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Last modified
9/4/2018 12:10:55 PM
Creation date
9/4/2018 11:59:20 AM
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Template:
Contracts
Company Name
EASTCOM CORP
Contract #
N-2018-162
Agency
Planning & Building
Destruction Year
0
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of 1 �Ia, } <br />CountyofLe } <br />// / <br />On ,(L' (c L. 0, P0.1d' before me, U-Ooed �a'(04,l r� 3WY pig (^ � l r <br />ere i serf name entl ti a of he officer) <br />personally appeared �Ai c k cLor L L44 !,Yfrd[-, <br />who proved to me on the basis of satisfactory evidence to be the person('Sfwhose <br />nameX is/2r6 subscribed to the within instrument and acknowledged to me that <br />he/size/the'9 executed the same in his/iler/:Lkeir authorized capacity(ies), and that by <br />his/beP/WeYr signature.( on the instrument the person, or the entity upon behalf of <br />which the personLs- 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 />MIGUELPALACIOS <br />WITNESS my hand and official seal. N COMM. #2084036 <br />' NOTARY PU5LIC CALIFORNIAo <br />e 3 ORANGE COUNTY ro <br />My comm. expires Oct. 7, 2018 t <br />Notary ublic Signature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM <br />This form complies with current California statutes regarding notary wording and, <br />DESCRIPTION OF THE ATTACHED DOCUMENT (needed should be completed and attached to the document. Acknowledgments <br />from other states may be completed for documents being sent to that state so long <br />as the wording does not require the California notary to violate California notary <br />ov L4 ! law. <br />(Title or description of all Chad document) ® Slate and County information must be the State and County whore the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />�� <br />® Date of notarization must be the date that the signer(s) personally appeared which <br />(Title or description of attached document continued) must also be the same date the acknowledgment is completed. <br />._ 9 The notary public must print his or her name as it appears within his or her <br />Number of Pages � Document Date f commission followed by a comma and then your title (notary public). <br />® Print the name(s) of document signors) who personally appear at the time of <br />notarization. <br />CAPACITY CLAIMED BY THE SIGNER ® Indicate the correct singular or plutat foams by crossing off incorrect forms (i.e. <br />he/she/they, is /are) or circling the correct forms. Failure to correctly indicate this <br />❑ Individual (s) <br />information may lead to rejection of document recording. <br />Corporate Officer 0 The notary seal impressing must be clear and photographically reproducible. <br />CLUVA e y Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />(Title) sufficient area permits, otherwise complete a different acknowledgment form. <br />❑ Partner(s) 0 Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />❑ Attorney -In -Fact ® Additional information is not required but could help to ensure this <br />❑ Trustee(s) acknowledgment is not misused or attached to a different document. <br />❑ Other N Indicate title or type of attached document, number of pages mid date. <br />0 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 />2015 Version www.NotaryClasses.com 800-873-9865 0 Securely attach this document to the signed document with a staple. <br />
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