GENERAL53732

• Permit No: C1981019
• IBM Index Class Name: General Documents
• Doc Date: 5/26/2004
• Doc Name: Certificate of Liability Insurance
• From: Gladys Mustain
• To: DMG
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

CALIFORNIA ALL•PURPOSE ACKNOWLEDGMENT
State of California
l ~..s as.
County of
On f~Q-`-~ Gb , GC/U ~ before me, ~/li G~ ~• /`~2 r ~~
oaf. , , porn. ama me of om r (a.p., •3a.e ooe, Nowry
personally appeared .J vL' C ter, i ,
Nam Isl of Sgner(y
personally known to me
proved to me on the basis of satisfactory
evidence
to be the persoD(sf whose nam~s/~
subscribed to the within instrument and
EyFIQ1~A ~' ALE acknowledged to me tha she/ executed
~ommlyslonfl~6 = the same s/her/thorized
Notary Pubtle-GlHorrS~ ~ capacit~s wand that by Is/her/ r
~~m ~~GJou~ 2006 signature on the instrument the perso , or
the entity upon behalf of which the person(a)'
acted, executed the instrument.
WI S m//y hand and official seal.
Aiy t~_ `% i~
SiOrewre d Nowry Pubiic
OPTIONAL
Though the in/omrafion below is not required by law if may prove valuable to persons relying on the document antl could prevent
/raudulent removal and reattachment o/this /orm to another document.
Description of Attached Document
_/ /.
Title or Type of Documents: ~lG/i~/~l-1 rl'Wr /JT ~-~Y~.S l~~C!-y2G~
Document Date: c ~/ /TZ~ /~ `7 Number of Pages:
Signer(s) Other Than Named Above: ~~
Capacity(ies) Claimed by Signer
Signer's Name:
^ Individual Top of Thumb here
^ Corporate Officer-Title(s):
^ Partner - ^ Limited O General
^ Attorney-in-Fact
^ Trustee
^ Guardian or Conservator
^ Other:
Signer Is Representing:
O 1a98 NaWnel Nmery 0.veoclatlon • 8350 Ds Soto Ave., P.O. Bos 2<02 • ChetswoM, CA 91313-2102 • wwx.neEOnelnofary.ap Prof. No. 59m ~ ReoMer Cell ToIFFrw 1~00PB]5E82)