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Agmt06 International Surfacing
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Agmt06 International Surfacing
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Entry Properties
Last modified
12/28/2007 12:40:53 PM
Creation date
7/27/2006 3:48:12 PM
Metadata
Fields
Template:
Agreement
Contractor Name
International Surfacing System, Inc.
PROJECT NAME
2005-2006 Asphalt Rubber Chip Seal Proj
Date
7/14/2006
MO Ref
06-140
Box
6571
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<br />CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT <br /> <br />State of California } <br />County of (~J/ItJ-?l4-U7 ss, <br /> <br />0, I ~ :¡-j D{p belo," me, <br /> <br />perSOnallyappeare:te dohr; H. <br /> <br /> <br />¡ .- ... .- - - ~-LE;C;"~; - J <br />{I Convnlsslon /I 1550684 <br />Î -,,; Notary Public . Callfomla ~ <br /> <br />~ ~OUI Coooty d <br />~ .:.. ~ ~;o:m~~r~~~2 <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(ies), and that by his/her/their <br />signature(s) on the instrument the person(s), or <br />the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br /> <br />II <br />~ <br />i~ <br />~ <br />~;4 <br />l>:ì!,' <br />If) <br />~ <br />~ <br />~ <br />~ <br />~ <br />) <br /> <br />~sonally known to me <br />0 proved to me on the basis of satisfactory <br />evidence <br /> <br />,I <br /> <br />i <br /> <br />~.'"j <br />i <br />I <br />~ <br />I, <br /> <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 /> <br />) <br /> <br />I, <br /> <br />~~~,.~..,,' :::":::;:a::DOC"meO' N"mbe. of Page, ~,'. <br /> <br />' 8;9°"1') Othe. Thao Named Abo'e' I <br /> <br />~ Capacity(ies) Claimed by Signer I <br /> <br />~I..." Signer's Name: . ~~I <br />~ 0 Individual Top of thumb here . <br />~ ~ £g;J1:;t~ T~e¿'~;ernl I <br /> <br /> <br />l~ 0 Guardian or Conservator ~I <br />@ 0 Other: ~ <br /> <br />~ Signer Is Representing: ~ <br /> <br />~~ ~~~~~~~ 'G>~ 'Ç(j~ ~~~~~~~'9:,~ ~~~~N ~~ ~ ~~~~~'Q.,~ 'Çi~~ <br /> <br />@ 1999 National Notary Association' 9350 De Soto Ave" PD, Box 2402 . Chatsworth, CA 91313-2402' www,nationainotary,org <br /> <br />Prod, No, 5907 <br /> <br />Reorder: Call Toll-Free 1-800-876-6827 <br />
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