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Inst 2011187980
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Inst 2011187980
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Last modified
7/25/2011 3:49:56 PM
Creation date
7/25/2011 3:49:55 PM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Agreement
Document Date (6)
6/20/2011
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PERM
Document Relationships
Agmt 2011 Kaiser Foundation Hospitals
(Reference)
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\City Clerk\City Council\Agreements\2011
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II <br /> 1 6 1 CALIFORNIA ALL- PURPOSE ACKNOWLEDGMENT <br /> 1 II <br /> 11 State of California ) 1 <br /> 1 ) ss. 11 <br /> County of Alameda ) <br /> 1 On JUNE 6, 2011 before me, MARY HUSTACE FOSTER, NOTARY PUBLIC, <br /> 1 personally appeared STEPHEN L. HOLLISTER 11 <br /> who proved to me on the basis of 1 <br /> 1 My commission number is 1917320. satisfactory evidence to be the person 11 <br /> 1 whose name is subscribed to the within <br /> instrument and acknowledged to me that he <br /> 1 <br /> executed the same in his authorized 11 <br /> 11 capacity, and that by his signature on the <br /> instrument the person, or the entity upon <br /> MARV HUSTACE FOSTER ( 11 <br /> r , < COMM. #1917320 behalf of which the person acted, executed <br /> +' w oti cAu ru G the instrument. <br /> 1 <br /> c i f ALAMEDA CpUNiy <br /> _ ^ s • - _ W CO•. EU>dn Qrwron 17. Art 1 1 <br /> l I certify under PENALTY OF PERJURY <br /> 11 under the laws of the State of California that <br /> 1 the foregoing paragraph is true and correct. 11 <br /> My commission expires on December 17, 2014. WITNESS my hand nd official se l ,. 1 <br /> II l /(� . e i& . <br /> 1 /Signature of Notary Public I1 1 <br /> 1 OPTIONAL <br /> 1 <br /> 1 Though the information below is not required by law, it may prove valuable to persons relying on the document and 11 <br /> r1 could prevent fraudulent removal and reattachment of this form to another document. 1 <br /> 1 Description of Attached Document II <br /> CI Title or Type of Document: Standard Public Improvement Agreement 1 <br /> Document Date: June 6, 2011 Number of Pages: 13 II <br /> 1 11 Signer(s) Other Than Named Above: 11 <br /> Capacity(ies) Claimed by Signer(s) <br /> 1 <br /> 1 1 <br /> 4 1 Signer's Name: Signer's Name: 1 <br /> 1 ❑ Individual ❑ Individual II <br /> 1 ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): <br /> 1 <br /> RIGHT,THUMBPRINT RIGHT THUMBPRINT <br /> 1 <br /> ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General 11 <br /> Of SIGNER OF SIGNER <br /> ❑ Attorney in Fact Top of Numb here ❑ Attorney in Fact Top of thumb here <br /> ❑ Trustee ❑ Trustee <br /> 1 ❑ Guardian or Conservator ❑ Guardian or Conservator II <br /> 1 I ❑ Other: ❑ Other: 1 <br /> Iii <br /> Signer is Representing: Signer is Representing: I1 <br /> 1 I1 <br /> IrI <br />
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