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CALIFORNIA JURAT V41ITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />❑ See Attached. Document (Notary to cross out lines 1-6 below) <br />0 See Statement Below (Linos 1-6 to be completed only by document signer(s], not Notary) <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 />Stato of California <br />County of _ Orancfe <br />TIILPHAMCOMM�Notary <br />R <br />PeORAy <br />Comm. 0 <br />Subscribed and sworn. to (or affirmed) before me <br />on this 14 day of November , 20-16., <br />by Ga�{t-e Month Year <br />(and <br />Narne(4) of Signer( <br />proved to me on the basis of satisfactory ovidenge <br />to be the person(,} who appeared before me. <br />Signature_.._. �..-...., <br />Signature of Notary public <br />Seal <br />Place 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: - Non -Collusion Affidavit Document Date; November 14, 2,a <br />Number of Pages: -_1__ Signer(s) Other Than Named Above. <br />None <br />02014 National Notary Association - www.NationalNotary,org - 1 -800 -US NOTARY (1-800-876-6827) Item #5910 <br />