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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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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 L2 —6 —( 6 before me, Claudia Cochran, Notary Public <br />o-lore insert name and title o the officer) <br />personally appeared —--Ronnie Cochran a <br />who proved to me on the basis of satisfactory evidence to be the persons} whose <br />name(&&) is /ere subscribed to the within instrument and acknowledged to me that <br />hefsheAhey-executed the same in hisil eita{theif authorized capacity(), and that by <br />his /+efefM",4 signature(s) on the instrument the person(44, 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 />WITNESS my hand and official seal. <br />Notary Public Signature <br />11111II Lei ►111i�1➢il Lei Or-11� <br />OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document continuod) <br />Document Dato <br />CAPACITY CLAIMED BY THE SIGNER <br />Individual (s) <br />d Corporate Officer <br />(Title) <br />❑ Partner(s) <br />C] Attorney -in -Fact <br />❑ Trustee(s) <br />E] Other <br />(Notary Public Seal) <br />INSTRLICTIONS FOR COMPLETING THIS FORM <br />3N Thisfornn coapfdes with rau•renlC'nlrfornia•f[atutes regnrr ling rrofmy rrordtng arid, <br />ifneedad, should be canipleted turd attarlred to [het dorwaernt. Ackmm�dedgmenns <br />from other stales niay ba eoapleted for documents heing sent to that stale so long <br />as the wo,dhrg does not require the California notary to violate California 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 fbr acknowledgment. <br />• Date of notarization must be the date that the signers) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public trust print his or tier name as it appears within his or her <br />commission followed by a comura and then your title (notary public), <br />• Print the name(&) of' document signer(&) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural fomms by crossing off incorrect forms (i.e. <br />ho!flhe!Uto}� is lure ) or circling the correct forms. Fat [tire to correctly indicate this <br />information may lead to refection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />impression must not cover text or lines. If seal impression snnldges, re -seal if it <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on 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 or attached to a different document, <br />Indicate title or type ofarached docanrcnt, number of pages and date. <br />Indicate the capacity claimed by the signer. if the claimed capacity is a <br />eorpornte officer, indicate the title (Le, CEO, CFO, Secretary), <br />• Securety attach thin documont to the signed document w(th n staplo. <br />.. ,. <br />C6AUDIA COCH AN R <br />•l <br />'+ <br />COMM It 2095862 <br />Z <br />, <br />ORANGE COUNTY <br />NOTARY PUBLIC - CALIFORNIA <br />MY COMMISSION EXPIRES —' <br />JAN. 30, 2019 <br />(Notary Public Seal) <br />INSTRLICTIONS FOR COMPLETING THIS FORM <br />3N Thisfornn coapfdes with rau•renlC'nlrfornia•f[atutes regnrr ling rrofmy rrordtng arid, <br />ifneedad, should be canipleted turd attarlred to [het dorwaernt. Ackmm�dedgmenns <br />from other stales niay ba eoapleted for documents heing sent to that stale so long <br />as the wo,dhrg does not require the California notary to violate California 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 fbr acknowledgment. <br />• Date of notarization must be the date that the signers) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public trust print his or tier name as it appears within his or her <br />commission followed by a comura and then your title (notary public), <br />• Print the name(&) of' document signer(&) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural fomms by crossing off incorrect forms (i.e. <br />ho!flhe!Uto}� is lure ) or circling the correct forms. Fat [tire to correctly indicate this <br />information may lead to refection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />impression must not cover text or lines. If seal impression snnldges, re -seal if it <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on 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 or attached to a different document, <br />Indicate title or type ofarached docanrcnt, number of pages and date. <br />Indicate the capacity claimed by the signer. if the claimed capacity is a <br />eorpornte officer, indicate the title (Le, CEO, CFO, Secretary), <br />• Securety attach thin documont to the signed document w(th n staplo. <br />
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