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25_0042848T.4 S. R.4 W. SEC. 34 ROAD NAME: MUNDO AVE, MEADOW LN, DEPRAD ST & FORREST DRIVE W.O. # DED24014 RECORDING REQUESTED BY: RIVERSIDE COUNTY SURVEYOR'S OFFICE 4080 LEMON STREET, 8TH FLOOR RIVERSIDE, CA 92501 RETURN TO: RIVERSIDE COUNTY SURVEYOR'S OFFICE 4080 LEMON STREET, 8TH FLOOR RIVERSIDE, CA 92501 DOC # 2025-0042848 02/13/2025 08:00 AM Fees: $0.00 Page 1 of 11 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording— Receipted by: MARIA VICTORIA #411 THIS DOCUMENT IS FOR THE BENEFIT OF THE COUNTY OF RIVERSIDE AND ENTITLED TO BE RECORDED WITHOUT FEE. (GOV. CODE 6103) - PUBLIC ROAD & UTILITY EASEMENT AND RELINQUISHMENT OF ABUTTER'S RIGHTS OF ACCESS THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION T d R Raw_ SFr_ 2A ROAD NAME MUNDO AVE. MEADOW LN. DEPRAD ST & FORREST DRIVE W.O. # DED24014 RECORDING REQUESTED BY: RIVERSIDE COUNTY SURVEYOR'S OFFICE 4080 LEMON STREET, 8T" FLOOR RIVERSIDE, CA 92501 RETURN TO: RIVERSIDE COUNTY SURVEYOR'S OFFICE 4080 LEMON STREET, 8TH FLOOR RIVERSIDE, CA 92501 THIS DOCUMENT IS FOR THE BENEFIT OF THE COUNTY OF RIVERSIDE AND ENTITLED TO BE RECORDED WITHOUT FEE. (GOV. CODE 6103) PUBLIC ROAD & UTILITY EASEMENT AND RELINQUISHMENT OF ABUTTER'S RIGHTS OF ACCESS THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION T.4 S. R.4 W. SEC. 34 ROAD NAME: MUNDO AVE, MEADOW LN, DEPRAD ST & FORREST DRIVE W.O. #DED24014 FOR RECORDER'S USE RETURN TO: STOP NO. 1080 RIVERSIDE COUNTY SURVEYOR'S OFFICE 4080 LEMON STREET, 8TH FLOOR RIVERSIDE, CA 92501 CERTIFICATE of ACCEPTANCE of EASEMENT (GOVERNMENT CODE SECTION 27281) THIS IS TO CERTIFY that the interest in repi property granted by the easement dated - , from (SEE BELOW), to the COUNTY OF RIVERSIDE, is hereby accepted for the purpose of vesting title in the County of Riverside on behalf of the public for public road, drainage and utility purposes, and will not be included into the County Maintained Road System, by the undersigned on behalf of the Board of Supervisors pursuant to the authority contained in County Ordinance No. 669. The offer of dedication of abutters' rights of access is hereby accepted. Grantee consents to recordation thereof by its duly authorized officer. Dated: t 'I [- ;, COUNTY OF RIVERSIDE By: Dennis Acuna Director of Transportation DEPUTY THIS INSTRUMENT IS FOR THE BENEFIT OF THE COUNTY OF RIVERSIDE AND ENTITLED TO BE RECORDED WITHOUT FEE. (GOV CODE 6103) PUBLIC ROAD & UTILITY EASEMENT AND RELINQUISHMENT OF ABUTTER'S RIGHTS OF ACCESS ANTONIO CASTANEDA AND MA. DE LA LUZ MADRIGAL, HUSBAND, AND WIFE AS JOINT TENANTS Grant(s) to the County of Riverside, a political subdivision of the State of California, an easement for public road and utility purposes, including drainage purposes, over, upon, across, and within the real property in the County of Riverside, State of California, described as follows: SEE LEGAL DESCRIPTION AND PLAT ATTACHED HERETO AS EXHIBITS "A" AND "B" AND MADE A PART HEREOF This conveyance is made for the purpose of a county roadway and the grantor hereby releases and relinquishes to the grantee any and all abutter's rights of access, appurtenant to grantor's remaining property in and to Deprad