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CHRISP COMPANY
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Last modified
10/27/2016 4:18:36 PM
Creation date
9/24/2015 7:00:42 AM
Metadata
Fields
Template:
Contracts
Company Name
CHRISP COMPANY
Contract #
16-6851
Agency
Public Works
Council Approval Date
9/1/2015
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CALIFORNIA. ALL-PURPOSE ACKNOWLEDGMENT CIVIL COBE § 1169 <br />�cx�zxc:<rsrsrrsrRx.,-x;�rrrmssao.�.�i�cr,�.nacre.�.nerrcirs-st>r�.rrn.<,rrrcoarcecrarse��zx6 n,;r,:-cxr� .rna,rsra <br />A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, <br />- <br />State of California <br />County of Alameda <br />on 9/03/15 _ before me, Kay Ukes - Notary Public <br />Date Here insert Name and Title of the Officer <br />personally appeared Roger Weisbord <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person($) whose name(4) is/are <br />subscribed to the within instrument and acknowledged to me that he%heAthey executed the same in <br />hlsAhefAttaefsauthorized capacity(!es), and that by his/herythefr signature(t) on the instrument the person(5), <br />or the entity upon behalf of which the person($) acted, executed the instrument. <br />�Innnnnnunnnnunmamnnuunnnunnumnnnnnumuunnon. <br />KAY UKES <br />COMM. 462095563 <br />NOTARY PUBLIC- CALIFORNIA <br />ALAMEDA COUNTY <br />MY Comm. Exit. Jan. 1, 2019 <br />�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIII <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and off total seal. <br />77 <br />Signature�� <br />fgn ture of Notary Peib ' , <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Number of Pages: _e <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />U Partner — U Limited U General <br />U Individual U Attorney in Fact <br />U Trustee n Guardian or Conservator <br />I.J Other: <br />Signer Is Representing: <br />Signer's Name: <br />U Corporate Officer — Title(s): <br />U Partner — U Limited U General <br />U Individual U Attorney In Fact <br />U Trustee U Guardian or Conservator <br />I1 Other: <br />Signer Is Representing: <br />©2014 National Notary Association - www.NationalNotary.org • 1.800 -US NOTARY (1-800-876-6827) Item 115907 <br />
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