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Agmt01 Western States Surfacing
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Agmt01 Western States Surfacing
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Last modified
7/21/2005 12:24:21 PM
Creation date
5/13/2002 9:59:25 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Western States Surfacing
PROJECT NAME
Asphalt rubber chip seal project
RMP File Number
304
Date
6/25/2001
Reso Ref
14253
MO Ref
01-125
Box
5941
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<br />CALIFORNIA ALL.PURPOSE _..':KNOWLEDGMENT <br /> <br />No. 5907 <br /> <br />State of <br />County of <br /> <br />California <br /> <br />stanislaus <br /> <br />On June 1 5 , 200 1 <br />DATE <br /> <br />before me, <br /> <br />Pamela D. Call, No~ary Public <br /> <br />NAME, TITLE OF OFFICER. E.G.. "JANE ~OE, NOTARY PUBLIC" <br /> <br />personally appeared <br /> <br />Marc A. Bertsch <br /> <br />NAME(S) OF SIGNER(S) <br /> <br />[XI personally known to me - OR - D proved to me on the basis of satisfactory evidence <br />to be the person(s) whos~ name(s) istEK5 <br />subscribed to the within instrument and ac- <br />knowledged to me that he/~theyxexecuted <br />the same in his/"UIJ~ht~lIkx authorized <br />capacity(ies), and that by his~~~Þf: <br />signature(s) on the instrumant the person(s), <br />or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br /> <br />r<-:':---pjÚ~ÊiAÔ.-CÃLL.' ! <br />~ COMM. #1187442 ;: <br />g¡ NOTARY PUJLlC-CALIFORNIA (!¡ <br />STANISLAUS COUNTY '" <br />~ My Comm, Expires July 14, 2002 . <br />---------......._----~ <br /> <br />~S my h~nd and official seal. <br /> <br />'" ~~~~ (' ~ <br /> <br />SIGNATURE OF NOTAAy <br /> <br />OPTIONAL <br /> <br />Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent <br />fraudulent reattachment of this form. <br /> <br />CAPACITY CLAIMED BY SIGNER <br /> <br />D INDIVIDUAL <br />ŒI CORPORATE OFFICER <br /> <br />DESCRIPTION OF ATTACHED DOCUMENT <br /> <br />Vice President <br />TITLE(S) <br /> <br />City of Redwo01 City Agreement <br />TITLE OR TYPE 0 DOCUMENT <br /> <br />D PARTNER(S) <br /> <br />D LIMITED <br />D GENERAL <br /> <br />Eight including this one <br />NUMBER OF PAGES <br /> <br />D ATTORNEY-IN-FACT <br />D TRUSTEE(S) <br />D GUARDIAN/CONSERVATOR <br />D OTHER: <br /> <br />June 15, 2001 <br />DATE OF DOCUMENT <br /> <br />SIGNER IS REPRESENTING: <br />NAME OF PERSON(S) OR ENTITY(IES) <br /> <br />SIGNER(S) OTHER THAN NAMED ABOVE <br /> <br />@1993 NATIONAL NOTARY ASSOCIATION. 8236 Remme! Ave.. P.O. Box 7184' Canoga Park, CA 91309.7184 <br />
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