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GENERAL44331
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GENERAL44331
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Entry Properties
Last modified
8/24/2016 8:13:07 PM
Creation date
11/23/2007 12:58:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
General Documents
Doc Date
5/29/2002
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />/n~ ss. <br />County of ~.PS ~T/792 ~e S <br />On ~u"r. ZD'/ 2~ ~ before <br />Dale <br />personally appeared <br />'Jaw 9oB, NOWry <br />I,$'personally known to me <br />^ proved to me on the basis of satisfactory <br />evidence <br />TERRI R. BUOY <br />Commission s 1343798 i <br />i y NotsN Publie - Catifomta ~ <br />Los Mgele77 County <br />Nh Comm. Fires Feb 78.2006 <br />to be the person(s7 whose name(s9 is/are <br />subscribed to the within instrument and <br />acknowledged to me that sh xecuted <br />the same in er authorized <br />capacity(ies), and that by .pi~theif <br />signature(' on the instrument the person(a); or <br />the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br />WITNESS my hand and official seal. <br />_g ~~ <br />Signature of Notary Public <br />OPTIONAL <br />Though the inJOrmation below is not required by law, if may prove valuable to persons relying on the document and could prevent <br />Iraudulent removal and reattachment o/(his lorm fo another document. <br />Description of Attached Document <br />Title or Type of Document LA l7/tl Cwt! trf ,r_/Gdi ~//ur ~nS~~^C~.~ <br />Document Date: ~1~8'~U ,Z7'~ Number of Pages: <br />Signer(s) Other Than Named Above: NV O~e~ 5 i, ne ~S <br />Capacity(ies) Claimed by Signer <br />Signer's Name: <br />^ Individual T3P ollwmn Here <br />^ Corporate OfficerTdle(s): <br />^ Partner-^Limited OGeneral <br />^ Attorney-in-Fact <br />^ Trustee <br />^ Guardian or Conservator <br />^ Other: <br />Signer Is Representing: <br />®1999 Na4mal Ndary gssocialion • 9350 W Soho pva., P.O. Boe 2002 • C(,Talswonn. Cp 9131&2G02 • wwx.na0onelnOtary Org Prod N0. 599] Reorder: 6011 TdLFrea 1-8938]6632] <br />
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