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LEHMAN CONSTRUCTION, INC.
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LEHMAN CONSTRUCTION, INC.
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Last modified
11/14/2024 3:05:30 PM
Creation date
9/3/2014 8:51:18 AM
Metadata
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Template:
Contracts
Company Name
Lehman Construction, Inc.
Contract #
13-2636
Agency
Public Works
Council Approval Date
7/1/2014
Expiration Date
1/2/2015
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CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State 0 , Callfbrny <br />County of <br />On r��vbt fore me, <br />personally appeared <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose names�ls�'arc subscribed to <br />the within instrument and itsknowledged to me the he hetthey executed the same in(�i sjYtet/t it authorized <br />capacity(ie4 and that by ai /11Ie h4R4r signature(s� on the instrument the person(-sa; or the entity upon behalf of <br />which the person 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 />WITNESS my <br />Signature of Notary Public <br />(Notary Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />D��S/�R/IjPTIONq OyF�THHEE ATTACHED DOCUMENT <br />l or description0 at soil document) <br />--- - 3 , <br />(Title or description of attached ocument continued) <br />Number of Pages_ Document Date <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ <br />Individual (s) <br />❑ <br />Corporate Officer <br />('rifle) <br />❑ <br />Partner(s) <br />❑ <br />Attorney -in -Fact <br />❑ <br />T'rustee(s) <br />❑ <br />Other <br />2008 Version CAPA vl2.10.07 800-373-9465 www.NotaryClassosoom <br />K. A. EFY , " ,� <br />COMM. 019113975 <br />Notary Public • California <br />Riverside County <br />My Comm. Elloires July 1 2016 <br />INSTRUCTIONS FOR COMPLETING; THIS FORM <br />Any acknowledgment completed in California most contain verbiage exoct/7.' ns <br />appeals above in the rotary .rection or a separate acknowledgmentfrom rmrsi be <br />properly completed and attached to oict document. T12o only eveeption is if a <br />document is to be recorded outside of California. In such instances, arty alternative <br />acknowledginew verbiage as may be printed on such a doczauent so long as fire <br />verbiage does not require the notar�v to do someflang that is illegal for a notary in <br />California (i.e. cerrffying the authorised capacity of the signe)). Please check the <br />documeru carefiebl, for proper malarial wording and attach this form ff required <br />• 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 signers) personally appeared which <br />must 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 names) 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 />ha/she/#143y,- is fare ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seat impression must be clear and photographically reproducible. <br />Impression nest not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature 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 attached to a different document. <br />Indicate title or type of attached document, number of pages and date. <br />v Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretuy). <br />Securely attach this document to the signed document <br />
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