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01
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2015
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072115
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01
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Last modified
8/18/2015 11:44:25 AM
Creation date
7/14/2015 3:38:26 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
7/21/2015
DESTRUCT DATE
15Y
DOCUMENT NO
1
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CALIFORNIA ALL- PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />lei -r•<c �•v�•. v: v.•v. v.. v.- :*/^ r-.� «'rrv: v-e. -v . r<r...v: ..: - <i. ..r- ,W .,. <�..i:.a v i. v v • <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 Califomia ^ 11 ) <br />County of A <br />On 1 in /F? »16 before me, V1h4O in ' • P 0 4 , 7 o <br />Date Here Insert Name and Title of the rcer <br />personally appeared Q'M175 /904.y so 21 <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the •-rson(s) whose name(s) is/ re <br />s_- cribed to the within instrument and acknow - ed to me that he /they executed the sa in <br />er/their authorized capacity(ies), and that b er /their signature s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) : ed, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of Califomia that the foregoing paragraph <br />is true and correct. <br />VIBNA M. PATEL <br />Commission # 2052413 Z <br />Notary Public - California t <br />Alameda County <br />My Comm. Expires Jan 15.2018 e <br />Place Notary Seal Above <br />WITNESS my hand and official seal. <br />Signature <br />Signature of No ry 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: Document Date: <br />Number of Pages: Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attomey in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attomey in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />.. �, n_. A^ Sh' S<\ KC`. c \_a\';Z\!�[Vq!5[\!�[ \!,c�.c \_.. !:h::h!!c\!!hoc\agv rdgaqu<` d,< �q�c\. v_<\^ _!ti:A!�glcq!..c\ +�A:iN ✓- c \!!<d4 4%% \d€vq+i<.v. <br />©2014 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 <br />
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