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25K - AGMT - PURCHASE BRISTOL STREET IMPROVEMENTS
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04/19/2016
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25K - AGMT - PURCHASE BRISTOL STREET IMPROVEMENTS
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Last modified
4/15/2016 11:37:54 AM
Creation date
4/14/2016 6:45:37 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25K
Date
4/19/2016
Destruction Year
2021
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it. + XMVAX <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 California }} } <br />County of l./i�t4kkk _ } <br />On 2 "- 2 � °,-,o { t dD16 before me, { L fie- <br />personally appeared. 4..1�4?a L�1 Inct <br />who proved to me on t , basis of satisfactory evidenc o be th persc n�s whose <br />name* re subscribed to the within instrument and acknowledged to me that <br />hers e executed the same in MsaberAo authorized capacit le , and that by <br />his eir signature on the instrument the persori , or the entity upon behalf of <br />which the persor sacted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />qi,�ZT� DA NIELA BORSE WITNESS my hand and official seal. ",� Comm.# 2064639 ' NOTARY PUBLIC -CALIFORNIA y, <br />l ORANGE COUNTY <br />»f^ MY Comm, pep, JAN. 01, 4018'" <br />Notary Public Signature (Notary Public Seal) <br />1� I fro] Z FAX412IF1tl01KA01011201.i111111 <br />DESCRIPTION OF THE ATTACHED DOCOMENT <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages _ Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www.NotaryCl asses. corn 600 - 873 -9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORtvf <br />ON ThuformcompheTlvhh crereutCaliforilia stanaes regarding notary iva$ingand,, <br />j/'naeded, should be tonrpleted and attached to the docurnant. Acknmvlede Hants <br />,from other stales mny be contpleaerl fa-documents being sent to that state so long <br />as the wading does not require the California notary to violate Ca7tfarnia notarp <br />law. <br />• State slid County information must be the State land 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 signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or tier naive as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document siguer(s) who personally, appear at the time of <br />notarization. <br />• Lrdicate the correct singular or plural forms by crossing off incorrect forms (i_a. <br />hefsheRkey; is /are) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Lnpression must 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 intbrnration 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 />, Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title lie. CEO, CPO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
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