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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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JURAT <br />State of California <br />County of Los Angeles <br />I <br />SS. <br />Subscribed and sworn to (or affirmed) before me on this <br />Van Nguyen <br />to be the person(a�who appeared before me. <br />6th day of June , 2017 by <br />proved to me on the basis of satisfactory evidence <br />I)IEld 042 <br />gy�pp ' CGY PUL 2042313 <br />NO'LOS ANGELES CAUPoRNIA <br />LOS ANGELES COUNTY <br />%O�ig � Rtr Ccaa ExA. S=.A. 21. 2017' <br />NOTARY'SSIONATURE <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 SEAL INABOVE 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 CLAIMED BY SIGNER (PRINCIPAL) <br />DESCRIPTION OFATTACHED DOCUMENT <br />❑ <br />INDIVIDUAL <br />0 <br />CORPORATE OFFICER President Secretary. Treasurer, <br />Manager TITLE OR TYPE OF DOCUMENT <br />❑ <br />PARTNER(S) rin-RS) <br />❑ <br />ATTORNEY-IN-FACT <br />NUMBER OF PAGES <br />❑ <br />TRUSTEE(S) <br />❑ <br />GUARDIAN/CONSERVATOR <br />❑ <br />OTHER: <br />DATE OF DOCUMENT <br />OTHER <br />ABSENT SIGNER (PRINCIPAL) IS REPRESENTING: RIGHT <br />@ NAMEOF PERSON(S) OR ENTITY(IES) <br />THUMBPRINT <br />® California Professional Engineering, Inc. OF <br />SIGNER <br />@ <br />0 <br />0 <br />0 <br />@ <br />@ <br />0 <br />@ <br />1 0 <br />0 <br />0 <br />@ow>omomoo®eosamma000smommomooma.®momos®o®osoowmoos®o®omo@ <br />J D12008 NOTARY BONDS. SUPPLIES AND FORMS ATHTTPYAVNW.V:\LLEY-SIFRRA.00h1 5'1 2005-200 5 VALLEY -SIERRA INSURANCE <br />23C-27 <br />
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