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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 <br />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 acknowledged to me that h",ey executed the same in is authorized <br />capacity(L -4, and that by is signatuxe(� on the instrument the person(s}, 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 />BARBARA B. PALUZZI <br />OOMM. # 2198088 <br />Up. ^W'r°�� QNOTARY 1.;L'C•CAWFONNIA <br />N IT SS hand and off 1a seal, U .7' SAN,8ERNARO "NO COUNTY <br />My Commleslon Expires It <br />0spember 2a, 201@ <br />ar " <br />Signs ue oPNotary Public - (Notary Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF TIIE 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 _ Doctunent Date 4/22/15 <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ <br />Individual (s) . <br />❑ <br />Corporate Officer <br />(Title) <br />❑ <br />Partner(s) <br />El <br />Attorney -in -Fact <br />© <br />Trustee(s) <br />0 <br />Other <br />Id information checked <br />2008 Version CAPAvt2.10.07 800- 873 -9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any aclmowledgmenf completed in California must contain verbiage exactly as <br />appears above in the notary section or a separate acknowledgment form must be <br />properly completed and attached to that docmrent. The only exception is if a <br />document is to be recorded outside of California. Inn 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 something that is illegal for a notary in <br />California (Lo, certifying the authorized capacity of the signer). Please check the <br />document carefully for proper notarial wording and attach this form ifrequired, <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 ofnotarization must be the date that the signer(&) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or her mane as it appears within his or her <br />commission followed by a comma mid 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 /they;- is lure) or circling die correct forms, Failure to correctly indicate this <br />Information may load to rejection of document recording, <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient arou permits, 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 cold help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />Indicate title or type of attached document, number olfpages and date. <br />b Indicate the capacity claimed by the signor, If the claimed capacity is it <br />corporate effect, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document <br />
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