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20B - AA - BIKE LANES CHESTNUT
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05/02/2017
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20B - AA - BIKE LANES CHESTNUT
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Last modified
4/27/2017 3:34:39 PM
Creation date
4/27/2017 3:10:04 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20B
Date
5/2/2017
Destruction Year
2022
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CAL-STRIPE INC.
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\Contracts / Agreements\ PROJECTS
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § I 189 <br />I <br />A notary public or other officer completing this certificate verities 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 ) <br />On __ MAR 0 6 2017 before me, Heather R. Saltarelli, Notary Public <br />ME <br />personally appeared <br />Here Insert Name and Title of the Off cpr <br />Maria Guise <br />Nameis) of Signals) <br />who proved to me on the basis of satisfactory evidence to be the person(z) whose name( I;il is/am <br />subscribed to the within Instrument and acknowledged to me that fwshe/tkft executed the some in <br />bWher(tMauthorized capaclty(ia)f and that by kIii/her/thttksignature(sil on the Instrument the person(s), <br />or the entity upon behalf of which the persorts) acted, executed the instrument. <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 and official seal. <br />SlgnaturJ�_ <br />Signature of Notary Public <br />Place Notary Sea/ Above 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: ........ ..... Docurnent Date. <br />Number of Pages: Signer(s) Other Than Named Above: <br />Capacity(hes) Claimed by Signer(s) <br />Signer's Name: <br />Corporate Officer — Title(s). <br />Partner — Limited General <br />Individual X Attorney in Fact <br />Trustee Guardian or Conservator <br />Other <br />Signer Is Representing:. ....... . . <br />Signer's Name. <br />Corporate <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 - wvvw,NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />20B-17 <br />
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