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Agmt98 Stacey and Witbeck
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Agmt98 Stacey and Witbeck
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Last modified
7/5/2005 3:03:50 PM
Creation date
6/23/2005 11:03:44 AM
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Template:
Agreement
Contractor Name
Stacey and Witbeck
PROJECT NAME
rubberized railroad crossings
RMP File Number
304
Date
10/14/1998
Reso Ref
13459 13461
Box
5935
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<br />CALIFORNIA ALL.PURPO~¿ ACKNOWLEDGMENT <br /> <br />State of <br /> <br />(' A- L.. ( FÒ I2-.A J ( A- <br /> <br />County of 5A-~ <br /> <br />;::-IZ-A~c.{~ C- D <br /> <br />On 0 c ..,.- () t:? ~ ~ (.., 't 6 before me, .Þf ¡4rp If .$ (,,( ~ r::D £.Ii:~ r /\JOZ'"K-/t '-( Pù ~... I c-, <br />Date Name and Title of Officer (e,g., "Jarfe Doe, Notary Public") <br /> <br />personally appeared lZoo\J A1- D 'Y'. ~~\"'..~ <br /> <br />Name(s) of Signer(s) <br /> <br />];>tpersonally known to me - OR - 0 proved to me on the basis of satisfactory evidence to be the person(s) <br />whose name(s) is/are subscribed to the within instrument <br />and acknowledged to me that he/she/they executed the <br />same in his/her/their authorized capacity(ies), and that by <br />his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, <br />executed the instrument. <br /> <br />r~- ---~ -~~~~--~~~~~1 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />G MARY SUSAN FOREST . <br />... COMM.I1062476 !II <br />~ -lIt Notary PubIic-caNfomia l.S <br />. SANFRANCISCO'" <br />1 MyComm. Expires JUNE Ie. 1999J <br /> <br />L__--__-------j--- <br /> <br />WITNESS my hand and official seal. <br /> <br />~~4~ ~",...r <br /> <br />Signature of Nota Public <br /> <br />OPTIONAL <br /> <br />Though the information below is not required by law, 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 /> <br />Description of Attached Document <br />Title or Type of Document: te.LJ ~R ~2.~ ZIt. )..l ~ c..o~ 'f" ~ C. 0 ILL c;. ) <br /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />lY <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />Signer's Name: í2.~ ,? W\él--l-.."i <br /> <br />Signer's Name: <br /> <br />0 Individual <br />I¡J Corporate Officer <br />Title(s): f'(2.~, ~~-r <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 />Top of thumb here <br /> <br />0 Individual <br />0 Corporate Officer <br />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 />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />:"')T~~... ~ l~/ t~. <br /> <br />@ 1994 National Notary Association. 8236 Remmet Ave.. P.O. Box 7184. Canoga Park. CA 91309-7184 <br /> <br />Prod. No, 5907 <br /> <br />Reorder: Call TolI.Free 1-800-876-6827 <br /> <br />-- ,."... .. <br />, <br />
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