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RIOS, ANTONIO DBA THE SMOG PLACE - 2013
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RIOS, ANTONIO DBA THE SMOG PLACE - 2013
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Last modified
3/25/2015 1:24:38 PM
Creation date
4/29/2014 8:54:54 AM
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Contracts
Company Name
RIOS, ANTONIO DBA THE SMOG PLACE
Contract #
A-2013-184
Agency
PUBLIC WORKS
Council Approval Date
12/2/2013
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ALL - PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of SS. ii`�S.�P.,� ) <br />On M\7-A o, before me, � <br />ATE A _ci- -- .. <br />personally appeared <br />M <br />who proved to me on the <br />basis of satisfactory evidence to be the perso�S whose nam5k�fla),i� subscribedd;e -tlte within instrument <br />and aelmowledged to me that het�executed the <br />same iI lilis ei;theivtuthorized capacity�'"and that <br />by his /her /their signatruS�,$) on the instrument the <br />persorI or the entity upon behalf of which the <br />persoijW acted, executed the instrument. <br />I. KANE <br />N Comm.# 1690236 11^� <br />NOTARY PUBLIC - CALIFORNIA YI <br />ORANGE COUNTY <br />%MY COMM. EXP. MAY 20,204 <br />PLACE NOTARY SEAL IN ABOVE SPACE <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNE y hand and official seal. <br />r <br />C� NOTARY'S SIGNATURE <br />OPTIONAL INFORMATION <br />The information below is optional. However, it may prove valuable and could prevent fraudulent attachment <br />of this form to an unauthorized document. <br />CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OFATTACHED DOCUMENT <br />INDIVIDUAL <br />CORPORATE OFFICER <br />PARTNER(S) TITLE(S) <br />ATTORNEY -IN-PACT <br />TRUSTEE(S) <br />GUARDIAN /CONSERVATOR <br />OTHER: <br />SIGNER (PRINCIPAL) IS REPRESENTING: <br />NANIE OF PERSONS) ORENTITY(IES) <br />I I TLE OR'TYPE OF DOCUMENT <br />NUMBER OF PAGES <br />RIGHT <br />THUMBPRINT <br />OF <br />SIGNER <br />U1T1ER <br />APA01/2008 NOTARY BONDS, SUPPLIES AND FORNISA'IIIIIPI /W W WAALLEY-SIERRA.COM t) 2005- 2008VA1-1.EYSIERRAINSURANCE <br />
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