My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ALTAMED HEALTH SERVICES
Clerk
>
Contracts / Agreements
>
A
>
ALTAMED HEALTH SERVICES
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/7/2023 5:39:32 PM
Creation date
12/7/2023 5:33:24 PM
Metadata
Fields
Template:
Contracts
Company Name
ALTAMED HEALTH SERVICES
Contract #
N-2023-330
Agency
Planning & Building
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
13
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CALIFORNIA ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of ugLf, <br />On l rke%hT 7 , ytn before me, Rwgail Y Alfa q, Notary ryollo <br />Date Here Insert Name and Title of the Officer <br />personally appeared Thomas R. <br />Names) of Signer(s) <br />who proved to me on the basis of satisfactory evidenceto be the person(s) whose name(s I are subscribed <br />to the within instrument and acknowl ged to me that Wshe/they executed the same in I /her/their <br />authorized capacity(ies), and that byW/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />ABIGAIL Y. ALCALA <br />Notary Public - California <br />Orange County f <br />Commission A 2317212 <br />%ur-W My Comm. Expires Dec 26, 2023 <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official <br />OPTIONAL <br />Notary Public <br />Completing this information can deter alteration of thW document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: A ftha stealth figoir- <br />Document <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: Cl" oFSUfttu AA <br />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner— ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />�nF-' -o- ..y�Lo-Yrr:•i ;>,x .< c ..„v..:.......-':.: ,-��r,.......�'ca.<:.c:�.�.,,., - -„r .. Cs S�'o-r�eCv-. cr <br />02018 <br />
The URL can be used to link to this page
Your browser does not support the video tag.