Laserfiche WebLink
CALIFORNIA ACKNOWLEDGMENT <br />CIVIL CODE § 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 <br />County of �'� ( _ k A� <br />Z*c- vg M 17 2-oa4 YES; Hal. boM r f j6 u � z klo�y PSS L;c <br />On / before me, 0 <br />Date <br />personally appeared <br />Here Insert Name and Title of the Officer <br />E <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed <br />to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />• r YE551KA DpMiNG$UEl <br />} Notary Public - California <br />- San Mateo Ceunty i <br />Commission # 2384774 <br />my Comm. Expires Dec 15, 2i}25 <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 ha <br />Signat re <br />OPTIONAL <br />Completing this information can deter alter <br />fraudulent reattachment of this form to an <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <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 />of <br />and official seal. <br />Signature of Notary <br />re document or <br />ed document. <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 />•:�=��r�i��r�sa���r:s;c���� ,�;;:��:F.rsr!�����k�:.�� ... :� i�i� <br />©2019 National Notary Association <br />