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FISHER, SUSAN SALLY
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FISHER, SUSAN SALLY
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Last modified
8/28/2018 1:49:07 PM
Creation date
8/7/2018 12:57:04 PM
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Contracts
Company Name
FISHER, SUSAN SALLY
Contract #
A-2018-099
Agency
PLANNING & BUILDING
Council Approval Date
4/17/2018
Destruction Year
0
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::ALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE <br />.m .m _m _m .m _m .m a _m.m.,m _m ,mean .m _ t.m _m .m _mS_m _mS_m _mS.a _ m..�. _-a m .m. _m•,m .m.,m ,m m .m .m ,m _ma.m.: <br />A notary public or other officer completing this certificate verifies 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 C/1 CA -v Ws _ <br />On C;6 ci�'�� before me, <br />Date <br />personally appeared <br />(A'S -C. <br />Here Insert <br />Title of the Officer <br />`1(lame(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personWvvhose nameKis/are <br />subscribed to the within instrument and acknowledged to me that he/she/t executed the same in <br />—his/her/their authorized capacity{fes), and that by his/her/th4air signature,W-on the instrument the persory(s); <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />SHANTEL JEFFERSON <br />iNotary Public • California <br />O. -My <br />Orange CountyzCommission # 2154097 <br />Comm, Expires May 21, 2020 <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS�an )and official seal. <br />Signature4of <br />Sigublic <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 document. <br />Description of Attached Do ument <br />Title or Type of Document: tlti vvc <br />Document Date: Yy/ 1 c <br />Signer(s) Other Than Nd med Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Number <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02016 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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