Item 19 - Warner Avenue Street Improvements (Oak Street to Grand Avenue)

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CALWOR I L ALL- PURPOSE CERTIFICATE OF ° CKNOY4LEDGM ENT A notary public or other officer completing this certificate verities 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. State of California County of_(OR D,t�� } On l ,�n�,� a before me,Lxa�'� Here insert name and title of the Ricer) personally appeared who proved to me on the basis ofsati factory vidence to be the p on(*whose name4)@�afe-subscribed to the within instrument and acknowledged to me that /sWtha�Fexecuted the same in( rhegthe r authorized capacity(ri@&), and that by hethaif signatures} on the instrument the person(tT,, or the entity upon behalf of which the person(e) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. OANIELA BDRBE Notary Public - California WITNESS my hand and official seal. prangs County i z Z Commission # 2227659 My Comm. Expires Jan 31, 2022 No ary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL 1NF®RfilATl®IV INSTRUCTIONS FOR COMPLETING THIS FORM This foriaa complies with current Calfoi'atia statutes r•egardin,, notary tvoi•dirag mad, DESCRIPTION OF THE ATTACHED DOCUMENT i needed, should be completed and attached to the document. llckraoivlealgments from other states may he completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary lmv. (Title or description of attached document) • State and County information must be the State and County where the document signei(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be, the date that the signer(s) personally appeared ""'hich (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears 'within his or her Number of Pages Document Dato - commission followed by a comma and then your title (notary public). • Print the nanie(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/the-y,— is /are) or circling the correct fortes. Failure to correctly indicate this ❑ Individual (s) infonnationmay lead torejection ofdocumentrecording. ❑ Corporate Officer a 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 (Title) sufficient area pen -nits, otherwise complete a different acknowledgment form, s a Signature of the notary public must match tho signature on file with the office of I-] Partnerthe county clerk. ❑ Attorney -in -Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,f number opages and date. er ❑ . Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer indicate the title (i.e. CEO CFO, Secretary). 2015 Version wuniw.NolaryClasses.corn 800873-9865 Securely attach this docuunent to the signed document with a staple.