My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BELCO ELECTRIC, INC.
Clerk
>
Contracts / Agreements
>
PROJECTS
>
BELCO ELECTRIC, INC.
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/31/2019 8:54:30 AM
Creation date
6/27/2018 3:53:38 PM
Metadata
Fields
Template:
Contracts
Company Name
BELCO ELECTRIC, INC.
Contract #
17-6893
Agency
Public Works
Council Approval Date
4/3/2018
Document Relationships
23A - TRAFFIC SIGNAL MODIFICATION
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2018\04/03/2018
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
59
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the <br />identity of the individual who signed the document to which this certificate <br />is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of San Bernardino } <br />On 'b` Z� before me, Olivia Chea, Notary Public <br />(Here ineen name and the of the arvier) <br />personally appeared John Wong <br />who proved to me on the basis of satisfactory evidence to be the person(e) whose <br />name(s)tts re subscribed to the within instrument and acknowledged to me that <br />{ the/they executed the same in Is er/their authorized capacity(ies), and that by <br />s er/their signature(sj on the instrument the person(s), or the entity upon behalf of <br />which the person(sj acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />t '^ OLIVIA CHEA <br />..mr: -.. <br />a id and official seal. <br />Commission No.27o7474 <br />z LGIs s, NOTARY PUBLIC-CALIFORNIA ". <br />9aryPubkicS,gynature <br />j '.,� �„ SAN BERNARDINO COUNTY <br />( My Comm Expires APRIL 18, 2019 <br />(Notary Public Seal)"" <br />" <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />66 <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />O Corporate Officer <br />Vice President <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version wwrm. NotaryUasses_com n.09-873-92,65 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Thisform complies with current California statutes regarding notary wording and, <br />(needed, should be completed and attached to the document. Acknotwedgents from <br />other states may be completed for documents being sent to that state so long as the <br />wording does not require the California notary to violate California notary law. <br />• State and County information must be the State and County where the document <br />signers) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the signers) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must ptint his or her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the names) of document signers) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms Ila <br />halshe/Niey;- is fare ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible, <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature an file with the office of <br />the county clerk. <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />Indicate title or type of attached document, number of pages and date. <br />• Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
The URL can be used to link to this page
Your browser does not support the video tag.