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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />Cl See Attached Document (Notary to cross out lines 1-6 below) <br />U See Statement Below (Lines 1-6 to be completed only by document signer[s], <br />Signature of Document Signer No. 1 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 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 _—Orange <br />=02AM01 <br />NTV <br />Seal <br />Piece Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this ----14— day of November 20 16 , <br />by Date Month Year <br />(and (2) ), <br />Name(4 of Signer) <br />proved to me on the basis of satisfactory evidence <br />to be the person( who apppeeared\ before me. <br />N — <br />Signature-�~�`�� <br />Signature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form town unintended document. <br />Description of Attached Document <br />Title or Type of Document: Proposal __ <br />Number of Pages: --I-- Signer(s) Other Than Named Above: <br />Document Date: November 1426 <br />None <br />k�.t.'fif(''C`t�-'�iGS-�'GXSr„�h44`�G`P'G'�%C':!?G`4F+ �4'�v_'-�. a`Ii(iL-4`I,:4+"�(.`�'��•tim4"'.L^?4`4Ggtisx.U`L�.'^GY10`4�C,Y7a�4Y(:esdn�zX%C+LC•`SX�Rv;�"42�'.<.Y <br />02014 National Notary Association • www.NationalNotary.org • 1.800 -US NOTARY (1-800-876.6827) Item 15910 <br />23A-16 <br />