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HomeMy WebLinkAbout0646 2~8214~ ~ I?i Lor r~cc~~c'_:u~ rct~~rn to= Rcvc::~~.u t~«•1 ~01.~~~~it.,~ lb~RANT OF IIEN FOR `uRUEN'SJSEJNIY `~ilE t' ~;.F;JE~ COUNTY OF SAN OIEGO Sj :~~41r F~~ ` f= ' Z~A$ .EPARTMENT _~i{ , - ~L - a ~~_E-F~ "v~• :JJRT ~ ~ ~ ~ ~ 7 • 7• ' j~ F? ~ t,.~{ ~ 1 it / ~ I FE81 ~ 'r C.ASE NAME ~ • - a.~"~ _`~~-CASE NO. 1 i~ PH'T~ .~ui~ •~u~~. r n ~ AKA _ ~y ~ t=`- .7 L. l 4 ^ ~ ~ , , t 5: y~ c, ~ o.:: 5 - , 1_ . . ~ ~,'~21Q• ~ S~~ SnC~AL SECUF:~T~' JO. BIRTNpATE ~~~L_'_~~ 1 t~ U U 5 E' S N A~! E.,-f.~{.s..;~S~~ LC.1..._i~Gi- { i AK A _ ,S - ~y_ SOCIAL SECURITY NO. BIRTHDATE •dAR~TAL.STATUS: ~ NEVEp MAHq1E0 • 7~ DIVORCEO 1 w~oowEO J MARq1ED, BUT SE?ARATED ~ MApw~EO, NO~ SEPAkATED / ` In ~~~.I:u~~'r ~ci~l~ ~rac~tii..ns lar.• ul ~hi• ~~a~~• of Califi.mia, ~he undi•r~i~;na•d hcrchy K~•ti~~+ t.~ ttu• (:~~unt~• a( tian Uic~;u a licn u~r~n cc.~l ~~~.q•rr~~' in ~~hirh thc undcY~i~;ni~d h~+ ~.r hulal~ an~ ri~;h~, titlc ut inti•rc+~, und all uthrr ~cal prulx•ny in w6ich !hc undrru~;ard ;u.~c .~~yui~~• .u~c ~i~;lu, titli~ ~~r intctc.t in ~ha• futnre, ci~u.ur in ihi• ~tatc id I.alilu~~~ia. ot clsa•whcrr, fur tho amuunt oi aU rou~ty aid. .~..~.~.?nca• J ho+pital tri•a~ment ot cate ha•te~uta~e furnished ot to he (urnishi•d in ~he (uture t~~: Ichrck applicable bo:(cs) 1 I hi• un.Ici.iFn~•d ur thc .p~wsc or minor children of riihcr o( ~hc unJcrsiRncd. : lld~er per.unl cl. ac (uUows: ((:ivi• name ~nd relation.hipl 1l~i~ licn .hal{ nut bc (orccluscablc aRainct thr residcncc of ~hc under~iRncd unt~l thc dca~h uf thc undcrsiFn~J; rrovidr~l, ho~vc~cr. ti~.tt il .u~y :t~~ct:?~~ !,y the undcssig~~•d to scll or otl~ctwe~c trancf~•c any intcrcct in sucl~ propcrty withou[. makinR satitfactory arranRc- ~u: n~. (ar p:?ymcnt „f thic licn. or i( it iv .Iixc.,vcreJ that the aid, tra•utment u~ care .u ada•anci•J wa+ ub~aini•J by (rauJ or an}• other de- ,~~~tul m~•ans, ur i(, a(~~•r ~hc tctminati~~n uf cuun.y a.sistancc, it i. dctcrmin~•:1 by thr Ruard oi Cupcn•icu~~ chat thetc has n~~~ bcen a r~~a•..a~ahlr ,.ttcr~pt by thc un.Icrci~ncJ t.~ mect thc ~rhliRatiun t~. thc cuumy, thiti licn and thc ot?liKation si•curcJ thcrcby thall hcar thr iull IrKrl intcrest r.~tc (rum a~~i ~(tcr dcmand fur pa~•mcnt by chc coun~y anJ ~hc licn shal! bc immcdiutcly (urcclutcablc. lhic aRrccmcnt ~hnU bc .