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HABITAT FOR HUMANITY OF ORANGE COUNTY -2016
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HABITAT FOR HUMANITY OF ORANGE COUNTY -2016
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Last modified
3/31/2021 10:53:24 AM
Creation date
9/13/2016 10:27:01 AM
Metadata
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Contracts
Company Name
HABITAT FOR HUMANITY OF ORANGE COUNTY
Contract #
A-2016-012
Agency
PLANNING & BUILDING
Council Approval Date
1/19/2016
Destruction Year
0
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.• ACKNOWLEDGMENT <br />s<.a .a e .�• e..�.,,� .:at.c. a�.a. x� ae.m��. a. a.,v..�•.�w z s�e.•.�� .o�•,c�.. ,.wa.!- .ae.e. .a �..w..a,e.ae.c.. m .a< � :. <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 />State of California <br />County of <br />On J"Le 3 , i-w. before me, i2Oc�V1 iv � (DAP St IJ Y�A V� {PU.k/i iL <br />Date Here Insert Name and Title of the Officer <br />personally appeared k\/�C, CA, y Z,5 <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persong whose name,(s( is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />hls/•heM+Teir authorized capacity(i6), and that by his /herAheir signatures) on the instrument the person(s -r, <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />ROSA A. FLORES <br />+' ...... �'* Commission M 2057129 <br />:z Notary Public . California i <br />Orange County <br />4 Comm. Ex ires Feb 7,, 2018 <br />Place Notary Seal Above <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 official seal. <br />Signature /SI' Yll'JfiL, (il , A)q� <br />Signature of Notary Public <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: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />- ✓6V4-4'd ... ... 'ei v4Ll-✓4V _✓ 4v .�� ' . ✓4L'%4�. 'eve.. v4u4'✓.ti�4'.✓ -✓�A'y,4'✓ ........... - ✓4'e -✓ 'tY ui- <br />
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