2100 - FS Contractors, Inc. - Delta Avenue from Mission Drive to Wells StreetA
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of tOs 20230452254
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07/11/23 AT 12:46PM
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Pages:0004
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cm Li inr PAID: 0.00
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LEADSHEET
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202307112910004
00023590112
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014161353
SEQ:
01
DAR - Mail (Intake)
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- THIS FORM IS NOT TO BE DUPLICATED -
EW211
RECORDING REQUESTED BY
CITY OF ROSEMEAD
AND WHEN RECORDED MAIL TO:
Name City of Rosemead
Street Address 8838 E. Valley Blvd.
City & State Rosemead, CA 91770
ATTN: CITY CLERK
Notice is hereby given that:
23590112
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Batch Number: 14161353
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SPACE ABOVE THIS LINE FOR RECORDER'S USE
Notice of Completion
1. The undersigned is owner of the interest or estate stated below in the property hereinafter described.
2. The full name of the undersigned is:
3. The full address of the undersigned is:
of Rosemead
8838 E. Valley Blvd., Rosemead, CA 91770
4. The nature of the title of the undersigned is: In fee
(If other than fee, strike "In fee" and insert, for example, "purchaser under contract of purchase", or "lessee")
5. The full names and full addresses of all persons, if any, who hold title with the undersigned are:
Names Addresses
N/A N/A
6. The names of the predecessors in interest of the undersigned, if the property was transferred subsequent to
the commencement of the work of improvement herein referred to:
Names Addresses
N/A N/A
IA]
7. A work of improvement on the property hereinafter described was completed on: May 24, 2023
8. The name of the contractor, if any for such work of improvement was: FS Contractors, Inc.
9. The property on which said work of improvement was completed is in the City of Rosemead
County of Los Angeles , State of California, and is described as follows: Sidewalk Gap Closure -
Delta Avenue from Mission Drive to Wells Street Project
10. The street address of said property is: as listed in No. 9
jif no street address has been otticially assigned, insert "none"
Signature of
Z owner named
Dated: in paragraph 2:
Ben rim
City Manager
By: City of Rosemead
I certify (or declare) under penalty of perjury that the foregoing is true and correct.
Date
Rosemead, CA
Place of Execution
Ben Kim
City Mana
City of Rosemead, California
CALIFORNIA 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
1Pr;1
County of �nlNV1QJ
On lu 3t W�3 before me, ! Nowt
Date Here Insert Name and Title of the Officer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the person(y6vhose name isAam-subscribed
to the within instrument and acknowledged to me that hehh ftMTexecuted the same in hisiherftttefl—
authorized capacity, and that by hisA+el7R12ft signature' on the instrument the person �j, or the entity
upon behalf of which the person(Yacted, executed the instrument.
NATALIE HAWORTH
Notary Public - California
[f Los Anoft County 9
Commission r 2427955
My Comm. Expires Dec 20, 2624
Place Notary Seal and/or Stamp Above
I certify under 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.
Signature
Signature o otary Public
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached
Title or Type of Docurrter
Document Date:
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02019 National Notary Association
6\tovl' _
Number of Pages: 21
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner— ❑ Limited D General
❑ Individual
O Trustee
❑ Other:
Signer is Representing:
D Attorney in Fact
❑ Guardian or Conservator
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