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23B - PROJ - MEMORIAL PARK SECURITY
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07/07/2015
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23B - PROJ - MEMORIAL PARK SECURITY
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Last modified
7/6/2015 8:39:42 AM
Creation date
7/2/2015 4:11:29 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
7/7/2015
Destruction Year
2020
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• -6 <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of <br />County of <br />On <br />personally appeared %fG Y - <br />who proved to me on basis of satisfactory evidence to be the person(s) whose <br />name(s) is /are subscribed to the within instrument and acknowledged to me that <br />he /she /they executed the same in his /her /their authorized capacity(ies), and that by <br />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 <br />the foregoing paragraph is trVe and correct, <br />WITNESS m P vial seal. RosIR Totean•NewRnR ON <br />Y @^ CaMM.6 2066732 /�qq <br />(� er 41 NOTARY PUCLICAALIFORNIA urt <br />LOB ANCILFS COUNTY <br />no • MY COW RAP• Nov. is, 2018•' <br />Notary b' Sig u e (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages _ Document Datl <br />CAPACITY CLAIMED BY THE SIGNER <br />C3 Individual (s) <br />❑ Corporate Officer <br />(Title) <br />• Partner(s) <br />• Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />It) i* Varsiorr wr^ s ^eNu;erybluaSnS. corn ECG- M1 -Ei8b6 <br />IL' <br />INSTRliCTIONS FOR COMPLETING TI-I1S FORM <br />7hisformcomphesivith cumeut Colyowia statures ragardlag notatywin ding and, <br />ifneeded, should be completed and attached to the document. Aclmmoledginants <br />from other stares ntav be campl etedfor documents being sent to that state so long <br />as the ivora5hg does not require the Caljromot nouuy to violate Calj/brnta notary <br />late. <br />• State and County information must be the State and County where the document <br />signors) personally appeared before the notary public for acknowledgment. <br />• Data of notarization must be the date that [trig signor(a) 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 signers) who personally appear at the time or <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off hrcorrect forms (i.0. <br />hahihe/dsea is/ era) or circling the correct forms. Pollinate correctly indicatethis <br />information tiny lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seat impression smudges, ro•soal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on rile 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 />�S Indicate title or type of attached document, number of pages and date, <br />Indicate the capacity claimed by the signer. If the claimed capacity is e <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />23B -22 <br />
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