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JIMENEZ, ZETULIO & DE LA ROSA, ADRIANA
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JIMENEZ, ZETULIO & DE LA ROSA, ADRIANA
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Last modified
11/20/2017 12:26:52 PM
Creation date
9/19/2017 12:11:34 PM
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Contracts
Company Name
JIMENEZ, ZETULIO & DE LA ROSA, ADRIANA
Contract #
A-2017-197
Agency
PLANNING & BUILDING
Council Approval Date
8/15/2017
Destruction Year
0
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CALIFORNIA <br />- CODE § 1189 <br />S ' <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 _(L)(ff_, _U " ) <br />On. 1 0 before me, 0Cl(�it' r (41 ilG. <br />Date Here Insert Name and Title of tiji. O ficer <br />personally appeared 2-C' t� ( 0 vJ f mn {�i�-ez L (i1�n via <br />lie <br />2o5"-- Name(oofSigne s) <br />LA _ <br />who proved to me on the basis of satisfactory evidence to be the perso whose nam�(s •is/, <br />subscribes to the within instrument and acknowledged to me that he%sheJ ee executed the same in <br />Ns/tae ei uthorized capacity ies , and that by histlaer/Cei signatureOon the instrument the persooss <br />or the en ity upon behalf of whit the persorgs acted, e cuted the instrument. <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 />SU�CAl1NfORNIA WITNESS my nd and official seal. <br />NOTARY IC. <br />LAS J ILS <br />COUNTY <br />COMMISSION M 2106670 <br />MYCAMM.IMIOESA 10 12,2019 Signature �y <br />7►'s""r' <br />Signature of Notary Public <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 Docw een <br />Title or Type of Document: / Y ! I 1 / s ( 'I Document Date: <br />Number of Pages: Signer(s) Other Than N ed 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 L 1 Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): _ <br />❑ Partner — 17 Limited Cl General <br />C7 Individual I Attorney in Fact <br />❑ Trustee 1 Guardian or Conservator <br />❑ nthAr• <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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