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Agmt10 A&F Engineering, Inc.
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Agmt10 A&F Engineering, Inc.
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Last modified
6/18/2010 12:49:15 PM
Creation date
6/15/2010 2:05:59 PM
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Template:
Agreement
Contractor Name
A & F Engineering, Inc.
PROJECT NAME
Veterans Senion Center Parking Lot LED Light Standard Project
RMP File Number
304.5
Date
6/14/2010
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<br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br /> <br />State of California <br /> <br />County of Sacramento <br /> <br />i <br />i <br />i <br />I <br /> <br />i <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br />i <br />I <br />I <br />i <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br /> <br />On JUNE 4TH, 2010 <br /> <br />before me, NHUNG HONG NGUYEN, NOTARY PUBLIC <br />(Here insert name and title of the officer) <br /> <br />personally appeared MATTHEW J. BEERNAERT <br /> <br />who proved to me on the basis of satisfactory evidence to be the person(~ whose name~ is/ftf-e subscribed to <br />the within instrument and acknowledged to me that hefflhe.ft~ executed the same in his/her/the1f authorized <br />capacity(-ies), and that by his/keffffteir signature~) on the instrument the person~), or the entity upon behalf of <br />which the person(-s1 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 />J. & :.: : ,:. ~HUNG~~G~~yi;i <br />~@....< ,..... ~_ COMM#1838346 m <br />fn ! 6 : Notary Public-Califomia ~ <br />W,.t, SACRAMENTO COUNTY .... <br />1.~~,~~~~~~~.~3J <br /> <br />WITNESS my hand and official seal. <br /> <br />~~,~;-- <br /> <br />(Notary Seal) <br /> <br />. <br /> <br />. <br /> <br />ADDITIONAL OPTIONAL INFORMATION <br /> <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br /> <br />Any acknowledgment completed in California must contain verbiage exact~v as <br />appears above in the notary section or a separate acknowledgment fonll must be <br />properly completed and attached to that document. The on~v exception is if a <br />document is to be recorded outside of California. In such instances, anyaltel71ative <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) <br /> <br />(Title or description of attached document continued) <br /> <br />N umber of Pages _ Document Date <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 />He/she/tHey,- is /af& ) 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 />(Additional information) <br /> <br />CAPACITY 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 vl2,IO,07 800-873-9865 www.NotaryClasses.com <br />
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