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Agmt21 Thompson Builders Corporation
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Agmt21 Thompson Builders Corporation
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Last modified
7/21/2021 3:07:57 PM
Creation date
7/21/2021 3:05:10 PM
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Template:
Agreement
Contractor Name
Thompson Builders Corporation
PROJECT NAME
Veterans Memorial Building Senior Center Project
RMP File Number
304
Date
7/19/2021
MO Ref
21-093
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CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 <br />pt?a[f?.i;':tl�•.��V'r:µE'.r'4-�K',S•'i::C1i��:i<:L �r S'.�;i:i :, v...r. <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of '(,�. 1� <br />On 4 2-,l before me��li 1�V1� 7 �,�i�� lw , L-\[�ctdPdgA 1G' <br />Date Here Insert Name and Title of the Offir <br />personally appeared '1 <br />Nome(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed <br />to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br />authorized capacity(les), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />�• rSHANNON MARIE MILLER <br />Notary Publlit • California <br />Marin County <br />r Commission N 2328586 <br />My Comm. Expires May 17, 2024 <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS/mv,hand and official seal. <br />Signatu <br />OPTIONAL <br />Signature of Notary Public <br />Completing this information can deter alterationlsf-Etfe document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: _ <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s):.. <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />02019 National Notary Association <br />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: _ <br />Ekill <br />
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