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Pmt10 Kaiser Permanente
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Pmt10 Kaiser Permanente
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Last modified
8/6/2010 2:54:16 PM
Creation date
8/6/2010 2:54:15 PM
Metadata
Fields
Template:
Agreement
Contractor Name
Kaiser Permanente
PROJECT NAME
Grant of Revocable Encroachment Permit for the Construction of Improvements and underground conduits
RMP File Number
604
Date
8/4/2010
MO Ref
10-092
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<br />ACKNOWLEDGMENT <br /> <br />State of: California <br /> <br />County of: Alameda <br /> <br />On Iu L'1 c2 \, :JAJ\ L") <br /> <br />, before me, Corinne Ann Brown, Notary Public, <br />(name and title of the officer) <br /> <br />personally appeared r3fZ.\ ~ (Y)LtL~<CS \4/ D) fCEl!~T lJr, NcrnoJJCU_ ~~L E:.5\a~ / <br /> <br />who proved to me on the basis of satisfactory evidence to be the person % whose name,@ is/are <br />subscribed to the within instrument and acknowledged to me that he/s~ executed the same in <br />his/Acr/thefr authorized capacity tfes-), and that by hisfftefftflek" signatureji') on the instrument the perso~, <br />or the entity upon behalf of which the person~ acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br /> <br />WITNESS my hand and official seal <br /> <br />tbl2b-YJ/~~Jl] <br /> <br />Signature of Notary Public <br /> <br />, I~ - 1 - - - '1 - - - . ; - - ~ .., - - - <br />. CORINNE ANN BROWN <br />Cammlulon .'8035,8 I <br />I .otarr Public . C.lltom" I <br />"fo.: - Contra COIta Couner 4 <br />l ~~ ~ '-, ~~. ~r~ ~ ~.~2!'~1 <br />
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