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Agmt03 Kaiser Permanente
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Agmt03 Kaiser Permanente
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Last modified
6/8/2015 1:14:22 PM
Creation date
6/14/2004 12:10:33 PM
Metadata
Fields
Template:
Agreement
Contractor Name
Kaiser Permanente
PROJECT NAME
grant of public service easement
Date
10/8/2003
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />~ ~æ<'~~-G<'~ ~-G<' ,o<'X;<'~-G<' ~..c<>-G<'~~~..c<> ..c<>..c<>..c<> ..c<>..c<>~~..c<>~ -G<'~~ ~ ~ ~' <br /> <br />I 'I <br />I' State of California~.- M'It4a) } ss. : <br /> <br />~~~ ~) U I <br /> <br />I, 'I <br />I ,I <br /> <br />I, Date I <br />[I <br />personally appeared <br />I ' Namels) of Signerls) I <br /> <br />~perSOnallY ;nown to me I <br />D P ve basis of satisfactory <br />evidence ,I <br />I <br />to be the person(s) whose name(s) is/are J <br />... subscribed to the within instrument and I <br />.-. .-. .-. .-. ..-. -~;y-o:ë..., acknowledged to me that he/she/they executed 1 <br />Jfj Commission /I 1405356 the same in his/her/their authorized I <br />- .. . Notary PublIC. CaHfornia f capacity(ies), and that by his/her/their] <br />C.- San Mateo County . 1 signature(s) on the instrument the person(s), or <br />MyComm.ExplreiMar 14, 2007 the entity upon behalf of which the person(s) ] <br />[, -- -- -- -- -- -- -- -- -- -- -- acted, executed the instrument. I <br /> <br />I <br />I <br />'I <br />I I <br />I I <br /> <br /> <br />OPTIONAL <br /> <br />Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent <br />fraudulent removal and reattachment of this form to another document, I <br /> <br />I Description of Attached. Document -17' ~ . <br /> <br />: TItleonypeOfDOCÃß~f ~~c ~. ! - I <br /> <br />I Document Date: IS Zf!O-'7 Number of Pages: 1 <br />II <br /> <br />Ii Signer(s) Other Than Named Above: ...,-- I <br />I <br /> <br />Capacity(ies) Claimed by Signer I <br />'1 <br /> <br />I Signer's Name: ....-- I <br />I""'" I <br /> <br />I' D Individual Top of thumb here I <br />I D Corporate Officer - Title(s): I <br />D Partner - D Limited D General I <br />I D Attorney-in-Fact I <br />I D Trustee I <br />I D Guardian or Conservator <br />I D Other: <br /> <br />I <br />I, Signer Is Representing: <br /> <br />I' 'I <br />i:<$- '.::. -'~'::"~~~'§.<¿,'§<..~'---- --~--~---- ---~ -~" <br />@1999 Na1ional Notary Association. 9350 De S010 Ave., P.O. Box 2402. Chatsworth, CA 91313.2402' www.nationainotary.org Prod. No. 5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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