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Agmt99 Pacific Bell Wireless
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Agmt99 Pacific Bell Wireless
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Entry Properties
Last modified
7/5/2005 3:00:11 PM
Creation date
5/19/2005 1:02:35 PM
Metadata
Fields
Template:
Agreement
Contractor Name
Pacific Bell Wireless
PROJECT NAME
revocable encroachment permit
RMP File Number
304
Date
10/10/1999
Reso Ref
13745
Box
5900
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />~7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> <br />~ <br /> <br />1 <br /> <br />- -~ - 7Y: <br />~ <br /> <br />State of California <br />County of ---D 1 Cl/~'V~ <br /> <br />} 55 <br /> <br />on~, before me, "-N~~~;itleOfOfficer <br /> <br />personally appeared -----.f. keD l ~ Lfla\ \t~ <br />Name(s) 0 igner(s) <br />'&6 personally known to me <br />b proved to me on the basis of satisfactory <br />evidence <br /> <br /> <br />~ <br /> <br />J""" ... ... - "'~:v.~;E""" , <br />8 Commission 11212515 <br />~. Notay public - Collfania I <br />) ,4Jomedo Coonty I <br />- - - -My~~~~~~ <br /> <br />to be the personW whose name(.8} is/are <br />subscribed to the within instrument and <br />acknowledged to me that he/sh8.'t~ executed <br />the same in his/:¡.er/tl,eil authorized <br />capacity(~), and that by his/her/th~iT <br />signature(.s1 on the instrument the person (s-) , or <br />the entity upon behalf of which the person(S') <br />acted, executed the instrument. <br /> <br />Place Notary Seal Above <br /> <br />WITNESS my hand and official seal. <br /> <br />-R9Qp f--v ~ <br /> <br />OPTIONAL <br /> <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 removal and reattachment of this form to another document. <br /> <br />Description of Attached Document <br />Title or Type of Document: <br /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner - D Limited D General <br />D Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />D Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />I' <br />c~C'- C'- C'- - <br /> <br />@ 1997 National Notary Association' 9350 De Soto Ave~, P~O, Box 2402 . Chatsworth, CA 91313-2402 <br /> <br />Prod, No~ 5907 <br /> <br />----'-'-----A <br />Reorder: Call Toll-Free 1-800-876-6827 <br /> <br />- - - - - - - - - <br /> <br />""'.-,--. . --'-~T <br />
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