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HERNANDEZ, JOSE B. (2)
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HERNANDEZ, JOSE B. (2)
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Last modified
3/26/2024 9:07:06 AM
Creation date
9/28/2022 11:48:13 AM
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Contracts
Company Name
HERNANDEZ, JOSE B.
Contract #
A-2022-167-01
Agency
Public Works
Council Approval Date
9/6/2022
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CALIFORNIA IA 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 California <br />County of 0R0IA qe <br />On <br />per <br />whc , <br />name(s)paw—subscribed to the within instrument and acknowledged to me that <br />0sl;le/they executed the same ino/h *41-ieir authorized capacity(ies), and that by <br />ESL herftheir signature(&} -on the instrument the person(&) or the entity upon behalf of <br />which the persons} acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />y`Zr DANIEIA BOABE <br />1 NESS my hand and official seal. ' range Cou ty«rtN <br />u MA Can . Expn Y 2 pr 6. 2 <br />O • +f.o.+' My Comm. E�ires Apr 6, Z026 <br />Notary Publfc Signature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFUKIVIAl I <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(rite or description of aftached document) <br />(Ttle or description of attached document continued) <br />Number of Pages _ Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (a) <br />❑ Corporate Officer <br />(Tltie) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version wiww,NotaryC[asses.com 800-873-9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />DN Thisfornn complies nuith cm'rent California statutes regardiagnotary rvording and <br />if needed, should be completed and attached to the donmlent. Acknmrdedgments <br />fi am other states may be completed for docuanents being sent to that state so long <br />as the rnording does not require the California notary to violate California notary <br />Imp. <br />• 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 />• Date of notarization must be the date that the signer(s) personally appeared which <br />must also be ore same date the acknowledgment is completed. <br />• The notary public must print his or her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect fomns (i.e. <br />helshe/dwy, is /are) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• 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 />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signatme of the notary public must match the signature on file with the office of <br />the county clerk. <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document <br />Indicate title or type of attached document, number of pages and date. <br />Indicate the capacity claimed by die signer. If the claimed capacity is a <br />corporate officer, indurate ne i e n.e. acre <br />• Securely attach this document to the signed document with a staple. - <br />
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