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BUD AND BLOOM, A MUTUAL BENEFIT CORPORATION-2017
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BUD AND BLOOM, A MUTUAL BENEFIT CORPORATION-2017
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Last modified
1/2/2018 10:07:02 AM
Creation date
1/2/2018 9:55:29 AM
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Contracts
Company Name
BUD AND BLOOM, A MUTUAL BENEFIT CORPORATION
Contract #
A-2017-369-16
Agency
PLANNING & BUILDING
Council Approval Date
11/9/2017
Expiration Date
12/31/2020
Destruction Year
2025
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California } <br />County of <br />On �` &Me )R C aft go Iq before me, K. cnboc) <br />(,am nae name and or mo onicer <br />personally appeared yy �Q Vic, Xz 8 <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose <br />name( Ware subscribed to the within instrument and acknowledged to me that <br />t elshe/they executed the same inis her/their authorized capacity(les), and that by <br />i07her/their signature( -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 <br />the foregoing paragraph is true and correct. <br />K.OLSON <br />WITNESS my hand and official seal. (`14Mycwom.EobwAUWAT2*,2= <br />Commission No. 2161706 <br />3Ly <br />NOTARY PUSLIGCALIfORN1ALOS ANGELES COUNTY <br />Notary Public SI nature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM <br />Tldsformcompltesivtth current California statures regarding notary wording and, <br />DESCRIPTION OF THE ATTACHED DOCUMENT jneeded, should be completed and attached io the document. Acknowledgments <br />from other states may be completed far documents being sent to that state so long <br />n -I- .�! / O� as the wording does not require the California notary to violate California notary <br />' V 4 1�( lmv. <br />�( iitltlre ado edpllon alta,,,,, Id do u 9 l • 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 />(Title or description of attached document continued) • Dale 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 her <br />Number of Pages _ Document Date commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document signers) who personally appear at the time of <br />notarization. <br />CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (Le, <br />❑ Individual (s) he/she/theyis/ere)orcircling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />❑ Corporate Officer •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 />'Title) sufficientareapemrits, otherwise complete a different acknowledgment form. <br />❑ Partner(s) • Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />❑ Attorney -in -Fact I- Additional information is not required but could help to ensure this <br />❑ Trustee(s) acknowledgment is not misused or attached to a different document. <br />❑ Other 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 />2015 Version www.NotaryClasses.com 800-873-9885 • Securely attach this document to the signed document with a staple. <br />
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