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20B - AA SANDPOINT PASEO LIGHTING
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12/19/2017
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20B - AA SANDPOINT PASEO LIGHTING
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Last modified
12/14/2017 6:49:09 PM
Creation date
12/14/2017 6:46:27 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20B
Date
12/19/2017
Destruction Year
2022
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PROFESSIONAL ENGINEERING, INC.
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Path:
\Contracts / Agreements\ PROJECTS
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of tf C%F0i-Nt A } <br />County of tam nr4breas } <br />On rlcuccAsca,y me, visFrN t�w(Ter+arm <br />-�pL, _before <br />scrt-—tu.ewce <br />personally appeared ^T' NorM 'ZW <br />-basis <br />who proved to me on the of Satisfactory evidence to be the person(s) whose <br />name(s) is/are subscribed to the within instrument and acknowledged to me that <br />he/she/they executed the same in his/her/their authorized capacity(ies), and that by <br />his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />VIVIAN TRAN <br />COMM. # 2216688 <br />WITNESS my hand and official seal.NOTARY PUSUC.CALIFORNIA <br />0-y <br />LOS ANGELES COUNTY ` <br />omm. Erp lm Cdober 2.2021 <br />Notary Public Signature (Notary Public Seal) <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />ADDITIONAL OPTIONAL INFORMATION TIN fornr complies with current California statutes regarding notmy wording and. <br />ifneeded should be completed and attached to the document. ACAnowledgnhems <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />from other sloes nnm be completed for docianents being sent to dol stale long <br />as the vording (foes not require the California notary to violate California notal <br />Inv. <br />ription of attached document) N State and County information must be the Slate and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />® Date of notarization must be the dale that the signer(s) personally appeared which <br />ription of attached document continued) must also be the same date the acknowledgment is completed. <br />® The notary public mast print his or her name as it appears within his or her <br />Pages Document Date commission followed by a comma and then your tilts (notary public). <br />_ <br />N print the nmes) or document signer(s) who personally appear at the time of <br />notarisation. <br />CITY CLAIMED BY THE SIGNER 0 Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />he/shchhei- is /are ) or circling the correct forms. Failure to correctly indicate this <br />Individual (s) infornmalion may lead to rejection of document recording. <br />orporate Officer R 'nme notary seal impression must be clear and photographically reproducible. <br />L <br />p�YOLrN.I Impression must not cover text or lines. If seal impression smndges, re -seal if a <br />Tilfe�— sufficient area permits.otherwise complete:m different acknmsiedgment form. <br />R Signature of the notary public must match the signature on file with the once of <br />Partners <br />O the county clerk. <br />Attorney -in -Fact 0 Additional information is not required but could help to ensure this <br />Trustee(s) acknowledgment is not misused or attached to a different document. <br />0 Indicate title or type of attached document, nmber of pages and date. <br />�ffler 0 Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO. Secretary). <br />n t+nwv.NotaryClasses.com 800-873-9865 Sc2rA attach this document to the signed document with a staple. <br />
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