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Agmt09 J & M, Inc
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Agmt09 J & M, Inc
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Last modified
3/16/2010 5:06:24 PM
Creation date
9/10/2009 1:26:15 PM
Metadata
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Template:
Agreement
Contractor Name
J & M, Inc
PROJECT NAME
RWC nRecycled Water Ph-1 Bid Pkg 5A
RMP File Number
304
Date
9/1/2009
MO Ref
09-162, 10-046
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />County of -f\\Ctrf\Q.d Ct <br /> <br />} <br /> <br />State of California <br /> <br />On <br /> <br /><?, 2<:;. D9-- before me, <br />Date <br />tv\C-\J\ lA ~ <br /> <br /> <br />personally appeared <br /> <br />-'-"-"-"-"-"-"-"-"-'-"'-"J <br /> <br />DAWN M. OSlYN <br />1. commission # 1671621 <br />3 -,,; . Notary Public . California ~ <br />~ . Alameda County <br />MyComm. Expires Jun 25.2010 <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the person~hose name~ is/.arS'"Subscribed to the <br />within instrument and acknowledged to me that <br />he/~~executed the same in his/berJtAe1f' authorized <br />capacity(~ and that by his/1)e11tbeif signature.(aron the <br />instrument the perso ,or the entity upon behalf of <br />which the person 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 />Place Notary Seal Above <br /> <br />WITNESS ~nd and official seal. <br /> <br /> <br />Signature LlL \AM.. ()::J~ <br />Signature of Notary Public <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 />Title or Type of Document: ~ I ci ~a. <br /> <br />Document Date: <br /> <br /><if · I ~. 04 <br /> <br />Number of Pages: <br /> <br />\. <br /> <br />Signer(s) Other Than Named Above: <br /> <br />tJ 0 'i\L..- <br /> <br />Capacity(ies) 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 />o Partner - 0 Limited 0 General <br />o 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 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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