~indinR upam tha• under~iR~ed, his sucre»uts. heir~ and assign+. Furthcraxxc, the l~rncfits of thc ct-rtutc limitstion~ rrlatinK to thi coller!ia~n u( +uch inJel~trdnesc ur enforcemene oi this (ien are hrn•by foreccr w:?i~ed. I her~by auth.r.izc thi~ Kranu•c uppend ~o thic instrumrnt dc+cripti~xt u( any rcal prc~ert~• I~x-ated in thc titatc o( Cali(~irnia o( aliirh ( am thc Js~i•~scJ uNm•r. ~ ~ .~itnod ` ~ '1.~'I ~ r'.~Q_ l tiFncd ru~z wwuc r~~~ Nu.~c 1h.~ ` _ AI:A / ~ A+ j~ ~ : 1.i~lrrtic L/ Lt. L~l.~ `r~ ~ ~ / 1?ddress ni~?~ ~w STOSS. ..u..tcw s~~ctr I -1~'L-~ J'C4' ~.C-~, ~_,,~~~t/ C1T~ ~•STATL ZIF COQE Cti• St~TE IIP tUDL { !'KUl'f-:RTI' 1)i:S(_liIPT10X: ~ ~ ~Ihc forc~~~in~ instn~mern i~=ci ~f~~~Vctle a~c?•~~,rrc~-r r~?r,~- ~f thr uri~~~n.al ~~~z (ilc i~ thj,~=ti~~~;,•,:~;;~ ~ _ _ t•~ - . . , , .~rtc.r yt,;,t : : ~ Z ~ - - - - , . . ~sa~ ' t~-:~ y73 T i os~:~A,, ~ , _ ; - . . (:oun~~ (~)r:k .ir .1 Clcrk cs(~ s • _ - . ' . - : _ ,r•,-•: = - ' ~ - olCaliforne.i. i~Y~nd fur~.tL„~,o,)ilt~~ c1f S.i.:_:s`-~_~ ~ ~C~f. ' . .~r~ z ~j. . . -1)c ~ ~~K,~k~ • - , ~ ~''~-6--c'-~'=: ~:~'-`-~4---------••- I utr ; • ~ ? ~ 1~1•: l)! ~ :11.11'(~It\IA ? I..•~p (lcttn3, 1 i~ 11 \ 1 Y 1)1• ~A~ ~)~~{(il) /7 ~ 7 /7 ein :bi, i..._dav ~~f - , 1~ ~~---1~~•(~~r~~ m~~. C~~untc ('le~rk and ~~fii~•i~, ('I~~rk ut th~• Sn~~~~riur _ ~ ~ ~ ~~~in in und Inr ~.~iJ ( .+unty, pi•rsunal :~pp~•:ucil / ~ i' ~ f~(,~*~~~ £ - ~ - ~ ~ ~ ;,~„~wn t~~ mi- t„ bi• ~6~ pi•r.~~n ~ahusa• n.~mi• ~ub~crih~•J to thc w~ithin in~trumrns~ :?nd aci,n~.wleJccd ~ <<~ mc ~hrt _ .~-~1'L a•crcutcJ thc ..~m~•. Si ~ In ~titnccs 1'hc•rcu(, 1 h.~~•~• h~•n•uniu ci•~ m}• 6~n:1 :?nd a((i:eJ my u(fiaial x•al ~hi• day rnd }•c.~r ir~•this ccrtificati• lirt~ af.a»~r wriucn. 1:•,=c Dsun~, ~ ~ ( uun~~• ( Icrk anJ uf(icio ( li•rk u( ih~• ~,r~•rior l iwrt ~ ~ , 1/ _ ~~L C.~f ( ~s,'-~r-'~ ti...i It~~~~~i '_~f~~'L~ - T I )i_put y. ~ - - - This i~ tv ci•nify ~hat tlu• intccr~t ~n n•al propi•try ~ unvcy~•d L~' thc (ut~•RoinR I:rant u( l.icn to th~ ( o~m:t ol ~.~n 1)ii~y;~., ~N,litical ~„rE~.,sati~~n aml/ur };~~~~e•rnma•n~:+l aKrnct•, i~ 6rn•I~y aaccMi•d by thc• unJ~•r~iy,nrd ul(icrr i~t aFco~ on IN•h:d( u~ th~~ ( uunty 1 fcr{, put~uam .~uthnrity ~v~n(crra•d by rcwluti~n~ oF thr Hn:ud tuprraisotti ad~.ptcd on 1'tlxuary L1. 19711. rnd ~h~ RranlcC cunxcnt~ tu ti~cu~.l:?t~ix~ ~F, r~•n( 1~~~ i1~ duly .~uth~xitcd u((ir~r. le5•e flc~in~. ~ ~ . ~ ~ ~ B~oK2Z1 PAGE s~~U~ 1 1 1972 It}• y~~ i)atcJ: ~ Ilr~•vrt- _ _ - - _ ; ~~~~~~.+~3 - - - - - - - _ " ~~i fr i ~ ~~.~~i-`~ T~f~~rw.r_ _ . , . _ . .._~a~iL°.`