Discharge Of Mechanics Lien Page 2

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Notary:
On the ____ day of ____________,
Signed this ____ day of _________________,
20______, In the State of ______________,
20____.
County
of
______________,
before
me,
undersigned Notary Public, personally appeared
_______________________________
_________________________,
the
Claimant
__________________ (title) for Claimant, who
Signed by: _______________________
proved to me on the basis of satisfactory evidence
Title: ____________________
to be the person(s) whose name(s) is/are
subscribed
to
within
the
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 the PENALTY OF PERJURY
under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
___________________________
Notary

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