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Inst 2012360633
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Inst 2012360633
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Last modified
11/30/2012 5:13:48 PM
Creation date
11/30/2012 5:13:47 PM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Agreement
Document Date (6)
10/31/2012
Recorded Document Type
Declaration of Restrictions
Retention
PERM
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CALIFORNIA ALL- PURPOSE <br /> CERTIFICATE OF ACKNOWLEDGMENT <br /> • <br /> State of California • <br /> • County of C13 <br /> On o(,( 3\ t Zo 17. before me, 0 ). I p�.61% <br /> (Here insert name and tide of the officer) <br /> personally appeared D. ■ 0, 30 t h4S - • <br /> who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to <br /> the within instrument and acknowledged to me that he /she/they executed the same in his/her /their authorized <br /> capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of <br /> which the person(s) acted, executed the instrument. <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 /> _ �, JEMY N <br /> WITNESS � _ T a and official seal. G CO #1851631 —" <br /> NO TAR Y RE PUBLIC - DA CALIFORNIA G <br /> I-- T ALAMEDA COUNTY <br /> My Comte Expires June 20, 2013 <br /> Signature of Notary P • to (Notary Seal) i <br /> • • <br /> ADDITIONAL OPTIONAL INFORMATION <br /> INSTRUCTIONS FOR COMPLETING THIS FORM <br /> Any acknowledgment completed in California must contain verbiage exactly as <br /> DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acbrowledgment form must be <br /> properly completed and attached to that document. The only exception is if a <br /> l-v s• \° {D' ks- J us(' document is to be recorded outside of California. In such instances, any alternative <br /> (Tide or description of attached document) acknowledgment verbiage as may be printed o, such a document so long as the <br /> (n verbiage does nor require the notary to do something that is illegal for a notary in <br /> ettyJ6A-�c ( all I V i n , California (i.e. certifying the authorized capacity of the signer). Please check the <br /> (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required <br /> Number of Pages L Document Date to 1 iv • State and Counry 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 /> (Additional information) • 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 /> CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br /> O Individual (s) he/shetthey- is /are ) or circling the correct forms. Failure to correctly indicate this <br /> information may Icad to rejection of document recording. <br /> ❑ Corporate Officer • The notary seal impression must be clear and photographically p p graphically reproducible. <br /> Impression must not cover text or lines. If seal impression smudges, re -seal if a <br /> (Title) • sufficient area permits, otherwise complete a different acknowledgment form. <br /> ❑ Parmer(s) • Signature of the notary public must match the signature on file with the office of <br /> the county clerk. <br /> ❑ Attorney-in-Fact. Additional information is not required but could help to ensure this <br /> ❑ Trustee(s) acknowledgment is not misused or attached to a different document. <br /> . ❑ Other 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 tide (i.e. CEO, CFO, Secretary). <br /> • Securely attach this document to the signed document <br /> • <br /> 2008 Version CAPA v12.10.07 800 - 873 -9865 www.NotaryClasses.com <br />
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