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

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G„ LWORMQ ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT 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. State of California County of f � 4-1 qtf } On ''I J L 2 o �- i beforeme, AA r! (Here insert name and ON 9r the 01cer) personally appeared (9S� f who proved to tree on the 'basis whose name (&Safe -subscribed to the within instrument and acknowledged to me that lslwalth-ay executed the same in &hwJthe +authorized capacity(4"), and that by is i:adthe}r signatures} -on the instrument the person(e); or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 50 DANIELA BQRBE Notary Public - California WITNESS my hand and official seal. _ Orange county z z Commission # 2227659 M COMM. Expires ,tan 31, 2022 Notary Public Signature (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION Thisforrnco,trplies,vith cut•rengCaliforniastatrriesregordingnotarywordingand, DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and attached to the docunrew. AcInimpledgments front other states may be completed for documents being sent to that state so long as the wording -does not require the California notary la violate California notary law. (Title or description of attached document) a State and County information must be the State and County where the document sib ier(s) personally appeared before the notary public for acknowledgment. e bate of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be die same date the acknowledgment is completed. a The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title (notary public). a Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER a Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. lie/she/tkrey; is /are ) or circling the correct forms. Failure to correctly indicate this ❑ Individual (s) information may lead torejection ofdocumentrecording. ❑ Corporate Officer a The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seat impression smudges, re -seal if a (Title) sufficient area permits, otherwise complete a different acknowledgment form. a Sig iature of the notary public must match the signature on file with the office of ❑ Partner(s) the 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, number of pages and date. ❑ - Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer indicate the title (i.e. CEO, CFO, Secretary). 2016 Version wvwJ.NotaryClasses.corn 800-873-9865 a Securely attach this document to the signed document with a staple.