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HERNANDEZ, MARIA ROSA (3)
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HERNANDEZ, MARIA ROSA (3)
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Last modified
1/9/2019 10:11:48 AM
Creation date
1/7/2019 10:39:06 AM
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Contracts
Company Name
HERNANDEZ, MARIA ROSA
Contract #
A-2018-264-02
Agency
PUBLIC WORKS
Council Approval Date
11/20/2018
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE 4 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 />County of a'Niaq f/ J} <br />On tLl LY7 �:Olbefore me, Ld <br />i <br />Ij Date Hu Ins1ert Name Uf <br />the Officer <br />personally appeared mi)C, P;0(0, N TIIUty-af - <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence be tlI�e person�5f whose name,resubscrib <br />to the within instrume t and acknowledged to e that a sh /,ff ey executed the same ih�s/ er/ty%ir <br />authorized capacity(iWs), and that' bty t (s/her/tly it Signa ure n the Instrument the person A or tffie entity <br />upon behalf of which the person/ acted, executed the ins rument. <br />J r I certify under PENALTY OF PERJURY under the <br />Notary Public - California laws of the State of California that the foregoing <br />Onn0e County paragraph is true and correct. <br />Commission# 2150099 <br />0111111 Comma kesA r 21.2020 WITNESS my hand and official seal. <br />Place Notary Seal and/or Stamp Above <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 />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — <br />11 Partner — ❑ Limite <br />❑ Individual <br />❑ Trustee <br />❑ Other: <br />Title(s): <br />1 ❑ General <br />Signer is Representing: <br />❑ Attorney in Fact <br />❑ Guardian of Conservator <br />,�.r..r .� .:,...a ,:�, �.--....,. T..._ ; • ,,.,,. .-.,:-.. � .nE u:,F.;:..w. �,�.�.,:,.x„....,,:-:.. - -5 ...�t'•.:;e .. z9r.;-....-_ -�,. <br />C2017 <br />
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