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Agmt14 LSA Associates, Inc.
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Agmt14 LSA Associates, Inc.
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Last modified
2/29/2016 8:01:54 AM
Creation date
12/22/2014 4:38:27 PM
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Template:
Agreement
Contractor Name
LSA Associates, Inc.
PROJECT NAME
Woodside Rd (SR 84) and Middlefield Rd improvements, Prepare APE HPSR and ASR surveys
RMP File Number
304.5
Date
12/22/2014
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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 Cal' rnia ) <br /> County of �Q/� ) � <br /> � before me, \ l Yv�`�� " ���11 � , <br /> On�P.CPlY1�l� ��,P��_ �. <br /> Date Here Insert Name and Title he Officer <br /> personally appeared � ��� _� ���L ���n� <br /> Name(s) of Signer(s) <br /> , <br /> who proved to me on the basis of satisfactory evidence to be the persorQ�j whose nam�ris/are <br /> subscribed to the within instrume t and acknowledged to me that Ijefsbefthey executed the same i <br /> M+sit�er�'their authorized capacit ies,and tha I�isfh�/their signatur�on the instrument the perso sr� <br /> or the entity upon behalf of which the perso�s acted, executed 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 /> j�+�++�++��„� WITNESS my and and official seal. <br /> a CHRISTINE BRADY� <br /> � Commission#� 1949054 � � <br /> Z ''� Notary Public-Calitornia Z <br /> Z `�� Orange County > Signatur <br /> � My Comm. Expires Au 21,2p15 J Signa re of N tary 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 Document <br /> Title or Type of Document: Document Date: <br /> Number of Pages: Signer(s) Other Than Named Above: <br /> Capacity(ies) Claimed by ��8 n�e (s) �^r -r� <br /> Signer's Name: �.� �'�-t� Signer's Name: r"l �2-- �l�� <br /> �Corporate Officer — Title(s): Corporate Officer — Title(s): <br /> Partner — ❑ Limited ❑ General Partner — ❑ Limited ❑General <br /> ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact <br /> ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator <br /> ❑Other: ❑ Other: • <br /> Signer Is Representing: s 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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