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RFP No. 17-04-01 Informational Touchscreen Kiosks and Software Services
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Last modified
5/25/2017 3:24:37 PM
Creation date
5/25/2017 3:24:37 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Informational Touchscreen Kiosks and Software Services
Bid No. (xx-xx-xx)
17-04-01
Project Type (Bid, RFP, RFQ)
RFP
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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202 <br /> C <-s� < <.c�<s�� N.c�<.c> <s� <.c�<.vr •_c�<.c� <-c�� <.i�.v.-.c�tA-_a•_a-_a-_a--va•.A..a.v .v•_c�•.a<.a<.v.•.�i <. <br /> See Attached Document (Notary to cross out lines 1-6 below) <br /> ❑See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br /> 1 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) <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 California Subscribed and sworn to (or affirmed) before me <br /> County of SA'NT71 6Ae /SAVA <br /> on this S day of ow , 2017 <br /> by Date Month Year <br /> (1) ri2iDEelet WOOD <br /> (94 (2) ), <br /> e c SHARON LOREN ACOSTA Name,(s%of Signerf4 <br /> O _ COMM. #2107875 (n <br /> NOTARY PUBLIC-CALIFORNIA 5. <br /> SANTA BARBARA COUNTY a proved to me on the basis of satisfactory evidence <br /> My iomm.Expires April 20,2019 p to be the personJ,,a'f who appeared before me. <br /> Fww..._w.wwwww......w....w......ww <br /> Signature 0 .. <br /> Signature .f Notary Public <br /> Seal <br /> Place Notary Seal Above <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:fl ti . EA/7DV Gi ii/i7F.S Document Date: Al/f <br /> Number of Pages: Aft/- Signer(s) Other Than Named Above: 4vf <br /> ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5910 <br />
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