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a <br />RECORDINGREQUESTED BY <br />• <br />w <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 Ci`%y IM5 004710AI (NAME). <br />3. The full address of the undersigned is 92� N A 4:,-- AP>k D5NA iP07i <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 F=Ea1?VA0Y (DATE). <br />8. The name of the original contractor, if any, for the work of improvement was IV,0- 7//`e" G' <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 AQi/0,V:1,0Ad7' <br />(GIVE GENERAL STATEMENT, E.G., furnishing of concrete for sidewalks]. <br />9. The property on which the work of improvement was completed is in the City of 00047eAJ Count <br />of-SIA-1-4WA* 10101 J0 State of California, and is described as follows: ��� �' � � / / y <br />P.�V&1 z5 AJ7"l2�/tiJ9f3 / i ! i'®�i�/"i�'f.�JAAW77 <br />(set forth description of jobsite sufficient for identification, using legal description if possible). <br />10. The street address of the said property is 11109 --KZ Oa --5 el" A0149W 7J Oe71V <br />(NUMBER AND STREET, OR, IF THERE IS NO OFFICIAL STREET ADDRESS, INSERT THE WORD "none".) <br />Dated:, %-7,q zC 1 ZZ -t' 19 919 <br />(SIGNATURE) <br />JOHN H U TTON (TYPED NAME) <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 Colton California 22nd day of March lq 99 <br />C (SIGNATURE) <br />T 420 LEGAL (4-94) <br />