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23A - PROJ - LANDSCAPE IMPROVEMENTS
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10/03/2017
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23A - PROJ - LANDSCAPE IMPROVEMENTS
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Last modified
9/28/2017 4:56:26 PM
Creation date
9/28/2017 4:43:49 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
10/3/2017
Destruction Year
2022
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 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 Califomia <br />Countv of Orange ) <br />On Z `i before me, B. Copeland Notary Public; <br />personally appeared Shawn Blume <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the <br />within instrument and acknowledged to me that he/shehhcy executed the same in his/heiftl=r authorized <br />capacity(ies), and that by his/her/their signature(s) on the instnhment the person(&), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />9.COPELAN0 <br />Nolary Pubcc-California <br />,� Orange N V87 <br />s: Commission W 2187850 <br />�- 7dyComm. Expires Apr 79.2021 <br />Plaw Notary Seal Above <br />I certify raider PENALTY OF PERJURY under the <br />laws of the State of Califomia that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature: <br />Q <br />S' azure ofNotary Public <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 present fraudulent and reattachment of this form to another document. <br />Description of Attached Document <br />Type or Title of Document: <br />Document Date: <br />Signer(s) Other Than Named <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Shawn Blume <br />❑ Individual <br />❑ Corporate Officer—Title(s):_ <br />❑ Partner: ❑Limited ❑ General <br />© Attomey in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Number of Pages: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer—Title(s): <br />❑ Partner: [-]Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: Signer Is Representing: <br />Rev. 1-15 <br />23A-15 <br />
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