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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />27 See Attached Document (Notary to cross out lines 1-6 below) <br />❑ See Statement Below (Lines 1-6 to be completed only by document signer(s), not Notary) <br />Signature of Document Signer No. t Signature of Document Signer No. 2 (if any) <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 Orange <br />ASHLIE BLANCHARD <br />rS, COMM. B2279550 N <br />`-�''=._�,�.�rf'�'/'. Notary Public -California (,p <br />�',ORANGE COUNTY <br />. <br />My Comm. Expires March 3,202 <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this <br />20 day of <br />April 20 21 <br />by <br />Date <br />Month Year <br />� <br />a <br />\0"d <br />(1) <br />LA <br />(and (2) <br />), <br />Name() <br />of Signer( ) <br />proved to <br />me on the basis <br />of satisfactory evidence <br />to be the person(s) who <br />appeared befforre, me. <br />k <br />o <br />� '- <br />Signature <br />Signature <br />of Notary 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 unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Number of Pages: Signer(s) Other Than Named Above: <br />Document Date: <br />02014 National Notary Association • www.NationatNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 <br />