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JENSEN - ASSUMPTION OF RISK, RELEASE OF CLAIMS AND CONVENANT NOT TO SUE
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JENSEN - ASSUMPTION OF RISK, RELEASE OF CLAIMS AND CONVENANT NOT TO SUE
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10/24/2007 3:03:10 PM
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10/24/2007 1:20:38 PM
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LONG TERM AGREEMENTS
LONG TERM AGREEMENTS - DOCUMENT DATE
4/30/2003
LONG TERM AGREEMENTS - NAME
JENSEN
LONG TERM AGREEMENTS - TYPE
MISC AGMT
LONG TERM AGREEMENTS - RECORD SERIES
704-06
LONG TERM AGREEMENTS - DESTRUCTION DATE
PERMANENT
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California <br />County of ~L~-M ~~A ss. <br />On ~D~I L ~ ~~aL~3, before me, ~~~~ ~c ~z[~t,ed. /~D7A/L}/ ~~ 1~~r1!-_, <br />Date ,1 Name and Title of Officer (e.g., "Jane Doe, Notary Public") <br />personally appeared ~7rr/ Il~/'~/ TI • ~s~~ , ('~~~/~T. ~~',/~~ <br />Name(s) of Signer(s) <br />loved to me on the basis of satisfactory <br />evidence <br />-~°'~'~'~'~`°®'A- to be the erson s whose names are <br />PEGCY L. EZIDRO p () ( ) <br />Commi:~sion~1318227 Z subscribed to the within instrument and <br />i ~~ .., Notary Public -California ; acknowledged to me that they xecuted <br />Z Alameda County the same in #isfi3e~'their authorized <br />~yComm.6gp'~Augt8,2~35 capacity(ies), and that by #is~ie ei <br />signature(s) on the instrument the person(s), or <br />the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br />WITNESS my hand and fficial seal. <br />(~ <br />Place Notary Seal Above Sign ture of No,Ea Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached ocument - , <br />Title o Type of Document: /V F sib ~°~~ <br />~.Ud-~U~,u~irNvT ~ Gc ~ <br />Document Date: Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer <br />Signer's Name: _ <br />^ Individual <br />Top of thumb here <br />^ Corporate Officer -Title(s): <br />^ Partner - ^ Limited ^ General <br />^ Attorney in Fact <br />~Yl"rustee 5 <br />^ Guardian or Conservator <br />^ Other: <br />Signer Is Representing: ~rotlS~ 1~~~!(J//t~~ /,~(~{S7"' <br />® 1999 National Notary Association • 9350 De Soto Ave., P.D. Box 2402 • Chatsworth, CA 91313-2402 • www.nationalnotary.org Prod. No. 5907 georder: Call Toll-Free 1-800-876-6827 <br />
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