GENERAL56427

• Permit No: C1981019
• IBM Index Class Name: General Documents
• Doc Date: 5/23/2003
• Doc Name: Certificate of Insurance
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
Coun~ty/o~f ~~ An~2 _Je5
On / r '~'tiL ~~ ~J before me,
Dale
personally appeared
.. ~.1
TERRI R. BUC
Commission S 1343798 II
Notary Public - Calrfomia
Los Angeles County
MY Camm. 6geires Feb 7 B, 2008
ss.
t,7ipersonally known to me
^ proved to me on the
evidence
~c
basis of satisfactory
to be the person(sj~whose name(s) is/are'
subscribed to the within instrument and
acknowledged to me thathejshe/they executed
the same in his/her/their authorized
capacity(iesj~ and that by ktis/her/their
signature(e)'on the instrument the person(sj; or
the entity upon behalf of which the person(sj"
acted, executed the instrument.
WITNESS my hand antl official seal.
Sgnalure of Notary PubIK
OPTIONAL
Though the in/onnation below is not required by law, it may prove valuable fo persons relying on the document and could prevent
/raudulent removal and reattachment o/this /orm to another document.
Description of Attached Doc1unment n /
Title or Type of Document: ~e~ IIT'~~ 0'1' Lta6'~/J~
Document Date: SJaa /Z''%~3)) ~~ `~/// Number of Pages:
Signer(s)OtherThanNamedAbove: /lJJ fJ/leer ;S/yVlr2/'~
Capacity(ies) Claimed by Signer
Signer's Name:
. a
^ IndlVldual Top of thumb Here
^ Corporate Officer-Title(s):
^ Partner - ^ Limited ^ General
^ Attorney-in-Fact
^ Trustee
^ Guardian or Conservator
^ Other:
Signer Is Representing:
01999 National Notary Association • 9350 W SMO Ave., P.O. Boa 2002 • CM1atswonM1 CA 9131b2002 • xwx.nei'ro,alnolaryory Prod No. 590] ReoNer Call Tall-Free 1-BOP9]6682]