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Agmt09 Republic Intelligent Transportation Services
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Agmt09 Republic Intelligent Transportation Services
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Entry Properties
Last modified
6/11/2010 11:00:51 AM
Creation date
10/7/2009 10:39:05 AM
Metadata
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Template:
Agreement
Contractor Name
Republic Intelligent Transportation Services
PROJECT NAME
Middlefield Road In-Roadway Warning Light System
RMP File Number
304
Date
9/22/2009
MO Ref
09-180
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<br />. ' <br /> <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMeNT <br /> <br />~~~~~~~ ~~~~:~_~E~~~~~~~~~~~~~~~~~~~~ <br /> <br />State of CafJfomia <br />County of UanfJ <br />~ 1/i'l/01 <br />Date <br /> <br />} . <br />. before me, ~/7 HLku.!i!:.~fUbu C <br />JarnLS /I. 2JfJ~_ <br /> <br />personalty appeared <br /> <br />. MEGAN KEllY <br />i ... CommiSSion (I 1 714398 <br />I : Notary Public . California I <br />L . . Marin County .. <br />~ .. .. .. ""~'~~1~1..11 <br /> <br />who proved to me on the basis. of satisfactory evidence to <br />be tile personfs)- whose nama{&) isIey:a..subscribed to the <br />within instrument and acknowledged to me that <br />helsf:te4bio/ executed the same in hislher/their authorized <br />capa~, and that by his/Ae~iir signatu~ on the <br />instrument the perso~ or the entity upon behalf of <br />which the person~ acted, executed the instrument <br /> <br />I certify under PENALTf OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br /> <br />WITNESS my hand and o~ <br /> <br />Signature ~~.. <br /> <br />OPTIONAL <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 />Place NoIary Seal Abow <br /> <br />Description of Attached Document <br />Trlle or Type of Docum~ l1tu IJ1.L/lT f30nd <br />Document Date: 9///loqJ . <br />Signer(s) Other Than Named Above: e- <br /> <br />Number of Pages: :z- <br /> <br />Capacity(ies) Claimed by Signer(s} <br /> <br />Top of thumb here <br /> <br />Signer's Name: <br />o IncfrviduaJ <br />o Corporate Officer - Tltle(s): <br />o Partner - 0 Umited 0 General <br />o Attomey in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other: <br /> <br />Signers Name: <br />o IncfrviduaJ <br />o Corporate Officer - TttJe(s): <br />o Partner - 0 Umited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other: <br /> <br />RIGHTTtfUr.'J3p.RINT <br />DF5lGrJER . <br /> <br />FlIGHTIHUTJBPRnrr <br />- . . DF5JBfJER . <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br />
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