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HELVIG, MICHELLE
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HELVIG, MICHELLE
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Last modified
3/26/2024 9:06:58 AM
Creation date
8/2/2022 12:41:35 PM
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Template:
Contracts
Company Name
HELVIG, MICHELLE
Contract #
A-2022-020
Agency
Planning & Building
Council Approval Date
2/15/2022
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />knotary 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 0\2-i CgE, ) <br />On 1 R1 t Z 1I Ze7L2 before GtI.1246TJOoE <br />Date Here Insert Name and Title of the Officer <br />personally appeared MICliOLL6 (i z(?� lLE 'CG—IVf�4� r1 L�iCT <br />Name(s) of Signer(s)- <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorised capacity(ies), and that by his/her/their slgnature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the'Instrument, <br />*`,My <br />ANIELLE CHRISTINE SCARSONE <br />Notary Public • California <br />Orange County <br />Commission 4 2385484 <br />Comm. Expires Dec 6, 2025 r <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 AC, ---c..c,""E`�,-,_.— - <br />Signature of Notary Public <br />Place Notary Seal Above <br />OMONAL <br />Though this section Is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this forrti' to an unintended document. <br />Description of ,Attached Document <br />Title or Type of Document: <br />Document Date: <br />Number of Pages: , Sgner(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name; <br />❑ Corporate Off loer — Title(s); <br />❑ Partner — El Limited LD General <br />L1Individual El Attorney in Fact <br />O Trustee h.l Guardian or Conservator <br />❑ Other: <br />Signer Is Representing:. <br />Signer's Name: <br />• Corporate Officer — Title(s): <br />Cl Partner — 0 Limited 0 General <br />0 Individual CI Attorney in Fact <br />El Trustee I "I Guardian or Conservator <br />EJ Other: <br />Signer Is Representing: <br />02414,Nationai NotaryAssoolation www,NationalNotary.org • 1-800-US NOTARY (1-800.876-6827) Item #5907 <br />
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