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KULIK, STEPHEN AND JESSICA
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KULIK, STEPHEN AND JESSICA
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Last modified
3/28/2018 1:04:16 PM
Creation date
3/28/2018 9:34:02 AM
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Template:
Contracts
Company Name
KULIK, STEPHEN AND JESSICA
Contract #
A-2017-276
Agency
PLANNING & BUILDING
Council Approval Date
10/17/2017
Destruction Year
0
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CALIFORNIA ALL-PURPOSE <br />ACKNOWLEDGMENT .. <br />w===M=u= <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 "( If U rX C ) �/� / <br />On VCS P�7�YILV d Qy a 01_) before me, s to 1 ' I O) Af6�� t J!� �� <br />Date Here Insert Name and Title of fhe Officer <br />personally appeared 2+-P 01-P VI 0 r F, u I I K n 0 A JP S <br />NameQ of Signer <br />who proved to me on the basis of satisfactory evidence to be the person@ whose name(s)) ia/aC <br />subscribe to the within instrume t and acknowledged to me that heLshe/t a executed the same in <br />hisLher/ authorized capacity es , and that byfTisiher/fe signature s(�bn the instrument the person <br />or the entity upon behalf of which he perscinLO acted, executed the instrument. <br />_ SONA MOORADIAN <br />NOTARY PUBLIC - CALIFORNIA <br />LOS ANGELES COUNTY <br />COMMISSION N 2106670 <br />MY COMM, EXPIRES APRIL 12, 2019 <br />Place Notary Seal Above <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 hand and official seal. <br />Signature <br />Signature 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 Doc en <br />Title or Type of Document: WS Document Date: <br />Number of Pages: Signer(s) Other Th n 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 Cl General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee LI Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />TOW 10 on NAM 4 <br />
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