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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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CALtFORNIA ALL-PURPQSE ACKNOWLEDGMENT <br /> State of California ) <br /> ) ss. <br /> County of��/� ��'� ) . <br /> ^ <br /> On .�_, before me, �f�� . �� d�� � . � `��Ev <br /> . �Date � Name le of Officer(e.g.,"Jane Doe,Notary Pubii ° <br /> personally appeared �� <br /> Name(s)of Signe�(s) <br /> ❑ personally known to me <br /> �roved to me on the basis of satisfactory evidence <br /> �� to be the person�whose name(s}isf�a�subscribed to the <br /> MARY JEAN ROBIES �ithin instrument and acknowledged to me that�/she/t� <br /> Commission#1338024 <br /> < , Z executed the same in-�/her/t�r authorized capacity�s), <br /> Z �a Plotary Public-Califomia D <br /> San Mateo County and that byi�/her, „�ir signature�on the instrument the <br /> �y c�m,m.Expir�s Jan 7,2oos person(�), or the entity upon behalf of which the person(� <br /> �" ��-�'�`����'� acted, executed the instrument. <br /> WITNESS my hand and official seal. <br /> Place Notary Seal At�ove �/� �-,� <br /> Signature of N blic <br /> 4PTIONAL <br /> Though fhe information below is nor required by law,it may prove valuable to persons relying on the documenf <br /> and cou/d prevent fraudulent removal and reattachment of this form fo another document <br /> Description of AttacMed Document <br /> Title or Type of Document: <br /> Document Date: Number of Pages: <br /> Signer(s) Other Than Named Above: <br /> ,��: <br /> Capacity(ies} Glaimed by Signer / <br /> / <br /> Signer's Name: Right Thumbprint of Signer <br /> ❑ Ind'IVidUal /' <br /> ❑ Corporate Officer-Title(s): �r <br /> � ❑ Partner- ❑ Limited o Gen ral ,,--� <br /> ; ❑ Attorney in Fact .���` <br /> , � o Trustee ,,.�'� <br /> ' ' ❑ Guardian or Conservato,r.-�'�� <br /> � ❑ Other:_ =` <br /> � <br /> f��. <br /> r� <br /> Signer is Repres�ri'ting: <br />
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