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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 />W~~~~~~~~~~~~~~~~~~~~~~~ <br /> <br />State of California <br /> <br />} <br /> <br />County of Santa Clara <br /> <br />On August 18, 2009 before me, <br />Date <br /> <br />Sarah M. Lorincz, Notary Public <br />Here Insert Name and Title of the Officer <br /> <br />personally appeared Danij ela Mosunic <br /> <br />Name(s) of Signer(s) <br /> <br />SARAH M. LORINCZ <br />@,.:.........CommiSSion#1805285 <br />:( :~6 . Notary Public. California i <br />Z. .. )to <br />z' ~ . Santa Clara County ... <br />l"Or .. ..~ '.. .. ..My ~o~~. ..Ex~i~es.. J~l ~ I ~O~ ~ t <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the personOO whose nameOO isl.KJj{ subscribed to the <br />within instrument and acknowledged to me that <br />lfliQshe1Oie~executed the same in NOO1erJffieiKauthorized <br />capacityQe}O, and that by:>>OOherMieiKsignatureOO on the <br />instrument the personOO, or the entity upon behalf of <br />which the personOO 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 /> <br />OPTIONAL <br /> <br />Though the information be/ow is not required by Jaw, 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: <br /> <br />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capaclty(les} Claimed by Slgner(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 />RIGHTTHUMBPRINT <br />OF SIGNER <br /> <br />RIGHTTHUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />~~~~~~~~~~~~y,,~~~~ <br />@2007 National Notary Association. 9350 De Solo Ave., p'Q. Box 2402 .Chalsworth, CA 91313-2402. www.NationalNotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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