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Agmt05 Harbor Village Mobile Ho
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Agmt05 Harbor Village Mobile Ho
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Last modified
9/30/2008 11:39:44 AM
Creation date
2/13/2006 10:46:47 AM
Metadata
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Template:
Agreement
Contractor Name
Harbor Village Mobile Home Park & Harbor Village LLC
PROJECT NAME
indemnification - temp consturction easement - storm culvert improvements
RMP File Number
304.5
Date
10/7/2005
Box
6586
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />~~~~~~~~~~~~~~ ~~~ ~ ~~~~~..<X' ~~~ ..0<' &Q&Q &Q&~~~ <br /> <br />~ ~ <br /> <br />I :::::~::T;~;~~~~me,}" SmlrH- ðT~~,ý I <br /> <br /> <br />~ 'Date d Title of Officer (e.g., "Jane Doe, Notary Public") ~ <br />~ personally appeared A L I> ear ~ <br /> <br />I f)(personally known to me I <br />Ó proved to me on the basis of satisfactory <br />evidence <br /> <br />I <br /> <br />I' <br />I, <br /> <br />to be the person(.) whose name(.) is/aile <br />subscribed to the within instrument and <br />acknowledged to me that he/_ItI_.- executed <br />the same in his/./t~ authorized <br />capacity(iae) , and that by his/w/ttwir <br />signature(aj on the instrument the person(.), or <br />the entity upon behalf of which the person(8) <br />acted, executed the instrument. <br /> <br />~ - - - - - - ~ ~~ - - ~ <br />- Q Commission. 1365077 <br />~. Notary Public - California ~ <br /> <br />~ Contnl Co8t8 County f <br />- - - ~~~~~J~1~~ <br /> <br />1 <br />I' <br />1 <br />I, <br />1 <br /> <br />1 j <br />1 <br />I, <br />I <br />1 <br />1 <br /> <br />WITNESS my hand and official seal. <br /> <br />/~~~~ <br /> <br />OPTIONAL <br /> <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 />I <br />I' <br /> <br />Description of Attached Document <br /> <br />~ß~ øI <br />I)d -3. .:ltJoS- <br />, <br /> <br />Number of Pages: <br /> <br />/ <br /> <br />1 <br /> <br />~ <br />~ <br />~ <br />~ <br />~ <br />I', Capacity~ Claimed by Signer ~ <br /> <br />~ Signer's Name: A l- h e ¡(l. T t!).. e NGé '- ~ <br /> <br />I.'. 0 Individual ~ <br />~...,.' U Corporate O!ficer- TItle(si ~..,.: <br />I' & Partner - 0 Limited ~ General ~ <br />I' 0 Attorney-in-Fact ~ <br />~' 0 Trustee ~ <br />I . 0 Guardian or Conservator ~ <br />I' 0 Other: ~ <br /> <br />1~=~~~~::1!~~~~1 <br /> <br />Title or Type of Document: <br /> <br />~ <br /> <br />Document Date: <br /> <br />Signer(9t Other Than Named Above: <br /> <br />@1999 National Notary Association. 9350 De Soto Ave., P.O. Box 2402. Chatsworth, CA 91313-2402' wwwnationainotary.org <br /> <br />Prod. No. 5907 <br /> <br />Reorder: Call TolI.Free 1-800-876.6827 <br /> <br />- ...,.".._---_.. "",---"-",,,--"----------"---"----""" <br /> <br />,I <br />i <br />~ <br />~ <br />~ <br />~ <br />g <br />g <br />þ; <br />~ <br />~ <br />~ <br />~ <br />~ <br /> <br />I <br />
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