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23B - PROJ - ROADWAY REHAB
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06/16/2015
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23B - PROJ - ROADWAY REHAB
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Last modified
6/11/2015 3:48:41 PM
Creation date
6/11/2015 3:30:35 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
6/16/2015
Destruction Year
2020
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County cf Los Angeles <br />On May 13, 2015 before me, Jovana Stephenson Notary Public <br />Date Here insert Name end Title of the Officer <br />personally appeared William Ramirez _ <br />Name (s) of Signers <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is /are subscribed to the <br />within instrument and acknowledged to me that he /sheAhey <br />executed the same In his/her /their authorized capacity(ies), <br />and that by his/her /their signature(s) on the instrument the <br />dOVANn STEPHENSON person(s), or the entity upon behalf of which the person(s) <br />Commission # 1955660 acted, executed the instrument. <br />Notary Politic • California i I certify under PENALTY OF PERJURY under the laws of <br />San 6arnsrdino County the Sta=handand he foregoing paragraph is true <br />M Comm, Ex tires Oct 8, 2015 W and co <br />Witnes <br />Place Notary Seal Above <br />Though the information below is not required by taw, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: Ownership Affidavit - McFadden Ave, to Harbor Blvd. Santa Ana <br />Document Date: May 12,, 2016 Number of Pages: 1 <br />Slgner(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />n <br />Signer Is Representing; <br />Signer's Nan <br />❑ Individual <br />❑ Corporate Officer — Tltle(s): <br />❑ Partner —❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />n <br />Signer Is Representing: <br />02007 Nations) Notary Assooiadon, 53(0 Do Solo Ave., P.e. Box 2402. ghalaworlh, CA 0i 31 &2482, www.NatlonalNotaryorg lom 05907 neordec Cefl ToIFFroo l,000- 8766827 <br />23B -23 <br />
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