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NS-2831
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Last modified
7/18/2016 2:54:04 PM
Creation date
6/7/2012 5:26:18 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Ordinance
Doc #
NS-2831
Date
4/16/2012
Destruction Year
P
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1 ` IA ALL-PURPOSE ACKNOWLEDGMENT <br />R.t. citisjSGq..cj.,:�i.:?i.: �S; ? i. ��<.:].<, S, iSicSS £;iS..c�i�q.,cj <,s?S��it��iS S.:c�t>.�L.�G�S.F:t�]..c3.i �.5,5..•..�t!�:S hs,.�ii..c�t,�i!c?. _sit:�i _�G�?5..��S.s�9 <br />State of California <br />County of <br />-� c <br />On �' before me, � I <br />Date , t Here Insert Mme and Title of the Ofrrc r <br />personally appeared <br />Name(s) of Signer (s) "— <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer— Title(s): — <br />❑ Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />RIGHTTHUMBPRINT <br />OF SIGNER <br />Top I <br />Signer's Name: <br />• individual <br />• Corporate Officer — Title(s): <br />• Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />RIGHT THUMBPRINT <br />OF SIGNER <br />Top of thumb here <br />!/ '!_JG'�?G'f_> v>C'vG \�C'!>C'!�G'!lG' l,•wl,-v, -ti - ✓ne/G�eJ 'C>G \�?G'!%G "� "!/ G" �/. i'!> C\ eG"!/ G'!> C'> G'!> C' e> G' LG< L<' tI, GCIJC '!>,•!>G-t>CV<VG'A: "AIG�!>G `!>G�!>, <br />1 I ;< I J• I 1 • I : I 1 <br />who proved to me on the basis of satisfactory evidence to <br />be the person(, whose name,(�S) is /aresubscribed to the <br />within insiru ent and acknowledged to me that <br />he /sh'&i Z7vxecuted the same in his/heAheir authorized <br />SAIMA SARI <br />ca acit Aie5 , and that b his gr/JjL 9 ) <br />P Y ) y Ih elr si natu� on the <br />commission # 1908290 Z <br />instrument the persona , or the entity upo behalf of <br />Notar Public - Calitornla z <br />y n <br />which the persorg* acted, executed the instrument. <br />Z Los Angeles county <br />M Comm. Expires Oct 15, 20t4 <br />•I'certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br />WITNESS m h nd and l. <br />Signa ure <br />M 4Z!n!.!!Varj <br />PoaoeNotary Beal Above <br />PuWic <br />OPTIONAL <br />Though the Information below is not required <br />by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer— Title(s): — <br />❑ Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />RIGHTTHUMBPRINT <br />OF SIGNER <br />Top I <br />Signer's Name: <br />• individual <br />• Corporate Officer — Title(s): <br />• Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />RIGHT THUMBPRINT <br />OF SIGNER <br />Top of thumb here <br />!/ '!_JG'�?G'f_> v>C'vG \�C'!>C'!�G'!lG' l,•wl,-v, -ti - ✓ne/G�eJ 'C>G \�?G'!%G "� "!/ G" �/. i'!> C\ eG"!/ G'!> C'> G'!> C' e> G' LG< L<' tI, GCIJC '!>,•!>G-t>CV<VG'A: "AIG�!>G `!>G�!>, <br />1 I ;< I J• I 1 • I : I 1 <br />
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