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~~ <br />,, <br />a ~~,. <br />CALIFORNIA. ALL-PURPOSE ACKNOWLEDGEMENT <br />STATE OF CALIFORNIA ) <br />COUNTY OF C~u~ ~ ~~ ) <br />On - ~ ~ ~~~~~U ~ before me ~~ ~U}~ h{~ ' 1`l t7'~ ~~~~ <br />DATE NAME, TITLE OF OFFICER-E.G.., "JANE DOE, NOTARY.PUBLIC <br />personally appeared, S ~~~ ~~~- <br />personally known to me {or proved to me on the basis of satisfactory evidence) to be the <br />person(,s~'"whose name( is/aa~subscribed to the within instrument and acknowledged to me <br />that he/s}~efthe~executed the same in his/l~flthert` authorized capacity(i~s'j, and that by <br />his/biet/tk>~ir signature(' on the instrument the person(gj; or the entity upon behalf of which <br />the pexson(~' acted, executed the instrument. <br />WITNESS my hand and official seal. <br />(SEAL) <br />NOT PUBLIC SIGNATURE <br />.+..~ <br />MAY MUN/IR <br />Commlulon ~ 17i467J <br />~~ Nofary PubBc - CWlfomb <br />~~ , <br />Contra Costa County <br />OPTIONAL 3[NNFO~IATION <br />THIS OPTIONAL INFORMATION SECTION IS NOT REQUIItED BY LAR' BUT MAY BE BENEFICIAL TO PERSONS RELYING ON THIS NOTARIZED DOOUMENT, <br />TITLE OR TYPE of DocuMENT ~ ~'~~F1 ~~, ~ 6>+~~~~~}~ ~ ~ <br />DATE OF DOCUMENT ~~`~~i~i ~ ~ NUMBER OF FAGES <br />SIGNERS(S) OTHER THAN NAMED ABOVE <br />SIGNER'S NAME <br />SIGNER'S NAME <br />RIGHT THUMBPRINT <br />RIGHT THUMBPRINT <br />To order supplies, please contact McGlone Insurance Services, Inc. aY (916) 484 0804. <br />