Notice of Completion - Nikola - 2007-06-14 EXEMPT RECORDING REQUESTED ED Recorded in Official Records, Orange County
PURSUANT TO SECTION 6103 Tom Daly Clerkecorder
GOVERNMENT CODE IIIUJIII III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIdIIIIIIIIIIINO FEE
2007000403129 08.05am 06126107
AND WHEN RECORDED MAIL TO. 212 160 N12 4
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JOAN REVAK
CLERK OF THE DISTRICT
COSTA MESA SANITARY DISTRICT
628 W 19TH STREET
COSTA MESA, CA 92627 2718 THIS SPACE FOR RECORDER'S USE ONLY
NOTICE OF COMPLETION \\
NOTICE IS HEREBY GIVEN THAT
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 19`h Street, Costa Mesa. CA 92627 2718.
4 The.nature.of-the.title.of-the-undersigned-is.owner-of sanitar-y_sewer-maimline_facilities_installed-in__
Newport Blvd. & 19th Street
Placentia Avenue at 18th Street
under Project number CMSD #181
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:
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 / ?tt day ay
you
2007
COSTA MESA SANITARY DISTRICT
(A P1
ART PERRY PRESIDENT
ATTEST
.C1-A4L24.- __
BOB OOTEN, SECRETAR\
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 fact_ stated therein are
true, and that he makes this certification by authorization granted by the Board of Directors of the Costa
Mesa Sanitary District.
Pcc2
ART PERRY
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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• State of California
ss.
I County of Orange
• On June 14, 2007 , before me, Joan Revak, Notary Public
F Date Name nd Title of Officer(e g 'Ja Do Notary Public')
g personally appeared Arthur Perry and Robert Ooten , I
Name(s)of Sign r(s) l
IS IX personally known to me 4l
AF El proved to me on the basis of satisfactory
A evidence
fi to be the person whose named iskr 3
fi subscribed to the within instrument and ,,l
fiacknowledged to me that he/she CP executed 1
fi the same in his/her ei authorized
fi JOANMAK capacity Ie , and that by his/her e)
.«Y:i`. Commission 0 1626360 signature the instrument the persorQ, or ;
fi 5� rvPublic California £ the entity upon behalf of which the person ,,i
Al?',
g7.� Orange County - acted, executed the instrument. 4I
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fi WITNESS my hand and and official seal.
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✓ Pla Notary Seal Abov Signatu of Notary Public ,�I
fi
fi OPTIONAL l
fi'h Though the information below is not required by law, it may prove valuable to persons relying on the document s
i, and could prevent fraudulent removal and reattachment of this form to another document.
fiDescription of Attached Document
p Title or Type of Document:Notice of Completion - CMSD-Project #181
Document Date: June 14, 2007 Number of Pages: 3
5 1
fi
fi Signer(s) Other Than Named Above:
fi
fi Capacity(ies) Claimed by Signer
Signer's Name:Arthur Perry,President E. Robert Ooten,Secretary RIGHTTHUhePRINr
1 ❑ Individual OF SIGNER
I Top of thumb here °
, ❑ Corporate Officer—Title(s):
l
1i. ❑ Partner—❑ Limited ❑ General Li
fi ❑ Attorney in Fact
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Li
g' ❑ Trustee
fi ❑ Guardian or Conservator
„r% ] Other Costa Mesa S.ni tary T)istrict >„
IS xi
Ig, Signer Is Representing: Costa Mesa Sanitary District
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O 1999 Na ary Assooalbn•9350 0 So o Av PO Box 24 •Cha only CA 91313-2402•www nalimaln ry org Prod No 5907 Reorder Call Toll Fr -eo-x76-6827