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Agmt02 American Asphalt Repair
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Agmt02 American Asphalt Repair
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Entry Properties
Last modified
8/24/2005 12:22:11 PM
Creation date
7/17/2002 2:50:39 PM
Metadata
Fields
Template:
Agreement
Contractor Name
American Asphalt Repair & Resurfacing
PROJECT NAME
Slurry seal 2001-2002
RMP File Number
304
Date
7/8/2002
MO Ref
02-171 02-354
Box
5969
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br /> State of California '~ ss. <br /> County of San Francisco <br /> <br /> On July 3,2002 , before me, Maureen E. Schmidt,notary public <br /> Date Name and Title of Officer (e.g, "Jane Doe, Notary Public") <br /> <br /> personally appeared David G. Harris <br /> Name(s) of Signer(s) <br /> <br /> [] personally known to me <br /> [] 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 his/her/their authorized <br /> capacity(les), and that by his/hedtheir <br /> ............... signature(s) on the instrument the person(s), or <br /> ,- .~ MAUREEN E. SCHMIDT:- <br /> ~, the entity upon behalf of which the person(s) <br /> COMM. <br /> # <br /> 1249846 <br /> 0i7~-~--: ~5~]NOTARY PUBLIC-CALIFORNIA~ acted, executed the instrument. <br /> ~City & County of San Francisco 0 <br /> '~r~v v-~v~ ~ ~.. C..OM.~M._EX~. F_EB_. 1~112.0~4_~ .~ v ~ ;*, WITNESS my hand and official seal. <br /> <br /> Place Not~ry Soa~ Above Signature of Notary Pub~ic <br /> <br /> OPTIONAL <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 t~attachment of this form to another document. <br /> <br /> Description of Attached Document <br /> Title or Type of Document: <br /> <br /> Document Date: Number of Pages: <br /> Signer(s) Other Than Named Above: <br /> <br /> Capacity(les) Claimed by Signer <br /> Signer's Name: <br /> ~ Individual Top of thumb here <br /> [] Corporate Officer-- Title(s): <br /> [] Par[net-- [] Limited [~ General <br /> [] Attorney in Fact <br /> [] Trustee <br /> [] Guardian or Conservator <br /> ~ Other: <br /> <br /> Signer Is Representing: <br /> <br /> © 1999 N atio~al Notary Association. 9350 De Sore Ave, FO Box 2402 · Chatsworth, CA 91313-2402 · www nationalnot ary.org prod NO 5907 R6Order: Call Toll-Free 1 800-876~$27 <br /> <br /> <br />
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