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PEREZ, JIM
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Last modified
5/22/2023 12:27:32 PM
Creation date
5/22/2023 12:26:53 PM
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Template:
Contracts
Company Name
PEREZ, JIM
Contract #
A-2023-037
Agency
Planning & Building
Council Approval Date
3/21/2023
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />�drsrss��r _ ,ces�r�ca�asa�.�sorszsLr <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of Califomia ) <br />County of PNl ) <br />On y before me, \h �tNf01A0 . nun t", 1 Au i� <br />ate \ Here Inkert Name and Title of the Officer <br />personally appeared JtM Q(CCZ <br />Name(s) of Signers) <br />who proved to me on the basis of satisfactory evidence to be tWhrps= <br />& whose nameW i�bscr'bed to the within instrument and ackno d ad to me thatlilyexecuted the safffe in(hisyh�dt) t iir authorized capacity(), and that by hi iVI1 it signatun the instrument the person*, <br />he entity upon behalf of whic the person4 ed, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />IAN DELGADO <br />Comm, #2368156 z <br />Notary Public California o Signature. <br />z . Orange County Signature of Notary Public <br />M Comm. Ex ires JuIX 28, 2025 <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, 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 />Number of Pages: <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 />L I Partner — I Limited I ;General <br />L I Individual ; Attorney in Fact <br />❑ Trustee 1 Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />I Corporate Officer — Title(s): <br />-1 Partner — I 1 Limited I I General <br />I Individual 1 Attorney in Fact <br />I Trustee ' 1 Guardian or Conservator <br />i-I Other: <br />Signer Is <br />Representing: <br />scvxsxc�.Q,Sx. <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />
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