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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 />~. =--:='-":':::'=--:=---''':::.~;:~A~ <br /> <br />State of California <br /> <br />County of {~AI /Jlfi7~ <br /> <br />On AQ /4- c; otJd' ....... bJ40re me, !E",e 'E "- <br />Date .. /:/ . <br />personally appeared / E723/2 .lv6.e/l/n <br /> <br />} <br />T <br /> <br />1,E~~lIcN M?7'fR. <br />Here Insert Name and Title of the Officer <br /> <br />~~/<:L <br /> <br />Name(s) of Signer(s) <br /> <br />1----::~~~1'"-~f <br />" ~a:~:'1 <br />, _--~ I <br />San MaI80 Ccu1Iy - <br />. __ _ ... ~~__~__~2~~ <br /> <br />who proved to. rye on the basis or ~isfactory evidence to <br />be the person~) whose name~!}tare subscribed to the <br />~in instrument and acknowle~ed to me that <br />~he/they executed t~hs e in l!f~er/their autporized <br />capacity{~, and that by I er/their signature<11 on the <br />instrum;fut the per~m ,or the entity upon behalf of <br />which the person}%) acted, executed the instrument. <br /> <br />Place Notary Seal Above <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 />'--. <br />WITNESS m~. nd. nd OffiC~ _ <br /> <br />Slgn~ . - .' 't!L J."-t!- A <br />~ature of Notary Public <br />OPTIONAL <br /> <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document: <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />Top of thumb here <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other: <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />RIGHTTHUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />.v~~v~v~. <br />@2007 National Notary Association. 9350 De Soto Ave., P.O. Box 2402 . Chatsworth, CA 91313-2402. www.NationaINotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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