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2015-04-02_GENERAL DOCUMENTS - M1986102
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2015-04-02_GENERAL DOCUMENTS - M1986102
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Last modified
8/24/2016 5:58:58 PM
Creation date
6/30/2015 5:10:38 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1986102
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/2/2015
Doc Name
Statement of Authority
From
Maricopa(AZ) County
To
DRMS
Email Name
LJW
GRM
Media Type
D
Archive
No
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County of 4k_ <br />tM)a2Zla7/ <br />A notary public or other officer oompletiog this certificate <br />verifies only the identity of the Individual who signed the, <br />document to which tnia cartlflcate Is attached, and not the <br />truthfulness, &=racy, or validity of that document. <br />On 7 40 46' before me, Michael N. Ober, Notary Public <br />Dale Here Insert Name and Title of the flicer <br />0personally appeared ` o 4�ryfl. DG Q' <br />Naine(sf of Signer(s) <br />who proved tom on the basis f satisfactory evidence to <br />be the persof�whose r mrsk I)arare subscribed to the <br />within instrument and acknowleMgeed to me that he/siie/the <br />MICHAEL N. OBER 9 <br />executed the same in44is/hff/their authorized ca acit les <br />�. Commission # 1976972 P ), <br />< <br />Notary Public - California z z and that by_WsAker/their signatur�n the instrument '=� <br />Z ? D perso s�Dr the entity upon behalf of which the persof W <br />Z `t"' Butte County <br />My Comm. Expires May 28, 2016 acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragrap true <br />arxl correct. <br />Witness my h and offi ' I seal <br />1 <br />Signature <br />Place Notary Seal Above i_n u of ary Pu is <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:67b T �r �v4- <br />Document Date: 2 – ,; 7-- �26 (,�) Num er of Pages: ` 2- <br />',pq ) 1 <br />Signer(s) Other Than Named Above: NV � S <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer—Title(s):_ <br />❑ Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer — Title(s):_ <br />❑ Partner — ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Top of thumb here <br />
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