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Agmt17 Board of Trustees of the Leland Stanford University
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Agmt17 Board of Trustees of the Leland Stanford University
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5/8/2017 1:02:54 PM
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5/8/2017 1:02:03 PM
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Agreement
Contractor Name
Board of Trustees of the Leland Stanford University
PROJECT NAME
Grant of Revocable Permit for the construction of Underground Conduits with communication and water lines
RMP File Number
304
Date
4/17/2017
Reso Ref
15551
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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 California ) <br />County of S6Zn6l1 6i ) <br />On I!Ki 1 1 i) Q -D 1 % before me, 40 (I y W L e-er <br />Date J , Here Insert Name and Title of the Officer <br />personally appeared e CCYI c5 h i Ct ev ' <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />HOLLY W. LEE <br />Commission 12096403 <br />Notary Public - Cslifomh <br />16 Santa Clara County <br />My Comm. Expires Feb S., 2019 4 <br />Place Notary Seal Above <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 />WITNESS my hand and official seal. <br />Signature Y / y./ <br />`��.. <br />Sign of re of Notary Public <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 Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />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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