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Agmt15 Casey Construction, Inc.
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Agmt15 Casey Construction, Inc.
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Last modified
8/13/2015 8:08:37 AM
Creation date
8/13/2015 7:59:05 AM
Metadata
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Template:
Agreement
Contractor Name
Casey Construction, Inc.
PROJECT NAME
2014-2015 Watermain Replacement Project
RMP File Number
304
Date
8/12/2015
MO Ref
15-096
Task Order
Yes
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CALIFORNIA ALL-PURPOSE ACKNOW�EDGMENT CIVIL CODE§1189 <br /> aca,��ctrc�Gr���Yccf.rtzrY.�`G .c^�.t��iQ'�t2'�c'��i�"''��.c�•c1C�.`'cd.c�t2'.^ZCc�i�(r�.cyC�`�-Fr�.n,��-a^a.:�r�.r+�,�cyc.c�tY,�'s� <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br /> document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. <br /> State of California ) <br /> county of San Mateo � <br /> on July 7, 2015 before me, Deborah M. Knipp, Notary Public , <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared Marv Baez <br /> Name(s)of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to be the person(j� whose name(� is/��C <br /> subscribed to the within instrument and acknowledged to me that pl�(she//�£�Cexecuted the same in <br /> Ja(i�l(her/��}(authorized capacity(��(,and that by�19�her1,'�j�(signature(�on the instrument the person(�, <br /> or the entity upon behalf of which the person� acted, executed the instrument. <br /> I certify under PENALTY OF PERJURY under the laws <br /> of the State of California that the foregoing paragraph <br /> � � is true and correct. <br /> DEBORAH M.KNIPP �NITNESS my hand and official seal. ' <br /> COMM. #1979771 z <br /> o�.:. z <br /> �: �► Notary Public•California <br /> z San Mateo County ° Signature <br /> M Canm.Ex 'es Ma 26,2016 Signature of tary Publi <br /> Place Notary Sea/Above <br /> OPTIONAL <br /> Though this section is optional, completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an uninfended document. <br /> Description of Attached Document <br /> Title or Type of Document: Document Date: <br /> Number of Pages: Signer(s) Other Than Named Above: <br /> Capacity(ies)Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑Corporate Officer — Title(s): C!Corporate Officer — Title(s): <br /> ❑Partner — � Limited ❑General �Partner — ❑ Limited C,General <br /> ❑ Individual �Attorney in Fact � Individual :^l Attorney in Fact <br /> ❑Trustee G Guardian or Conservator C Trustee �Guardian or Conservator <br /> ❑Other: ❑ Other: <br /> Signer Is Representing: Signer Is Representing: <br /> �02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 <br />
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