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HUMPHREY, GERALDINE
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Last modified
3/26/2024 9:15:28 AM
Creation date
11/21/2022 4:43:51 PM
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Template:
Contracts
Company Name
HUMPHREY, GERALDINE
Contract #
A-2022-097
Agency
Planning & Building
Council Approval Date
6/21/2022
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />Acara�;�;rrr.:scx,�nc�zaa cr�sg,zcas.�,ere.r�.st�z�carr��;r�;aaso�s�u <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 n j'alYl-_ =__ ) 1 <br />On 1 l/ 1 D i 2Z before me, N(2 jj Vy PU461 t C <br />Date Here Insert Name and Title of the Officer <br />personally appeared <br />Name(q) 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 authorized capacity(ies), and that by his/her/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 />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />w+�+► CANDY Y R is true and correct. <br />70 <br />] " Notary Puhllc-California WITNESS my hand and official seal. <br />orange County £ <br />' Commission M 238323 2025 ~ <br />+ My Comm l�s Nov 16, Signature <br />Signature Jf Notary Public <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: <br />Document Date: <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 — D Limited ❑ General <br />❑ Individual J Attorney in Fact <br />• Trustee 1.1 Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />11 Corporate Officer — Title(s): <br />0 Partner — FJ Limited L'.] General <br />El Individual I' I Attorney in Fact <br />11 Trustee [.:I Guardian or Conservator <br />E] Other: <br />Signer Is Representing: <br />02014 National Notary Association • www.NationalNotary.org ' 1-800-US NOTARY (1-800-876-6827) Item 45907 <br />
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