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Item 11 - Civic Center Drive Rehabilitation from Shelton Street to Flower Street
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Item 11 - Civic Center Drive Rehabilitation from Shelton Street to Flower Street
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5/21/2025 5:40:29 PM
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3/13/2025 8:10:29 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
11
Date
3/18/2025
Destruction Year
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CITY OF SANTA ANA <br />APPENDIX C <br />PROJECT NO.: 25-6711 <br />CIVIC CENTER REHABILITATION <br />Notary Acknowledgment <br />A notary public or other officer completing this certificate verifies <br />only the Identity of the individual who signed the document to <br />which this certificate is attached, and not the truthfulness, <br />accuracy, or validity of that document. <br />STATE OF CALIFORNIA <br />COUNTY OF Orange <br />On February 27 2025 , before tne, Morgan E. Churnock , Notary Public, personally <br />Da(e• Name And Title Of Officer (e.g. 'Jane Doe. Nolan- Public") <br />appeared Michael Amundson , who proved to me on the basis of satisfactory <br />Nunn(,) of Signcr(s) <br />evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me <br />that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) <br />on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correc <br />MORGAN E. CHURNOCK <br />W Notary Public - California Z WITNESS m hand and official seal. <br />Orange County >; y <br />Commission 112377551My , wrim. Expires Oct 5, 2025 <br />Place Noun Seal Abo,e Sig IUfe 'ultl I'U l <br />OP ONAL <br />Though the information beloir is not required by larv. it may prove valuable to persons relving on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT <br />❑ Individual <br />❑ Corporate Officer <br />Title(s) Title or Type of Document <br />❑ Partner(s) ❑ Limited <br />❑ General Number of Pages <br />❑ Attorney -In -Fact <br />❑ Trustee(s) <br />❑ Guardian/Conservator Date of Document <br />❑ Other: <br />Signer is representing: <br />Name Of Person(s) Or Entity(ies) <br />Signer(s) Other Than Named Above <br />NOTE: This acknowledgment is to be completed for Contractor/Principal. <br />
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