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23A - PROJ - ELECTRIC PARK
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03/21/2017
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23A - PROJ - ELECTRIC PARK
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Last modified
3/16/2017 4:00:09 PM
Creation date
3/16/2017 3:49:07 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
3/21/2017
Destruction Year
2022
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4 <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 A <br />On / � /VdariW '7boe'l `ore- me, <br />personally appeared C r xR�C✓� <br />who proved to me on the basis of satisfacto vidence to be the person wahose <br />e subscribed to the within instrument and acknowledged to me that <br />,e e!t y executed the same i is .rltheir authorized capaoity(in, and that by <br />is! r! h Ir signature on the ins rument the person, or the entity upon behalf of <br />ich the personnacted, exeouted the instrument. <br />W ' !. s z <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Tide or description of attached decumentcontinued) <br />Number of Pages — Document Date <br />:,APACITY CLAIMED BY THE SIGNER <br />❑ Individual (a) <br />Q Corporate Officer <br />�l <br />Partner(s) <br />C7 Attorney -in -Fact <br />❑ Trustee(s) <br />E] Other <br />(Notary Public Seal) <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Thisform complies with current California statutes regrading notary warding and, <br />f needed, should be completed and attached to the document. Acknowledgments <br />frmn other states may be completed for documents beingsent to that state so long <br />as the wording 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 />signers) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the signers) personally appeared which <br />must also be the seine 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 a comma and then your title (notary public). <br />• Print the names) of document signers) who personalty appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off mconcet forms (i,e. <br />hesheJihev,isr are) or circiing the correct for ms, Faihue to correctly indic t this <br />information may lead to rejection of document recording. <br />• The notary seal Impression must be clear and photographically reproducible. <br />mpression must trot cover teXt or lines. If seal impression smudges, re -seal if a <br />sufficient anal permits, otherwise complete different acknowledgment form. <br />• Signature of the notary public Hurst match the signature on rile with tine office of <br />the county clerk, <br />Additional information is not required but could help to ensure this <br />aelmowledgmemt is not misused or saa0ed to a diffircnt document. <br />•: Indicate title or type of attached document, number of pages and date. <br />+ ladicate the capacity claimed by the signer. If the claimed capacity is a <br />eoronme Officer, indicate the title (i.e. CEO, CFO, Secretary) <br />• Securely attach this rlaoument to the signed document with a staple. <br />
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