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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202 <br /> <Zee Attached Document (Notary to cross out lines 1-6 below) <br /> ❑See Statement Below (Lines 1-6 to be completed only by document signer not Notary) <br /> Si natur;"31 Document 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 Subscribed and sworn to (or affirmed) before me <br /> County of _ yam tj ^� <br /> on this day of _{��Q 20 of <br /> by Date MoJh Year <br /> (14*cc-j AAw A-tubo e.4mnad. <br /> TAMARA JEAN FORMAN <br /> (and (2) � <br /> ) <br /> _ Notary Public- <br /> California <br /> a Name(s) of Signer(s) <br /> = San Joaquin County >_ <br /> Commission N 2309397 <br /> My Comm.Expires Oa 19,2023 proved to me on the basis of satisfactory evidence <br /> to be the person(s) who appeared before me. <br /> SignaftrFe <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.National Notary.org • 1-800-US NOTARY(1-800-876-6827) Item #5910 <br />