Street, as shown on attached Exhibits "A" and "B". Page 1 of 2 EXHIBIT "A" LEGAL DESCRIPTION MUNDO AVENUE, FORREST DRIVE, DEPRAD STREET & MEADOW LANE RIGHT OF WAY DEDICATION PARCEL "A" (MUNDO AVE.) BEING A PORTION OF THE SOUTH 20 ACRES OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 4 SOUTH, RANGE 4 WEST, SAN BERNARDINO MERIDIAN, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA AS EVIDENCED BY GRANT DEED RECORDED JANUARY 16, 2024 AS DOCUMENT NO. 2024-0013259 OF OFFICIAL RECORDS OF SAID COUNTY AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SOUTH 20 ACRES, ALSO BEING THE CENTERLINE INTERSECTION OF MUNDO AVENUE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 12837, FILED IN BOOK 73, PAGE 24, OF PARCEL MAPS RECORDS OF THE COUNTY OF RIVERSIDE, AND MEADOW LANE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 10434, FILED IN BOOK 46, PAGE 56, OF PARCEL MAPS RECORDS OF SAID COUNTY; THENCE ALONG THE NORTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE OF MUNDO AVENUE, NORTH 89°26'30" EAST, A DISTANCE OF 44.40 FEET, TO THE TRUE POINT OF BEGINNING. THENCE CONTINUING ALONG SAID NORTHERLY LINE AND SAID CENTERLINE, NORTH 89°26'30" EAST, A DISTANCE OF 1,226.00 FEET, TO A POINT 45.52 FEET WESTERLY OF THE NORTHEAST CORNER OF SAID SOUTH 20 ACRES; THENCE LEAVING SAID NORTHERLY LINE AND SAID CENTERLINE, SOUTH 00°33'30" EAST, A DISTANCE OF 30.00 FEET, TO A POINT ON A LINE THAT IS PARALLEL AND 30.00 FEET SOUTHERLY, AS MEASURED AT RIGHT ANGLES, FROM THE NORTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE; THENCE ALONG SAID PARALLEL LINE, SOUTH 89°26'30" WEST, A DISTANCE OF 1,226.00 FEET; THENCE NORTH 00033'30" WEST, A DISTANCE OF 30.00 FEET, TO THE TRUE POINT OF BEGINNING. CONTAINING 0.84 ACRES MORE OR LESS. PARCEL "B" (FORREST DR.) BEING A PORTION OF THE SOUTH 20 ACRES OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 4 SOUTH, RANGE 4 WEST, SAN BERNARDINO MERIDIAN, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA AS EVIDENCED BY GRANT DEED RECORDED JANUARY 16, 2024 AS DOCUMENT NO. 2024-0013259 OF OFFICIAL RECORDS OF SAID COUNTY AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHEAST CORNER OF SAID SOUTH 20 ACRES, ALSO BEING THE CENTERLINE INTERSECTION OF DEPRAD STREET 55.00 FEET WIDE AND FORREST DRIVE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 12648, FILED IN BOOK 72, PAGE 2, OF PARCEL MAPS RECORDS OF SAID COUNTY; Pagel of 4 THENCE ALONG EASTERLY LINE OF SAID SOUTH 20 ACRES, NORTH 00-06-10" EAST, A DISTANCE OF 660.84 FEET TO THE NORTHEAST CORNER THEREOF, ALSO BEING THE CENTERLINE INTERSECTION OF MUNDO AVENUE 30.00 FEET WIDE AND FORREST DRIVE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 12837, FILED IN BOOK 73, PAGE 24, OF PARCEL MAPS RECORDS OF SAID COUNTY; THENCE ALONG THE NORTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE OF MUNDO AVENUE, SOUTH 89°26'30" WEST, A DISTANCE OF 45.52 FEET, TO THE NORTHEAST CORNER OF HEREIN DESCRIBED PARCEL "A"; THENCE LEAVING SAID NORTHERLY LINE AND SAID CENTERLINE, SOUTH 00°33'30" EAST, ALONG THE EASTERLY LINE OF HEREIN DESCRIBED PARCEL "A" A DISTANCE OF 30.00 FEET, TO THE SOUTHEAST CORNER OF HEREIN DESCRIBED PARCEL "A"; THENCE SOUTH 45013'40" EAST, A DISTANCE OF 21.34 