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20A - AA BUSH ST BICYCLE BLVD
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06/16/2020
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20A - AA BUSH ST BICYCLE BLVD
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Last modified
6/11/2020 5:01:23 PM
Creation date
6/12/2020 2:55:39 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20A
Date
6/16/2020
Destruction Year
2025
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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 Los Angeles } <br />On MAY i. 31020 before me, R. Covington, Notary Public <br />re acre damaa arson, <br />personally appeared Curtis P. Brown III <br />, <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose <br />name(s) istace subscribed to the within instrument and acknowledged to me that <br />he/*aiitaey executed the same in hislk%d&§ir authorized capacity(ies), and that by <br />his/hemlti it signature(s) on the instrument the person(s), or the entity upon behalf of <br />which 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 />.arrurnunronuuuunuuuara e . <br />WITNESS m hand d official seal <br />. l. R. COVINGTON <br />my anCOMM. #2157907 <br />NOTARY PUSUC-CALIFORNIA <br />i LOS ANGELES COUNTY <br />My Commeeion FNlre s 06/2412020 <br />Notary Public Signature (Notary Public Seal) <br />)ESCRIPTION OF THE ATTACHED DOCUMENT <br />(retie or description of attached document) <br />(Title or description of attached document continued) <br />Pages _ Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />XX Cc orate Officer <br />President <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www.NmaryClasses.com 800-873-9885 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Thikjorm compeas with current Cal{forme statutes regarding notary wording and <br />ifneeded should be completed and attached to the document. Acknowledgments <br />from otherstates may be completed fordocumewt being sent to that staterso long <br />as the wording does not reQuire the California notary to violate Caltfomfa 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 data that the sigrear(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or he name as it appears within his a her <br />commission followed by a comma and tied your tide (notary public). <br />• Print the nareca) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forte by creasing off incorrect forms (i.e. <br />he/shatiLey,—ls ;era) eroimling the correct fame. Failure to correctly indicate this <br />infotmatitw may lead to rejection of document recording. <br />• The notary seal impression meat be clear and photographically reproducible. <br />Impression must not cove laid or limas. If seat impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public meat match the signature on file with the office of <br />the county clerk. <br />6 Additional information is not required but could help to ensure this <br />adcamledgment is not misused or attached to a difeeent document <br />A Indicate title a type of attached document, number of pages and date. <br />9 Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate office, 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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