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Amended and Restated STMMA_10.12.2018
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Amended and Restated STMMA_10.12.2018
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Last modified
10/15/2018 8:12:41 AM
Creation date
10/15/2018 8:12:00 AM
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Recorded Docs
Recorded Docs - Type
Agreement
Subject
Kaiser Permanente Hospitals
Rec Date
10/12/2018
Parties
Kaiser Permanente Hospitals
MO Ref
18-182
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1159 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California a N p 1 <br />County of ifc o n a.Aeo <br />On OCAV\Oer �J t 2018 before me, <br />Date Here Insert Name and Title of the Officer <br />personally appeared <br />Nomel* of Signers} <br />who proved to me on the basis of satisfactory evidence to be the persororwhose name(4 isLaw subscribed <br />to the within instrument and acknowledged to me thatAefshe /Prey executed the same in AWher(jdeir <br />authorized capacity0es), and that by Ms`her /Welt signature4Won the instrument the person#4 or the entity <br />upon behalf of which the person(vJ acted, executed the instrument. <br />JULIE MA ROSAS <br />Commission # 2111078 <br />Z w Notary Public . California z <br />Z San Mateo County s <br />MY Comm. M Tres Ma 11, 2019+ <br />Place Notary Seal and /or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signatur rl Vc�' g's <br />Signature of Notary Public <br />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: lC6tl_$Q1' M a[h2 — STYVI A44 <br />Document Date: NumberofPages:�� <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Si is Name: <br />• Corp Officer — Title(s): <br />• Partner— ❑ 'd ❑ General <br />❑ Individual orney in Fact <br />❑ Trustee ❑ Guar Man of Conservator <br />❑ Other: <br />Signer is Representing: <br />02017 <br />tig ner's Name: <br />❑ Corp icer — Title(s): <br />❑ Partner — ❑ Limi General <br />• Individual [] A in Fact <br />• Trustee ❑ Guardian o ator <br />❑ Other: <br />Signer is Representing: <br />
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