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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />xa <br />❑ See Attached Document (Notary to cross out lines 1 -6 below) <br />I I See Statement Below (Lines 1 -6 to be completed only by document signer[s], not Notary) <br />Signature of Document Signer No_ t Signature of Document Signer No. 2 (if any) <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed She <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of _U tinge <br />KRISTEN RENEE CZUPRYN <br />Commission # 1996022 <br />Notary public - California z <br />Orange County III <br />My Comm. Expires Nov 25, 2016 <br />a�a�$ <br />Seat <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this 7th _ day of _.__ October,_, _ 20_16_, <br />by Date Month Year <br />(1)_. William8,_Dayenpo-.rt <br />(and <br />Names) of Signer(s) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />J <br />Signatur __ _ <br />Signature of ary Public <br />r• � <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Docurent: Uwnemirip affidavit Document Date: __10 -7 -16 <br />Number of Pages: 1 <br />Signer(s) Other Than Named Above: _None <br />`^" X_' rvR' K.' ve' 4Y°.' yEd�c` �v'£ rSS- L'.% L^ �3¢'/.- r- E' e,.".'` G'z:zi`tz"K%„'c`.bc'G`E'.V"? =VY <br />CO2014 National Notary Association • www.NationaiNotary,org • 1- 800 -US NOTARY (1- 800- 876 -6827) Item #5910 <br />23B -22 <br />