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3500 - Local Oversight Program
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PR0545704
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Last modified
5/28/2020 10:58:15 AM
Creation date
5/28/2020 10:49:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545704
PE
3526
FACILITY_ID
FA0009999
FACILITY_NAME
AT&T California - UEX54/UE9AJ
STREET_NUMBER
242
Direction
N
STREET_NAME
SUTTER
STREET_TYPE
ST
City
Stockton
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
242 N SUTTER ST
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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•00 <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of --- Co n'� - Co,+, <br /> /'U <br /> On 1 2 U b_ before me, <br /> Date Name and Title of Officer(e.g.,"Jane Doe,Notary Publi" <br /> personally appeared - C --- <br /> Narne(s)of Signer(s) <br /> personally known to me <br /> Ll (or proved to me on the basis of satisfactory evidence) <br /> to be the person(s)whose name(s)is/are subscribed to the <br /> ANDREW A TOMERSON within instrument and acknowledged to me that <br /> Commission# 1632640 he/she/they executed the same in his/her/their authorized <br /> tv ;o Notary Public - California capacity(ies), and that by his/her/their signature(s) on the <br /> Contra Costa County <br /> My Comm.Expires Jan 20,2010 instrument the person(s), or the entity upon behalf of <br /> • s� � y which the person(s) acted, executed the instrument. <br /> WITNESS my hand and/official seal. <br /> Place Notary Seal Above i'-t ✓ r " — <br /> Z' Signature of Notary Public <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: _ _ LA.r x--A-7 - <br /> Document Date: J(Q 2 _ Number of Pages: <br /> Signer(s) Other Than Named Above: V v <br /> bq <br /> Capacity(ies) Claimed by Signe (s) <br /> Signer's Name: tQ . C• ��y U Signer's Name: <br /> ❑ Individual 1SSJ,X J-4 ❑ Individual <br /> Corporate Officer - Title(s): -T-0"_ eaJ,%-Q-y^: ❑Corporate Officer - Title(s): _ -- <br /> ❑ Partner - 11 Limited ❑ GeneralH01 E3Partner - L 1 Limited ElGeneral <br /> •. ❑Attorney in Fact <br /> ❑ Attorney in Fact Top of thurnb here Top of thumb here <br /> ❑ Trustee ❑Trustee <br /> ❑ Guardian or Conservator ❑ Guardian or Conservator <br /> ❑ Other: — ❑Other: <br /> Signer Is Re resenting: Signer Is Representing: _ <br /> ® <br /> Item No.5907 Reorder Call Toll-Free 1-800-876-6f327 <br /> 2oo6 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatswortfl,CA 91313.2402 <br />
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