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RecDoc 2018-079317 Amended and Restated STMMA_10.12.2018
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RecDoc 2018-079317 Amended and Restated STMMA_10.12.2018
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Last modified
1/7/2019 9:43:36 AM
Creation date
10/17/2018 2:14:31 PM
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Recorded Docs
Subject
Kaiser Medical Office Building 2
Doc Num
2018-079317
Rec Date
10/12/2018
Address
1175 Marshall / 905 Maple St
Parties
Kaiser Foundation Hospitals
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE <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 I1L(7 Cal�Ll(i ifo"rnia 1 l _ <br />County of c <br />On l ,W I O before me, V` Vy C . EQCD -MOCK 00 1t L, <br />Date y� Here Insert Name and Title of the Offi er <br />k <br />personally appeared lU r'A-j cyaA � k o V,-) S <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(sj whose name( is/are— <br />subscribed to the within instrument and acknowledged to me that he/shetfty executed the same in <br />his/herRheir authorized capacity(ie T, and that by his/heritneir signature(eyon the instrument the person(s)" <br />or the entity upon behalf of which the person(sMcted, executed the instrument. <br />LILY C. BROCKMEIER <br />Commission #e 2133047 <br />Notary Public - California a: <br />San Mateo County <br />My Comm. Expires Dec 9, 2019 <br />Place Notary Seal Above <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 />Signature <br />gnature of Notary Public <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 Dot <br />Title or Type of Document:f P <br />Document Date: Bj 2" <br />Signer(s) Other Than Named <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />�� Z <br />
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