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Agmt09 International Surfacing Systems
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Agmt09 International Surfacing Systems
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Last modified
12/29/2009 10:20:31 AM
Creation date
8/12/2009 11:38:50 AM
Metadata
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Template:
Agreement
Contractor Name
International Surfacing Systems
PROJECT NAME
2008-2009 Asphalt Rubber Chip Seal Project
RMP File Number
204
Date
8/5/2009
MO Ref
09-139, 09-260
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<br />~ <br />~ <br />~ <br />~I <br />~ <br /> <br />s' <br />.~ <br />~ <br />~ <br />~ <br />~ <br />~ <br />.~ <br />~ <br />~ <br />~ <br />~ <br /> <br />~ <br />.~ <br /> <br />, ......... <br /> <br />~ <br /> <br />~ <br />~ <br /> <br />ACKNOWLEDGMENT <br /> <br />State of California <br />County of Stanislaus <br /> <br />On <br /> <br />Jq :fI1W1 <br /> <br />before me, Teresa L. Szyper, Notary Public <br />(insert name and title of the officer) <br /> <br />personally appeared Marc A. Bertsch <br />who proved to me on the basis of satisfactory evidence to be the person(1V whose name~) js~ <br />subscribed to the within instrument and acknowledged to me that he~R~ executed the same in <br />his/lXaf~uthorized capacity~~ and that by hismeMKI}lHt signature~ on the instrument the <br />person~ or the entity upon behalf of which the person~xaded, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br /> <br />WITN ESS my hand and official seal. <br /> <br />(-:--T~ESACs~~Rl <br />~. COMM.#1844155 I: <br />Z( .. .. NOTARY PUBUCCAUFORNIA :l! <br />:IE Mr===lS T <br /> <br /> <br />l_______________ <br /> <br />~~lJ.~ ~ <br />Signature . . .. / (Seal) <br />( <br />
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