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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 />No, 5907 <br /> <br />State of CALIFORNIA <br /> <br />County of Sacramento <br /> <br />On July 14, 2006 <br />DATE <br />personally appeared P.A. Gouker <br /> <br />before me, Rosalie Ann Miszkiel, Notary Public <br />NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC" <br /> <br />NAME(S) OF SIGNER(S) <br />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 and <br />acknowledged to me that he/she/they executed the same in <br />hislherltheir authorized capacity(ies) , and that by his/herltheir <br />signature(s) on the instrument the person(s), or the entity upon <br />behalf of which the person(s) acted, executed the instrument. <br /> <br />181 personally known to me - OR - D <br /> <br />r ~,' .'.:~'. "ROSALIE ANN MISZKIEL I <br />èi: .0" \ COMM. #1527201 CD <br />::E: .; . Notary Public-California ~ <br />i : ~ . SACRAMENTO COUNTY I <br />My Comm. Exp, Nov. 16, 2008 <br />~ J ~ <br /> <br />WITN~nd omc: seal. <br /> <br /> <br />SIGNATURE OF NOTARY <br /> <br />Rosalie Ann Miszkiel <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 <br />could prevent fraudulent reattachment of this form. <br /> <br />CAPACITY CLAIMED BY SIGNER <br /> <br />DESCRIPTION OF ATTACHED DOCUMENT <br /> <br />D INDIVIDUAL <br />D CORPORATE OFFICER <br /> <br />TITLE OR TYPE OF DOCUMENT <br /> <br />D PARTNER(S) <br />181 <br />D <br />D <br />D <br /> <br />TITLE(S) <br />D LIMITED <br />D GENERAL <br /> <br />ATTORNEY-IN-FACT <br />TRUSTEE(S) <br />GUARDIANICONSERV A TOR <br />OTHER: <br /> <br />NUMBER OF PAGES <br /> <br />SIGNER IS REPRESENTING: <br />NAME OF PERSON(S) OR ENTlTY(lES) <br /> <br />DATE OF DOCUMENT <br /> <br />Western Surety Company <br /> <br />SIGNER(S) OTHER THAN NAMED ABOVE <br /> <br />~-AM71t"'-::1'" ?/Cm <br /> <br />C> 1993 NATIONAL NOTARY ASSOCIATION. 8236 Remmel Ave.. P.O. Box 7184. Canooa Parle CA 91309-7184 <br /> <br />'" -", ,., -. ..-..._-"".._-,------",--",.._----_.,._--".,"--' <br />
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