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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
Fields
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 />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMeNT <br />~~~s~s~~.s:~~~!!!! :1S~_:f~~~~~~~~~..::~~..s:..s~.....::;:(y~~K.@t~~~ <br /> <br />State of California <br /> <br />County of jlfayf n <br /> <br />On~ before me, <br />Date . <br />personalty appeared A . ~ <br /> <br /> <br />PubliC <br />rAbC ,4xh <br /> <br />.._~. ~~ MEGAN KEllY <br />~~.' .' .~ Commission # 1 714398 <br />i' ~;.:.. Notary Public - CalifornIa I <br />1 " MorIn County - <br />. . .... .. .... _~comm.~esJan5.2011.1 <br /> <br />- ~ ~ ~ ~ - - ~ - <br /> <br />who proved to me on the basis .of satisfactory evidence to <br />be the person~ whose name(s) isfare subscribed to the <br />within instrument and acknowledged to me that <br />helMelthey executed the same in ~ltheir authorized <br />capacityfses), and that by hieiAer/their signature(s) on the <br />instrument the person(s), or the entity upon behalf of <br />which the person(s) 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 />WITNESS rrrt hand and official seal. <br /> <br />S~arure ~~ <br />OPTIONAL - <br />Though the information below is not required by Is~ it may prove valuable to persons relying on the document <br />and COLJId prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />TJ1Ie or Type of Document I{qrt'./AJ'//Af"" <br />Document Date: e- . <br />Signer(s) Other Than Named Above: (7 <br /> <br />Place Notary Seal Abo\Ie <br /> <br />Number of Pages: 'I <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />Top CIf thumb here <br /> <br />Signer's Name: <br />o IncfrviduaJ <br />o Corporate Officer - Tttle(s): <br />o Partner - 0 Umited 0 General <br />o Attomey in Fact <br />o Trustee <br />o Guarcfan or Conservator <br />OOther:' <br /> <br />Signa"'s Name: <br />o IncfrviduaJ <br />o Corporate Officer - TJtle{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 />fllGHTTtiUr~'3p.Rlrw'T <br />DFSIGtJER <br /> <br />RIGHITHUrJaPRnrr <br />.- . . DFSIGfJER <br /> <br />Top of thLl'l'll:l here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />=-_:l_...IJ_..I.I__","~WI'-"i--.z;("ff"'.i'~~~~~"'.:..~~~oIi"'l""~",TJ"""'..~",...,,....,-_~_-"_.JI. <br />
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