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HOANG, DAT NGOC-2018
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HOANG, DAT NGOC-2018
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Last modified
3/12/2018 3:16:01 PM
Creation date
3/12/2018 1:12:04 PM
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Template:
Contracts
Company Name
HOANG, DAT NGOC
Contract #
A-2018-035
Agency
PUBLIC WORKS
Council Approval Date
2/20/2018
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1181, <br />cEN a6 .l e`t. F-<,•.> .... — E. ce..' ia:. Y Y:[NS'Yi r ¢": iF:9e k.a.: r..•e<. Y:¢... a.ta,Yk a an.ei.§a Ur <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of GrLw <br />On dR,ML pd �I before me, )1U 1 r4 i D <br />Date Here Insert ame and Tittle of the Officer <br />personally appeared <br />of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personr(elwhose named is/g/e subscribed <br />to the within instrument and acknowledged to me that he/�Keftt 4y executed the same in his/hhdr/tty+sir <br />authorized capacity(;ids), and they hlsfhlr/thXir signature on the instrument the person, or the entity <br />upon behalf of which the person acted, executed the Instrument. <br />Capacity(des) Claimed by Signer(s) <br />Signer's Name: VQ1W1nT� <br />I certify under PENALTY OF PERJURY under the <br />JULY �Y <br />Notary <br />-ly California <br />laws of the State of California that the foregoing <br />Carrow Co6loh <br />z ® nopp <br />paragraph is true and correct. <br />CommissIon N 2150099 <br />M Comm. E• iris A r'23, 2020 <br />WITNESS my hand and official seal. <br />❑ Trustee <br />❑ Guardian of Conservator <br />❑ Other: <br />Slgnatur <br />Place Notary Seal and/or Stamp Above <br />Signature of Notary Public <br />OPTIONAL <br />Completing this information can deter alteration of the document or <br />fraudulent reattachment <br />of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: frmxt- by/?4J <br />Document Date: �VfzF �,. <br />NumberofPages: <br />Signer(s) Other Than Named Above: <br />Capacity(des) Claimed by Signer(s) <br />Signer's Name: VQ1W1nT� <br />❑ Corporate Officer — Title(s): <br />— Title(s): <br />❑ Partner — ❑ Limited <br />❑ General <br />,dIndlvidual <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: NIa <br />Signer's Name: <br />❑ Corporate Officer <br />— Title(s): <br />❑ Partner— ❑ Limited ❑ General <br />❑ Individual <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian of Conservator <br />❑ Other: <br />Signer is Representing: <br />�>:+.:..-•:-s•.:,aa •,: +r. ,; 'r•.eas•.. ..t�,�at. .::ur..>r: �at.a � Y:� :v:•x r . <br />C2017 National Notary <br />
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