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Mills Act Contract 802 Edgewood Rd Nicolet & De Brine
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Mills Act Contract 802 Edgewood Rd Nicolet & De Brine
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Last modified
1/5/2015 2:45:43 PM
Creation date
1/5/2015 2:45:40 PM
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Template:
Agreement
Contractor Name
William Nicolet and Joan De Brine
PROJECT NAME
802 Edgewood Rd 052-101-180
Date
12/15/2014
Reso Ref
15383
MO Ref
14-183
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of �ln ��1.��' <br /> On C�.�l� ��� ��`f before me, �rl�6�r+ ��S �Ivc�'�Yy �Jb(�c <br /> Date Here Insert Name�end Title of the Offic r � <br /> personally appeared ���,tQ+^� �c:�W�� N +L��fi <br /> Name(s)of Signer(s) <br /> � <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person(sj whose name(afi is/a�e subscribed to the <br /> within instrument and acknowledged to me that <br /> he/sHe/tbeq executed the same in his/.per/tk�eTr"authorized <br /> capacity(i�sj, and that by hisl�F/th�irsignature(�J on the <br /> KRISTEN MEES instrument the person(�; or the entity upon behalf of <br /> ^ Commission�e 1994936 = which the person(5�acted, executed the instrument. <br /> � Notary Public-CaliforMa � <br /> San AAateo Counry I certif under PENALTY OF PERJURY under the laws <br /> Comm.E Nov t S,2016+ y <br /> of the State of California that the foregoing paragraph is <br /> true and correct. <br /> WITNESS my hand and official seal. <br /> Signature .���,��?�' �V��J�� <br /> Place Notary Seal Above Signature of Notary Public <br /> OPT/ONAL <br /> Though the information below is not required by law, it may prove valuab/e to persons relying on the document <br /> and could prevent fraudulent remova/and reattachment of this form to another document. <br /> Description of Attached Document � <br /> Title orType of Pocument: l°.���f V32-�ro�� '�uC- G�-,o� W���t'C��., rj,�c,�lat' Ly,.,.,i J�,� �P �'irie �z;� �-�S��r� <br /> �;��'�'✓�.f�'- c�E- � � ��,Zt.aar (�'��- <br /> Document Date: ���4�hp— 1-(F �l`f Number of Pages � 3 <br /> Signer(s) Other Than Named Above: � ( V� <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: w' �� �a✓�+ �=C,�Wa'�� N��'� Signer's Name: <br /> l� Individual ❑ Individual <br /> ❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s): <br /> ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General <br /> ❑ Attorney in Fact . • ' ❑Attorney in Fact . • �' <br /> ❑ Trustee Top of thumb here �Trustee Top of thumb here <br /> ❑ Guardian or Conservator ❑Guardian or Conservator <br /> ❑ Other: ❑Other: <br /> Signer Is Representing: Signer Is Representing: <br /> �2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationalNOtary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6827 <br />
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