Project 181 - Notice of Completion - Nikola - 2007-06-14 EXEMPT RECORDING REQUESTED Recorded in Official cor ds, Orange County
PURSUANT TO SECTION 6103 Tom Daly Clerk-RecorReder
GOVERNMENT CODE IiIIIIIIIIIIINIIIIIIIIIIIIIIIII 111111111IIIIIIIIIIII 1111IIII 1111 NO FEE
2001000403129 08:OSam 06126101
AND WHEN RECORDED MAIL TO. rig 16o N12 a
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JOAN REVAK
CLERK OF THE DISTRICT
COSTA MESA SANITARY DISTRICT
628 W 191 n STREET
COSTA MESA, CA 92627 2718 THIS SPACE FOR RECORDER'S USE ONLY "—
NOTICE OF COMPLETION \\
NOTICE IS HEREBY GIVEN THAT h()
The undersigned is owner of sewer facilities as hereinafter described.
2. The full name of the undersigned is COSTA MESA SANITARY DISTRICT
3 The full address of the undersigned is 628 W 19th Street, Costa Mesa, CA 92627 2718.
4 The.nature.of-the.title.of-the-undersigned-is-owner-of,anitar-y_sewer-main_line.faeilities-installed-m_ _
Newport Blvd. & 19th Street
Placentia Avenue at 18th Street
under Project number CMSD #181
i 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:
None
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
None
7 A work of improvement on the property hereinafter described was completed on or around
May 9 2007
8. The name of the contractor, if any for such work of improvement was:
Nikola Corporation
18012 Cowan, Suite 290
Irvine, CA 92614
9 The property of which said work of improvement was completed is in the County of Orange,
State of California, and is described as follows:
as described in paragraph 4 above
10 The street address of said property is.
Various
DATED this /` day of / 2007
COSTA MESA SANITAR\ DISTRICT
(A P1
ART PERRY PRESIDENT
ATTEST
V
E
BOB OOTEN, SECRETARS
STATE OF CALIFORNIA)
COUNTY OF ORANGE )SS
CITY OF COSTA MESA )
The undersigned, being duly sworn says: That he is the President of the Costa Mesa Sanitary District: that
he has read the foregoing instrument and knows the content thereof, and that the facte stated therein arc
true, and that he makes this certification by authorization granted by the Board of Directors of the Costa
Mesa Sanitary District.
ART PERRY
II
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
r- - -- - - .c,cc..Grercrccce,c,- ',,rv('- ,rcrcrcrcr - - - - .e>,
I( I
State of California 91I
1i 1 ss 'sl
Ii County of Orange )i
I(
It b1
eOn June 14, 2007 , before me, Joan Revak, Notary Public �1
li Dale Name nd Title of Offic (e g "Ja Do Notary Public') '.,
li personally appeared Arthur Perry and Robert Ooten 'sl
1% Na e(s)of Sign r(s) 'yl
® personally known to me s
1i ❑ proved to me on the basis of satisfactory )I
I( evidence )i
li )I
It to be the person& whose names isgi •l
Gsubscribed to the within instrument and $1
i acknowledged to me that he/she 0 executed or
1( the same in his/hereielil authorized yl
1( JOANi7EVAK capacity ie and that by his/her heI sl
i ✓ Yet- Commission t�5S60 signature on the instrument the perso �, or '
a Nary Public California the entity upon behalf of which the persons r1
( �� Orange County - acted, executed the instrument. )I
ivu,
- " My Comm Expires Dec 8,2008 )1
1(
i WITNESS my hand and official seal. 's1
I(
`" se"° `Pu
I¢ Pie Notary Seal Abov Signatu of Notary Public
)I
OPTIONAL s11
1i Though the information below is not required by law, it may prove valuable to persons relying on the document 'I
ii and could prevent fraudulent removal and reattachment of this form to another document.
It Description of Attached Document s1
1( Title or Type of Document:Notice of Completion - CMSD-Project #181 ),
1(
ii Document Date: - June 14, 2007 Number of Pages: 3 ''1
)I
e Signer(s) Other Than Named Above: 'Xi
li y1
i Capacity(ies) Claimed by Signer 'r
4 Signers Name:Arthur Perry,President & Robert Ooten,Secretary RIGHT THUMBPRINT )I
e ❑ Individual OF SIGNER )I
4 Top of thu lb he )I
1( ❑ Corporate Officer Title(s): I
ii 111 Partner—❑ Limited El General '
)I
I( ❑ Attorney in Fact )I
I( ❑ Trustee
El Guardian or Conservator 'xi
1� Xi Other Costa_Mesa Sanitary Disrriet-
ii Signer Is Representing: Costa Mesa Sanitary District )1
li y
ii 'si
01999 National No ary AsvNaam:n•9350 So o Av PO Box 2402•Chaixwonn CA 9131 •www nail aIn ary org Prod No 5907 Banrde Ca -Fr -986 668