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Agmt09 American Asphalt Repair & Resurfacing Co.
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Agmt09 American Asphalt Repair & Resurfacing Co.
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Last modified
7/28/2009 1:02:57 PM
Creation date
7/28/2009 11:38:00 AM
Metadata
Fields
Template:
Agreement
Contractor Name
American Asphalt Repair & Resurfacing Co.
PROJECT NAME
Parking Lot Resurfacing Project
RMP File Number
304
Date
7/20/2009
MO Ref
09-122
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />. <br /> <br />County of <br /> <br />Santa Clara <br /> <br />} <br /> <br />State of California <br /> <br />On <br /> <br />July 2, 2009 <br />Date <br /> <br />before me, <br /> <br />D. Guzman, Notary Public <br />Here Insert Name and Title of the Officer <br /> <br />personally appeared <br /> <br />James B. Shea, Attorney-in-Fact <br />Name(s) of Signer(s) <br /> <br />@ D.GUZMAN <br />..... ~ Commission # 1762739 <br />:( -,,; ~ Notary Public. California ~ <br />Z. > <br />z., Santa Clara County ... <br /> <br />J,. _ ~ ~ ,. ,.M! :o~~ :x~r:s ~U2 ~O,}~1: t <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the person(~) whose name(;) islare subscribed to the <br />within instrument and acknowledged to me that <br />he/she,'th~y executed the same in his/Acr/tRcir authorized <br />capacity{ies}, and that by his/Rer/tReir signature(~) on the <br />instrument the person ($) , or the entity upon behalf of <br />which the person(t) acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br /> <br />WITNESS my hand n <br /> <br /> <br />Place Notary Seal Above <br /> <br />Signature <br /> <br />OPTIONAL <br /> <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 reattachment of this form to another document. <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document: <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(les) Claimed by Signer(s) <br /> <br />Top of thumb here <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />o Partner - 0 Limited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other: <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />L] Partner - 0 Limited 0 General <br />LI Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o 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 />. <br />@2007 National Notary Association. 9350 De 8oto Ave., P.O. Box 2402. Chatsworth, CA 91313-2402. www.NationaINotary.org Item '5907 Reorder: CanT oil-Free 1-8()()..876-6827 <br />
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