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RecDoc 2010-162921
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RecDoc 2010-162921
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Last modified
4/11/2011 9:18:55 AM
Creation date
12/29/2010 4:32:13 PM
Metadata
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Template:
Recorded Docs
Recorded Docs - Type
Agreement
Subject
Historic Property Preservation 1028 Warren St.
Doc Num
2010-162921
Rec Date
12/29/2010
APN
052-258-120
Address
1028 Warren St.
Parties
Stephen Ruppenthal and Belinda Carr
MO Ref
10-215
Ord Ref
Mills Act
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br /> State of California f� <br /> County of S M C c) <br /> On CPr '- ; .20)6 before me, Ki s+.e, Mn25 N lzvy 1(C <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared Mu y de- <br /> i' C t F a ( z I z <br /> Name(s) of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person Whose name,(aris/rersubscribed to the <br /> within instrument and acknowledged to me that <br /> heilhe /may executed the same in j3isTher/ttleirauthorized <br /> KRISTEN MESS capacity(IK and that by Mather /tlietrsignature.(s on the <br /> piry Commission • 1112 instrument the person(s•), or the entity upon behalf of <br /> • Notary Public - C•iforrria which the person,(erected, executed the instrument. <br /> -"►% San Mateo County <br /> Comm. E es Nov 18 2012 I certify under PENALTY OF PERJURY under the laws <br /> of the State of California that the foregoing paragraph is <br /> true and correct. <br /> WITNESS my hand and official seal. <br /> Signature <' ,AJ t - Y 4 <br /> Place Notary Seal Above Signature of Notary Public <br /> OPTIONAL <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 /> Description of Attached Document <br /> Title or Type of Document: 0)-6 Y (•+- <br /> �bi )4 (� ✓1L el'- Q er i P ( e m ,/17 - <br /> Document Date: T) e(e r 2 -, aO I ' Number of Pages: )1 <br /> Signer(s) Other Than Named Above: N I 0-- <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑ Individual ❑ Individual <br /> ❑ Corporate Officer —Title(s): ❑ Corporate Officer — Title • <br /> ❑ Partner — ❑ Limited ❑ General RIGHT THUMBPRINT ❑ Partner — ❑ Li . • - . • General RIGHT THUMBPRINT <br /> ❑ Attorney in Fact OF SIGNER ❑ Attor - act OF SIGNER <br /> ❑ Trustee To of thumb here Top of thumb here <br /> rustee <br /> ❑ Guardian or Conservator ❑ Guardian or Conservator <br /> ❑ Other: ❑ Other: <br /> Signer Is Representin • Signer Is Representing: <br /> © 2007 National Notary Association • 9350 De Soto Ave., PO. Box 2402 •Chatsworth, CA 91313 -2402 • www.NationalNotary.org Item 85907 Reorder: CaII Toll -Free 1 -800- 876 -6827 <br />
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