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Agmt05 Santa Clara, City of
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Agmt05 Santa Clara, City of
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Last modified
1/19/2006 4:36:02 PM
Creation date
1/19/2006 4:34:51 PM
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Template:
Agreement
Contractor Name
Santa Clara, City of
PROJECT NAME
HRS services
RMP File Number
304
Date
9/26/2005
MO Ref
05-171
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />~ ~ <br /> <br />State of California <br /> <br />}$ <br /> <br />County of <br /> <br />8Lf)I)fÝl£tu; <br /> <br />g -;25 - ,;LDÖSbefore me, ~ <br />Date ú1 c¿ - ~ <br />personally appeared ~}t./LQ~' <br />Name(s) of Signer(s) <br /> <br />~rsonally known to me <br />0 proved to me on the basis <br />evidence <br /> <br />~ ~ <br /> <br />On <br /> <br /> <br />ftd <br /> <br />of satisfactory <br /> <br />to be the person(s) whose name(s) islare <br />subscribed to the within instrument and <br />acknowledged to me that helshelthey executed <br />the same in his/her/their authorized <br />capacity(ies), and that by hislherltheir <br />signature(s) on the instrument the person(s), or <br />the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br /> <br />J@--- - =~~1~ I <br />¡ -. Noby N* . Ca8aÑI <br />I ~~~ =:! <br />Mv COmm. bpNI "" 2. <br /> <br />----_4:l_---.A- <br /> <br />WITNESS my hand and official seal. <br /> <br />Signature of Notary Public <br /> <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent <br />fraudulent removal and reattachment of this form to another document. <br /> <br />Description of Attached Document <br /> <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 /> <br />Signer's Name: <br /> <br />0 Individual <br />0 Corporate Officer - Title(s): <br />0 Partner - 0 Limited 0 General <br />0 Attorney-in-Fact <br />0 Trustee <br />0 Guardian or Conservator <br />0 Other: <br /> <br />Signer Is Representing: <br /> <br />@ 1999 National Notary Association' 9350 De Soto Ave" P.O. Box 2402 . Chatsworth, CA 91313-2402 . www.nationainotary.org <br /> <br />Prod. No. 5907 <br /> <br /> <br />Reorder: Caii Toii-Free 1-800-876-6827 <br /> <br />'I <br /> <br />~ <br />1 <br />I <br />,I <br /> <br />." <br /> <br />,I <br />
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