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Agmt09 Peak Engineering
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Agmt09 Peak Engineering
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Last modified
8/19/2011 9:43:05 AM
Creation date
8/18/2009 8:28:16 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Peak Engineering
PROJECT NAME
Sewer Force Main Replacement Project (from P.S. #12 to P.S. #10)
RMP File Number
304
Date
8/4/2009
MO Ref
09-138
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />~~~~~~~~~~~~~~~~~~~~~~~~~~<:;g;,~~~~~~~~~~~'@;.~~~ <br /> <br />STATE OF CALIFORNIA <br /> <br />} <br /> <br />County of Sonoma <br /> <br />Date <br /> <br />before me, Stacy M. Davis. Notary Public <br />Here Insert Name and Title of the Officer <br /> <br />On 07/23/09 <br /> <br />personally appeared Nancy L. Wallis <br /> <br />Name(s) of Signer(s) <br /> <br /> <br />who proved to me on the basis o~atisfactory evidence to <br />be the persor*1 whose nam~/are subsc~ib~to the <br />within instrument and acknowledged to me that ~/t1'iey <br />executed th~ea e in ~/tM-etr authorized capaclty(~), <br />and that by' e tAeir Sf6naturefsTon the instrument the <br />perso~, or tfi entity upon behalf of which the perso~ <br />acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br /> <br /> <br />Place Notary Seal Above <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 /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <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 Top of thumb here <br />o Other: <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 Top of thumb here <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />~~~~~~~'@;.~~~~~~~~~~~~~~<>Q<';'~~~~~~~~~~~~~~'@;.~~~ <br /> <br />@ 2007 National Notary Association. 9350 De Soto Ave., P.O. Box 2402 . Chatsworth, CA 91313-2402 . www.NationaINotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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