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RecDoc 2018-080332 ROW and HH
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RecDoc 2018-080332 ROW and HH
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Last modified
12/10/2018 12:52:57 PM
Creation date
10/17/2018 2:26:23 PM
Metadata
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Recorded Docs
Recorded Docs - Type
Right of Way
Subject
Improvements in ROW, waiver, release and hold harm
Doc Num
2018-080332
Rec Date
10/17/2018
Address
1175 Marshall / 905 Maple St.
Parties
Kaiser Foundation Hospitals
MO Ref
18-182
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 4 1189 <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 ifl <br />County of z&n <br />On Ock-Obe-r' <br />S before me, (uy-c, 1��-' (�(�(�j, KLgtAfy R16iic, <br />Date —Here _In-sert Name and Title of the Officer <br />personally appeared 94155 J-1' s py\ 2 <br />Nome*of Signer s <br />who proved to me on the basis of satisfactory evidence to be the person(*whose names) is/acg subscribed <br />to the within instrument and acknowledged to me that 1?e/she/1:14ay executed the same in hWhedt4air <br />authorized capacity(ios), and that bytt}s/her/thele signature(5) on the instrument the person* or the entity <br />upon behalf of which the person*acted, executed the instrument. <br />%MyJULIE MA ROSAS <br />Commission # 2111078 <br />Notary Public - California i <br />San Mateo County > <br />Comm. Ex ires Ma 11, 2019 <br />Place Notary Seat 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 seat. <br />SignatureLl - mg�' 12.5 CS <br />Signature of Notary Public <br />OPTIONAL <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: AM <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's e: <br />❑ Corporate er - Titte(s): <br />❑ Partner - ❑ Limi �Gene <br />❑ Individual n Fact <br />❑ Trustee Conservator <br />❑ Other: <br />Signer is Representing: <br />©2017 National Notary Association <br />P 1-Wca 171MO MLACw IN <br />Number of Pages: 5_ <br />iS <br />Name: <br />❑ <br />Corp -0 Officer - Title(s): <br />❑ Partner - ❑ ' ted ❑ General <br />❑ Individual Attorney in Fact <br />❑ Trustee ❑ than of Conservator <br />❑ Other: <br />Signer is Representing: <br />
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