Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 <br /> ®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. 1 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 Subscribed and sworn to (or affirmed) before me <br /> County of Orange <br /> on this 30th day of ___ Sel,tember , 20 21 <br /> by Date Month Year <br /> (1) Ben Martin <br /> (and (2). ), <br /> WENDY BOWLING Name(s)of Signer(s) <br /> Notary Public.California <br /> Orange County r. proved to me on the basis of satisfactory evidence <br /> Commission#2267914 <br /> eMy Comm.Expires Nov 20,2022 to be the person(s) who appeared before me. <br /> Signature <br /> Sigr�m a of Notary Public <br /> Seal <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 Document <br /> Title or Type of Document: Non-Collusion Affidavit Document Date: None <br /> Number of Pages: 1 Signer(s)Other Than Named Above: _ None <br /> 02014 National Notary Association•www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910 <br /> City Council 23 — 135 1/18/2022 <br />