Laserfiche WebLink
CALIFORNIA O. ACKNOWLEDGMENT •D <br />A notary 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 40MOM NEW -d aQk< <br />County of - NG-w Yo Ql< <br />On 9laala0Ar before me, lcwA1k- t <br />Date Here Insert Name and Title of the Officer <br />personally appeared <br />Signers) <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(ies), 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 />OHN DAILY <br />Notary Public - State of New York <br />No 01 DA6389694 <br />Qualified in Kings County <br />My Cammissinn Expires Apr 1, 2023 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of GROOM that the foregoing paragraph <br />is true and correct. MSS -a %epRK <br />WITNESS my hand and official seal. <br />Siap lure .1 17� L ?11� / ° / <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 A�r�znl 1 d <br />Title or Type of Document: , V,. coacri� PctSu�a�'cny/Document Date: <br />Number of Pages:Signer(s) Other han Named Above: N <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual 17 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 I I Attorney in Fact <br />❑ Trustee CI Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />