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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 cwltr-eaNta } <br />County of <br />W ANkeLe6 <br />OnyasisKoo. \L1 ,9.cl1 before me, VIV1W -M r� r N0 10 P edSLt1 <br />ere insert name an e e o e o icer <br />personally appeared <br />VyhN <br />who proved to me on the basis of <br />;atisfactbfy evidence to be the persons) whose <br />names) 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 />VIVIMITRAN <br />COMM. N 2216688 <br />WITNESS my hand and official seal. NOTARY PUBLIC�CALIFORNIA 4 <br />_ LOS ANGELES COUNTY 70atii <br />y Comm. Expires WOW 2, 2021 <br />www�ww.wxn.wxr <br />Notary Public Signature (Notary Public Seal) <br />Fill ,1Dim 1[.]killi119[01re],0110f7.li4Jui <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 />CJ Individual (s) <br />Corporate Officer <br />Iq—¢(r�Trt <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version vt w.NotaryClasses.com 800-673-9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />ON 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 />® State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />® 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 />0 The notary public must print his of her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />® Print the annuls) of document signer(s) who personally appear at the time of <br />notarization. <br />® Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />he/she/the};- is /are ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />® The notary seal impression must be clear and photographically reproducible. <br />Impression mus[ not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />® Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />® Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />® Indicate title or type of attached document, number of pages and date. <br />® Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CFO, CFO, Secretary). <br />0 Securely attach this document to the signed document with a staple. <br />
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