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25B - AGMT LIGHTING FIXTURES POLICE DEPT
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09/04/2018
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25B - AGMT LIGHTING FIXTURES POLICE DEPT
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Last modified
8/30/2018 7:37:24 PM
Creation date
8/30/2018 7:25:49 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Finance & Management Services
Item #
25B
Date
9/4/2018
Destruction Year
2023
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 5 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 <br />County of 2 V cmj le <br />On I I V A I, IS, ZU 19-- before me, N'1V!5:1 VU{ 4CH N 1(.' S .t'1 I if7,(j4 nW1 I G <br />Date Here Insert Name and Title of the Officer <br />personally appeared Chris Shown L I V (blo-c m <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name(a) is/are subscribed <br />to the within instrument and acknowledged to me that he/sge><" executed the same in his/he##teir <br />authorized capacity(les), and that by his/he4W;o# signature(ay on the Instrument the person(3r or the entity <br />upon behalf of which the person(4acted, executed the Instrument. <br />�CHRISTINA LYNN HENRICKSEN <br />Notary Public •California <br />Riverside County <br />^ Commission 0 225214 <br />MY Comm, Expires Aug 2, 2022 <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 />Signature <br />Signature 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: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Sfgner(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — D Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />O Trustee ❑ Guardian of Conservator <br />❑ Other. <br />Signer Is Representing: <br />02017 National Notary Association <br />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner— D Limited ❑ General <br />D Individual ❑ Attorney in Fact <br />O Trustee 17 Guardian of Conservator <br />❑ Othec <br />Signer is Representing: <br />25B-93 <br />
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