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"WIM MO RRouarrap w <br />AND wNma tMaowoso MAIL ;o <br />Mrs <br />Aeeoar <br />G*t Is <br />`m L <br />J <br />srACZ ADOW TNtS UNC no RRooRORR.s UMNotice of Completion <br />CorpoBefore using this form, refer to recommended Procedure t\'OTICE IS HEREBY GIVFiii THAT: � ocedurc stated on reverse stile of this form <br />I- The undersigned is owner of the interest or estate stated,� win the 1, <br />2. The full name of the undersigned is..• JO n C ro ercinaft ��" <br />I. The full address of the undersigned i.....--- r711Lton, �i�e�EOr pF P bt• <br />.......................................................................................................... <br />650 N.--.,La•--Cadens Dr u Tc Works <br />4. The nature of the title of the undersigned is: In fee •• Co l t On CA 9 2 3 2 4.......... <br />(If other than fee. strike '.In <br />fee <br />•' and insert, for example, "purehaaer under <br />............... <br />5• The full names and full addresses of all persons. if any. who hold title with the undersigned as joint contrart of Parr am. or " <br />leasee" <br />as tenants in common are: <br />tenants or <br />NA%fFS <br />A1)DRF_CSFc <br />......................................................................................................... <br />............................................................................................................................ <br />6• A work of improvement on the property hereinafter described was completed ..on.......................................................... <br />......Ma. <br />?• The name of the origins) contractor, if any, for such work of improvement was.A.]•.]•, Att�r•i-Can �� <br />X... 3., ....1.9.9.9 ............... <br />.Corona .................. <br />............................ <br />(If no contractor for work o- improvement as a whole, insert "none" 1 <br />................................... <br />.... . . <br />. . <br />8• The full name(s) and address (es) of the transferor(s) of the undersigned is ( are 1 <br />NANIV(S) <br />ADDRF.SS(FSI <br />............. <br />................................................................... <br />... <br />.................... <br />(Cainplete where undersigned i; <br />sure essor to owner who cattxr d improvement to he rnnstrorted 1 <br />9. The prol,crty on %%hieh <br />.,td aork of impro%ement was completed is in the vity of..... Q.],. Qom, <br />.............. ........ ................... I county of .... 5an... Bernardino.. <br />PaVern2nt- re.h_abilitation Of„ Va,1,1„ state of California, and is dem-rihed as follow, <br />each....c3r......... ey.1.Vs�....k��..thi.>1 ..t�+ta.... b.Lock.... limit. <br />eet141?.... .Om.....s...Cadena...... <br />.Dx....ar�.d......C-QQ1e. Dr.iue...from....wes.t....end. <br />...de.- S-a.c.....t.0... C.o.o.l.ey.....Lane...and---M-t....Verrnon...frDm .. <br />C.00.Le.y. Lan.e....and...Mt...Vernon....from...San.ta...Ana.XOrm QSr..nt.a...Aaa....Ri-ve :....to. <br />D.r.iue•..................ta...Cen ter.... <br />Ro r) -t - <br />I(). 7•Ite• •tree•t address of said I�rol,erty is......................................................................................... <br />I If no street address has Iwen oRirially assigned, insert "no ne'.1 <br />...................... <br />Signature of <br />owner named <br />...................................... <br />in paragraph 2 <br />Verification for corporate owners <br />STATE. OF CALIFORNIA, l <br />County of....... ) SS. <br />- ...................Leing duly sworn. <br />says: That he is the .......................... <br />of................................................................ <br />..................................... <br />the. corporation that executed the foregoing notice <br />aforesaid interest or estate in thePropertyg g ax owner of the <br />he makes this '•eribration on Ixh If said ronin dewritied; that <br />has read said entire and knows the contents thereeof,tand thattthe <br />facts therein stated arc true. <br />Signature of officer ................................................... <br />SUBSCRIBED AND SWORN TO I►efore me on <br />..................................................I <br />................................................... <br />Title Order No <br />Escrow No <br />t-t3I <br />................................................ <br />JohnC Hutton ............................................... <br />Public Works Director <br />Fly <br />FOR NOTARY O C;AL OR STAMr <br />