Laserfiche WebLink
<br />i <br />;~ <br /> <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />~~~~~~~~~~~~~~~~ <br /> <br />STATE OF CALIFORNIA <br /> <br />~} <br /> <br />County of Contra Costa <br /> <br />On January 22. 2010 <br />Date <br /> <br />before me, L. B. Bvas-Barnett. Notary Public <br />. Here Insert Name and Title of the Officer <br /> <br />personally appeared John Daley <br /> <br />Name(s) of Signer(s) <br /> <br />it l. B. BYAS-8ARNETT <br />. Commission # 1831012 <br />~ 1-.. - Notary Public - California j <br />z " Contra Costa County ... <br />)... ... : . .. . Ml ~o~~. :x~r~s ~a~ ~3,}~'! I <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the person(so) whose name(eo) is/Me'subscribed to the <br />within instrument and acknowledged to me that heJGR8Jt~ey <br />executed the same in hislhcI/Ulc;, authorized capaci~, <br />and that by hisA-terA~8ir signature.(s) on the instrument the <br />person(e1, or the entity upon behalf of which the perso~ <br />acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br /> <br />Place Notary Seal Above <br /> <br /> <br />OPTIONAL <br /> <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document: <br /> <br />Bond Number: 20-SUR-205403 <br /> <br />Document Date: <br /> <br />January 22. 2010 <br /> <br />Number of Pages: TWO (02) <br /> <br />Signer(s) Other Than Named Above: N/A <br /> <br />Capacity{ies) Claimed by Signer{s) <br /> <br />Signer's Name: John Daley, <br />o Individual <br />o Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />[if Attorney in Fact <br />o Trustee <br />o Guardian or Conservator Top of thumb here <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />o Attorney in Fact <br />D Trustee <br />D Guardian or Conservator Top of thumb here <br />D Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Signer Is Representing: <br />American Safety Casualty In urance Compan <br /> <br />Signer Is Representing: <br /> <br />~~~~~~~~~~ <br />C 2007 National Notary Association. 9350 De Soto Ave., P.O. Box 2402. Chatsworth, CA 91313-2402. www.NationaINotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />