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Agmt16 Corrpro Company Inc.
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Agmt16 Corrpro Company Inc.
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Last modified
6/7/2016 12:53:24 PM
Creation date
6/7/2016 12:52:40 PM
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Template:
Agreement
Contractor Name
Corrpro Company Inc.
PROJECT NAME
Cathodic Protection Upgrade of the Recycled Water First Steps Pipelines Project
RMP File Number
304
Date
6/7/2016
MO Ref
16-079
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...��. - <br /> . <br /> CA,LIFORNIA �.LL-PURPaSE <br /> C RTIFICATE UF ACI�:NUWLEDGl�IENT <br /> Misso <br /> State of r�''��=,-� <br /> County of st.�ouis <br /> Ori May 13,2016 befOte me, Amanda L Williams,Notary Public � <br /> (Here insen name and title of the officer) <br /> personally appeared Barbara Buchhold,AttorneY-In-Fact __ � <br /> who proved to me on the basis of satisfactory evidence to be the person(s}whose name(s) is/are subscribed to <br /> the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized <br /> capacity(ies),and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of <br /> which the person(s}acted,executed the instrurnent. <br /> � I certify under PENALTY OF PERJURY under the laws ofthe State of California that the faregoing paragraph <br /> is true and correct. <br /> AMANDA L.IMLLIAMS <br /> Notary Pubiic-Notary Seal <br /> WITNESS my hand and official seal. STATE OF MISSOURI <br /> St.Louis County � <br /> _(�,�_ • r � �j My Commission Expires: July 24,2017 � <br /> ,�,/��� � Commission#13507257 <br /> /'i L (Notary 5eal) <br /> Signature ofNotary Public Amanda�.Wllliams,Notary Publit <br /> ADDITIONAL OPTIONAL INFORMATI4N <br /> INSTi2UCTIONS FOR COMFLETING TH1S FORM <br /> Anv acknowledgment comple�ed in Calrfornia nn�st co�uain verbiage exact/u as <br /> DESCRIPTION OF THE ATTACHED DOCUiVtENT appears abuve in the nolury secfiwi or a separate acknowledgment jorm nrust be <br /> Faithful Performance Bond and properly campleted und altached ta that docun:ent. The onJy exception is ij a <br /> Pavmeot Bond documenl Is ta be recorded outside ojCalrfornea.In such instances,any alternatii�e <br /> acknoyrledgn:enl verbiage as may be printed an such a dacr�ment so long as 1he <br /> (7'itle or description of attached document) verbiage does not require the notarv to do something tbat is illega!for a norary in <br /> California(i.e. cerlifying the au�horiced capaciry ojlhe signer). Please check the <br /> (Title or description of attached dacument continued) docmnent carefidlyjor proper notariul wording and attach lhisjorm rfrequired <br /> • State and County information must be the State and County�rfiere the document <br /> Number of Pages 4 Document Date 5/13/16 Signer(s)personally appeared before the notaty pubSic for uckno�viedgmen� <br /> • Date of notari-r.ation musY be thc date that the signer(s)personally appeared�vhich <br /> Travelers CBSUaIty and Surety Company Of Ameriea must also be the same date ihe ackno«dedgment is compteted. <br /> (Additional information) • The notary public must print his or her name as it appears �vithin his or her <br /> commission fotlowcd by a comma and then your tide(notary pubiic). <br /> • Print the name(s}of document signer(s)who personatly appear at the time of <br /> notarization. � <br /> CAPACIIY CLAIMED BY THE SIGNER • [ndicate the coRect singuiar or piurat focros by crossing ofT incorrect forms(i.e. <br /> !3elshetfHey,is/are)or circling the correct forms.Failure to correcdy indicute this <br /> O Individual(s) informaYion may lead to rejection of document recording. ' <br /> � Corporate Officer • The notary seat impression must be clear and photographicatly reproducible. <br /> Impression must not cover test or{ines. !f seat impression smudges,re-seal iF a <br /> (Tide) sufficient area pertnits,othe�vise complete a different acknowledgment form. <br /> ❑ PaTtnei S • Signature of the notary pub(ic must match the signature o�fite with the office of <br /> � � the counry clerk. <br /> � Attorney-in-Fact . Additional information is not nquired but could help to ensure this <br /> ❑ Trustee(S) acknowledgment is not misused or attached to a different dceument. <br /> ❑ �thei Indicate title ar type of attached document,numbcr of pages and date. <br /> . Indirat�the capacity claimed by the signer. [f the claimed capaciry is a <br /> corporate ofTicer,indicate the tiUe(i.e.CEO,CFO,Secretary). <br /> • Securely altach this document to the signed document <br /> 2008 Version CAPA v12.10.07 800-873-9865 wwnv.NotaryCiasses.com <br />
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