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Agmt99 Peninsula Habitat... (2)
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Agmt99 Peninsula Habitat... (2)
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Last modified
8/28/2012 3:07:56 PM
Creation date
5/19/2005 1:12:24 PM
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Template:
Agreement
Contractor Name
Peninsula Habitat for Humanity
PROJECT NAME
422 & 430 Lincoln Avenue
RMP File Number
304
Date
1/28/1999
Reso Ref
13546
Box
5900
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,� <br /> , , <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California ) <br /> ) ss. <br /> County of ��' ) _ <br /> �I,� ��l� <br /> On '�' , before me, (�L�y`�; � <br /> , <br /> Date Name and Title of Officer(e.g.,"Jane Doe,Notary Public") <br /> personally appeared ''l. � <br /> Name(s)of Signer(s) <br /> ❑ personally known to me <br /> � ved to me on the basis of satisfactory evidence <br /> �.c.DEMON to be the erson s whose name s is/are subscribed to the <br /> """ Commfssfon#1440446 p � � � � <br /> , wotary pu�c-Cauromb � within instrument and acknowiedged to me that he/she/they <br /> � '�° santa C�arc county executed the same in his/her/their authorized capacity(ies), <br /> MyComm.Exp�esseP2u.2�� and that by his/her/their signature(s) on the instrument the <br /> _ person(s), or the entity upon behalf of which the person(s) <br /> acted, executed the instrument. <br /> WITNESS and and offi ' seal. <br /> -� <br /> Place Notary Seal Above . <br /> Signature of Notary Public <br /> oPr�oNa� <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 anoiher document. <br /> Description of Attached Document <br /> Title or Type of Document: <br /> t <br /> Document Date: Number of Pages: <br /> ; <br /> Signer(s) Other Than Named Above: <br /> I <br /> Capacity(ies) Claimed by Signer <br /> Signer's Name: Right Thumbprint of Signer <br /> ❑ Individual <br /> ; ❑ Corporate Officer- Title(s): <br /> ! ❑ Partner- ❑ Limited o General <br /> ❑ Attorney in Fact <br /> ' ❑ Trustee <br /> ❑ Guardian or Conservator <br /> ❑ Other: <br /> Signer is Representing: <br />
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