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Agmt16 American Pavement Systems, Inc.
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Agmt16 American Pavement Systems, Inc.
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Last modified
7/19/2016 11:03:07 AM
Creation date
7/19/2016 10:53:06 AM
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Template:
Agreement
Contractor Name
American Pavement Systems, inc.
PROJECT NAME
2015-2016 Ashphalt Rubber Seal and Spot Repai Project
RMP File Number
304
Date
7/18/2016
MO Ref
16-122
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CALIFORNU►ALL-PURPOSE ACKNOWLEDIiMENT CML CODE§1189 <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who sig�ed the <br /> document to which this certiffcate is attached,and not the truthfulness,�curacy,or validity of ttrat document <br /> State of California ) <br /> County of Contra Costa � <br /> O� ��'�_5 �Q�before me, K.Earle,Notary Pubiic � <br /> Date Here lnsert Name and Title of the Officer <br /> personally appeared Steven N.Passerine <br /> Name(s)of Slgner(s) <br /> who proved to me on the basis of satisfactory evidence to be the person(� whose name(s� is/aca <br /> subscribed to the within instn�ment and acknowledged to me that he/sbeyF�Eie�r executed the same in <br /> his/#�er�ei�authoriied capacity�,and that by his/taeFfEHeir signature(s�on the instrument the person(�, <br /> or the entity upon behalf of which the person(s)acted, executed the instn�ment. <br /> i certify under PENALTY OF PERJURY under the laws <br /> of the State of Califomia that the foregoing paragraph <br /> is true and correct. . <br /> WITNESS my hand and official seal.� <br /> __.�_._.�._ K.EARLE �-7 <br /> � . COMM.#2023597 � ( <br /> . � '• NOTARV PUBIIC•CALIFORNIA S� nature � <br /> CONTRA C0.STA COUNTY � 9 <br /> MY COMM.EXP.JUNE 5 2017 � Signature of Notary Public <br /> Place Notary Seal Above <br /> OPT/ONAL <br /> Though this sectfon is optfonal, completing this lnformation can deter alteration of the document or <br /> fraudulent reatlachment 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 /> O Corporate OfF'�cer —Title(s): �Corporate Officer — Title(s): " <br /> ❑Partner — O Limited ❑General ❑Partner— ❑Limited �General <br /> ❑Individual �Attomey in Fact ❑Individual ❑Attorney in Fact <br /> ❑Trustee ❑Guardian or Conservator ❑Trustee �Guardian or Conservator <br /> �Other. O Other: <br /> Signer Is Representing: Signer Is Representing: <br /> �2014 National Notary Association•www.NationalNotary.org• 1-800-US NOTARY(1-800-876-682� <br />
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