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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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~ � �NCALIFORNIAALL-PURPOSE ACKNOWLEDGMENT <br />A notary public or other officer completing <br />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, or validity c that document. <br />STATE OF CALIFORNIA <br />County of Orange <br />On June 2, 2017 -- before me, <br />— <br />Robyn R. Kargari Notary Public, <br />Data <br />Inset Name of Notary exactly an it appears an the official seal <br />personally appeared Yung T. Mullick <br />_ <br />Names) of 9ignar(s} <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is/are subscribed to the <br />within instrument and acknowledged to me that he/she/they <br />executed the same in his/her/their authorized capacity(ies), <br />and that by his/her/their signature(s) on the instrument the <br />BYN RGARI <br />person(s), or the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br />y °�R R, iCA�� <br />a ° ` COMM. # 2115276 <br />Ur g � tfOTMYPUOUGCAtIFOM'IA� <br />I certify under PENALTY OF PERJURY under the laws of <br />,`@ <br />fig~+ %• . ' ORANGE COUhlTY <br />the State of California that the foregoing paragraph is true <br />°«rte. MYCOMM.EXP.JUllE13,2ot9 <br />and correct. <br />Witness my han - <br />it <br />Signature <br />;ZR�a-rg-arl <br />Placs Notary Sail Above <br />slam ofN <br />OPTIONAL <br />Though the information below is not required by law it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of the form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: __-- <br />I <br />— Number of Pages: <br />Signer(s) Other Than Named Above: <br />I <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: _ _ <br />Signer's Name: <br />i❑ Individual <br />❑ Individual <br />❑ Corporate Officer—Title(s): <br />—__W ❑ Corporate Officer—Title(s): _ <br />❑ Partner ❑ Limited ❑ General <br />❑ Partner ❑ Limited ❑ General <br />j ❑ Attorney in FactElAttorney <br />- in Fact - <br />❑ Trustee a <br />-- <br />•- E] Trustee ® <br />❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here <br />❑ Other: <br />❑ Other: <br />Signer is Representing: <br />Signer is Representing: <br />23C-16 <br />
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