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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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ZALIFORNIA ALL-PURPOSE . yFfi § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signe7the <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 0 <br />On before me, f ,�r� Ii, �b ✓1S, PaO�i r j t�,(�LaG <br />Date Here Insert Name and Title of the Officer <br />personally appeared ��� Ur1 G� (Vrt2CiS <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name(By is /are <br />subscribed to the within instrument and acknowledged to me that he/she /they executed the same in <br />his /herftheir authorized capacity(ies)', and that by his /her/their signature(s)-on the instrument the person,(SI, <br />or the entity upon behalf of which the person(sracted, executed the instrument. <br />ROSA A.FLORES <br />' Commission # 2057129 <br />Notary Public - California x <br />z ' Orange County n <br />My Comm. Expires 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 <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 />02014 National Notary Association • www.NationalNotary.org > 1- 800 -US NOTARY (1 -800- 876 -6827) Item #5907 <br />
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