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CALIFORNIA SURVEYING CORPORATION 1-2010
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CALIFORNIA SURVEYING CORPORATION 1-2010
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Entry Properties
Last modified
1/3/2012 3:07:13 PM
Creation date
8/19/2010 10:12:19 AM
Metadata
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Template:
Contracts
Company Name
CALIFORNIA SURVEYING CORPORATION
Contract #
N-2010-077
Agency
PUBLIC WORKS
Insurance Exp Date
9/26/2010
Destruction Year
0
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<br /> <br /> <br /> <br /> CALIFORNIA. ALL-PURPOSE <br /> <br /> CERTIFICATE OF ACKNOWLEDGMENT <br /> <br /> State of California <br /> County of ,QC- <br /> <br /> <br /> <br /> On Jvl~, Za/U before me, <br /> (Here insert name and Utle the officer) <br /> personally appeared ~heocQore ~~v <br /> <br /> who proved to me on the basis of satisfactory evidence to be the personW whose names, is/vre subscribed to <br /> the within instrument and acknowledged to me that*She/they executed the same i I>~i /her/their authorized <br /> capacity), and that by<I jOber/their signature on the instrument the personfA, or the entity upon behalf of <br /> which the person(pY 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 /> <br /> <br /> WITNESS my hand and official seal. 0 JUAN PEREZ <br /> V COMM. #1807326 W <br /> CD NOTARY PUIILIC - CALIFORNIA 0 <br /> ORANGE COUNTY <br /> Signature of N F Pdblic (Notary Sea]) My COMM. Expires July 26, 2012 <br /> ADDITIONAL OPTIONAL INFORMATION <br /> INSTRUCTIONS FOR COMPLETING THIS FORM <br /> DESCRIPTION OF THE ATTACHED DOCUMENT 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 /> (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the i <br /> verbiage does not require the notary to do something that is illegal for a notary in <br /> California (i.e. cerrWng the authorized capacity of the signer). Please check the <br /> (Title or description of attached document continued) document carefidly for proper notarial wording and attach this form ifrequired. <br /> Number of Pages Document Date • 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 appeared which <br /> must also be the some date the acnowledgment is completed <br /> (Additional information) • The notary public must <br /> print his or her name as it appears within his or her <br /> commission followed by a comma and than your title (notary public). <br /> • Print the name(s) of document signet(s) who personally appear at the time of <br /> notarization. <br /> CAPACITY CLAIMED BY THE SIGNER • In <br /> dicate the correct singular or phi al forms by crowing off incorrect fomms (i.e. <br /> ? Individual (s) howlehileyr is /are ) or cycling the correct forms. Failure to correctly indicate ibis <br /> ? Corporate Officer iufamadoa may lead to rejection of document recording. <br /> • T <br /> Iniprowion W noftry awl impresion must be clear and photographically reproducible. <br /> (Title) tra>Bt not cover tent or Imes If seal impression ssaudges, r"cal if a <br /> auffrcient area permits, otbawiw complete a dif Brent aelmowledgment form. <br /> ? Partner(s) • Signature of the notary public moat match the signature on file with the office of <br /> 13 Attornty-in-Fact ~ county <br /> ? ttO e Additional information is not required but could help to a mire this <br /> ? Other acknowledgment is not mmund or attacbed to a different document. <br /> O Indicate title or type ofattaehed doeament, number ofpnw and date. <br /> 4 Indicau the capacity da®ed by the signs If the claimed capacity is a <br /> corporate officer, indicate the tide (Le. CEO, CFO, Seerdwy). <br /> • Securely attach this document to the signed document <br /> 2009 Version CAPA v12.10.07 800-873-9865 www.NomyCh=e com <br />
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