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NADIR A. SHOUNIA (2)
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NADIR A. SHOUNIA (2)
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Last modified
10/21/2013 11:32:22 AM
Creation date
5/5/2011 3:51:39 PM
Metadata
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Template:
Contracts
Company Name
SHOUNIA, NADIR A.
Contract #
N-2011-055
Agency
Public Works
Destruction Year
PERM
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ACKNOWLEDGMENT <br />State of California <br />County of <br />On <br />before me, <br />(insert narrteand title o(the utTtcer) <br />personally appeared <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she they executed the same <br />in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument <br />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 <br />foregoing paragraph is true and convect. <br />WITNESS my hand and official seal. <br />Signature <br />(Seal) <br />' (this area for ofTieial.notarial seal) <br />Government Code 27361.7 <br />I certify under penalty of perjury that the Notary Seal on the document to which this statement is <br />attached reads as follows: <br />Name of the Notary: i? ?} ? - yJ ?J ? -?"-?L <br />Date Commission Expires: t? / ? -Z.-?- ( ? 2 <br />County Where Bond is Filed: ©/1-t?Fs? G E <br />Commission Number: ? ? f3 S `?- ?-? ,/ <br />Manufacturer/Vendor Number: n9 ? ?4 1 ` <br />Place of Execut? n: ? ?tq-r-c, ? G?.?>-..- ? ? Date: ?,?j ??' f ?'? <br />Signature: <br />I certify under penalty of perjury and the laws of the State of California that the illegible portion <br />of this document to which this statement is attached reads as follows: <br />Place Execution: "" <br />"" . Date: <br />Signature:
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