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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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CALIFORNIAALL- 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 3117tj <br />before me, R. Covington, Notary Public <br />ere nsen Hems a , el—ciih�oiiwer r <br />personally appeared Curtis P. Brown III <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose <br />name(s) is/axe subscribed to the within instrument and acknowledged to me that <br />he/sit" executed the same in his/N§60§ it authorized capacity(ies), and that by <br />his/ham milr signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />�uuum w uuumnuuuunuaa. <br />R. COVINGTON <br />WITNESS my hand and official seal. COMM. #2157907 <br />NOTARYPUBLIC - CALIFORNIA <br />Rr <br />LOS ANGELES COUNTY <br />- Expires 06124/2020 <br />ACommission <br />4aannmNouua II Noll Noll <br />OF THE ATTACHED DOCUMENT <br />(Tide or description of attached document) <br />of Pages —Document Date _ <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (a) <br />XX Cor orate Officer <br />President <br />itle) <br />❑ Partner(s) <br />❑ Attomey-in-Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www.NotaryClasses.com 800-873-9865 <br />(Notary Public Seal) <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />7hisjorm complies with currant Calfornia atomics regarding notary wording and <br />if needed, should be complded and attached to the document Aclosowledgments <br />from other stares may be completed for documents being seat to that state so long <br />as the wording does not require the Calfornia notary to violate California notary <br />law. <br />• State and County information must be the State and County where the document <br />sigoer(s)pmcnally appeared before the notarypublic 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 prim his or her name as it appears within his or her <br />commission followed by a comma and than your title (notary public). <br />• Print the name(a) of document signers) 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/sheithey,, is /are) or circling the conect 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 areapemrins otherwise complete a different acknowledgment form. <br />• Signature of the notary public most match the signature on file with the office of <br />the county clerk. <br />d Additional infomration is not required but could help to enema this <br />acknowledgment is not misused or attached to a different docr®ent. <br />$ Indicate title of type of attacbed doc uncut, number of pages and date. <br />4 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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