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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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, , . <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 <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��.��zv"� ) <br /> On � before me. '�rc��2 _�\\ �U�„�'U�Y��...C , <br /> ate Here Insert Name and Title of the Officer <br /> personaliy appeared �:�.�rC_ '�, . �"'��( �'��1 <br /> Name(s)of Signer(s) <br /> , <br /> who proved to me on the basis of satisfactory evidence to be the person� whose name is/ <br /> subscribed to the within instrument and acknowledged to me tha he/ #�iey executed the same in <br /> is 'r authorized capacity(i,e�and that b is/ ' signature�on the instrument the persor�, <br /> or the entity upon behalf of which the person�} a ed, 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 /> � ' ElA 0.CAII <br /> Notu�l P�Ifc•Ca1Nan1� WIT and and ' ial seal <br /> St�nkNu�County <br /> con�.�r z��a�s <br /> �q�p�, p M1 1,2020 Signature <br /> Signature of Notary Public <br /> Place Notary Seal 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 unintended document. <br /> Description of Attached ent <br /> Title or Type of Document: � \ � ` �,�,� <br /> Document Date: �.�.., - umber of Pages: <br /> Signer(s) Other Than Named Above: _ ��-c_�� N, ��-e,�`��t <br /> Capacity(ies) CI ' ed by Si ner <br /> igner's Name: C.,r . \ h Signer's Name: <br /> orporate Officer — Title(s): ❑Corporate Officer — Title(s): <br /> ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General <br /> ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact <br /> ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator <br /> ❑Other: ❑ Other: <br /> �ner Is Representin ' Signer Is Representing: <br /> �.TC'.vv.Q��t- �����Y`n� T...C� <br /> 02015 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 <br />
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