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JURAT FORM <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 is <br />attached, and not the truthfulness, accuracy, or validity of that document. <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />Subscribed and sworn to (or affirmed) before me on this 23RD day of <br />MAY 20 19 by CHARLES L. FLAKE <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />LEXIE SH�ERWO D <br />CO #? 3 <br />� <br />�/ g NOTARY PUBLIC• CAUFORNIA n <br />OTARY SEAL ORANGE <br />COUNT <br />GE COUNTY <br />Comm. Exp. DULY 27, 2021 <br />NARY PUBLIC SIGNATURE <br />OPTIONAL INFORMATION <br />THIS OPTIONAL INFORMATION SECTION IS NOT REQUIRED BY LAW BUT MAY BE BENEFICIAL TO PERSONS <br />RELYING ON THIS NOTARIZED DOCUMENT. <br />TIME OR TYPE OF DOCUMENT <br />DATE OF DOCUMENT <br />When executing a jurat, a notary shall administer an oath of affirmation to the affiant and shall <br />determine, from satisfactory evidence, that the affiant is the person executing the document. The <br />affiant shall sign the document in the presence of the notary. <br />To order supplies, please contact McGlone Insurance Services, Inc. at (91 6) 484 0804. <br />