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O'CONNELL, GERALD AND MARY
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Last modified
4/28/2022 9:47:57 AM
Creation date
12/6/2021 3:15:11 PM
Metadata
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Template:
Contracts
Company Name
O'CONNELL, GERALD AND MARY
Contract #
A-2021-204
Agency
Planning & Building
Council Approval Date
10/19/2021
Destruction Year
2031
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />;ram; <:ccc;cti!x�^r;rs c•�;rcrrcrcenccc �.ransxc:cm�csr�scryrat•,�r�:c;cs:rrrcrrtcc-ctxa-rmF.rcrcrresxcc:�xarrrc;ccxa <br />Fotary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />ument to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of 0 ran 8 e - ) <br />On - 10 11 5 —before me, _ � name S <br />Date Here Insert Name and Title of the Officer <br />personally appeared <br />Names) of <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(les), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />__—__ <br />JAMES CARMEN <br />Notary Public - California <br />Orange County <br />Commission k 2260968 <br />My Comm. Expires Oct 4, 2022 <br />Place Notary Seal Above <br />1 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 bend and official <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 />Title or Type of Document: __' II $_C �Document <br />Number of Pages: __j___ Signer(s) Other Than Named Above: _ <br />Capacity(fes) Claimed by Signer(s) <br />Signer's Name: <br />n Corporate Officer — Title(s): <br />7 Partner — .J Limited ❑ General <br />F Individual Attorney in Fact <br />I j Trustee Guardian or Conservator <br />Other: _ <br />Signer Is Representing: <br />Date: I _ <br />Signer's Name: <br />f I Corporate Officer — Title(s): <br />7 Partner — f i Limited iJ General <br />r 1 Individual , Attorney in Fact <br />i7 Trustee i Guardian or Conservator <br />fa Other: <br />Signer Is Representing: <br />ti u�r.:<.0<c,L!`�X;!;!:,CK-4.re;�4�yue.4:4!z��:q=tv=4`;'4v.'4'a�i:eZY=4rL'!-t`r.(X4•e!4[-CY:4•e:�,r.,6txic%4`cL^e%LeX)c.4`t Z�(-eiL•u;`z'4c'G•c2:e�L'S <br />02014 National NotaryAssociation • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item ft5907 <br />
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