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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />rsrrrarrrrr.,rsr�rc.bc:�]ccc�',cs,cc�,m..cY.�:4crrs:cr�rSs�szccr ^ r <br />❑ See Attached Document (Notary to cross out lines 1-6 below) <br />❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br />Sign re of Doc O ment Signer No. 1 <br />Signature of Document Signer No. 2 (if any) <br />A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of Califo <br />County of <br />MAMA CUa OA W?E MEAAS <br />j� <br />No aryPW is Calitomfa <br />Orange Cowq <br />`��• _ <br />Commltslon 92196245 <br />M)Ccmm ap-les Mays, I'll, <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this day of Raw, 20 1Y . <br />by Date Month Year <br />(1)e <br />(and (2) ), <br />Name(s) of Signer(s) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />Signature 2Aa e; <br />Signature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />0 <br />Title or Type of Document: ! Document Date: f�� <br />Number of Pages: T Signer( s tbtherThan Named Above: <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 <br />