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Agmt99 Bay Area Paving
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Agmt99 Bay Area Paving
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Entry Properties
Last modified
7/5/2005 2:32:35 PM
Creation date
4/19/2005 11:04:36 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Bay Area Paving
PROJECT NAME
concrete sidewalk repairs
RMP File Number
304
Date
9/22/1999
Reso Ref
13684 13739
Box
5901
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />- ~ ~ ~ ~ ~ - ~ ~ <br />~~~.~~~~ <br /> <br />~'~"'..,..,.cc~~~.-,"'~~"~~-":""~' ~ """~~~7 <br />I' <br /> <br />State of California <br /> <br />I' <br />I, <br /> <br />County of <br /> <br />Orange <br /> <br />}ss <br /> <br />I' <br />I <br />I <br /> <br />December 2, 1999 Sherie L. Bell, Notary Public <br />On , before me, <br />Date Name and Title of Officer (e,g., "Jane Doe, Notary Public") <br />Kenneth D. Buller <br /> <br />personally appeared <br /> <br />I. <br />I <br />I' <br /> <br />I' <br />I <br />I, <br /> <br />r~""'" ""'8ŠH8ÈRltt äÈLL"l <br />".... COMM.#1119419 0 <br />Ii -,,; NOTARY PUBlIC. ~'^ I <br /><) ORANGE COUNTY <br />. '. My Ccmm. Exp. Dec. 12. 2(Ø) <br />~.....t....t...............JI <br /> <br />Name(s) of Signer(s) <br /> <br />ITpersonally known to me <br />D proved to me on the basis of satisfactory <br />evidence <br /> <br />to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and <br />acknowledged to me that he/she/they executed <br />the same in hislherltheir authorized <br />capacity(ies), and that by his/her/their <br />signature(s) on the instrument the person(s), or <br />..-t~n~y'~.be\haif of which the person(s) <br />~ ~ á~teß, ~ice~tE!d too¡instrument. <br />.' .', ..>."~""..,,. ' <br /> <br />., <br /> <br />SS my handal1d official seal. <br />--C <br /> <br /> <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />- ~ ... ~ <br /> <br />~ ... ... ~ <br /> <br />... ... ~ <br /> <br />Place Notary Seal Above <br /> <br />I. <br />I. <br /> <br />@ 1997 National Notary Association' 9350 De Soto Ave., P.O. Box 2402 . Chatsworth, CA 91313-2402 <br /> <br />Prod. No. 5907 <br /> <br />Reorder: Call Toll-Free 1..800..876..6827 <br /> <br />I' <br />I <br />I <br /> <br />Description of Attached Document <br />Title or Type of Document <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer <br />Signer's Name: <br />0 Individual <br />0 Corporate Officer - Title(s): <br />0 Partner - 0 Limited 0 General <br />0 Attorney in Fact <br />0 Trustee <br />0 Guardian or Conservator <br />0 Other: <br /> <br />I <br /> <br />I, <br />,;.(;; <br /> <br />..~...~- <br /> <br />~QC <br />,I <br /> <br />I <br />I <br />'I <br /> <br />'I <br />I <br />I <br />,I <br /> <br />'I <br />~ :j.:~ <br /> <br />~ ""'--"-'-"-' .... ....",,- _...._-"..__....~ ---'T--""-"'" . <br />
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