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WHITE, MATTHEW AND LACY (2)
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WHITE, MATTHEW AND LACY (2)
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Last modified
1/31/2018 11:17:29 AM
Creation date
1/31/2018 10:26:13 AM
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Template:
Contracts
Company Name
WHITE, MATTHEW AND LACY
Contract #
A-2017-284
Agency
Planning & Building
Council Approval Date
10/17/2017
Destruction Year
0
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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 Californ- ) <br />Count of �lr�e1 ?LWIZ- <br />Date <br />OnUOURVObtV , O�� before me�l dJA1 f� I _)_H"ere Insert f a�% and itle of the Officer// <br />personally appeared Gi "�i d ue V / ���/J 1� �YT <br />Ly Li/C u % �k�/ �j{�(� Z° <br />of <br />who proved to me on the basis of satisfactory evidence to be the perso s whose namp� ire <br />subscribe,, to the within instrument and acknowledged to me that he/she executed the same in <br />fhisgaer%ei�uthorized capacity f) ), and that b hus/krer(tfi i' ignature(p) n the—instrument the person <br />or the en ity upon behalf of whit e person acted, executed the instrument. <br />.w— --- <br />SOIG1 MOORADIAN <br />NOTARY PUBLIC • CALIFORNIA <br />COMMISSIEON x21066 0 <br />MY COMM. EXPIRES APRIL 12,; <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 />WITNESS my h n and official seal. <br />Signature <br />Signature of Notary Public <br />Place Notary Seal Above <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 ®ooaaoraeua�11. t <br />Title or Type of Document: ' Document Date: <br />Number of Pages: Signe' (s) Other ThAn Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee LI Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: _ <br />❑I Corporate Officer — Title(s): _ <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual L I Attorney in Fact <br />❑ Trustee r_I Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association ^ www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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