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Last modified
2/13/2019 9:59:54 AM
Creation date
2/13/2019 9:22:01 AM
Metadata
Fields
Template:
Contracts
Company Name
GREEN GIANT LANDSCAPE
Contract #
16-2653
Agency
Public Works
Council Approval Date
11/20/2018
Document Relationships
23A - PROJ - CIVIC CENTER ADA
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2018\11/20/2018
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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 California <br />County of Day l +( 11� <br />On 2 S l) y before me'U <br />personally appeared �/M� o u, �Jmc 'Yw who proved to me on the basis of satisfactory evidence to be the persopwhose <br />n- m Is subscribed to the within instrument and acknowledged to me that <br />e 4 executed the same in Is r, hlgir authorized capacity*), and that by <br />I / /t it signature�n the instrument the person'071 or the entity upon behalf of <br />hich the person(s)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 />WITNESS m hand and official seal. uuANACERVANTESDELAO <br />Y n COMM. #2109036 <br />Notary Public - California -4i <br />LOS ANGELES COUNTY <br />4� <br />4 My Comm. rlpAPr. 2%, 201cJ <br />Notary Public Signature (Notary Public Seal) /•v—v�-v-v-•vw^w��^ <br />ADDITIONAL OPTIONAL <br />OF THE ATTACHED DOCUMENT <br />(Tit% or ddscrlptlon of attached document) <br />(Title at <br />of Pages Document Date <br />CAPA CLAIMED BY THE SIGNER <br />eividual <br />nd <br />Corporatd Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />7.015 Version www.NotaryClasses.com 800-873-9865 <br />L <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />This form complies with current California statutes regarding notary wording and, <br />if 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 />law. <br />• State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print 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 name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />he/she/they,— is /are ) 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 on 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 (Le, CEO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
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