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HERNANDEZ, MARIA ROSA (2)
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HERNANDEZ, MARIA ROSA (2)
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Last modified
1/9/2019 10:11:39 AM
Creation date
1/7/2019 10:39:05 AM
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Contracts
Company Name
HERNANDEZ, MARIA ROSA
Contract #
A-2018-264-01
Agency
Public Works
Council Approval Date
11/20/2018
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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 <br />County of l/{�S o a -P/ I <br />On-I1$lAS� 1(k before me, 61 L 0 <br />Date Here Insert No e and Title of the Officer <br />personally appeared JVLIA O- UfG- ti P f1n wt1 d P Y <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence t be the personrwhose name is/a e su scrib <br />to the within instrumerryyt and acknowledged to e that /sh A y executed the same in s/h r/t r <br />authorized capacity(!?s), and that by FSIs/her/th� signature on the instrument the persoh�), or the entity <br />upon behalf of which the person acted, executed the instrument. <br />JULY LY <br />Notary Public • California <br />Orange County <br />Commission N 2150099 <br />@My Comm. Ea Baas A r 23 2020 <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 />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 />t• 6 .)n ... p:.n>`.. ynp ., .. t.. •qhs.. vy d ..wr. .h.t .r `frn,1:�. ,• ryiR vd'e <br />02017•Notary Association <br />
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