Agenda Packet_2022-05-03 - Laserfiche WebLink

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JURAT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. i State of California County of Subscribed and sworn to (or affirmed) before me on this day of 20zx- by Ha'-T,& "O V"a proved to me on the basis of satisfactory evidence to be the person(d) who appeared before me, e-r BRYAN S.CHOI Notary Public-California Los Angeles County Comrrissian r??557Q2 MI Comrn,Expir Sep?5.20?2 w Signature (Seal) OPTIONAL INFORMATION INSTRUCTIONS The wading of aft Jurafs completed in Califomia after January 1,2015 must be in the form as set forth within this Jurat.There are no exceptions.If a Jura(to be completed doe$not foffow this form,the notary must correct the verbiage by using a jurat stamp containing the correct wording or allaching a separate jurat form such as this one with does contain(he proper wording. In addition, the notary must require an oath or affirmation from the DESCRIPTION OF THE ATTACHED DOCUMENT document signer regarding Hue truthfulness of the contents of the document. The document must be signed AFTER fhe oath or affirmation.ff the document was preulousfy signed,itmust be re-signed in/rant of the notarypublic dur(ng Wh iialprocess. (Title or description of attached document) State and county information must be the state and county where the document signer(s)personally appeared before the notary public- * pate of notarization must be the date the signer(s) personally appeared which must also be the same date the jurat process is completed. Number of Pages r Document Date e 09 �'` Print the name(s)of the document signers)who personally appear at the time of notarization. . Signature of the notary public must match the signature on file with the Additional information office of the county clerk. The notary seal impression must be clear and photographically reproducible.Impression must not cover text or lines.If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different jurat form. Additional information Is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document,number of pages and date. Securely attach this document to the signed document with a staple. Zi#yfr�GOUCI.GiLcwj c;a.sscs.com tac0-873-9e65 22 — 102 5/3/2022