Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 0202 <br />C See Attached Document (Notary to cross out linea 1-0 below) <br />0 See Statement Below (Lines 1-8 to be completed only by document signer[s), not Notary) <br />Signature of Document Signer No. i Signature of Document Signer No, 2 Of any) <br />A notary public or other officer completing this certgoalo verifies only the Ideality of the Individual who signed the <br />document to which this cenil le Is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California Subscribed and awom to (or affirmed) before me <br />County of Qra to <br />on this c <br />day of rrief; I , 204L <br />by Date <br />Month Year <br />(1i i b.Jfcl <br />I y i N l+a-i5 <br />(and (2) <br />Names) of Slgnsr(s) <br />61 <br />�.n�, proved to me on the basis of satisfactory evidence <br />6NATHAN Loa to be the person(s) who appeared before me. <br />Cammisslen 0 2120418 <br />'b 9 s Notary Public • gal0omia z <br />Orange 0ounly Signature(,pen <br />L sa@ Comm. 8x iroe 00 2g, 201 Dg Signature of Notary P t t c <br />Sea/ <br />Place Notary Seel Above <br />OPTIONAL <br />Though this section Is optional, completing this Information van dater alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Deacriptlon of Attached Document <br />Title or Type of Documenh /yon-t^&'jiDq Document Date; ity/S1Ae:V�' <br />Number of Pages; / Signors) other Than Named Above; T` <br />rasawu�'.acneavncacticcoocuat.'titrr�mzreetxatazecucrn.'aCac�c�4necelm'rvwocc�nsawxcvs�m.�. 'ca <br />02014 National Nolary Associatlon - wwwMatlonolNolery.org , 1.800 -US NOTARY (1.800.878.8827) Ilem t18g10 <br />Walnut Pump Station and San Lorenzo Sevege lift Station I cityof Santa Ma 24 <br />