FEET, TO A POINT ON A LINE THAT IS PARALLEL AND 30.00 FEET WESTERLY, AS MEASURED AT RIGHT ANGLES, FROM THE EASTERLY LINE OF SAID SOUTH 20 ACRES; THENCE ALONG SAID PARALLEL LINE, SOUTH 00°06'10" WEST, A DISTANCE OF 549.09 FEET; THENCE SOUTH 55037'51" WEST, A DISTANCE OF 30.03 FEET, TO A POINT ON A LINE THAT IS PARALLEL AND 30.00 FEET NORTHERLY, AS MEASURED AT RIGHT ANGLES, FROM THE SOUTHERLY LINE OF SAID SOUTH 20 ACRES; THENCE SOUTH 00042'39" EAST, A DISTANCE OF 50.00 FEET TO A POINT ON THE SOUTHERLY LINE OF SAID SOUTH 20 ACRES ALSO BEING THE CENTERLINE OF SAID DEPRAD STREET; THENCE ALONG SAID SOUTHERLY LINE AND SAID CENTERLINE, NORTH 89°17'21" EAST, A DISTANCE OF 54.05 FEET TO THE POINT OF BEGINNING. CONTAINING 0.50 ACRES MORE OR LESS PARCEL "C" (DEPRAD ST.) BEING A PORTION OF THE SOUTH 20 ACRES OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 4 SOUTH, RANGE 4 WEST, SAN BERNARDINO MERIDIAN, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA AS EVIDENCED BY GRANT DEED RECORDED JANUARY 16, 2024 AS DOCUMENT NO. 2024-00I3259 OF OFFICIAL RECORDS OF SAID COUNTY AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SOUTH 20 ACRES, ALSO BEING THE CENTERLINE INTERSECTION OF DEPRAD STREET 55.00 FEET WIDE AND FORREST DRIVE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 12648, FILED IN BOOK 72, PAGE 2, OF PARCEL MAPS RECORDS OF SAID COUNTY; THENCE ALONG THE SOUTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE OF DEPRAD STREET, SOUTH 89°17'21" WEST, A DISTANCE OF 54.05 FEET, TO THE TRUE POINT OF BEGINNING. THENCE CONTINUING ALONG SAID SOUTHERLY LINE AND SAID CENTERLINE, SOUTH 89°17'21" WEST, A DISTANCE OF 1,207.10 FEET, TO A POINT 56.09 FEET EASTERLY OF THE SOUTHWEST CORNER SAID SOUTH 20 ACRES. Page 2 of 4 THENCE LEAVING SAID SOUTHERLY LINE AND SAID CENTERLINE, NORTH 00042'39" WEST, A DISTANCE OF 50.00 FEET, TO A POINT ON A LINE THAT IS PARALLEL AND 50.00 FEET NORTHERLY, AS MEASURED AT RIGHT ANGLES, FROM THE SOUTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE; THENCE ALONG SAID PARALLEL LINE, NORTH 89°17'2I" EAST, A DISTANCE OF 1,207.10 FEET, TO THE WESTERLY BOUNDARY OF HEREIN DESCRIBED PARCEL "B"; THENCE LEAVING SAID PARALLEL LINE, SOUTH 00°42'39" EAST, ALONG THE WESTERLY BOUNDARY OF HEREIN DESCRIBED PARCEL `B" A DISTANCE OF 50.00 FEET, TO THE TRUE POINT OF BEGINNING. CONTAINING 1.39 ACRES MORE OR LESS. PARCEL "D" (MEADOW LN.) BEING A PORTION OF THE SOUTH 20 ACRES OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 4 SOUTH, RANGE 4 WEST, SAN BERNARDINO MERIDIAN, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA AS EVIDENCED BY GRANT DEED RECORDED JANUARY 16, 2024 AS DOCUMENT NO. 2024-0013259 OF OFFICIAL RECORDS OF SAID COUNTY AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID SOUTH 20 ACRES, ALSO BEING THE CENTERLINE INTERSECTION OF MUNDO AVENUE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 12837, FILED IN BOOK 73, PAGE 24, OF PARCEL MAPS RECORDS OF THE COUNTY OF RIVERSIDE, AND MEADOW LANE 30,00 FEET WIDE, AS SHOWN ON PARCEL MAP NO. 10434, FILED IN BOOK 46, PAGE 56, OF PARCEL MAPS RECORDS OF SAID COUNTY; THENCE ALONG THE WESTERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE OF MEADOW LANE, SOUTH 00°12'48" WEST, A DISTANCE