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NUNEZ, BOLIVAR - 2016
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NUNEZ, BOLIVAR - 2016
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Last modified
10/18/2016 11:12:32 AM
Creation date
10/17/2016 10:13:49 AM
Metadata
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Template:
Contracts
Company Name
NUNEZ, BOLIVAR
Contract #
A-2016-214
Agency
PUBLIC WORKS
Council Approval Date
8/2/2016
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who sig7the <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��,�6 \S �� '�I)I, before me, <br />os Ii, "� ✓L� i ^ {'• (' <br />Date Here Insert Name and Title of the Officer <br />personally appeared �CG 1 Ck Cytiw`GiZ( 5 <br />Names) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(4 whose name(e)' is/are <br />subscribed to the within instrument and acknowledged to me that he /sheAhey executed the same in <br />his/her/thteiwauthorized capacity(iesj, and that by his /her/their signatures} on the instrument the person(sj, <br />or the entity upon behalf of which the person(sracted, executed the instrument. <br />ROSA A.FLORES <br />commission # 2057129 <br />i "�' Notary public - California n <br />z' "� -" Orange County <br />M Comm. Expires Feb 7. 2018 f <br />Place Notary Sea( 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 ( �y <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 />_ ICWXXIC11 CZ;`e4e?�*= c¢,.e�, TZ'c�:` •e?;'F.rJk'T =c.? .�E.w�c..Fez:`�U 4`�f;' .' ;sec+e ms _-f csc;�e7wc6?�c:? :¢ c>e�oe <br />02014 National Notary Association • www.Nationa[Notary.org - 1- 800 -US NOTARY (1- 800- 876 -6827) Item #5907 <br />
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