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23A - CONTRACT AWARD KLASSIC
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23A - CONTRACT AWARD KLASSIC
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Last modified
1/11/2018 7:09:18 PM
Creation date
1/11/2018 6:27:33 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
1/16/2018
Destruction Year
2023
Document Relationships
KLASSIC ENGINEERING & CONSTRUCTION, INC.,
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Path:
\Contracts / Agreements\ PROJECTS
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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8262 <br />-- -r - - - <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 />Signature of Document Signer No. 1 <br />Signature of Document Signer No. 2 (f 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 valldity of that document. <br />State of Calif la <br />County of Ma— <br />Cor -� <br />HANIN ABDALLAH <br />mmission # 2059441 <br />,Z u Notary Pilbiio - calitbrnia n <br />z Orange county <br />My Comm. EZres Feb 211.20`18 <br />Seal <br />Place Notary Seal Above <br />Subscribed and swom to (or affirmed) before me <br />iV <br />on this —1-11day of L"ab. E 20F <br />by Date Month Year <br />(1) l.e�ycr �jaa <br />(and (2) ) <br />Namo)rof Signer(s)' <br />proved to me on the basis, of satisfactory evidence <br />to be the person(sf who appeared before me. <br />Signature <br />rgn ture 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 form to an unintended document. <br />Description of Attached Document aa , <br />Title or Type of Document: Ciu h�9t S� LI civ a ��1 Document Date: ) t l51 <br />Number of Pages: __L Signer(s) Other Than Named Above: N /k <br />02016 National Notary Association • www.Nationd[Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 <br />23A-13 <br />
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