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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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CALIFORNIA ALL-PURPOSE ACKNOWLEQGMENT <br /> State of California ) <br /> ) ss. <br /> County of �s� ) <br /> On � �.��' , before me, �� � 61�s �[�� � , <br /> ate �,�._ Name and itie of icer(e.g.,"Jane Doe,Notary ublic°} <br /> personally appeared �� <br /> Nam of ig r(s) <br /> �ersonally known to me <br /> �. <br /> a proved to me on the basis of satisfactory evidence <br /> MARY JEAN ROBL.ES <br /> Commission�1338024 to be the person(�whose name(�,1 is/.�subscribed to the <br /> Z „ Notary Public-cai�orn�a ; within instrument and acknowledged to me that hef�/t� <br /> San Mateo County executed the same in his/���authorized capacity(i�, <br /> r�ry co�.��res.�"7,2oos and that by his/�/�tr signature�on the instrument the <br /> person�, or the entity upon behalf of which the person� <br /> acted, executed the instrument. <br /> WITNESS my hand and offici al. <br /> Place Notary Seal Above �� v <br /> Signature of Notary ubl' <br /> OPTIONAL <br /> Though the information below is nor required by law,it may prove valuable to persons relying on the document <br /> and could prevent fraudulent remova!and reattachment of this form to anofher documen# <br /> Description of Attached Document J <br /> Title or Type of Document: <br /> Document Date: Number of Pa . <br /> Signer(s) Other Than Named Above: <br /> '�SJ <br /> Capacity(ies) Claimed by S' er <br /> Signer's Name: Right Thumbprint of Signer <br /> ❑ Individual <br /> ❑ Corporate Officer- Title(s): <br /> o Partner- o Lirnited o Ge ral <br /> ❑ Attorney in Fact <br /> t o Trustee <br /> � ❑ Guardian or Cons ator <br /> ❑ Other: <br /> Signer is Repr senting: <br />
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