California All-Purpose Acknowledgement

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California All-Purpose Acknowledgement Powered By Docstoc
					                   Copy Certification by Document Custodian

   I, ______________________________________, hereby swear (or affirm) that the attached
                   (Name of Document Custodian)


   reproduction of _____________________________________________________________
                                             (Description of Document)


    _________________________________________________________________________

    is a true & exact copy of the original document.



    __________________________________________________
                              (Signature of Document Custodian)




     State of California
     County of _____________________

     Subscribed and sworn (or affirmed) before me on this _______day of

     ___________________, 20____ by ____________________________________

    _________________________________________________________________,

    proved to me on the basis of satisfactory evidence to be the person(s) who
    appeared before me.



    _________________________________
             Signature of Notary Public


                                                                                (Notary Seal)



                                                Optional Information
                                            Description of Attached Document:

Title or Type of Document:__________________________________________________________________________________

  _____________________________________________________________________________________________________

 ______________________________________________________________________________________________________

Document Date:________________________________Number of Pages:___________________________________________
Other information:

				
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posted:9/12/2012
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