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BLACK, JEFFREY AND JONI
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BLACK, JEFFREY AND JONI
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Last modified
4/23/2021 2:58:25 PM
Creation date
12/8/2020 12:00:59 PM
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Template:
Contracts
Company Name
BLACK, JEFFREY AND JONI
Contract #
A-2020-217
Agency
Planning & Building
Council Approval Date
11/17/2020
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />c�N. c� cid a . wi.c� .S�N,wYq`. atrcIKi�t{ M. <br />knotary 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 California <br />County of <br />On I- 1 I "1°i �ZG2o before me, Saaar ;9'a lkru&l n h go L,2v <br />Date t�Here Insert Name and Title of the Officer <br />personally appeared �2 F if e (( M, I� j ?C IG a K 4 n ij i L. b l a c k- <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s),js/are <br />subscribed to the within instrument and acknowledged to me that WgI;e/they executed the same in <br />,Wher/their authorized capacity(ies), and that by hiallhie6their signature(s) on the Instrument the person(s), <br />or the entity upon behalf of which the persons) aficted, executed the instrument. <br />BALNRUSHNA PATEL <br />' <br />COMMISSION # 2179428 0 <br />0CSAGAR <br />E °�+y_ <br />''-"'� <br />Notary Public- California <br />ORANGE COUNTY <br />My Comm Expires Jan 13 2021 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and offici I. <br />Signature <br />S' nature 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 forrrY to an unintended document. <br />Description of Attached Document O n f9 (iv01 f� <br />ate: <br />Title or Type of Document: P,5kCr i C 1'rD � I' yw SPA Document D <br />Number of Pages: '4—_ Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual J Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />Individual t I Attorney in Fact <br />❑ Trustee fI Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item tt5907 <br />
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