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CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT <br />State of California <br />County of Orange SS <br />City of Santa Ana <br />On this 16th day of October. 2013, before me, Rose Ann Trujillo , Notary Public, <br />personally appeared Carlos Rojas Acting City Manager who 4ham to me on the <br />basis of satisfactory evidence to be the so peFSags whosnames tI/are- <br />s ubscribed to t*within instrument and acknowledged to me tha � executed <br />the same in I 1 /her/tir authorized 2pacit /capaciti� and that by hi /hew/#r <br />si natur si natures on the instrument t psrsons or the entity upon behalf of <br />which the person pefsens acted, executed the instrument. I certify under PENALTY OF <br />PERJURY under the laws of the State of California that the foregoing is true and <br />correct. Witness my hand and official seal. <br />NOTARY SEAL Witness my hand <br />amend official seal. <br />� <br />ROME ANNlRUJILLU _` d� ' —" "`J�y <br />NoWy Pubho • CaBNareda <br />L40 cemmlealem r 19700" Signature of Notary <br />omn" County <br />M Cumm. Ez Iree May 3 1 <br />CAPACITY CLAIMED BY SIGNER: SIGNER IS REPRESENTING: <br />❑ Individual(s) <br />❑ Corporate <br />❑ Officers <br />Title(s) <br />El Partner(s) <br />❑ General Partner of a Limited <br />❑ Partnership <br />❑ Attorney -in -Fact <br />❑ Trustee (s) <br />❑ Subscribing Witness <br />❑ Guardian /Conservator <br />❑ Other: <br />THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW: <br />WESTERN DENTAL SERVICES INC. APN 398 - 454 -12 & 13 1221 E. FIRST QUITCLAIM DEED #8479 <br />TITLE OR TYPE OF DOCUMENT: CERTIFICATE OF ACCEPTANCE FOR QUITCLAIM DEED #8479 <br />WESTERN DENTAL SERVICES INC. APN 398- 454 -12 & 13,1221 E. FIRST <br />NUMBER OF PAGES: DATE OF DOCUMENT: <br />SIGNER (S) OTHER THAN NAMED ABOVE: <br />