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GENERAL55745
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GENERAL55745
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Entry Properties
Last modified
8/24/2016 8:40:43 PM
Creation date
11/23/2007 10:44:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
General Documents
Doc Date
5/24/2007
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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<br />ACKNOWLEDGMENT <br />State of California <br />County of San Francisco <br />On 23 rl~-, ?~7 before me, Michelle L. Cantor, Notary Public <br />(here insert name and title of the officer) <br />personally appeared Grace <br />personally known to me (or proved to me on the basis of satisfactory evidence) to be <br />the person(s) whose name(s) is/are subscribed to the within instrument and <br />acknowledged to me that he/she/they executed the same in his/her/their authorized <br />capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />WITNESS my hand and official seal.o;'~ ~~~~ <br />l An w ~~-~'; ~ raofw Fvaic - cax«~w <br />"Y V\~SW~~ J SOn FtancbCO CAUntY <br />Signature C0"""' lA~D7 <br />(Seal) <br />
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