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MAI, KELVIN AND DENISE LE (4)
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MAI, KELVIN AND DENISE LE (4)
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Last modified
12/1/2023 4:35:35 PM
Creation date
11/15/2022 3:48:04 PM
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Contracts
Company Name
MAI, KELVIN AND DENISE LE
Contract #
A-2022-109-02
Agency
Public Works
Council Approval Date
6/21/2022
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <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 <br />On 2 } D before me, I' Q lQ 4 <br />AI <br />_ (He nsen name anti tltl f iM1e omcerJ <br />personally appeared �P�IA 1 l hJ �1 <br />who proved to me on the basis of satisfactory evi ce to be the persons) whose <br />names) is/are subscribed to the within instrument and acknowledged to me that <br />he/she/they executed the same in his/her/their authorized capacity(ies), and that by <br />his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />°•., DAp8IEIA BO1B1 <br />WITNESS my hand and official seal. :` - : Note yPubLi'r hforma <br />`9 Orange County <br />Commission k 2399876 <br />`'�•°+"' My Comm. Expires Apr 6, 2026 <br />Notary Public Signature (Notary Public Sea]) <br />07 9 , ° <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />C0)eA11e-kK+ 1 <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />of Pages _ Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version wv,nu.NotaryClasses.com 800-873-9865 <br />)1� <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Thirfornicompliestuitlr cm'rew California statutes regarding notary wording and, <br />if needed should be completed and attached to the decmnent. Acknowledgments <br />firom other states ntay be completed for documents being sent to that state so long <br />as the wording does net regnire the California nary to violate California notmy <br />lam. <br />• State and Comity information most 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 signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or her name as it appears within his or her <br />commission followed by a comma and thenyour title (notary public). <br />• Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />hdshe/ther- is /era) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area penmits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on file with the office of <br />the 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 />•: Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indurate the titlere. ChU, utu, Secretary). <br />• Securely attach this document le the signed document with a staple. <br />
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