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VARGAS, QUIRINO (2)
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VARGAS, QUIRINO (2)
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Last modified
12/18/2018 2:28:17 PM
Creation date
12/18/2018 2:19:15 PM
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Template:
Contracts
Company Name
VARGAS, QUIRINO
Contract #
A-2018-195-01
Agency
Public Works
Council Approval Date
8/21/2018
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />A notary pub is 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 0 ro A� el <br />Ondot, 0(C before me, �Ul V hu61(f, <br />Date Herre Insert Name and Title of the Officer <br />personally appeared <br />who proved to me on the basis of satisfac <br />to the within instrument and acknowledgE <br />authorized capacity(io), and that by his/h, <br />upon behalf of which the persont(4 acted, <br />JULY LY <br />Notary Publio • Californias <br />®ran®e County <br />Commission N 2160099 <br />WIlly Comm. Es Iran A rr 23, 2020 <br />Place Notary Seal and/or Stamp Above <br />Nome(s) of <br />evidence to by the/ person whose name(a) is/4✓e supscrib <br />me that he/� /they exec ted the same in his/ er/tfr6ir <br />eir signature' the instrument the person the entity <br />:uted the ins((rument. <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 />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: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) 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 of Conservator <br />❑ Other: <br />Signer is Representing: <br />NumberofPages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />.. .. .•.. :, ,..�_; •.rn i ;., as>'e'•53i-. +R•. a'., T•'a* •r 'v:q... fe.. aE.T' ��•3..3•a+.+•..,r,-:. ,. c,.:-7•-...,• .Y o -•re <br />02017 <br />
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