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LEAMING, TROY & KIM
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Last modified
11/7/2018 4:55:18 PM
Creation date
11/30/2016 1:18:06 PM
Metadata
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Template:
Contracts
Company Name
LEAMING, TROY & KIM
Contract #
A-2016-320
Agency
PLANNING & BUILDING
Council Approval Date
11/15/2016
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE <br />.:c�S/.f :n¢.af. -i a '`S/ ¢ -'<!" S.<.v....i�i/3•..n` .m•.saS .SCc� .3`f,.K.c� .?i �i'f!"�Sf,�f • . ¢ �fl r.\¢.a¢.�5.<>f. <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <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 QrcLn�-e, <br />On Y)OVb �1Y (tP. �� f)lU before me, <br />Date 1Here Insert Name and Title of the Officer <br />personally appeared oma ccwuX 3i <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personK whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/hetAheir authorized capacity(i6g), and that by his/Ter/their signature(s)"on the instrument the person(sj <br />or the entity upon behalf of which the person* acted, executed the instrument. <br />ROSA A.FLORES <br />:. Commission # 2057129 <br />z tKJy Notary Public - California <br />Orange County <br />M Comm. Expires Feb 7, 2098' <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signature 6 • lJ/lp d� <br />Signature of Notary Public <br />Piece Notary Seal Above <br />OPTIONAL <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 Document: <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is <br />Representing: <br />02014 National Notary Association ^ www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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