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FULL PACKET_2016-12-06
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FULL PACKET_2016-12-06
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12/5/2016 10:25:30 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
12/6/2016
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL 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 orahAf, ) <br />on tl Qx&ef A f ,)-o I before me, J911 L� ,_ Mtfit N Nt li rr _____, <br />Date Here Insert Name and Title of the Officer <br />personally appeared _ Rj VI iL TQA aYPA Ol <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 authorized capacity(les), 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 />7y+e---.++-+ JULY <br />7 Notary Public - California <br />Orange County <br />Commission N 2150099 <br />1 4 Comm. Esc lris Air 23,1020 <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 />Signatur <br />S nature of 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: aWt(AV. M blUd <br />Document Date: 0 (; O ltr as f { (6 Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: N?4If 0. TOA 01,W" <br />D Corporate Officer — Title(s): <br />O Partner �— D Limited 1:1 General <br />Individual D Attorney in Fact <br />D Trustee D Guardian or Conservator <br />D Other: <br />Signer Is Representing: <br />Signer's Name: <br />• Corporate Off [car — Title(s): <br />• Partner — D Limited D General <br />• Individual D Attorney in Fact <br />• Trustee D Guardian or Conservator <br />fl ClthPr: <br />Signer Is Representing: <br />02016 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 -876 -6827) Item #5907 <br />25D -42 <br />
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