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Agmt06 Valley Slurry Seal Compa
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Agmt06 Valley Slurry Seal Compa
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Last modified
1/2/2008 8:55:42 AM
Creation date
8/23/2006 11:13:26 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Valley Slurry Seal Co.
PROJECT NAME
2005-2006 Slurry Seal Project
RMP File Number
304
Date
8/23/2006
MO Ref
06-164
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 August; 15. 2006 . before me, P. A. Gouker, Notary Public <br />DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC" <br />personally appeared Rosalie A. Miszkiel <br /> <br />NAME(S) OF SIGNER(S) <br />rg¡ personaJly 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 and <br />acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies) , and that by his/her/their <br />signature(s) on the instrument the person(s), or the entity upon <br />I-~. p. A. GOUKER I behalf of which the person(s) acted, executed the instrument. <br />n: it. COMM. #1595827 ~ <br />:::E: . . Notary Public-California ~- <br />r ~ M~~~~~~?~~~ I -. WITN~ my hand and official seal. <br /> <br /> <br />---K ~:;;;':;;E OF NOTARY <br />P.A.~ <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 />0 INDIVIDUAL <br />0 CORPORATE OFFICER <br /> <br />TITLE OR TYPE OF DOCUMENT <br /> <br />0 PARTNER(S) <br />rg¡ <br />0 <br />0 <br />0 <br /> <br />ATTORNEY-IN-FACT <br />TRUSTEE(S) <br />GUARDIAN/CONSERVATOR <br />OTHER: <br /> <br />TITLE(S) <br />B LIMITED <br />GENERAL <br /> <br />NUMBER OF PAGES <br /> <br />SIGNER IS REPRESENTING: <br />NAME OF PERSON(S) OR ENTfTY(lES) <br /> <br />DATE OF DOCUMENT <br /> <br />Western Surety Company <br /> <br />SIGNER(S) OTHER THAN NAMED ABOVE <br /> <br />S-4067/GEEF 2/98 <br /> <br />@1993 NATIONAL NOTARY ASSOCIATION. 8236 RemmetAve., P.O. Box 7184. Canoga Park, CA 91309-7184 <br />
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