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23C - PROJ - MARRISON PARKING LOT
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12/01/2015
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23C - PROJ - MARRISON PARKING LOT
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Last modified
11/25/2015 3:21:33 PM
Creation date
11/25/2015 2:05:56 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23C
Date
12/1/2015
Destruction Year
2020
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23C -17 <br />JURAT <br />A notary public or other officer completing this certificate verifies only the identity of <br />the individual who signed the document to which this certificate is attached, and not <br />the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Riverside <br />Subscribed and sworn to (or affirmed) before me on this 21th day of October <br />2015 by Eric Alvarez - President of Roadway Engineering <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />SOCORRO ALVAREZ <br />�OmmIa510fl # 2()88001 <br />`z - s Notary Public - California <br />'' <br />San Bernardino County r <br />Comm. Ex Tres Apr 27, <br />2018 <br />Signature U (Seal) <br />OPTIONAL INFORMATION INSTRUCTIONS <br />The wowing afaliJumts completedfn Califomfa after January 1, 2013 must be fn the Porm <br />as setPodh within this Jurat Thera am no exceptions. If o Jurat to be completed does not <br />fallow this farm, the notary mustcomectile verbiage by using ajuratslamp containing the <br />correct wording of attaching a separate jurat form such as this one with does contain the <br />proper wording, In addition, the notary must require an oath or affirmation from the <br />DESCRIPTION OF THE ATTACHED DOCUMENT document signer regarding the truthfulness of the contents of the document. The <br />Ownership Affidavit document must be signed AFTER the oath or afrmadar. lithe document was pmvlously <br />ID <br />signed, it mustbe m4tinedin front of the nobsypublic during thejmatprocess, <br />(Title or description of attached document) <br />• State and county information must be the state and county where the <br />IT& or description of attached document continued) document signer(s) personally appeared before the notary public. <br />- • Date of notarization must be the date the signer(s) personally <br />appeared which must also be the same date the jurat process is <br />10/21(15 completed. <br />Numbefof Pages Document Date • Print the name(s) of the document signer(s) who personally appear at <br />- the time of notarization. <br />• Signature of the notary public must match the signature on file with the <br />Additional information Was of the county clerk. <br />• The notary seal Impression must be Gear and photographically <br />- reproducible. Impression must not covertext or lines. If seal Impression <br />smudges, re -seal if a sufficient area permits, otherwise complete a <br />different jurat form. <br />Additional information Is not required but could help <br />to ensure this jurat Is not misused or attached to a <br />different document. <br />+° Indicate title or type of attached document, number of <br />pages and dale. <br />• Securely attach this document to the signed document with a staple. <br />2015 Version www.NoteiyC]asses.com 000 -87 &0885 <br />23C -17 <br />
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