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Agmt13 Mental Health Association of San Mateo Co. (MHA)
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Agmt13 Mental Health Association of San Mateo Co. (MHA)
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Last modified
4/17/2017 12:18:41 PM
Creation date
7/30/2013 9:10:37 AM
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Template:
Agreement
Contractor Name
Mental Health Association of San Mateo Co. (MHA
PROJECT NAME
Site acquisition for affordable housing 105 5th Ave. APN 060-265-050, 060 and 070. Per Amendment No 2 AKA Waverly Place Apts. L.P.
RMP File Number
608
Date
7/26/2013
Reso Ref
15282
MO Ref
14-069, 15-063
Amendment
Yes
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of SAV) mc.Ar o <br />On A wri I -+l 20 (� before me, <br />Date 1 <br />personally appeared M e_ SS ti <br />Tt�lre M5l2vSr.L5, No-Eary Puloliz. <br />Here Insert Name and Title of the Officer <br />-�;&e_ve V150 n ? 1 0.2 <br />NameK of Signer( ;d <br />who proved to me on the basis of satisfactory evidence to be the person(A') whose namej* is/#Fe <br />subscribed to the within instrument and acknowledged to me that t*/she/fhay executed the same in <br />his/her/14dr authorized capacityW, and that by hWher/their signature's on the instrument the person*, <br />or the entity upon behalf of which the personW acted, executed the instrument. <br />r.a.rA <br />JULIE MA R08AS <br />Commipub ! 2111078 <br />Notary Public - California z <br />San Mateo county <br />J%F.� <br />Y Comm. Eons Mav 11, 2019 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signaturb I_.ir at- 62A, Ula5a5 <br />Signature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: A yllw on -(- <br />Document Date: 41 - Cl -:4-1201lk <br />Signer(s) Other Than Named Above: A.1/A <br />Capacity(ies) Claimed by Signer(s) 1 <br />er's Name, <br />e Officer — Title(s): <br />❑ Partner — imited ❑ General <br />C Individual --9-Attorney in Fact <br />❑ Trustee ❑ Gua 'nor Conservator <br />C Other: <br />Signer Is Representing: <br />nt0. Z M k A W AV clef u FLAB <br />Number of Pages: <br />is Name: <br />❑ <br />Corpo Officer — Title(s): <br />❑ Partner — ' 'ted ❑ General <br />❑ Individual ❑ ey in Fact <br />❑ Trustee ❑ Guardia Conservator <br />❑ Other: <br />Signer Is Representing: <br />02016 National Notary Association - www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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