Enclosure 10 - California All Purpose Acknowledgment of ...
Enclosure 10 to DPG-18-114
California All Purpose Acknowledgment of SMUD Affirmation Pursuant to 10 CFR 72.16(b)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE? 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of Californl~
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County of ~0-Wlat~
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On ~i n.L ?5, /)fJ l B before me, la..?tYw ~~ hhabl>Vl 1 No-6..vit
Date
Here lnse[!J/.JJand Title of the Officer \
personally appeared -~~=-------'i.v\=~~A_.--.-~\?'-~l_l~t'Yl.CLh~~----------------
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies}, and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
@ ~
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LAURIE LEIGH JOHNSON Notary Public - California
Sacramento County
!
Commission# 21 88409
My Comm. Expires Mar 26, 2021
Place Notary Sea/ Above
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.
Description of Attached Document Title or Type of Document: _____________________________ Document Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Number of Pages: _ _ _ _ __ Signer(s) Other Than Named Above: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Capacity(ies) Claimed by Signer(s)
Signer's Name: _ _ _ _ _ _ _ _ _ _ _ __
D Corporate Officer - Title(s): _ _ _ _ _ __
D Partner - D Limited D General
D Individual
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other: _ _ _ _ _ _ _ _ _ _ _ _ _ __
Signer Is Representing: _ _ _ _ _ _ _ _ __
Signer's Name: _ _ _ _ _ _ _ _ _ _ _ __
D Corporate Officer - Title(s): _ _ _ _ _ __
D Partner - D Limited D General
D Individual
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other: _ _ _ _ _ _ _ _ _ _ _ _ _ __
Signer Is Representing: _ _ _ _ _ _ _ _ __
?2016 National Notary Association ? ? 1-800-US NOTARY (1-800-876-6827) Item #5907
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