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LARDAS, CHRISTINE M. & FAIRCHILD, ROBERT H.
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LARDAS, CHRISTINE M. & FAIRCHILD, ROBERT H.
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Last modified
1/9/2019 10:12:58 AM
Creation date
12/6/2018 12:38:56 PM
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Contracts
Company Name
LARDAS, CHRISTINE M. & FAIRCHILD, ROBERT H.
Contract #
A-2018-097
Agency
PLANNING & BUILDING
Council Approval Date
4/17/2018
Destruction Year
0
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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 ("x(( TorN1,'6 } <br />County of _ G r-rApjG e <br />On l / % J rl! before me, OrLrA �,'nrJSu .� pJ/Jf1G <br />_ <br />I ere ..se me an e o a icer <br />�o 4 d �G 0�ii <br />personally appeared (6-d r(A,�t , 5126P z2zKtri t <br />who proved to me on the basis of satisfactory evino be the person(s) whose <br />name(s) is/are subscribed to the within instrument and acknowledged to me that <br />he/she/they executed the same in his/her/their authorized capacity(ies), and that by <br />his/her/their signature(s) 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 />DAINI OCHOA ESPINOSA <br />WITNESS my hand and official seal. Notary Public - California <br />Orange County <br />9My <br />Commission # 2178199 <br />Comm. Expires Jan 1, 2021 <br />: <br />Notary Public Signature (Notary Public Seal) <br />ADDITI®NAL®PTI®NALINFORMATIDN INSTRUCTIONS FOR COMPLETING THIS FORM <br />This form complies with current California statutes regarding notary wording and, <br />DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded, should be completed and attached to the document. Acknowledgments <br />from other states may be completed for documents being sent to that state so long <br />as the wording does not require the California notary to violate California notary <br />law. <br />(Title or description of attac ocurrent) • 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 is,,,nn of attached document Continued • Date of ❑otarization most 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 />Num Pages Document Date <br />er of _ commission followed by a comma and then your title (notary public). <br />• Print the names) of document signer(s) 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 (i.e. <br />he/she/they,- is /ere) or circling the correct forms. Failure to correctly indicate this <br />❑ Individual (s) <br />information may lead to rejectionofdocumentrecording. <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 />I e sufficient area permits, otherwise complete a different acknowledgment form. <br />❑ Partn • Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />❑ At ney-in-Fae4 Additional information is not required but could help to ensue his <br />❑ rustee(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 />www.NotaryClasses,coin 800-873-9865 • Securely attach this document to the signed document with a staple, <br />
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