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PARK WEST LANDSCAPE, INC.
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Last modified
11/14/2024 3:11:13 PM
Creation date
5/6/2010 4:35:57 PM
Metadata
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Template:
Contracts
Company Name
PARK WEST LANDSCAPE, INC.
Contract #
09-9109
Agency
Public Works
Council Approval Date
4/19/2010
Notes
Project
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CAL~ORNIA ALL-PURP~E <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of ~~(,(/`~~0~ <br />On `1~/C~(/h ~, 2 0/ (~ before me, <br />personally appeared <br />. ~I c~a.m.e, ~v f--~ 6~c~d-~ <br />(here insert name and title oft a officer) <br />V C. ~ <br />c~ <br />who proved to me on the basis of satisfactory evidence to be the person~s~~whose name~s}Q'are subscribed to <br />the within instrument and acknowledged to me thathe/they executed the same in~her/their authorized <br />capacity.~iesj, and that by~'s~her/their signature(~j on the instrument the persons}; or the entity upon behalf of <br />which the persor~acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS m hand and official seal. ,~ X. ADAMS <br />- Coal. # 1805811 <br />Gr} twre~rPUeuc•cra~clraa~ d. <br />°~ 'y. RIVEII~IOE ~WN1Y - <br />_ __ ~ / (~~ ., '.~ ; ':~ NY CONY. EXP. JULY 2, 2d1t <br />Signature of Notary Public i'°' e <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRI/P~TION OF THE ATTACHED DOCUMENT <br />/C~ l (;~ ~ D /~ GJ~ <br />(Title or description of attached document) <br />C c ~/ (~ ~ ~ ~a~ ~~i2GL~ <br />(Title or riptio of attached document continued) <br />Number of Pages ( Document Date 3~ ~~ <br />~G~1 ~--w~~ T L ~N~.S (~4~t ~ <br />(Additional information) <br />CAPACITY CLAIlvIED BY THE SIGNER <br />^ Individual (s) <br />^ Corporate Officer <br /> (Title) <br />^ Partner(s) <br />^ Attorney-in-Fact <br />^ Trustee(s) <br />^ Other <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any acknowledgment completed in California must contain verbiage exactly as <br />appears above in the notary section or a separate acknowledgment form must be <br />properly completed and attached to that document. The only exception is if a <br />document is to be recorded outside of California. In such instances, any alternative <br />acknowledgment verbiage as may be printed on such a document so long as the <br />verbiage does not require the notary to do something that is illegal for a notary in <br />California (i.e. certifying the authorized capacity of the signer). Please check the <br />document carefully for proper notarial wording and attach this form if required. <br />• State and County information must 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 appeazed 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 then your 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 />ire/she/ is /are) 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 cleaz and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re-seal if a <br />sufficient area permits, 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, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document <br />-- --- <br />-- _ _ - -- - <br />CAPA v12.10.07 800-873-9865 www.NotaryClasses.com <br />
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