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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 DCIMA, ( } <br />On L X before me, �21MA4 o,1 <br />more Inson ne can t iha cffcar <br />personally appeared C1V�A� 1.APYS(ul <br />who pr ked to me on the basis of satisfactory evidence to be the persoo whose <br />in is subscribed to the wi in instrument and acknowledged to me that <br />t executed the same i hi k e /tf>�ie r authorized capacity(algs), and that by <br />tier signatur on the inns rhrument the person or the entity upon behalf of <br />which the personPOcted, 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 />WITNE$S_rxty ha d OffICl81 Sealrtt-ILIANA CERVANTES DE LA 0 ru"""" 546"',"my <br />COMM.#2105036 <br />Notary Public - California --�LOSANGELES COUNr.27,2 Y�7 Comm. Exp. Apr. 27, 2.019 <br />Notary Public Signature (Notary Public Seal) Iv-�r-v <br />ADDITIONAL OPTIONAL INFORMA <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />T--AhMypV�N00AU YOA4 <br />(Title or description of tlached document) <br />(Title or description of attached document continued) <br />of Pages _ Document Date <br />C:P'Indivl CLAal BY THE SIGNER <br />Individual <br />❑ Corpora Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www.NotaryClasses.com 600-673-9865 <br />IL - <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 (Le, <br />he/she/they,— is /ere) 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 from. <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 (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
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