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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], 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 idontity of tho 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 _ Oraricc __ <br />TINA PHIAM <br />COMM. ##21.49384 N <br />Notary Public-Californil a <br />t <br />r+.l'u��v^��+vn••- <br />ORANGE COUNTY � <br />My Comm. Expires Apr 17, 2©20 <br />i�+�+i3Y'��"+'v�V'•v�ll'�ir'ti�1 <br />Subscribed and sworn to (or affirmed) before me <br />on this 14� day of __ November _, 20 16 <br />by Date Month Year <br />(and (2) <br />Name() of Signer( <br />proved to me on the basis of satisfactory evidence <br />to be the person( who appeared before me. <br />4 <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 docurnent, <br />Description of Attached Document <br />Title or Type of Document: Non -Collusion Affidavit Document Date: November 14, 211 <br />Fj <br />Number of Cages: __1__ Signer(s) Other Than Named Above: None <br />©2014 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #6910 <br />