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NISSON, DAVID M. & LISA M.
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NISSON, DAVID M. & LISA M.
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Last modified
1/9/2019 10:12:25 AM
Creation date
12/7/2018 4:42:38 PM
Metadata
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Template:
Contracts
Company Name
NISSON, DAVID M. & LISA M.
Contract #
A-2018-243
Agency
PLANNING & BUILDING
Council Approval Date
10/16/2018
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />fr+ .A� .A� .¢� W .q�. q..N .clvN .p..ntrws�.vwvwvwawvwaonvw..w�-.s.+.se.sws...sws...s«sis«s«m«mwmw. <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 <br />OnA10L,J. /". 2�0197 before me, od [AIV k bC-�,, <br />Date _ e _ Here Insert Name Ad Title of t e Officer <br />personally appeared [/09•,/ /V; !r_</94,1 /,iTp i'/ <br />Names) of Sianer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) i4g/are <br />subscribed to the within instrument and acknowledged to me that heAem/they executed the same in <br />hi&%er/their authorized capacity(ies), and that by hli Ahtl?/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />Place Notary Seal Above <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 my hand and official seal. <br />Signature 0/;, �' - x1 <br />Signature of Noiety Public <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 unintende}� docume t. <br />Description of Attached Do�� rv�agg�nt a _j e-- e zf11J ° V/3�X PI �Pe 2 /l <br />Title or Type of Document: aL �tid�e � Document Date:,///, 12—,21 5 <br />Number of Pages: Signer(s) Other Than Named 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 />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 <br />Representing: <br />©2014 National Notary Association - www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />ARK.IVA'I <br />MARK <br />NOTARY PUBLIC CALIFORNIA <br />COMMISSION 13961 <br />COUNTY <br />My Comm._,D. APril 11 2019 S <br />c -+u y+p^..`7gmp+uq+6 <br />pip^✓'4Y"crvdv'✓'Y�wv� <br />Place Notary Seal Above <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 my hand and official seal. <br />Signature 0/;, �' - x1 <br />Signature of Noiety Public <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 unintende}� docume t. <br />Description of Attached Do�� rv�agg�nt a _j e-- e zf11J ° V/3�X PI �Pe 2 /l <br />Title or Type of Document: aL �tid�e � Document Date:,///, 12—,21 5 <br />Number of Pages: Signer(s) Other Than Named 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 />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 <br />Representing: <br />©2014 National Notary Association - www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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