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ANDRES, EUGENE CHARLES III & ANN AVERY (2)
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ANDRES, EUGENE CHARLES III & ANN AVERY (2)
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Last modified
9/19/2017 11:44:47 AM
Creation date
9/19/2017 11:17:42 AM
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Contracts
Company Name
ANDRES, EUGENE CHARLES III & ANN AVERY
Contract #
A-2017-194
Agency
PLANNING & BUILDING
Council Approval Date
8/15/2017
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />.r , <br />A notary public 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, or validity of that document. <br />State of California <br />County of _ <br />On a <br />Date <br />personally appeared <br />before me, <br />of the <br />who proved to me on the basis of satisfactory evidence to be the perso s) whose nam •is/ re <br />subscribed to the within instrument and acknowledged to me that-hja/aheltt e executed the same in <br />-NsLher/ ei authorized capacit ie�, and that by hiaAher/Rh" P signature(shon f���ee instrument the person, <br />or the entity upon behalf of whic the persor s acted, a ecutE the in trument. <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 nd official seal. <br />NOIARY�®IACALIFORNIA <br />LOS ANGELES COUNTY <br />COMMISSION M 2106670 Signature <br />KY COMM. EXPIRES APRIL 12, 2019 - 9 <br />all <br />ignature of Notary ubts--y <br />Place Notary Seal Above <br />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 Doc t <br />Title or Type of Document: Document <br />Number of Pages: Signer(s) Other Van Named Above: -- <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee Ll Guardian or Conservator <br />n nthAr <br />Signer Is Representing: <br />Date: r/ 1 I <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />CI Partner — C] Limited CI General <br />❑ Individual L I Attorney in Fact <br />❑ Trustee t I Guardian or Conservator <br />F -I nthar <br />Signer Is Representing: <br />02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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