BROEKHUIZEN, JACO & AMANDA-2015 - Laserfiche WebLink

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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange }SS. On December 22, 2015 before me, Teresa M. Ramirez Notary Public Name and Title of Officer (e.g., "Jane Doe, Notary Public ") personally appeared Francisco Gutierrez Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /sloe /they executed the same in his /her /their authorized capacity(ies), and that by his /heEltheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ----TEERESA M. RAMIREZ Commission # 2024678 Notary Public - California 'z Orange County > M Comm. Ex Pies Jun 12, 2017 t Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal. Signature o Nata Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Mills Act Agreement / Historic Property Preservation Agreement 1810 North Greenleaf Street Santa Ana CA 92706 Document Date: 12/01/15 Number of Pages: 8 Signers) Other Than Named Above: N/A Capacity(ies) Claimed by Signer(s) Signer's Name: Francisco Gutierrez ❑ Individual ❑ Corporate Officer— Title(s): ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ® Other: FMSA /Executive Director on behalf of City Manager Signer is Representing: City of Santa Ana