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Agmt98 County of San M... (3)
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Agmt98 County of San M... (3)
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Last modified
7/5/2005 2:58:37 PM
Creation date
5/20/2005 2:24:53 PM
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Template:
Agreement
Contractor Name
County of San Mateo
PROJECT NAME
supplemental agreement No. 26 Krasnicki
RMP File Number
304
Date
7/9/1998
Reso Ref
13380
Box
5933
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<br />- ,- <br />.. <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />. <br /> <br />I <br /> <br />No. 5907 <br /> <br />State of ~ <br /> <br />County ~~ <br />On y ~ ,f~ore m~,. ~: 2::c .c~o, ,"'",""",,0- <br /> <br />personally appeared ~ ~ <br />NAME(S) OF SIGNER(S) <br />~ personally known to me - OR - D proved to me on the basis of satisfactory evidence <br />to be the person~whose nameks1is/~ <br />subscribed to the within instrument and ac- <br />knowledged to me that)te/she/tþ.eý executed <br />the same in ~her/t~ authorized <br />capacity~ and that by ~her/tR-e'f( <br />signature.(.8( on the instrument the person.fsr, <br />or the entity upon behalf of which the <br />person,(.8f acted, executed the instrument. <br /> <br />j ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~I <br />Q M.T.BEW <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Pi COMM. . 1033047 z <br />. Notary P\bIc - CaDfomia ~ <br />SAN MATEO COUN1V - <br /> <br />J ~ ~ ~ ~~~=':X~8I:U:2~1~81 <br /> <br />WITNESS my hand and official seal. <br /> <br />~ /JJ-r cRe~ <br /> <br />SIGNATURE OF NOTARY <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 />D CORPORATE OFFICER <br /> <br />TITLE(S) <br /> <br /> <br />TITLE OR TYPE 0 <br /> <br />D PARTNER(S) <br /> <br />D LIMITED <br />D GENERAL <br /> <br />~ <br /> <br />D ATTORNEY-iN-FACT <br />D TRUSTEE(S) <br />D GUARDIAN/CONSERVATOR <br />D OTHER: <br /> <br />NUMBER OF PAGES <br /> <br />~ /7'7 <br /> <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 Remmet Ave., P.O. Box 7184. Canoga Park, CA 91309-7184 <br />
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