OF 664.36 FEET TO THE SOUTHWEST CORNER THEREOF, ALSO BEING THE CENTERLINE INTERSECTION OF DEPRAD STREET 55.00 FEET WIDE AND MEADOW LANE 30.00 FEET WIDE, AS SHOWN ON PARCEL MAP No. 12648, FILED IN BOOK 72, PAGE 2, OF PARCEL MAPS RECORDS OF SAID COUNTY; THENCE ALONG THE SOUTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE OF DEPRAD STREET, NORTH 89°17'21" EAST, A DISTANCE OF 56.09 FEET, TO THE SOUTHWEST CORNER OF HEREIN DESCRIBED PARCEL "C"; THENCE LEAVING SAID SOUTHERLY LINE AND SAID CENTERLINE, NORTH 00°4239" WEST, A DISTANCE OF 50.00 FEET, TO THE NORTHWEST CORNER OF HEREIN DESCRIBED PARCEL "C"; THENCE NORTH 55051'52" WEST, A DISTANCE OF 30.46 FEET, TO A POINT ON A LINE THAT IS PARALLEL AND 30.00 FEET EASTERLY, AS MEASURED AT RIGHT ANGLES, FROM THE WESTERLY LINE OF SAID SOUTH 20 ACRES AND CENTERLINE OF MEADOW LANE PER SAID PARCEL MAP NO. 10434; THENCE ALONG SAID PARALLEL LINE, NORTH 00-12-48" EAST, A DISTANCE OF 552.07 FEET; THENCE NORTH 44049'39" EAST, A DISTANCE OF 21.07 FEET, TO THE SOUTHWEST CORNER OF HEREIN DESCRIBED PARCEL "A"; THENCE NORTH 00033'30" WEST, ALONG THE WESTERLY LINE OF HEREIN DESCRIBED PARCEL "A" A DISTANCE OF 30.00 FEET TO A POINT ON THE NORTHERLY LINE OF SAID SOUTH 20 ACRES AND SAID CENTERLINE OF MUNDO AVENUE; Page 3 of 4 THENCE ALONG SAID NORTHERLY LINE AND SAID CENTERLINE, SOUTH 89°26'30" WEST, A DISTANCE OF 44.40 FEET TO THE POINT OF BEGINNING. CONTAINING 0.51 ACRES MORE OR LESS. THIS CONVEYANCE IS MADE FOR THE PURPOSE OF A COUNTY ROADWAY AND THE GRANTOR HEREBY RELEASES AND RELINQUISHES TO THE GRANTEE ANY AND ALL ABUTTER'S RIGHTS INCLUDING ACCESS RIGHTS, APPURTENANT TO GRANTOR'S REMAINING PROPERTY IN AND TO SAID DEPRAD STREET, EXCEPT THE GENERAL EASEMENT OF TRAVEL, ANY CHANGE OF ALIGNMENT OR WIDTH THAT RESULTS IN THE VACATION THEREOF SHALL TERMINATE THIS CONDITION OF ACCESS RIGHTS AS TO THE PART VACATED. SEE EXHIBIT `B" ATTACHED HERETO AND BY THIS REFERENCE MADE PART HEREOF. THIS LEGAL DESCRIPTION WAS PREPARED BY ME, OR UNDER MY DIRECTION, IN CONFORMANCE WITH THE PROFESSIONAL LAND SURVEYORS ACT. 9 SIGNATURE b t DATE �f(Exp, lvi & G U L A. LLASEC�QRLS8at�9 THIS DOCUMENT REVIEWED BY RIVERSIDE COUNTY SYOR. BY. Steve Chaffin DATE: 02-11-2025 I Page 4 of 4 EXHIBIT "B" MUNDO AVENUE, FORREST DRIVE, DEPRAD STREET & MEADOW LANE RIGHT OF WAY DEDICA77ON THIS DOCUMENT REVIEWED BY RIVERSIDE COUNTY SURyEYOR. BY: Steve Chaffin DATE: 02-11-2025 LINE TABLE NO. BEARING LENGTH L1 N 00'33;30" W 30.00' L2 N 0033 30" W 30.00' L3 N 00 42'39" W 50.00' L4 N 0042'39" W 50.00 I I j P.M. I 88 / 54 I PARCEL 1 P.O. I LOT A PARCEL 2 I PARCEL 3 I PARCEL 4 + P. M. 73/24 LOT "D" T.P. B I ►�� R/W PER 1 o R1W PER 45. 2� MUNDO AVE. P.M. 88J54 P.M. 73/24 LOT A" �� _(N8926'30"E 1315.92}_ P.M. 733/24 1 1226.00' -� L1 � 1226.00 44.40 1 0 o PARCEL 'A r i 21.07' � co � N4449'39 E GRANT DEED N4573'40'W 0' RECD. 0111612024 30' 60' DOC. NO. 2024-0013259 O.R 20.00 ACRES f GROSS ZE PARCEL 'D" PARCEL "B" o A c� C. C.O. C No. 23061 a '4 RECD. 0410112024 o OQ DOC NO. 2024-00947.36 O.R. a� z � v� 3O, a SOUTH 20 ACRES OF THE SW 1/4 NE 1/4 30l R L 3 0. SEC. 34, T. 4 S, R. 4 W. S.B.H. � N55 51'52 "W N5537 5j "E J 30.46' 3D.03 � Z g Z 12071 L4 PARCEL "C" L3 zr)i r 6.09 ` 121 (N89'17'21 