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RWCORaNIa RsoulflBTSO BY AND WHEN NKC MNM MAIL so Naas City of Colton Asmsems 650 N. La Cadena Dr. e,vv o Colton, CA 92324 trrarn 1 1 SPACE ABOVE THIS UNs POR RRCOROC" USE Notice of Completion mom Before using this form. refer to recommended procedure stated on reverse side of this form NOTICE IS HEREBY GIVEN THAT: I. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is ..... JQ ..Q.f...Pl lir'...WOrX.5................ 3. The full address of the undersigned 66.50..N,...Id..C.adeM..Dz...,...C.Qlt0n.,...CA...923.2.4 .............................. 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 contrart of purrhase." or "leasee".1 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: NAMES ADDRF_S.4Fe ............................................................................................................................................. ......................................................................................................................................... .................. .................................................................................................................................................. ................... ................................................................................................................................................................... ...................................................................................................................................................................--.................. ..................................:........................... .... . .......................................................................................... 6. A work of improvement on the property hereinafter described was completed on.. NkirCh 15, 1994 ................. 7. The name of the original contractor, if any, for such work of improvement was.... . ................. .Engineers (if no contractor for work of improvement as a whole, inert "none-.) 8. The full names) and address 1 es l of the transferor(s) of the undersigned is fare) : NANIF.IS► ADDRESS(ESI ....................................................................................................................................................................................... ........................................................... .... ................................................................................................................. ......................................... ........................................................................................................................................... ....................................................................................................................................................................................... .................................................................................................................................................................................... ................................................................................................................................................................................... 101mplete where undersigned i4 sur•ressor to owner who vaused improvement to lie roustrocted I 9. The property on % hich said work of improvement was completed is in the city of.. COltOn........................... .. .......................................... county of..San..Bernardin................................ state of California. and is described as follow,: UP9r a -.of WAC Plant facilities ..... instill... �Ild... by...g�nszator........................................ ........................................................................................................................................................................................... ...... ........................................................................................................................................................... ................................ ......................................................................................................-.................................................................................. .............................................................................................................................................................................................. 10. The sirmt address of said property is.... .1.201 S. Rancho..Ave ............................... ................................................ .............................•---.........---..........................--------........................................................................................................... ...............................•-..........................---.............---............---•--................................................ IIf no street address hast Keen officially assigned. insert "none -.I Signature of Ci.tV of Colton owner named Dated ...................................................... in naraeranh 2 Veri/iewion Jor corporate owners STATE. OF CALIFORNIA. Countyof.....................................................................SS. ........................................................................................Toeing duly sworn. says: That he is the.................................................................................... of................ the corporation that executed the foregoing notice as owner of the aforesaid interest or estate in the property therein dew•riloed: that he makes this verification on behalf of said corporation. that he has read said native and knows the contents thereof, and that the facts therein stated are true. Signature of offsfirer......................................... ............................................. SURSCRIRED AND SWORN TO before me on ............................... ........................................................................................................................ Title Order No t: row No. iaFn .............................................................. .................... John C. Hutton, Director of Pub li....c H ll c. 2L__ fl� FOR NOTARY SCAL OR STAMP