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Agmt08 Service League of San Mateo County - Hope House
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Agmt08 Service League of San Mateo County - Hope House
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Last modified
12/1/2008 8:59:28 AM
Creation date
8/27/2008 11:21:31 AM
Metadata
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Template:
Agreement
Contractor Name
Service League of San Mateo County
PROJECT NAME
Transitional Housing - 96 Buckingham Avenue
RMP File Number
404
Date
8/14/2008
Reso Ref
14886
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />~. <br /> <br />,/' <br />County oflYJA1 <br /> <br />/)1 ttJiJ YJ <br /> <br />Jlj)l~ ,YAIJ "7?cl,'!eZ) x/crlc;;<\' "-i/b/~Cj <br /> <br />Here Insert Name'and Title of the 0 Icer <br /> <br />} <br /> <br />State of California <br /> <br />On JJtlrj'dA2 13. ;U7C g before me, <br />/ /1 Date ./ <br />U .1 fl. <br />personally appeared ../"'1 /U;'" .!LCl e. ;- <br /> <br />..1) <br /> <br />'7J E- ~// N <br /> <br />Name(s) of Signer(s) <br /> <br />r - - - :=:=''"1 <br />I~ NoIaIY N1Ic . CaIIomIa <br />~ Ian MaIeO CounIV' <br />t___ __ ~~:.~~7.:.20~4 <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the person~ whose name(:S,) is/q~ subscribed to the <br />within instrument and acknowledged to me that <br />he/s)(~t~ executed the same in his~t.PE!lr authorized <br />capacity(~), and that by his/l)etZtlieir signatureM on the <br />instrument the person~, or the entity upon behalf of <br />which the person!)} acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br /> <br />Place Notary Seal Above <br /> <br />WITNESS my hand and official seal. <br />/1,1 M <br />Signature" /;/ 1ft 7/ <br /> <br />OPTIONAL <br /> <br /> <br />Though the information below is not required by law, it may prove valuable to persons relying on e document <br />and could prevent fraudulent removal and reattachment of this form to another do men!. <br /> <br />Document Date: <br /> <br />/ <br /> <br />// <br />,/' <br />// Number of Pages: <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />/>/-/-" <br />/'Y <br />/' <br />/ <br />/ <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />/ <br />J'" <br /> <br />/ <br /> <br />y/' <br /> <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner - D Limited D General <br />D Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />D Other: <br /> <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner - D Limited D General .. / <br />D Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />/' <br />D Other: r <br /> <br />// <br />i'/ <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />RIGHTTHUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />~~~~~~~ <br />@2007 National Notary Association. 9350 De Soto Ave., PO. Box 2402. Chatsworth, CA 91313,2402. www.NationaINotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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