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Agmt02 Interstate Grading
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Agmt02 Interstate Grading
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Entry Properties
Last modified
11/5/2008 9:04:31 AM
Creation date
3/4/2002 10:33:55 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Interstate Grading & Paving
PROJECT NAME
Roosevelt Ave Reconst Phase
RMP File Number
304
MO Ref
02-23
Box
6593
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<br />CALIFOR N IA AI..L-PURPOSE ACKNOWLEDGMENT <br /> <br />?a2Ii3a !IE <br /> <br />State of <br /> <br />C.~ L-~rV" ;..... <br /> <br />County of ~....- /-'I",!rc<:.. <br /> <br />on~cÛ l..~. ð-~Ì- before me, ~ r1~+~1't-- ~~1. ,ùcJ~~ &PUJlt~ <br />D8I8 ~ _and1lll8orOlllo8r(e.g..'Jone60..-,...-, <br />personally appeared -~. __A'-h-""",-....,, ! -< r- '<--', <br />N8me(a) or SIgnoI(a) <br />"'ptpersonally known to me - OR - 0 proved to me on the basis of satisfactory evidence to be the person(s) <br />whose name(s) islare subscribed to the within instrument <br />and acknowledged to me that helshelthey executed the <br />same in hlslherltheir authorized capacity(ies), and that by <br />hislherltheir signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, <br />executed the instrument. <br /> <br />} - - - - - C~R~IN-; R;;O; - ¡ <br /> <br />commission # 1190200 z <br />~ Notary Public - California ~ <br />Z San Mateo CClJnjy ! <br />A~. M. yc._..O!.n.m.r'P..~B"..:jL.J.J"S.7'C? <br />J-~-",'":'è"""""""'~'" -".~, . <br /> <br />WITNESS my hand and official seal. <br /> <br />(J-ÂA~~'e ~ <br />sv-.. ~ <br /> <br />OPTIONAL <br /> <br />Though /he information below is not teqUinId by taw, It may ptOVf/ valuable to persons relying on /he document snd could ptØV8fIt <br />fraudulBnt rømcwallUICI teBttBChment of /his form to another document. <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document <br /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />Signer's Name: <br /> <br />Signer's Name: <br /> <br />0 Individual <br />0 Corporate Officer <br />Title(s): <br />0 Partner - [] Umlted 0 General <br />0 Attomey-in-Fact <br />0 Trustee <br />0 Guardian or Conservator <br />0 Other. <br /> <br /> <br />0 Individual <br />0 Corporate Officer <br />TItIe(s): <br />0 Partner - 0 Umited 0 General <br />0 Attorney-in-Fact <br />0 Trustee <br />0 Guardian or Conservator <br />0 Other. <br /> <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />:¡~. <br />01984 - Notary A88ocIalion -11238 -- Iwe.. P.O. Øœc 7184 - CInoga ....... ell 1113011-7184 <br /> <br />Prod. No. 511111 <br /> <br />-- eel '1bI-FnIe 1~ <br />
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