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RIEKSE, MARVELLE J. ROSTINE (2)
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RIEKSE, MARVELLE J. ROSTINE (2)
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Last modified
1/31/2018 11:16:39 AM
Creation date
1/31/2018 11:13:20 AM
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Template:
Contracts
Company Name
RIEKSE, MARVELLE J. ROSTINE
Contract #
A-2017-294
Agency
Planning & Building
Council Approval Date
11/7/2017
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 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 C G V1 L ) <br />On OU 6ir 1-5) Rola before me, 50na rjOl� �(Clhd i R✓vt +A 6 �12 <br />Date /►/� ] j yere Inserot�(ame and Title of the fficer <br />Personally appeared !� It (V4I'� ROSyV 1> PG KS a �— <br />NameV of Signed* <br />Are— <br />who proved to me on the basis of satisfactory evidence to be the p� onJa� whose name(s}�Are-- <br />subs ibed to the within instrument and acknowled d to me that -4e/ h tl;ey executed the same in <br />I' hei/ibair authorized capacity(ies), and that by hie/ e tit signature,(s�-on the instrument the personj*, <br />or t e entity upon behalf of which the person* acte ,, executed the instrument. <br />S®ONA MOORADIAN <br />NOTARY PUBLIC • CALIFORNIA <br />COMMIS51ON N�21UNTY <br />06670 <br />MY COMM. EXPIRES APRIL 12, 2019 <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 h d and official seal. <br />Signature <br />Signatuotaty <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 Docu e t <br />Title or Type of Document: ' (L Document Date: <br />Number of Pages: Signers) Other Tha Named Above: <br />Calpacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual Cl Attorney in Fact <br />p'irustee 7 Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited C General <br />C7 Individual C_; Attorney in Fact <br />Cl Trustee 1 Guardian or Conservator <br />Ll Other: <br />Signer Is Representing: <br />©2014 National Notary Association - www.NationalNotary.org ^ 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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