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25K - AGMT - BRISTOL ST IMPROVEMENT 3A
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25K - AGMT - BRISTOL ST IMPROVEMENT 3A
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Last modified
4/28/2016 3:18:59 PM
Creation date
4/28/2016 3:10:55 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25K
Date
5/3/2016
Destruction Year
2021
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[AnOiary 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 <br />On `' before me, <br />personally appeared 711V ` " ' 9 lr1GLt v fn �.nn . guru <br />who proved to me on the basis of s9tisfactory evidenc to be the person(s) whose <br />name(;) jl/are subscribed to the within instrument and acknowledged to me that <br />i-44/0e/they executed the same in lA/fAr/their authorized capacity(ies), and that by <br />h)d/hgr/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) 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 />rdAMONA R. MONTANO <br />WITNESS my hand and official seal., ®�2 COMM. #1983778 y <br />`U LOSANotaNGELES COUNTY " <br />M cmmm. IX . OCT I P01 11 <br />;oiary- blest a_WW (Notary Public See]) <br />quaff <br />i4_i_a n:-liEi"ETollg\�IYTIEffll'"IENF±=y"� <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(elle or description of attached document) <br />(Title or description of a&�clred document continued) <br />Number of Pages _ Document Date___.._ <br />CAPACITY CLAIMED f3Y THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />Attorney -in -Fact <br />❑ Trustee(s) <br />Other --.- <br />20 15 <br />ther <br />2015 Version wwuv.NotaryClass s.com 000-873.9885 <br />INSTRUC'T'IONS FOR COMPLETING THIS FORM <br />ON TLis form comphes mith conic+nt Ca fo cin s rants; regardh q nnnuy a+ording mol, <br />if needed, should Le completed and aaaehed to the docmnent. Acknomladgmmvs <br />,iron? other scenes neap be completed for documents being sent to that state so long <br />as the rreading does not squire The California notary to violate California nota£), <br />lora. <br />• State and County information must be the Stale and County where the document <br />signer(;) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be die date that the, signor(s) personally appeared which <br />must' also be the 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 eommna and then yvur title (notary public). <br />• Print the ]ionic($) of document signal (s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural thnns by crossing off incorrect fomns (i.a. <br />be/sheffilel- - is /are) or circling the correct forms. Failure to correctly indicate this <br />information may lead to injection of doctnrrent recording. <br />• 'The notary seal impression must be clear and photographically reproducible. <br />Impression roust not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area pennies, otherwise complete a different acknowledgment form. <br />• Sio nature of the notary public must match the signature on file with the office of <br />the county clerk. <br />Additional inronnation is not required but could help to ensure this <br />acknowledgment is not misused or attached to a d ilierent document. <br />Indicate title alupe of attached document, number or pages and date. <br />Indicate the capacity claimed by the signer. if the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Seuurcly aklaah thin documout to the signed document with asfiple. <br />25K-26 <br />
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