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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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. _ _ i <br /> A <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of��� (�t�� <br /> � - '' <br /> On f22���before me, So���� �-r-�` [�a5�'i5, �+-�'1 ���� , <br /> Date Here Insert Name nd Title of the fticer� <br /> personally appeared �,0� �• � <br /> ame(�of Sgn <br /> � <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person�whose name(�J is/�Ce subscribed to the <br /> within instrument and acknowledged to me that <br /> he/s�felt�y executed the same in his/ty�r/t�r authorized <br /> capacity(i�), and that by his/h�dtt�fr signature�j on the <br /> instrument the person(�j, or the entity upon behalf of <br /> which the person� acted, executed the instrument. <br /> ���� JULIE MA ROSAS <br /> Commisaion�1931141 I certify under PENALTY OF PERJURY under the laws <br /> s Notary Public-Calitornia D of the State of California that the foregoing paragraph is <br /> Su�Mateo County true and correct. <br /> M Comm.Ex ires A r 17,2015 <br /> WITNESS d and official seal. <br /> Signature �' v� s <br /> Place Notary Seal Above Signature of Notary 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 could prevent fraudulent remova!and reattachment of this form to another document. <br /> Description of Attached Document <br /> Title orType of Document: ��1�����da' /�D� �<`� fCz-% w�� /�"�G7 <br /> Document Date: c�:���C,�N��.�� �2�� Number of Pages: �3 <br /> Signer(s) Other Than Named Above: /t� Q <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: ���f � �L� S r's Name: <br /> [�Individual ❑ Indivi <br /> L�� Corporate Officer—Title(s): ❑Corporate ' r—Titfe(s): <br /> ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limite 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 /> , �� <br /> Signer Is Representing: Signer Is Representing: <br /> �02007 National Notary Association•9350 De Soto Ave.,FO.Box 2402•Chatsworth,CA 91313-2402•www.NationalNOtary.org Item#5907 Reorder:Call ToII-Free 1-800-876-6827 <br />
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