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23A - PROJ - TRAFFIC SIGNAGE
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04/04/2017
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23A - PROJ - TRAFFIC SIGNAGE
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Last modified
3/30/2017 6:03:03 PM
Creation date
3/30/2017 5:32:07 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
4/4/2017
Destruction Year
2022
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CALIFORNIA ALL - PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of San Bernardino <br />On February 6, 2017 before me, Barbara E. Paluzzi, Notary Public <br />(Here insert name and title of the officer) <br />personally appeared Mike Rodgers, President <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name is subscribed to <br />the within instrument and aclmowledged to me that eTIITe><t�tey executed the same in is ar disii authorized <br />capacity(ies} and that by is signature( on the instrument the person(&), or the entity upon behalf of <br />which the person(s) acted, executed, the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />IT ' SS y ha nd feral s 1. <br />Si of Notary Public (Notary Seal) <br />BARBA p UZZI <br />COMM. # 2136068 -, <br />V "•4w}a. $ NOTARY PUOLIO•CALIFORNIA(% <br />SAN ' BERNARD= COUNTY 0 <br />Wi MY Obmmisslon Expires <br />O4yBfTIbfiT 23, }1019 <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />Title or description continued <br />(Title or description of attached document continued) <br />Number of Pages_ Document Date 4/22/15 <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (a) <br />❑ Corporate Officer <br />('Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />Id information checked <br />Love www.nouny�Iesses.com <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any aelarowledgment completed in California most contain verbiage exactly as <br />appears above in the notary section or a separate acknowledgment form most be <br />property completed and attached to that document. The only exception is if a <br />document is to be recorded outside of California. In such instances, any alternative <br />acknowledgment verbiage as may be printed on such a document so long as the <br />verbiage does not require the notary to do somedrtng that is illegal far a notary In <br />California (i.e. terrifying the authorized capacity of the signer), Please check the <br />document carefully for proper notarial wording and attach this form if required. <br />• State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />The notary public must print his or her name as it appears within his or ber <br />commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document signer(s) who personally appear at the time of <br />notarization, <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (i,e, <br />he/she/thay,— is /are) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording, <br />• The notary goal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />suitioient area pertdts, 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 eatsuro this <br />acknowledgment is not misused or attached to a different document. <br />Indicate title or type of attached document, number of pages and date. <br />Indicate the capacity claimed by the signer, If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document <br />
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