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VARGAS, QUIRINO (3)
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VARGAS, QUIRINO (3)
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Last modified
12/18/2018 2:28:38 PM
Creation date
12/18/2018 2:19:16 PM
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Template:
Contracts
Company Name
VARGAS, QUIRINO
Contract #
A-2018-195-02
Agency
Public Works
Council Approval Date
8/21/2018
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE g 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 l <br />County of Of QYIUel J} <br />On before me,IUIN LIr Nojih pUl(iy <br />Date Her % sert Name a d Title of the Officer <br />personally appeared CtiAIYIhD Vafoar <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person whose name(af is/ire subscribed <br />to the within instrument and acknowledged to me that he/Te/tA exec ted the same in his/Fy�r/tl7�r <br />authorized capacity(ips), and that b hish?4/t/h4ir signature,( on the instrument the person( or the entity <br />upon behalf of which the personoacted, executed the instrument. <br />r - <br />I certify under PENALTY OF PERJURY under the <br />XLYLY <br />laws of the State of California that the foregoing <br />Notofy Public-CaliPornie <br />paragraph is true and correct. <br />Orange County <br />❑ Attorney in Fact <br />Oommleelon 0 2950099 <br />M Comm. Expires Apr 2S, 2020 <br />WITNESS my hand and official seal. <br />❑ Other: <br />Signature ,--:,- 0AAt,1_ <br />Place Notary Seal and/or Stamp AboveSigna <br />ure of Notary Public <br />OPTIONAL <br />Completing this information can deter alteration Yf the document or <br />fraudulent reattachment <br />of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Number of Pages: <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 />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited <br />❑ General <br />❑ Individual <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />- rrx+. s • t: e;, �•`.. ,.:,'� Ioy<„ Y � n • e+gw F xc,.c.. r r"•h .K:.� r , �.... L.a w... <br />020117•Notary Association <br />
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