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Agmt16 Casey Construction, Inc.
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Agmt16 Casey Construction, Inc.
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Last modified
3/30/2016 10:46:33 AM
Creation date
3/30/2016 10:45:21 AM
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Template:
Agreement
Contractor Name
Casey Construction, Inc.
PROJECT NAME
2015-2016 Sanitary Sewer Replacement Project
Date
3/30/2016
MO Ref
16-040
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 <br /> , _ _ .. <br /> _ _ ... - _ <br /> . . A , �-�� ���.Fr_�,��-.. _ ._ <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 March 16, 2016 before me, Deborah M. Knipp, Notary Public <br /> , <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared Mary Baez <br /> Name(s)of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to be the personQQ whose name(� is/� <br /> subscribed to the within instrument and acknowledged to me that pi�she/�(�(executed the same in <br /> �(i�((her/�i�(authorized capacity(��(,and that by�1�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 WITNESS my hand and official seal. <br /> � COMM. #1979771 z • <br /> ��-�•.� T Notary Public•California o <br /> z" .�- �: ' San Mateo County � Signature <br /> <,�„o� ' My Comm.Expires May 26,2016 <br /> Signature of N ary ublic <br /> P/ace Notary Seal Above <br /> OPTIONAL <br /> Though thrs section is optional, comp/eting this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an unintended 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 f-- Partner — ❑ Limited L General <br /> ❑ Individual �Attorney in Fact � Individual �Attorney in Fact <br /> ❑Trustee �Guardian or Conservator �Trustee �Guardian or Conservator <br /> ❑Other: � Other: <br /> Signer Is Representing: Signer Is Representing: <br /> _. _ .... ... . . _ _. . <br /> 002014 National Notary Association •www.NationalNotary.org � 1-800-US NOTARY(1-800-876-6827) Item#5907 <br />
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