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Agmt09 D & D Pipelines
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Agmt09 D & D Pipelines
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Last modified
11/24/2009 1:16:05 PM
Creation date
11/24/2009 1:05:43 PM
Metadata
Fields
Template:
Agreement
Contractor Name
D & D Pipelines
PROJECT NAME
Master Water Meter Replacement Project
RMP File Number
304
Date
11/16/2009
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<br />CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT <br />.....~~~~~~~~~~~ <br /> <br />County of NAPA <br /> <br />} <br /> <br />State of California <br /> <br />()n OCTOBER 26, 2009 <br />Dale <br /> <br />before me, <br /> <br />CHERYL S. JENSEN, NOTARY 'PUBLIC <br />Here Insert Name and Tltle of the OffIcer <br /> <br />personally appeared <br /> <br />CLAY THOMPSON <br /> <br />Name(s) of S1gner(s) <br /> <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the person{5g whose name(;) isAlm subscribed to the <br />within instrument and acknowledged to me that <br />~executed the same in hi~ authorized <br />capacity(fU), and that by hi~ signature(1) on the <br />instrument the person.. or the entity upon behalf of <br />which the person(sj acted, executed the instrument. <br /> <br />CHERYL S. JENSEN -f <br />r, COMM. #1622101 0 <br />V NOTARY PUBLIC-\ALIFORNIA <br />L NAPA COUNTY - <br />J " __ __ '" __ ~C~m ~XP~S ~V~5~oo:. t <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 />PIBCllil Notary SealIVxNe <br /> <br /> <br />Signature <br /> <br />OPTIONAL <br /> <br />Though the infonnation below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and rsattachment of this form to another document. <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document: <br />Documen1 Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />Signer's Name: <br />o Individual <br />o Corporate Officer - Title(s): <br />U Partner - lJ Umited 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other: <br /> <br />Top of thumb here <br /> <br />Signer's Name: <br />o IndivIdual <br />D Corporate Officer - Title{s): <br />o Partner - 0 Umlted 0 General <br />o Attorney in Fact <br />o Trustee <br />o Guardian or Conservator <br />o Other; <br /> <br /> <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />W'\;~~w.;..;a-~~v...w.;~"WY""'~WY~~~v.;."W~''*''''WV~~~''.IIalYw...'"!I/lV''''''""ViVw.>'W'~~~WY~'IIN~ <br />1'2007 National Notary AssocildIon "9350 De Soto /we., P.O. Box 2402oChal8lM:lrth,CA 91818-2A02'www.NationlilNWuy.org Item ..5801 Aeorder:OaITolJ.Fme1-800-87&6827 <br />
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