E 101317.25') _r J '-f —T.P.0 B. ! I R/W PER P.M. 72/2 I l DEPR� ST. I LOT C" P�O.B. j I PARCEL 1 j PARCEL 2 PARCEL 3 I p pgC� P.D. C. + P.M. a 72 / 2 LOT "C' LOT B" GRAPHIC SCALE R/w PER P.M 72/ zoo s ao o zao 2 _1 I 30' �oa�,�. �Q SURVEYOR'S NOTE � %' A C(9s't�� INDICATES RESTRICTEDINDICA TES RECORD TACCESS M. 73/24. I SCALE: 1 "=zoo' a ` P.L.S. 8509 AREA NOTES DV M PAII ff SUREMN, BE * Exp. 12 /31 /26 * PARCEL "A" CONTAINS f0.84 ACRES 130 WAT. iLT AYMUX SUM A-5, ,},/ PARCEL "Bp CONTAINS f0.50 ACRES PZIM CA. 92571 F PARCEL C CONTAINS 11.39 ACRES 951-657--IM PARCEL "D" CONTAINS f0.51 ACRES SEC. 34. T.4S R.0 THIS PLAT IS SOLEY AN AID IN LOCATING THE PARCEL(S) DESCRIBED IN THE W.O. # ATTACHED DOCUMENT. IT IS NOT PART OF THE WRITTEN DESCRIPTION THEREIN. SHEET 1 OF 1 24-033 KALE: 1 "= 200' 1DRAWN BY J.A. DATE 02 03 25 EXHIBIT FOR RIGHT OF WAY DEDICA 77ON T.4 S. R.4 W. SEC. 34 ROAD NAME: MUNDO AVE. MEADOW LN, DEPRAD ST & FORREST DRIVE W.O. 4DED21021 ANTONIO CASTANEDA AND MA. DE LA LUZ MADRIGAL, HUSBAND, AND WIFE AS JOINT_ -TENANTS DATED: 0_ /-2 5 BY-" Print Name: w4 (AntAa Title: DD DATED: �� � � BY:"'W,.,�S�u� Print Name: . Al j 1�1 1..�� rI aV Title- n) Page 2 of 2 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. J State of California County of Riverside On 'n before me, Griselda L. Villasenor, Notary Public (insert name and title of the officer) personally appeared r\11 ll]11W-A)QNS1ft 1rYA(A who proved to me on the basis of satisfactoty evidence to be the person,46whose name( IsAtr,-- subscribed to the within instrument and acknowledged to me that heA0ieA4ay executed the same in hisHherhheir authorized capacity;ioK), and that by his1heritheir signature on the instrument the person{,, or the entity upon behalf of which the person(�'� acted, exec ted the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature GRISELDA L. VILLASENOR Notary Public - California x `~ Riversice'Courty n Commissior # 2393881 (Seal) My Comm. Expires Feb 13, 2026 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside On before me, personally appeared Griselda L. Villasenor, Notary Public (insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the arson whose name Is�are— subscribed to the within instrument and acknowledged to me that#efshe executed the same in k++eazh XA�t& authorized capacity, and that by 1^erl r signaturex on the instrument the person, or the entity upon behalf of which the person( acted, executed the instrument. I certify under PENALTY OF PERJURY under the lawsofthe State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatu GRISELDA L. VILLASENOR Notary Public - California z = Riversice County Commissior # 2393881 My Comm, Expires °eb 13, 2026 (Seal) .; OF R1 i". PETER ALDANA P.O. Bo r P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000 www.rivcoacr.org CERTIFICATION Pursuant to the provisions of Government Code 27361.7, 1 certify under the penalty of perjury that the following is a true copy of illegible wording found in the attached document: {Print or type the page number(s) and wording below): Page 8: DATED: 01-30-25 DATED: 01-31-25 Date: 2/11/2025 Signature: Print Name: Paulette Izaguirre ACR 601 (Rev. 09/2005) Available in Alternate Formats