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MARSHALL-KELLEY, LLC.
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MARSHALL-KELLEY, LLC.
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Last modified
3/8/2022 11:10:56 AM
Creation date
3/8/2022 11:09:31 AM
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Contracts
Company Name
MARSHALL-KELLEY, LLC.
Contract #
A-2016-301A
Agency
Public Works
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Lir-c�� �i�� ��_� r�ub20 ds- <br />I 'TIFIU� E CF �CI� O�uL Q �lE�1T <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of l%kGk"e <br />On e0/6 before me, I�,Q4lIY�(Pt IdBr1 � �YtYt6Ua' <br />1 Herel crtnemA OOa oft sr) .p <br />personally appeared 201iIG�j fhal4t�� HQLRs�/14�� atilC�� !_1/U�G�I Ip�ea <br />who proved to me on the basis of satisfactory evidence to be the persons wl-Wse <br />name&&/&subscribed to the within instrument and acknowledged to me that <br />hei&MMexecuted the same in ltisharil&j authorized capacit les , and that by <br />his, eft[g� signatures on the instrument the person6b or the entity upon behalf of <br />which the persortnacted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. 3•� ° DANIELA BORBE <br />UNty <br />y �p COMM.,Y 29546"I <br />I'\ ^ > ` Q NOTARY PNGE COALIFONNIA N <br />•\V\ kK e tlr L ,/J/�"II,AJI`7` - I • `'r PP Mr CONN,AEAP. JAN. 31, 201/'r <br />Notary Public Signature (Notary Public Seal) <br />kel)el <br />INSTRUCTIONS FOR COVIPLETINGTMSFORM <br />ADDITIONAL OPTIONAL INFORMATION <br />Thisfm'm cwapltes rvidr current California statutes regar'dirvg y noon worob and <br />OF THE ATTACHED DOCUMENT <br />Pages Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />ElIndividual (s) <br />ElCorporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version wmver.NotaryClasses.com 800-873-0865 <br />ijneederl, should be completed and attached to the doannent de/ntmnledgments <br />frnnr other states may be completed for docmnenls being sent to that state so long <br />as the wording does Trot require the Califonria notary to violate Colifailia notary <br />lam. <br />• State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the si,mer(s) personally appeared NNIrich <br />must also be the saute date the acknowledgment is completed. <br />• The notary public must print his or her time as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the nanre(s) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural fors by crossing off incorrect forms (i.e. <br />helshelther is laze ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• 11ie notary seal impression must be clear and photographically reproducible. <br />Impassion must not cover text or lines. If seal impression smudges, re -seat if a <br />sufficient area permits, otherwise complete a different acknowledgment farm. <br />• Signature of the notary public must match the signature on file with the office of <br />One county clerk <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />Indicate title or type of attached document, number of pages and date. <br />le Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
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