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Agmt15 American Pavement Systems, Inc.
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Agmt15 American Pavement Systems, Inc.
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Last modified
9/2/2015 10:43:10 AM
Creation date
9/2/2015 10:41:56 AM
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Agreement
Contractor Name
American Pavement Systems, Inc.
PROJECT NAME
2014-2015 Asphalt Rubber Chip Seal abd Spot Repair
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�J/ * <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT Civil Code § 'I 189 <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 truthfullness, accuracy or validity of that document. <br /> ♦�����������������������������������������������������������������♦ <br /> State of Califomia <br /> County of Contra Costa <br /> On AU6 0 4 �OtS before me, K. Earle , Notary Public <br /> Date ame an a e o aary <br /> personally appeared Steven N. Passerine <br /> Neme and or Names of Slgner(s) <br /> Who proved to me on the basis of satisfactory evidence <br /> to be the person� whose nameEs} is/�e-subscribed <br /> to the within instrument and acknowledged to me that <br /> he/skaeF�-iey executed the same in hisLhec�eir authorized <br /> capacity(iea), and that by his/ber�t#�eir signature(�on the <br /> instrument the person(.s�, or the entity upon behalf of K��� . <br /> COMM.#�2023597 <br /> which the person(s�} acted, executed the instrument. � : ,�,oT,�Ywe��c.c,�,�FO�N�A � <br /> CONTRA COSTA COUNTY <br /> I certify under PENALTY OF PERJURY under the laws of � MY COMAA.EXP.JUNE 5,son �� <br /> the State of Califomia that the foregoing paragraph is true <br /> and correct. <br /> Witness my hand and official seal. <br /> Si nature -_,� 1 ` C <br /> g <br /> K. Ea rle �mrY�blic Sfgnature �Nor�,,�,w�s�n� <br /> OPTlONAL <br /> Though the information below is not required by law,it may prove valuabJe to the persons relying on the document and could prevent fraudulent remova/ <br /> and ieattachment of fhis form to arrother document. <br /> Description of Attached Document <br /> Title or Type of Document <br /> Document Date Number of Pages: <br /> Signer's Name: <br /> ❑ Individual � Individual <br /> ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): <br /> ❑ Partner- ❑Limited ❑General ❑ Partner- ❑Limited ❑General <br /> ❑ Guardian or Conservator T��� ❑ Guardian or Conservator • T��� <br /> X❑ Attorney-in-Fact ❑ Attomey-in-Fact <br /> O Trustee ❑ Trustee <br /> ❑ Other: ❑ Other. <br /> Signer is representing Signer is representing <br /> •���������������������������������������������������������������•�s <br />
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