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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 �� C SS. <br />On ��� \�� �� before me, L �� <br />ATE,,,.°-- <br />personally appeared y/\ �VL>ni -' �S who proved to me on the <br />basis of satisfactory evidence to be the persoq�gf whose nameofDgr6"subscribe4 to fll e within instrument <br />and acknowledged to me that he,�executed the <br />same in< er-/�uthorized capacity wsl, and that <br />by his /her /their signature(0 on the Instrument the <br />person (y7; or the entity upon behalf of which the <br />persons) acted, executed the instrument. <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 />W112 y hand and official seal. <br />r <br />L. KANE <br />it UP. 1690236 NOTARY'S SIGNATURE <br />NOTARY PUBLIC - CALIFORNIA <br />ORANGE COUNTY <br />MY Comm. EXP. MAY 20, 214 E <br />PLACE NOTARY SEAL IN ABOVE SPACE <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 <br />CAPACITY CLAIMED BY E <br />❑ INDIVIDUAL <br />❑ CORPORATE OFFICER <br />PARTNER(S) <br />ATTORNEY -IN-FACT <br />TRUSTEE(S) <br />GUARDIAN /CONSERVATOR <br />OTHER: <br />document. <br />(PRINCIPAL) <br />TITLE(S) <br />SIGNER (PRINCIPAL) IS REPRESENTING: <br />NAME OF PERSON(S) OR ENTITY(IES) <br />DESCRIPTION OFATTACHED DOCUMENT <br />TITLE OR TYPE OF DOCUMENT <br />NUMBER OF PAGES <br />RIGHT <br />THUMBPRINT <br />OF <br />SIGNER <br />uIxER <br />APA01 /2008 NOTARY BONDS, SUPPLIES AND FORMS AT II'PIP: //WWWNALLEY- SLERRAUOM ® 2005 -2008 VALLEY - SIERRA INSURANCE <br />
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