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MISCELLEANOUS STORMDRAIN REPAIRS
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MISCELLEANOUS STORMDRAIN REPAIRS
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Last modified
4/25/2022 1:06:01 PM
Creation date
10/9/2020 12:19:16 PM
Metadata
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Contracts
Company Name
MISCELLEANOUS STORMDRAIN REPAIRS
Contract #
P 21-6458
Agency
Public Works
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CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT <br />A noterypublic or other officer completing this certificate verifies only the identity of the individual who signed the document to <br />which this certificate is attached, and not the truthfulness, accuracy, or validity of that document <br />State of California <br />County of Los Angeles <br />On AUG 19 1070 before me, C. Phillips, <br />(Here insert name and <br />personally appeared Curtis. P_ Brown III <br />Notary Public, <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ e subscribed to <br />the within instrument and acknowledged to me that he/sIk1t)4y executed the same in his/Xr/tb& authorized <br />capacity(ies), and that by hisA*/d* 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 the foregoing paragraph <br />is true and correct. <br />_S <br />C.PHILLIPS <br />.axr,S�`.•,' COMM. #2170177 m <br />WITNESS my hand and official seal. LL� .- Notary Public -California w <br />LOS ANGELES COUNTY u <br />Mycomm. Expires Oct 29, 2020 <br />Signedvn of Notary me (Notary Seat) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages _ Document Date <br />(Additional information) <br />CAPACTI'Y CLAQvMD BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustw(s) <br />❑ Other <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any acknowledgment completed in California must contain verbiage esacity as <br />appears above in the notary section or a separate acknowledgment form must be <br />property completed and attached to that docianent. The only exception is tf a <br />document is to be recorded outside of California. In such instances, any allerna&e <br />acknowledgment verbiage as may be printed on such a document so long as the <br />verbiage does not regrdre the notary to do something that is illegal far a nervy in <br />California (i.e. cern)ymg, the authoried capacity of the signer). Please check the <br />document cumfully for proper notarial wording and attach this form itrequired. <br />• state and County information must be the State and County when; 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 />commissionfollowed by a comma and then your title (notary public). <br />• Pnnt the name(s) of document signer(,) 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 />hNshclgwj—is /are) or circling the conect forms. Failma to coreeay 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 form. <br />• Signature of the notary public must match the signature an file with the office of <br />the county clerk. <br />P Additional int'ormation is not required but could help m insure this <br />acknowledgment is not misused or attached to a different document <br />o, Indicate title or type of attached document, number ofpages and date. <br />S Indicam the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Serely attach this document to the signed document <br />C zoaalots Pmlmk Sigvug5emre,l�. -All niel+v aeaevm ww.]hePro[.mkcom-NvrauxMe NotarySeM¢ <br />
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