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ANDERSON, PAUL & MONA SHAH
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ANDERSON, PAUL & MONA SHAH
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Last modified
11/20/2017 12:30:04 PM
Creation date
9/19/2017 12:11:35 PM
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Contracts
Company Name
ANDERSON, PAUL & MONA SHAH
Contract #
A-2017-195
Agency
PLANNING & BUILDING
Council Approval Date
8/15/2017
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <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 I before me, 5VV a <br />Date �f' ° J Here Inspe��rt, Name a dditl, e of <br />personally appeared u I '7-I V I/A&W Q VR ° r 1004 � t <br />/ Name6of Signer <br />who proved to me on the basis of satisfactory evidence to be the person whose nam s) isf re <br />subscribed to the within instrument and acknowledged to me that hebshe/#h1e executed the same in <br />his/her/their authorized capacity( es and that by NsAier/Lffei ignature,,((s'�� on the instrument the person(0 <br />or the entity upon behalf of whice personacted, executed the in`s�rument. <br />rNOTARY M7 moo CMDIM tP18A <br />LOS ANGELES COUNTY <br />CONMtSSION 0 2106670 <br />W COMM. EXPIRES APRIL 12, 2019 <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and corre t. <br />WITNESS my /6d and official seal. <br />Signatur <br />Signature of Notary Public <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 Document <br />Title or Type of Document: Aq-f C Document Date: <br />Number of Pages: Signer(s) Other T an Named Above: _ <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual Ll Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />[]Partner — ❑ Limited ❑I General <br />❑ Individual I Attorney in Fact <br />❑ Trustee I Guardian or Conservator <br />r-1 nthPr, <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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