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25I - AGMT - TRAFFIC MANAGEMENT SYS
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25I - AGMT - TRAFFIC MANAGEMENT SYS
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Last modified
8/16/2012 5:02:47 PM
Creation date
8/16/2012 5:02:42 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25I
Date
8/20/2012
Destruction Year
2017
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I. , <br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of ? 0 5 44 On Jv Iv 39i 'Zt? 12- before me, <br /> <br />el-f)-La,? r e <br /> <br />personally appeared :P f} y i p 7. :H F-i? t2 Jl? A nl G 11-?4 .0 <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) 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 signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) 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 />ANDREA NEERMANU <br />COMM. 01935295 <br />Kolar Public • California <br />WITNESS my hand and offici cal. <br />ig k% County <br />Comm. Dom May 7.2015 <br />Sig'a of Notary Public (Notary scal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPT10N OF THE ATTACHED DOCUMENT <br />/ ? 0 n ? (.D ?'y S rb r1 O?T 1'T i`/IGG y ? f' <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages t Document Date <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />? Individual (s) <br />Corps to Offit <br />r v <br />Critto <br />? Partner(s) <br />? Attorney-in-Fact <br />? Trustee(s) <br />? Other <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />-4rW acir-Wedgment completed in California must contain verbiage ewcty as <br />appearr above in the notary section or a separase acnnoWedgmenr form must be <br />properly completed and atigched to that document. 77re only exception u if a <br />doomed is so be recorded outside of Cabforaia. in such inssamcer, any ahermaum <br />acb-Wedgmew verbiage as may be printed on such a document so long as as <br />verbiage does not require the notary to do somdhdrg that is illegal for a notary in <br />Cahfo da CLe. cerig*g she authorized cgwdty of the sigmw). Please check the <br />document eamNly for proper notarial wording and attach this form fjrequired <br />• state and County information must be the State and County where the document <br />sign(s) personally appeared Were the notary public for admotvkedgment <br />• Date of notarization must be the date that the signa(l) personally appeared which <br />most 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 />hdsbdrhey,- is /are) or circling the correct forrtms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cove text or lines. If seal impression smudges, re-seal if a <br />sufficient area permits, otherwise complete a different scJmowledgment form. <br />• Signature of the notary public must match the signature on tie with the office of <br />the county desk. <br />V, Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a difIet+ent document <br />t, Indicate tide or type of ansched document, number ofpages and date. <br />b Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title.(i.o. CEO, CFO, secretary). <br />• Securely attach this document to the signed document <br />LuUN version CAPA 02.10.07 800.873-9865 wwwNotaryClasses.eom <br />251-28
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