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LEWIS, JOHN F. AND JANE S. - 2008
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LEWIS, JOHN F. AND JANE S. - 2008
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Last modified
1/3/2012 2:47:52 PM
Creation date
12/17/2008 2:46:33 PM
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Template:
Contracts
Company Name
LEWIS, JOHN F. AND JANE S.
Contract #
A-2008-318
Agency
PLANNING & BUILDING
Council Approval Date
12/1/2008
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of i'C~ t1~- <br />On~n_ee.,,.~o r la, .~.^~~ before me, ~~ /,~ <br />Dare to ' Here lose <br />personally appeared ~Cd V IrC~ I V - ~wt- <br />SWDttA AMICI <br />Commisskn i 1541 71 b <br />-b1aY F'ubYc • CaWorNO ~_ <br />MV Comm.. Et~lw Jon 6. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br />WITNESS my hand and official seal. <br />Signature ~/h/-~%[~- (~,-+.~-~=~- <br />Place Notary Seal Above ' Signature of Notary Public <br />who proved to me on the basis of satisfactory evidence to <br />be the person whose name' t aresubscribed to the <br />within instrument and acknowledged to me that <br />r,~she/fkey-executed the same i hi hedtljeir2uthorized <br />capacity~ies)' and that by~eNt}~eir signature(ar'on the <br />instrument the person(s); or the entity upon behalf of <br />which the persons acted, executed the instrument. <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment o/ this Iorm to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date:~2ciY+~.ZV ~, ~2r?~~~'N~u-mblerofPatg-esJ ~ I <br />Signer(s) Other Than Named Above: T(t.6'1 P. S . Gin C~ `J OY~ v~ {~. L-~~ i S <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />^ Individual <br />Corporate officer-Title(s): <br />^ Partner - C Limited ^ General _ <br />Attorney in Fact <br />^ TfU51ee Top of thumb here <br />^ Guardian or Conservator <br />^ Other: <br />Signerls Representing: <br />Signer's Name: <br />^ Individual <br />^ Corporate Officer -Title(s): <br />^ Partner - ^ Limited ^ General _ <br />Attorney in Fact <br />TfUStee Top of numb here <br />^ Guardian or Conservator <br />^ Other: <br />Signerls Representing: <br />®20D]Nafional Notary ASSeelallen•93560e Solo AVe.,P.O.BOx 2402•ChaLSww[h, CA 91313-24Q2•vr•w.NationelNolaryorg I[em k590] Reortler: Call Toll-Free 1-B66-B]6-682] <br />
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