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BASURTO, LORENA; MARTINEZ, MARGARITA
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BASURTO, LORENA; MARTINEZ, MARGARITA
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Last modified
4/13/2018 1:45:07 PM
Creation date
4/13/2018 11:24:22 AM
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Contracts
Company Name
BASURTO, LORENA; MARTINEZ, MARGARITA
Contract #
A-2018-076
Agency
PUBLIC WORKS
Council Approval Date
3/20/2018
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California 1 <br />Countyof_ UrCthof. J} <br />On j(A11L{= vino[k_ before me, H 1 I �I VO 0UL(i(i , <br />Date Here lnse t Name an Title of the Officer <br />personally appeared <br />Nome(s) of <br />who proved to me on the basis of satisfactory evidence tob the person(s) whose name(s) yr/are subscribed <br />to the within instrument and acknowleggeyyl1 to me that I//oe/they executed the same in his/her/their <br />authorized capacity(ies), and that by Ys/hkr/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />JULY Ly <br />Natuy Pat W • ClltilorMl <br />Or" C" <br />N O ninNlvfOn�PtiPppB -tl <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Sign <br />OPTIONAL <br />of Notary Public <br />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 <br />Title or Type of Document: (21MU b tR4 <br />Document Date: joyiyotW q, dn,p NumberofPages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner— ❑ Limited ❑ General <br />0 Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />©2017 National Notary Association <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />,Pf Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />
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