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EDWARDS LIFESCIENCES
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Last modified
12/20/2023 12:56:18 PM
Creation date
3/8/2022 11:32:25 AM
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Template:
Contracts
Company Name
EDWARDS LIFESCIENCES
Contract #
N-2022-055
Agency
Planning & Building
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CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document. <br />State of California 1 <br />County of ii1rQO72 J} <br />On F-0%1yy1WtA 2A U2171 before me, Vo yleUCA Cl)f)ihl I'May14 Puhll <br />ate ' Here Insert Name and Title of4he Officer <br />personally appeared ;Jl(h <br />Names) of Signers) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed <br />to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />VANESSA N. COLLINS <br />Notary Public - California : <br />Orange County F <br />Commission k 2335452 <br />My Comm, Expires Oct 13, 2024 <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and Icial seal. <br />Signature v� <br />Signature of Notary Public <br />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: <br />Document Date: <br />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 ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer's Name: <br />❑ Corporate Officer — <br />El Partner— ❑ Limite <br />❑ Individual <br />❑ Trustee <br />❑ Other: <br />of Pages: <br />Title(s): <br />1 ❑ General <br />❑ Attorney in Fact <br />❑ Guardian or Conservator <br />Signer is Representing: Signer is Representing: <br />C2018 National Notary <br />
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