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Item 17 - Residential Street Repair Program FY 2022-23
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07/18/2023 Regular and Special HA
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Item 17 - Residential Street Repair Program FY 2022-23
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7/13/2023 5:02:57 PM
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7/12/2023 12:10:01 PM
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City Clerk
Doc Type
Agenda Packet
Item #
17
Date
7/18/2023
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />.A... ,. ..i>... .. A?�"4d �....(..A,. .[..afLC.[.:..'�.t. t.!Jf..e..: .t... R.: :(7£.C.. �: :..: t. : . .. �:: max. � : .�. �.�C,:��i.,c�.X'�. �t.�Xl ���]C#�.T:�:,}�.''.i.i..:.:'�5�:��-A\,::i.A.\f�.f.���i�.(:\•.:1.1�•'4e.�.`..C:i�'�'a.f:�"w.t:�'.%.t:``./X.c �a.CT�.t.�:Ck�:C�..c �.:..�5�: �f��:`ll.�t.)` : �-Z.: R. �,�..1�.`� <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Orange <br />On July 101 2023 before me, Carly Bredal, Notary Public , <br />Date Here Insert Name and Title of the Officer <br />personally appeared Corey R. Kirschn <br />Name(4 of Signer <br />who proved to me on the basis of satisfactory evidence to be the person(x) whose name( is/axe <br />subscribed to the within instrument and acknowledged to me that he/sOfe/tfvy executed the same in <br />his/lier/their authorized capacity(iot), and that by his/hxr/their signature(g) on the instrument the person(a), <br />or the entity upon behalf of which the person(x) acted, executed the instrument. <br />sL OF <br />h y�...:,,�.� CARLY BREDAL <br />� <br />Notary Public - California <br />z ' T <br />z- <br />Orange County ; <br />Commission # 2442539 <br />�.4 1 o My <br />Comm. Expires Mar 28, 2027 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />s4nature of Notary Public <br />OPTIONAL <br />Though this section is optional, 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 />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) 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 or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />�i--J- != - .. ft:-'V `-"''�f�:»•\f �"'+Vr `^'.�%`':':kl�`-:`.V•�'�%� � .... .... ....i ......1'.1:f'+.+�=�i'(<,..T�,/����'� 'e: yh. �4.'.�:��`�.�h � t=:��a'_ `%+.. �Y<-.-CX< rCq� ..�< <- t ,�<- :,C��.�, _ r -c • - <br />f <br />©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />
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