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MERLO, CURT AND RITA
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Last modified
2/14/2018 2:36:59 PM
Creation date
11/27/2017 9:19:32 AM
Metadata
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Template:
Contracts
Company Name
MERLO, CURT AND RITA
Contract #
A-2017-280
Agency
PLANNING & BUILDING
Council Approval Date
10/17/2017
Destruction Year
0
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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />1 .nrv,'t".: MF'AS�4Y .3kro-A": .ao i'- T'✓Yil4�'.. �,v.�,"_y, „?, ,,r....1,_vr tea. --..,_N 'Ory „Y <br />❑See Attached Document (Notary to cross out lines 1-6 below) <br />❑See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br />1- ----------- <br />2------ <br />3 <br />4 <br />------------------------- <br />------------------------------------------- <br />Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) <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 nth <br />County of -f IIS O <br />CHRISTINA HALL <br />111 Notary Public — California z <br />Fresno County $ <br />Commission #2205866 <br />My Comm. Expires Aug 5, 2021 <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn /te't�oyy (or affirmed) before me <br />on this 1� day of `rwr , 2011 , <br />by Date Month Year <br />(1) td 11UlmD <br />(and (2) J//v1r1 im-erl c) ), <br />Names) of Signer(s) <br />proved to me on the basi of atisfactory evidence <br />to be the 5prsor s) w o apreared before me. <br />Signature <br />Signature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this fo✓rm�, to an unintended document. <br />Description of Attached Document O-js}+py-1� Yfoperill <br />Title or Type of Documentpl �'�ll (�()Y) A �-tmy' 9 Document Date: <br />Number of Pages: 10 Signer(s) Other Than Named Above: <br />02016 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 <br />
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