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23A - PROJ - SIDEWALK RENOVATIONS
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02/07/2017
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23A - PROJ - SIDEWALK RENOVATIONS
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Last modified
2/2/2017 3:35:22 PM
Creation date
2/2/2017 3:09:39 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
2/7/2017
Destruction Year
2022
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <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 Orange <br />On I2- x;...16 <br />before me, Claudia Cochran, Notary Public <br />era ralst name and title at the officer) <br />personally appeared —n -- Ronnie Cochran -Mm <br />who proved to me on the basis of satisfactory evidence to be the person( *whose <br />name(&) is/ e subscribed to the within instrument and acknowledged to me that <br />he%Fi,�executed the same in his /har4 authorized capaclty(�), and that by <br />his /4eh4fw,4 signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person( acted, 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 />l2i . <br />WITNESS my hand and official seal. Z "' ~° <br />, rf- <br />Notary Public Signature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATI <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document continued) v <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 />CLAUDIA CO <br />C R7C H R <br />COMM " 2095862 b <br />ORANGE COUNTY }> <br />NOTARY PUBLIC- CALI(ORNIA Z <br />MY COMMISSION EXPIRES <br />JAN.90,2019 r <br />INSTRUCTIONS FOR COMPLETING TIIIS FORM <br />QN Vusjorm complies with current Ca lifornia.rtatuterregardingnolary wording and, <br />iij,weded,, should be completed and attached to the document. Acknowledgments <br />f ten other states may be ranrpleteal documents beingsant to that state so long <br />as the wording does not require the California namy to violate Caltfawia notary <br />law. <br />• State slid County Information nest be the State and County where the document <br />signcr(a) personalty 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 sonic date the acknowledgment is completed. <br />• The notary public must print his or her name as it appears within his or her <br />commission followed by it comma and then your title (notary public), <br />• Print the names) of document signers) who personally appear at the time of <br />notarization. <br />• Indicate due correct singular or plural fours by crossing off incorrect fours (i.e. <br />Ile /shelthey, —is Also ) nr circling the correct Fours. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• 'the notary seal impression cleat be clew and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete adit'terent acknowledgment form. <br />• Signature of the notary public must match the signature on file with the oluce of <br />the county clerk. <br />Additional infounation is not required but could help to ensure this <br />acknowledgment is lint micased 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 signor, If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CFO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
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