Laserfiche WebLink
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 San Francisco � <br /> On September 1, 2015 before me, Betty L. Tolentino, Notary Public <br /> , <br /> Date Here Insert Name and Title of the Otficer <br /> personally appeared Virginia L. Black <br /> Name(s)of Signer(s) <br /> , <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(ies),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 /> 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 /> BE"TTY�.TOLEN71N0 <br /> v" COMM. �2012423 n Signature <br /> `' NOTARY PUBLIC-GLIPORNIA p Si at re of Notary Public <br /> a sAw�uwasco c�out�nr -- <br /> hy co�►r,,.�nv�iz,2oi� <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: Document Date: <br /> Number of Pages: Signer(s) Other Than Named Above: <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): <br /> ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General <br /> ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact <br /> ❑Trustee ❑Guardian or Conservator ❑Trustee �Guardian or Conservator <br /> ❑Other: ❑ Other: <br /> Signer Is Representing: Signer Is Representing: <br /> 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 <br />