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2018-09-10_REVISION - M1991082
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2018-09-10_REVISION - M1991082
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Entry Properties
Last modified
6/16/2021 2:27:03 PM
Creation date
9/17/2018 4:25:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991082
IBM Index Class Name
Revision
Doc Date
9/10/2018
Doc Name
Request For Succession Of Operator
From
Estate of Frank Laughrey
To
DRMS
Type & Sequence
SO3
Email Name
ERR
MAC
Media Type
D
Archive
No
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 C lifornia } cc o' <br />LO <br />County of Zr CD <br />On Ol before me, �.trt,rr ice! ,v <br />Date Here Insert Name and Title of the Officer <br />personally appeared t jirrm11 <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />LAURA J. BOTTOM Signature x <br />Notary Pubbc . Cahrorma <br />_ ~ Butte Countyz Signature of Notary Public <br />Commission # 2168163 il <br />M COMM - EX 'res Oct 15, 2020 <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: <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — Limited General <br />❑ Individual Attorney in Fact <br />❑ Trustee Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />Ll Corporate Officer — Title(s): <br />L] Partner — Limited General <br />1_1 Individual Attorney in Fact <br />171 Trustee Guardian or Conservator <br />1-1 Other: <br />Signer Is Representing: <br />02014 National Notary Association • www. National Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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