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20 ~ <br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />241044011 <br />State of California <br />County of ~ ~ \(l~-1~~1 ~- ~ _ <br />On ~un Q- G~-12Ca1 U before me,~ - 1~-'~~-~1 1(ll'~~~ f~ <br />Here insert name and <br />bl; [~ <br />officer) <br />personally appeared C1.~Y~~. ~ ~. - G.C~.SCr~'l <br />who proved to me on the basis of satisfactory evidence to be the person( whose named >< are subscribed to <br />the within instrument and ac~whledged to me that he~hey executed the same in his their authorized <br />capacity(, and that by his eir signature(') on the instrument the person, or the entity upon behalf of <br />which the person~j acted, executed the instrument. <br />1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. Md w'i,,,~"~°n~w•c. <br />Y ~. M{ta 11. Ott g. MAMEY ~ <br />Cer~N{ton r1 16621134 <br />(Notary Scal) NohrY ~•• Caritornia <br />Signature of No Fublic ,~ 21 <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />C,l..~.Q.~.- ~~ _' fi_r~ <br />~~ (Title or description of attached document) <br />(Title or descziption of attached doeument,continued) <br />Number of Pages Document Date <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />© Individual (s) <br />^ Corporate Officer <br /> (Title) ' <br />^ Partner(s) <br />^ Attorney-in-Fact <br />^ Trustee(s) <br />^ Other <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 exceptipn is if a <br />document is to 6e recorded outside of California. /n such Instances, any alternative <br />acknowledgment verbiage as may be printed on such a document sa 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 carefuldyfarpropernotariaf wording and attach this.form if required. <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 />corrrrnission 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/t}re f- is /a~a) 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 eusure 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 />o~ 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 />2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com <br />