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KANA PIPELINE, INC.
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Last modified
11/14/2024 3:05:06 PM
Creation date
5/17/2011 9:03:29 AM
Metadata
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Template:
Contracts
Company Name
Kana Pipeline, Inc.
Contract #
11-6406
Agency
Public Works
Council Approval Date
5/16/2011
Expiration Date
3/2/2012
Notes
Project
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CALIFORNIA ALL - PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of grange <br />Q�r� 0 4 2011 <br />On <br />personally appeared <br />before me, K. Luu, Notary Public <br />(Hare insert name and title of the officer) <br />Janes Kaone`r <br />who proved to me on the basis of satisfactory evidence to be the persons) whose names) is /are subscribed to <br />the within instrument and acknowledged to me that he /she /they executed the same in his/her /their authorized <br />capacity(ies), and that by his/her /their signatures) on the instrument the person(s), or the entity upon behalf of <br />which the persons) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of Ca$forpa that the foregoing paragraph <br />is true and correct. ". ,. �;,,} <br />- „mi soon � 177s64A I” <br />�,� C oton� y i�hlic Cr:; ti /orn c� � <br />WITNESS my hand and official seal. r °f °n � - �- o��nty <br />6 >�TI t 7' �' i 6. ZU7 £ �• <br />..: .. ., _... ,... iNti. <br />m � �..,,., cs�� ,...... �„G. <br />Signature of Notary Public (Notary Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />lT itle or descnption of attached document) <br />(Title or description of attached document continued) <br />Number of Pages Document Date __ <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />C <br />Individual (s) <br />C <br />Corporate Officer <br />(Title) <br />C <br />Par�ter{s) <br />� <br />Attorney -in -Fad <br />C <br />Trustees) <br />C <br />Other __ <br />2005 Version CAPA v12.10.07 800.873 -9865 www.NotaryClasses. corn <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />.4rry acknowle�meru eomple led in Calj%rnia must eosuen verbiage esaclly os <br />appears above in the notary section or a separate aeknowlecigment ,/6rm must be <br />proprrly completed and attached b 1lrat document The only exception is fl a <br />docroneru is b be recorded outside oJCaltjorrria In such inrlarues, arty ollerrralive <br />acknowledgment nerbtcge as may be printed on such a document m long as I{re <br />verbi�e does not require the notary to do somefhtrg that is sllegal for a notary in <br />Cal{fornia (i e. cerljying the aullrorized copvcity of the signer). Pleose check the <br />documerr! carejrdlyjor proper nolw'ial wordirg arvi attach Ihis,%rm (jrequired <br />• State and County information must be the State and County where the document <br />sigrret(s) pats onalty appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the signers) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />The noEary 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 />• notarization_ <br />Indicate the correct singular or plural forms by crossing off incorrect forms (i.a <br />he /she/11rey- is /ere) or circling the correct forrrrs. Failure to correctly indicate this <br />infotration rrray lead to rejection of document recording. <br />The notary seal impression must be clear and photographically reproducible. <br />&repression must not corer text or lines_ H' seal impression smudges, re -seat if a <br />sut£cient area permits, otherwise complete a difrerent acknowledgment form <br />Signature of the notary public must match the sigtrature 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 ariached to a different document. <br />Indicate title or type of attached document, number of pages and date. <br />Indicate the capacity daimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CFA, CFO, Secretary). <br />• Securely attach this document to the signed document <br />
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