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SIMON, JAMES & MELISSA - 2015
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SIMON, JAMES & MELISSA - 2015
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Last modified
1/22/2016 4:18:51 PM
Creation date
1/22/2016 2:54:31 PM
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Contracts
Company Name
SIMON, JAMES & MELISSA
Contract #
A-2015-266
Agency
PLANNING & BUILDING
Council Approval Date
12/1/2015
Destruction Year
0
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIC CODE § 1189 <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 SS. <br />On December 7. 2015 , before me, Karen C. Gerardo Notary Public <br />Date Name and Title of Officer (e.g., "Jane Doe, Notary Public ") <br />personally appeared James Simon and Melissa Simon <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose nam" <br />are ubscribed to the within instrument and acknowledged to me that -he the <br />executed a same in - faisfh sir authorized capacity(ies), and that by <br />hie hew heir signature(s) on the instrument the person(s), or the entity upon behalf of which <br />the person(s) acted, executed the instrument <br />KAREN C. GERARDO <br />commission N 2111280 <br />r' Notary Publlo • 08111arnis <br />Orange County <br />my Comm. E Irq Jun 10 2019 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under <br />the laws of the State of California that the <br />foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alternation of the document or fraudulent <br />reattachment of this form to an unintended document <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: Number of Pages: <br />Signer(s) Other Than Named Above: <br />Signer's Name: <br />Capacity(ies) Claimed by Signers) <br />❑ Individual <br />❑ Corporate Officer — Title(s): <br />❑ Partner -- ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />❑ Individual <br />❑ Corporate Officer — Title(s): <br />❑ Partner -- ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />
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