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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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t 0 k <br />FA 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 ` 0(4 <br />On �tMt 30 l _ before me, _ <br />personally appeared _ <br />who proved to me on t � basis f satisfactory evidenc to be the person( whose <br />name (G4 sage- subscribed to the within instrument and acknowledged to me that <br />A s ht4ttrep executed the same ink /h4F /the authorized capacity(ies , and that by <br />herrAh,er signature(Oon the instrument the person(s}-or the entity upon behalf of <br />which the person (-&) acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />,,••t°^, DANIELA BORBE <br />WITNESS m hand and official seal. _ . coMM,t12054639 �gg <br />y (� " NOTARY PUBLIC CALIFORNIA yt <br />ORANGE COUNTY <br />il�w°ar,rame^" y MY COMM. EtP, JAN. Si, 20iB i <br />Notary Public Signature (Notary Public Seal) <br />RUM 1! K <br />OF THE ATTACHED DOCUMENT <br />(Title or description of altachod document) _. <br />(Title or description of allaclied document continued) <br />Number of Pages _-_. Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />( Idle) <br />• Partner(s) <br />• Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />20 15 Version mnvw.NotaryCI asses. cotn 800- 873 -9865 <br />IC <br />INSTRUCTIONS FOR COii+tPLi3TINCr THIS FORM <br />ThLr,/brtn anugtlies hridr currant Cat{ forma slanrtas regarding nafar��rvarlirryq mni, <br />Jneeded, should he completed and atlached to the document, Ac /rgonfedgurents <br />ft an other slates our) be completed for doelauerus being sent to that state so long <br />as the tarring does not i eyuh e the California notary to violate Califoolla notary <br />law. <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 rici ization Imat be [lie date that the signer(s) personalty appeared which <br />must also be the same date the aclmowlcdgmen( is completed. <br />• The notary public must print his at her name as it appears within his or her <br />commission followed by a comma and then your title (notary Public). <br />• priat the name(s) of document signer(s) who personally appear at the time of <br />nhotmizatIon. <br />• Indicate the correct singular at plural forms by crossing off incorrect fauns (i.e. <br />he /shetkhe}, is /exe ) or circling the correct forms. Failute to correctly indicate this <br />information may lead to rejection of document recording. <br />• 'File notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines, If seal impression smudges, re -seal if it <br />sufficient area Fenn its, otherwise coal plete a different acknowledgment form. <br />• Signanre of the notary public nmst match the signature em 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 at attached to a different (loelialemt. <br />Indicate title or type of attached document, number of pages and date. <br />Indicate the capacity claimed by (he signer. If the claimed capacity is a <br />corporate officer, indicate the title (Le. CFO, CFO, Secretary). <br />• Securely attach this document to (he signed document with a staple. <br />
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