022
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°City�of Santa Ana I _California <br />Notary hornn <br />CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE 51189 <br />A notary Febrile 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, arvaildity of that document. <br />State of Ca ornia <br />County oi. ``i ..�.. <br />On V_r L t(!) before me, <br />Date <br />personally appeared <br />Insert Name and <br />Name(s) <br />who proved to me on the basis of satisfactory evidence to be the parsatdWwhose name(a) Isteae- <br />subscribed to the within Instrument and acknowledged to me that he/ executed the some in <br />hiafherftheirauthorized capaoitylle* and that by hisMerH4ra+r signature(* on the Instrument the pemott(s}, <br />or the entity upon behalf of which the persan(o acted, executed the instrument. <br />]�+-- <br />] REOEKAH LEE SMITH <br />7 <br />RCammlSStea PutOn • Caf ar 2000612 I <br />otary NOmiA <br />alwrside County <br />M Oamm, E ima NOV I. 2015 <br />I certify under PRNALTY OF PEFWURY 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 />Signatu <br />Signatu ofNatayPualtC <br />Place Notary Seat Above <br />OPTIONAL <br />Though this saation is optional, completing this Information can dater alteration of the document or <br />fraudulent reattachment of this form to an unintended document <br />Description of Atlached Doaunion <br />Title at Type at Document: m�k- MIJ Document Date:"'x„ <br />Number of Pages: „a.�___ _ Signers) Other Than Named Above: <br />Oapacltyjies) C Imed by <br />Signaf <br />Signer's t\f�„..,�j, <br />i'ai Corporate Officer — Titis(s): .e i <br />• Partner — 0 Limited 0 General <br />• Individual [J Attamey in Fact <br />C Trustee ❑ Guardian or Conservator <br />C) Other. <br />Signer Is Represent)ng: rp D- <br />0 Individual <br />C) Trustee <br />0 Other: „ <br />Signer Is N <br />— IIdols) ;..._.... ....�v <br />led CI General <br />I Attorney in Fact <br />l.Guard)an or Conservator <br />02014 National Notary Association - www.NationalNotary.org - 1.600•US NOTARY <br />W tsi�5r' <br />t . Comprehensive. Innovative.'frusted. 25 <br />,�u . <br />250 -28 <br />Item #5907 <br />City of Santa Ana <br />User fee Study <br />
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