Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />❑ See Attached Document (Notary to cross out lines 1-6 below) . <br />❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], <br />Signature of Document Signer No. 1 <br />Signature of Document Signer No. 2 (if any) <br />A notary public or other officer completing this certificate vorifies 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 />�tabll@-�c�llfe�r�}� <br />•� My Carrtm. <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this 4-14 __ day of — November , 20 16_, <br />by Date Month Year <br />(1), IC[m-- <br />(and (2) <br />Name{oy of Signer) <br />proved to me on the basis of satisfactory evidence <br />to be the person( who appeared 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 to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: Proposal Document Date; November 14, 2� <br />Number of Pages: 1__ Signer(s) Other Than Named Above. None <br />02014 National Notary Association • www.Nationa]Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 <br />MA PHAM <br />4 <br />Notary <br />ORANGIE COUNTY <br />�tabll@-�c�llfe�r�}� <br />•� My Carrtm. <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this 4-14 __ day of — November , 20 16_, <br />by Date Month Year <br />(1), IC[m-- <br />(and (2) <br />Name{oy of Signer) <br />proved to me on the basis of satisfactory evidence <br />to be the person( who appeared 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 to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: Proposal Document Date; November 14, 2� <br />Number of Pages: 1__ Signer(s) Other Than Named Above. None <br />02014 National Notary Association • www.Nationa]Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 <br />