ML18285A387
| ML18285A387 | |
| Person / Time | |
|---|---|
| Site: | 07200011 |
| Issue date: | 09/26/2016 |
| From: | Sacramento Municipal Utility District (SMUD) |
| To: | Division of Spent Fuel Management |
| Shared Package | |
| ML18285A414 | List: |
| References | |
| DPG 18-166 | |
| Download: ML18285A387 (2) | |
Text
Enclosure 9 to DPG-18-166 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 California m+/-o County of &_Cif'O-VY!
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Date Heretn~rl Name and Title of the Offider personally appeared -~_QV\\__,___\\c_a.1---'--l-"-VV\\P-Vl-'--=
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.
1************1 LAURIE LEIGH JOHNSON
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Notary Public - California z
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Sacramento County
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Commission# 2188409 My Comm. Expires Mar 26, 2021 Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signatu~
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OPTIONAL----------------
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 Trustee D Attorney in Fact 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 Trustee D Attorney in Fact D Guardian or Conservator D Other: ______________ _
Signer Is Representing: _________ _
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©2016 National Notary Association
- www.NationalNotary.org
- 1-800-US NOTARY (1-800-876-6827)
Item #5907