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AgdaPkt 2004-06-28
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AgdaPkt 2004-06-28
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Last modified
7/16/2012 4:04:41 PM
Creation date
6/24/2004 4:04:09 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Date
6/28/2004
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(� . i -.D . 3a . <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California � <br /> ) <br /> County of � <br /> On , before me, ; <br /> i Date Name and Title of Officer (e.g., "Jane Doe, Notary Public") <br /> personally appeared <br /> Name�s) of Signer(s) ' <br /> j � personally known to me <br /> ' � proved to me on the basis of satisfactory I <br /> i <br /> I evidence to be the person(s) whose name(s) <br /> is/are subscribed to the within instrument and <br /> acknowledged to me that he/she/they executed <br /> � the same in his/her/their authorized <br /> � capacity(ies), and that by his/her/their <br /> signature(s) on the instrument the person(s), or <br /> the entity upon behalf of which the person(s) <br /> � acted, executed the instrument. <br /> � WITNESS my hand and official seal. <br /> I ,�� Place Notary Seal Above Signature of Notary Public <br /> i <br /> I'�, OPT/ONAL <br /> Though the information below is not required by law, it may prove valuable to persons relymg on the document <br /> and could prevent fraudulent removal and reattachment of this form to another document. <br /> ,' Description of Attached Document <br /> ' Title or Type of Document: <br /> i Document Date: Number of Pages: <br /> I <br /> i Signer(s) Other Than Named Above: <br /> �i Capacity(ies) Claimed by Signer <br /> �: Signer�s Name RIGHT THUMBPRINT <br /> �' � IndiVldUdl OF SIGNER <br /> }}, � Corporate Officer-Title(s): rop of m�mb ne�e <br /> = Partner-� Limited � General <br /> I � Attorney in Fact <br /> j' - Trustee <br /> � Guardian or Conservator <br /> = Other: <br /> jj Signer is Representing: <br /> u <br /> � <br />
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