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PROFESSIONAL ENGINEERING, INC.
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PROFESSIONAL ENGINEERING, INC.
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Last modified
10/23/2018 9:21:32 AM
Creation date
3/5/2018 9:29:56 AM
Metadata
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Template:
Contracts
Company Name
PROFESSIONAL ENGINEERING, INC.
Contract #
16-2648
Agency
Public Works
Council Approval Date
12/19/2017
Document Relationships
20B - AA SANDPOINT PASEO LIGHTING
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2017\12/19/2017
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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 ty tteop-Ivt R <br />County of gas e,rvcra%_Ii <br />On Na Vzw.sc P. ,v .9.a Li before me, vino" -raftr,T�r <br />s=7. <br />wcL-G , <br />(Here lose name o t eaffcer <br />personally appeared _ <br />who proved to me on the <br />V A -N <br />basis of satisf9ctory 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 signatures) 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 />WITNESS m hand and official seal. COMM.# 2216688 E <br />Y NOTARY PUBLIC -CALIFORNIA <br />LOS ANGELES COUNTY tt <br />Y Comm. EIIDbaS Octabar 2. 2021 E <br />Notary Public Signature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />�j Individual (s) <br />© Corporate Officer <br />V44 OCNI <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www,NotaryClasses.com 800-873-9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />This farm complies with current California statutes regarding notary wording and, <br />if needed, should be completed and attached to the document. Acknowledgments <br />from other states may be completed for documents being sent to that state so long <br />as the wording does not require the California notary to violate California notary <br />law. <br />0 State and County information must be the State and County where the document <br />signers) personally appeared before the notary public for acknowledgment. <br />0 Date of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />N The notary public must print his or her name as it appears within his or her <br />commission followed by a reunion, and then your title (notary public). <br />® Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />0 Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />he/sheAll is lore ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />0 The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />0 Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />0 Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />0 Indicate title or type of attached document, number of pages and date. <br />0 Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CPA, CFO, Secretary). <br />® Securely attach this document m the signed document with a staple. <br />
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