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Agmt04 Bianchi Construction
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Agmt04 Bianchi Construction
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Last modified
8/24/2005 12:22:22 PM
Creation date
8/31/2004 11:52:26 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Bianchi Construction
PROJECT NAME
Garrett Park storm drain culvert
RMP File Number
304
Date
7/16/2004
MO Ref
04-124
Box
5969
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<br /> 1 <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> ~ . :OX' <br /> I, I <br /> I' I <br /> I' State of California } ss <br /> I ~~ ~ lOJvG.- <br /> County of <br /> I (;)'1-0 g -ð'-1 , before me~\a.-'I1e... l... "ßY'C(. <br /> I· On <br /> Date Name and Title of Officer (e.g., "J <br /> I· (b. To\t\ V\ "ß ìa. V\ c k..t. :::Jv <br /> I' personally appeared ,I <br /> Name(s) of Signer(s) I <br /> I' ~ersonallY known to me <br /> I' ,I <br /> I' D proved to me on the basis of satisfactory 'I <br /> I, evidence I <br /> I, I <br /> I' to be the person(s) whose name(s) is/are <br /> I, subscribed to the within instrument and <br /> I acknowledged to me that he/she/they executed <br /> I <br /> the same in his/her/their authorized <br /> capacity(ies), and that by his/her/their <br /> signature(s) on the instrument the person(s), or <br />I· the entity upon behalf of which the person(s) <br />I, <br />(, acted, executed the instrument. <br /> I' <br />I WITNESS my hand and official seal. I <br />I ~( ,I <br />I' <br />I Place Notary Seal Above Signature of Notary Public <br />I, <br />I, OPTIONAL <br />I <br />I' Though the information below is not required by law, it may prove valuable to persons relying on the document <br />I· and could prevent fraudulent removal and reattachment of this form to another document. <br />I· <br /> Description of Attached Document <br /> Title or Type of Document: <br /> Document Date: Number of Pages: <br />I' <br />I' Signer(s) Other Than Named Above: <br />I' <br />I Capacity(ies) Claimed by Signer <br />I' Signer's Name: RIGHT THUMBPRINT <br />I o Individual OF SIGNER <br /> Top of thumb here <br /> o Corporate Officer - Title(s): <br /> o Partner - 0 Limited 0 General I <br /> o Attorney in Fact ,I <br />I' o Trustee <br /> o Guardian or Conservator <br />~ ' D Other: <br />I, <br />I' <br />I Signer Is Representing: <br />~ ' <br />,~ <br />© 1997 National Notary Association· 9350 De Soto Ave., P.O. Box 2402 . Chatsworth, CA 91313-2402 Prod. No. 5907 Reorder: Call Toll-Free 1-800-876-6827 <br />._. "T ·T- T -. <br />
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