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Agmt09 Guerra Construction
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Agmt09 Guerra Construction
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Last modified
12/29/2009 10:28:58 AM
Creation date
12/29/2009 10:24:00 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Guerra Construction
PROJECT NAME
Utility Trench repair Services 09/10
RMP File Number
304
Date
12/7/2009
MO Ref
09-237
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />6<>~~~~~~~~~~~~~~~..&~~~~~~&'~~ <br /> <br />State of California <br /> <br />} <br /> <br />County of Santa Clara <br /> <br />OnNovember 19 ,2009 before me, Sarah M. Lorincz I Notary Public <br />Date Here Insert Name and TItle of the Officer <br /> <br />personally appeared Danij ela L. Mosunic <br /> <br />Name(s) or Signer(s) <br /> <br />@ SARAH M. LORINCZ <br />'-" Commission # 1805285 <br />~ t -,,; . Notary Public - California ~ <br />j , . Santa Clara County ~ <br />'F ..... ~ ~' .... ... Mj' ~o~~. ....Ex.ri~es.... J~I 2 ,;0; 2...l <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the personOO whose name(K) is~ subscribed to the <br />within instrument and acknowledged to me that <br />)qMsh~executed the same in :HOO'herMiQiKauthorized <br />capacityOO~, and that by Xi)lherMraiKsignature(K} on the <br />instrument the person(K), 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 />icial seal. <br />Yl7. <br /> <br />OPT/DNA <br /> <br />Though the information below 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 />Document Date: <br /> <br />Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />Capacity(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 />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />~~~~~~~~~~~~~~~~~~~~ <br />@2oo7 National Nolary Association. 9350 De Solo Ave., P.o. Box 2402 . ChalsWorth, CA 91313-2402. www.NationalNotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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