Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 <br /> C:iL�s-: , 24. .. :N:.<-:..... :r!^:.:,:cG!:,,,-,,t i.:-:;N- 4,-;....:1cc..NR,,t.2;,,,:s,—...:s�:..:.:Co v..,,t..:Ct!•CY.Ct�:-.:v,..,..:,.7..,,--, < :.....,, .. <br /> WSee Attached Document (Notary to cross out lines 1-6 below) <br /> See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br /> ---l_ l .../ A <br /> Sigh.:,_ o ocument Signer No. 1 Signature of Document Signer No. 2(if any) <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br /> document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. <br /> State of California (f1/4% � Subscribed and sworn to (or affirmed) before me <br /> County of Lv�AEl on this y <br /> day of 4, A,l , 20 1 Le <br /> � `C <br /> by Date Month Year <br /> (1) c- A 6-e, <br /> (and (2) A ), <br /> Name(s) of Signer(s) <br /> ' ANITA L.FIELDS <br /> •! `►- commission a 201S1�4 proved to me on the basis of satisfactory evidence <br /> .'j *WY Publicto be the on(s) who appeared bef re me. <br /> Los Anton ►21 2017 <br /> Signatu .-Nit, be J2 Veio!) <br /> Signature of Notary Public <br /> Seal <br /> Place Notary Seal Above <br /> OPTIONAL <br /> Though this section is optional, completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an unintended document. <br /> Description of Attached Document <br /> Title or Type of Document: Document Date: <br /> Number of Pages: Signer(s)Other Than Named Above: <br /> ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5910 <br />