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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 c�, �'�tG�tC� <br /> On �Ic�Jemjy- .�aa o�01`� before me, �(15�2� �P�.'S �a�'�/ ������ , <br /> Date Here Insert�Name and Title of th Officer <br /> .�^ <br /> personally appeared ��r^� ��-' ����`Q <br /> Name(s)ot Signer(s) <br /> � <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person(�j whose namefs) is/a�e-subscribed to the <br /> within instrument and acknowledged to me that <br /> -be/she/t#ey executed the same in�is/her/t�ir authorized <br /> . capacity(ies�), and that by�►is{her/t#�eirsignature(s) on the <br /> KRISTEN MEES instrument the person(�, or the entity upon behalf of <br /> Commisaion# 1994936 which the person(�}acted, executed the instrument. <br /> � -: Noury Public-C�litornia i <br /> San Mateo Count�r � t certify under PENALTY OF PERJURY under the laws <br /> My Comm.Expires Nov te,20t6 of the State of California that the foregoing paragraph is <br /> true and correct. <br /> WITNESS my hand and official seal. <br /> Signature c�\ � V� <br /> Place Notary Seal Above Signature of N tary Public <br /> OPTIONAL <br /> Though the information below is not required by law,it may prove valuable to persons relying on the document <br /> and cou/d prevent fraudu/ent removal and reattachment of this form to another document. <br /> Description of Attached Document <br /> Title or Type of Document:C°on��t r3e�>� I��- a:-� (,c;,���Gt� N��'i�'r � `So�.� D�k3��ht �i' ��+.S��t Y`��a.1''B�� <br /> �r��'uaF►J, �� 8�� E��e�.aaa I`z°'�' . <br /> Document Date: ti e��w.bj-- Number of Pages: 1� <br /> Signer(s) Other Than Named Above: �� � <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: ���'� ������e' Signer's Name: <br /> C� Individua� ❑ 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 af thumb here <br /> ❑ Guardian or Conservator ❑Guardian or Conse tor <br /> ❑ Other: ❑Other: <br /> Signer Is Representing: Signer epresenting: <br /> 02007 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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