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Agmt04 Western States Surfacing
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Agmt04 Western States Surfacing
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Entry Properties
Last modified
7/21/2005 12:24:38 PM
Creation date
8/31/2004 11:44:38 AM
Metadata
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Template:
Agreement
Contractor Name
Western States Surfacing
PROJECT NAME
asphalt rubber chip seal 03-04
RMP File Number
304
Date
8/6/2004
MO Ref
04-121 05-06
Box
5941
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<br /> 1 <br /> CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT <br />~. <br />I Slale of califOrnia} I <br />~ . 55, ¡ 1 <br />11 County of Stanlslaus ~ <br />[, I <br />, July 12 , 2004 \ <br />. On before me, Donna Ruble, Notary Public <br /> Date Name and TItle of Officer (e.g., -Jane Doe, Notary Public1 , t <br />I' Gregory B. Reed I <br /> personally appeared <br /> 'Name(s) of Signer(s) , I <br /> XJ personally known to me ,I <br /> o proved to me on the basis of satisfactory I <br /> evidence ,I <br /> ·1 <br /> to be the person~) whose name('Ò islxœ I <br /> subscribed to the within instrument and 1 <br /> acknowledged to me that he~~ executed 1 <br /> the same in his~~~ authorized 1 <br /> capacity~ and that by histtl~ 1 <br /> ---~~-~--~ signature(~ on the instrument the person(:x), or ,I <br /> j~ --~- the entity upon behalf of which the person~) ~ <br />I :; -lå NoIary PubIc . CaIIfamIo t acted, executed the instrument. ~ <br />~ ~ <br /> ' ,~". IIanIIIauI CounIv - I <br /> ..,:" Myc.?mm.~~~~7t WITNESS my hand and official seal. <br />~ ' <br /> JJIlILJ[& ~ Lt idL/' <br />[ <br /> Signature of Notary Public <br />[ <br />I <br /> OPTIONAL ~ <br />I' '~ Though the information below is not required by taw, it may prove valuable to persons relying on the document and could prevent ~ <br /> fraudulent removal and reattachment of this form to another document. " <br />I' I <br /> Description of Attached Document ·1 <br /> ,I <br />I Title or Type of Document: Fai thful Performance Bond 92933 4959 ,I <br /> Document Date: July 2, 2004 Number of Pages: " <br /> I <br /> Signer(s) Other Than Named Above: Thomas R. Hucik I <br />1 1 <br />I' Capacity(ies) Claimed by Signer I <br />I' I <br />I Signer's Name: Gregory B. Reed <br />1 t <br /> I o Individual Top of thumb here ~ <br /> I ~ Corporate Officer - Titie(s): President <br />I o Partner - 0 Limited 0 General ~ <br /> o Attorney-in-Fact ~ <br />I o Trustee ~ <br /> I o Guardian or Conservator <br /> I o Other: ~ <br /> I.' Western states, Surfacing, Inc. <br /> Signer Is Representing: ~ <br /> " ;;>'" <br /> C 1999 National Notary Association· 9350 De Soto Ave., P.O. Box 2402 . Chatsworth, CA 91313-2402 . www.nationalnotary.org Prod. No. 5907 Reorder: Call Toll-Free 1-800-876-6827 <br /> Y' r -. <br /> "T <br />
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