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APPENDIX <br />eeeeeeeeeeeeeeeeeoeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />(CALIFORNIA CIVIL CODE 41199) <br />A notary public or other officer completing this certificate verifies only the identity of the <br />individual who signed the document to which this certificate is attached, and not the <br />truthfulness, accuracy, or validity of that document. <br />STATE OF CALIFORNIA <br />COUNTY OF Orange ) <br />On October 19, 2021 before me, Sathyaa Saleem, Notary Public <br />(Date) (Here Insert Name and Title of the Officer) <br />personally appeared DAVID JOHN VOLZ <br />who proved to me on the basis of satisfactory evidence to be the person04 whose namew is/0 <br />subscribed to the within instrument and acknowledged to me that he/yq/trAy executed the same <br />in his/k/tlXr authorized capacity(M, and that by his/l*tNr signatureW on the instrument <br />the personal, or the entity upon behalf of which the personal acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />S THYAA SALEE11 <br />s Notary Public California lllill <br />a. ,? 7 Orange Go2237 r: <br />Commission t 22)7279 <br />My Camm. Expires npr 7, 2Ot2 <br />(Notary Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />Description of Attached Document <br />Title or Type of Document: NON -COLLUSION AFFIDAVIT Document Date: October 19, 2021 <br />Number of Pages: Slgner(s) Other Than Named Above: <br />Additional Information: <br />revision date 01/01/2015 <br />eeeeeeeaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeeeseeeeeeeeeeeeeeeeeeeeeeeeeeeeoeeeeeeeeeeee <br />®D®®®® SANTA ANA DOG PARK, CITY OF SANTA ANA <br />