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Contracts & Agreements_27-2017
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Redlands Community Hospital Document no. 2017-0063334
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27-17
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Contracts & Agreements_27-2017
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Last modified
2/3/2020 12:46:46 PM
Creation date
2/14/2017 8:59:48 AM
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Template:
Contracts & Agreements
Subject
Stormwater Treatment
Details
Redlands Community Hospital Document no. 2017-0063334
Date
2/14/2017
Document Number
27-2017
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> � `` <br /> County of may+ rbecc <br /> h %f dr i A D <br /> On O3 7 ebAwir ZW7 before me, 1F'�i C-k+¢- Z ?ee11^ns.,AR% <br /> e �j��Cr►V Date Title o l e Officer <br /> personally appeared r"tG►�V Q (�Y1S•LY1 <br /> Name(s)of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to <br /> be the personN whose named is/art-subscribed to the <br /> within instrument and acknowledged to me that <br /> he/ a.c executed the same in his/her/their authorized <br /> capacity(il",-\, and that by his/4ef4ka4r signatureN,,on the <br /> instrument the person( or the entity upon behalf of <br /> MICHELE PHELPS <br /> Commission #2050676 which the person(sa acted, executed the instrument <br /> a_ cs ;), Notary Public California z <br /> :Vk S3n Bernardino County I certify under PENALTY OF PERJURY under the laws <br /> N1 Coni n E>Aires nec 24 2017 of the State of California that the foregoing paragraph is <br /> true and correct <br /> WITNESS my a a+�d o4reo <br /> al <br /> Signature <br /> Place Notary Seal Above siary Pu <br /> OPTIONAL <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 /> Description of Attached Document <br /> Title or Type of Document 1.�� }" �i- �¢��t9►��� Hce.4sS s NtbQi4cawt,4 ��f�Ltivatv\'t <br /> Document Date V`e-OY uNY Number of Pages O <br /> Signer(s) Other Than Named Above <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name gCil V t-y 'liz1 tLNSk h Signer's Name <br /> ❑ Individual / ElIndividual <br /> V <br /> Corporate Officer—Title(s) - P ❑Corporate Officer—Title(s) <br /> ❑ Partner—❑ Limited ❑ General �WaL� ElPartner—L1 Limited El General <br /> El Attorney in Fact �� ❑Attorney in Fact • <br /> ❑ Trustee Top of thumb here [-]Trustee Top of thumb here <br /> ❑ Guardian or Conservator ❑ Guardian or Conservator <br /> ❑ Other ❑ Other <br /> Signer Is ReesenSigner Is Representing <br /> ��( tin <br /> + 2 C_ <br /> 02007 National Notary Association 9350 De Soto Ave PO.Box 2402 Chatsworth CA 91313-2402 www.NationalNotary.org Item#5907 Reorder Call Toll-Free 1 800-876-6827 <br />
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