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USS CAL BUILDERS, INC.
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USS CAL BUILDERS, INC.
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Last modified
1/22/2018 1:40:39 PM
Creation date
1/10/2018 10:44:17 AM
Metadata
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Template:
Contracts
Company Name
USS CAL BUILDERS, INC.
Contract #
Various
Agency
Public Works
Council Approval Date
9/5/2017
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />�.c�.M.-,na.M.s'^�� t_:^�-' `C,�•.i>,�Y��Y��.^ .r�ar,'tu-. ...r{tn .�+rbc",U'Src6r�'.c-M.��-c.�.r-�+.r�n-��scT�rr -`c:�er�.:zu <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 ORANGE ) <br />On bill a0 R before me, MERVIN C LORICO NOTARY PUBLIC <br />Date Here Insert Name hand Title of the Officer <br />personally appeared fttl I �MAN9 <br />Nameop) of Signer( <br />who proved to me on the basis of satisfactory evidence to be the person($) whose name(G) is/An <br />subscribed to the within instrument and acknowledged to me that hem executed the same in <br />his/iorax6tbtxlx authorized capacity(ies), and that by his/Daatfxetxsignature(x) on the instrument the personas), <br />or the entity upon behalf of which the person(g) acted, executed the instrument. <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 />:Ncowtoa <br />=rm6ntl <br />ICO WITNESS my ha and official seal. <br />512 z ifornia o yM. 19 202 Signatur <br />Signature of Notary <br />Place Notary Seal Above <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: <br />Document Date: Number of Pages: <br />Signer(s) Other Than 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 ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02016 National Notary Association • www.Nationa[Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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