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RecD08 2008-025705
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RecD08 2008-025705
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Last modified
4/1/2008 11:51:11 AM
Creation date
4/1/2008 11:51:11 AM
Metadata
Fields
Template:
Agreement
Contractor Name
South Bayside System Authority
PROJECT NAME
Recycled Water Treatment/Storage/Pumping Facility Site
Date
3/11/2008
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<br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br /> <br />State of California <br /> <br />County of ~ 7H~-4. <br /> <br />On <br /> <br />). -/ )": () I <br /> <br />before me, <br /> <br /> <br /> <br />L <br /> <br />Icer) <br /> <br />personally appeared A_U~ / , Z-- <br />/7/-'r / <br />who proved to me on the basis of satisfactory evidence to be the person~) whose name<;g') is~ subscribed to <br />the within instrument and acknowledged to me that he/s1:uil/tf18)' ..executed the same in hisl.ber/their authorized <br />capacity(~, and that by his!.h@F.Ztf1@i!: signature~ on the instrument the personW, or the entity upon behalf of <br />which the person(~ acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br /> <br />124-, <br /> <br />Signature of Notary Public <br /> <br />~ <br /> <br />(Notary Seal) <br /> <br />l~~~~~~~~~~~~l <br />RYAN R. KANAZAWA <br />-a CommIsSion # 1587891 ~ <br />~. Notary Public - CaHfomla ~ <br />~ Santa Clara County d <br />.... _ _ ~:o:"':..~es..:'~ 1~ 2 <br /> <br />WITNESS my hand and official seal. <br /> <br />. <br /> <br />. <br /> <br />(Title or description of attached document) <br /> <br />ADDITIONAL OPTIONAL INFORMATION <br /> <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any acknowledgment completed in California must contain verbiage exactly as <br />appears above in the notary section or a separate acknowledgment form must be <br />properly completed and attached to that document. The only exception is if a <br />document is to be recorded outside of California. In such instances, any alternative <br />acknowledgment verbiage as may be printed on such a document so long as the <br />verbiage does not require the notary to do something that is illegal for a notary in <br />California (i.e. certifying the authorized capacity of the signer). Please check the <br />document carefully for proper notarial wording and attach this form if required. <br /> <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br /> <br />(Title or description of attached document continued) <br /> <br />(Additional information) <br /> <br />. State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />. Date of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />. The notary public must print his or her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />. Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />. Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />fte/she/~ is /fife ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />. The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re-seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />. Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />.:. Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />.:. Indicate title or type of attached document, number of pages and date. <br />.:. Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />. Securely attach this document to the signed document <br /> <br />Number of Pages _ Document Date <br /> <br />CAP ACITY CLAIMED BY THE SIGNER <br />o Individual (s) <br />o Corporate Officer <br /> <br />(Title) <br />o Partner(s) <br />o Attorney-in-Fact <br />o Trustee( s) <br />o Other <br /> <br />2008 Version CAPA vI2.l0.07 800-873-9865 www.NotaryClasses.com <br />
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