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RECORDING REQUESTED B�Y <br />AND WHEN RECORDED MAIL TO <br />Name <br />Street <br />Address <br />City & <br />State <br />Zip <br />SPACE ABOVE THIS LINE FOR RECORDER'S USE <br />Notice of Completion <br />NOTICE IS HEREBY GIVEN THAT: <br />1. The undersigned is the owner of the interest or estate stated below in the property hereinafter described. <br />2. The full name of the undersigned is CITY ©F Gc7L.T40In4 (NAME). <br />3. The full address of the undersigned is $© N. LA C.4f70'NA C2Jr1VV <br />C2UTc>" CAL. 1ERVArIRIto 9.200-4 <br />(NUMBER AND STREET, CITY, STATE, ZIP). <br />4. The nature of the title of the undersigned is <br />(E.G., owner in fee OR vendee under contract of purchase OR lessee OR OTHER APPROPRIATE DESIGNATION). <br />5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as tenants in common are: <br />Names Addresses <br />6. The names of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the <br />work of improvement herein referred to are (OR IF NO TRANSFER WAS MADE, INSERT THE WORD "none"): <br />Names Addresses <br />7. A work of improvement on the property hereinafter described was completed on AIva VS7: el - 11737 (DATE). <br />8. The name of the original contractor, if any, for the work of improvement was MAT I CFIC 2F°e7 rew 7/aA-1 <br />(NAME OF CONTRACTOR, OR IF NO CONTRACTOR FOR THE WORK OF IMPROVEMENT AS A WHOLE, INSERT THE <br />WORD "none"). [IF NOTICE COVERS COMPLETION OF CONTRACT FOR ONLY PART OF THE WORK OF IMPROVEMENT, <br />ADD: The kind of work done or material furnished was P/V VEINJ,6i 17 tz.E.S!/�3lG I T.9T�On/ <br />(GIVE GENERAL STATEMENT, E.G., furnishing of concrete for sidewalksl. <br />9. The property on which the work of improvement was completed is in the City of CSL To N County <br />of : AN 19EIZNAIZ0IN0 , State of California, and is described as follows: C. C7 M +G'n'u h; P4 Z!7,0.5 <br />OF STREET'S' !h/f3Ovly? gy, G`�G/t/.�, �!y, V.Eww4t:I1 /Ymo <br />(set forth description of jobsite sufficient for identification, using legal description if possible). <br />10. The street address of the said property is V,"Ie OS C17y Gc!!C?C ;7WW,&t5 <br />(NUMBER AND STREET, OR, IF THERE IS NO OFFICIAL STREET ADDRESS, INSERT THE WORD "none" <br />Dated: <br />19 <br />(SIGNATURE) <br />,jr>H N C. MUTTON (TYPED NAME) <br />PIJ ML14C worzlcs 0WeicTe lZ <br />VERIFICATION <br />I, the undersigned, say: <br />I am the person who signed the foregoing notice. I have read the above notice and know its contents, and the facts stated <br />therein are true of my own knowledge. <br />I declare under penalty of perjury that the foregoing is true and correct. <br />Executed at , California, this day of 19 . <br />(SIGNATURE) <br />T 420 LEGAL (4-94) <br />