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23C - PROJ - THORNTON PARK
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09/05/2017
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23C - PROJ - THORNTON PARK
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Last modified
8/31/2017 4:01:17 PM
Creation date
8/31/2017 3:58:29 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23C
Date
9/5/2017
Destruction Year
2022
Document Relationships
CALIFORNIA PROFESSIONAL ENGINEERING, INC. (11)
(Message)
Path:
\Contracts / Agreements\ PROJECTS
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ALL-PURPOSE ACKNOWLEDGMENT <br />State of California 1 <br />County of Los Angeles j SS. <br />On June 6, 2017 <br />DATE <br />personally appeared Van Nguyen <br />before me, Diem Chu <br />Notary Public, <br />who proved to me on the <br />basis of satisfactory evidence to be the personW whose nameW is/xVq subscribed to the within instrument <br />and acknowledged to me that heLsholfrhely executed the <br />same in hishbori.thxir authorized capacity(ies), and that <br />by his/lseaaltheir, signature(&) on the instrument the <br />person(}i�, or the entity upon behalf of which the <br />person(Ae acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />DIEM CHU <br />WITNESS my hand and official seal. <br />N�Y.,�rr:�;,.. <br />I:� 0 COli i. # 2042313 <br />'' £Rfm E�• NCT.AXI PUBLIC CALIFOANIA05 ANGELES N <br />UNY <br />I.B1' CJLA EXP. SEP 21, 2017' <br />NOTARY'S SIGNATURE <br />A notary public or other office completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness. accuracv. or validity of that document. <br />PLACE NOTARY SEAT. INAnOVE SPACE <br />OPTIONAL INFORMATION <br />The information below is optional. However, it may prove valuable and could prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIM EU BY SIGNER (PRINCIPAL) DESCRIPTION OF ATTACHED DOCUMENT <br />INDIVIDUAL <br />CORPORATE OFFICER President, Secretary Treasurer, Manager TITLE OR TYPE OF DOCUMENT <br />PARTNER(S) TITLE(S) <br />ATTORNEY-IN-FACT <br />TRUSTEE(S) <br />GUARDIAN/CONSERVATOR <br />OTHER: <br />SIGNER (PRINCIPAL) IS REPRESENTING: <br />NAME 01' PERSONS) OR EN'i'll'WES) <br />California Professional Engineering, Inc. <br />APA UM12 <br />NUMBER OF PAGES <br />DATE OF DOWNIENI' <br />RIGHT <br />THUMBPRINT <br />OF <br />SIGNER <br />OTHER <br />6 <br />F <br />NO VARY BONDS. SUPPLIES AND FORhIS AT HTII':IIWN'N',VAI.LF.I'-SIERRA.CO]1 C2005 -200S %,V ALET-SIERRA INSIIItANBL <br />23C-15 <br />
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