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2009-06-01_GENERAL DOCUMENTS - C1981019
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2009-06-01_GENERAL DOCUMENTS - C1981019
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Last modified
8/24/2016 3:47:06 PM
Creation date
6/1/2009 2:09:50 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/1/2009
Doc Name
Certificate of Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JRS
Media Type
D
Archive
No
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<br />ACKNOWLEDGMENT <br />State of California <br />County of San Francisco <br />On M 4`t 2,1 , (2,OOq before me, Michelle L. Cantor, Notary Public <br />(insert name and title of the officer) <br />personally appeared Grace Wong <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br /> <br />i?"!' R <br />MQMrnWftft # 1762000 <br />I1I0IRy PuOAe - California <br />i <br />IM Froncheo County _ <br />(Seal)
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