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Agmt09 Tucker Engineering
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Agmt09 Tucker Engineering
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Entry Properties
Last modified
12/29/2009 11:13:42 AM
Creation date
12/29/2009 11:07:50 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Tucker Engineering
PROJECT NAME
RW Shores Levee Improvement Proj
RMP File Number
304
Date
12/17/2009
MO Ref
09-239
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />w~~~~~~..m..&~~~~~~~~~~~~~~~ <br /> <br />County of Santa Clara <br /> <br />} <br /> <br />State of California <br /> <br />OnNovember 30 12009 before me, Sarah M. Lorincz I Notary Public <br />Date Here Insert Name and Tlt~ of the Officer <br /> <br />personally appeared Danij ela L. Mosunic <br /> <br />Name(s) of Signer(s) <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 />)q~shclme.i{ executed the same in ~her.MIQiKauthorized <br />capacityoe~, and that by)Ii)1herMUIDCsignature(K) on the <br />instrument the person(K), or the entity upon behalf of <br />which the personOO acted, executed the instrument. <br /> <br />@ SARAH M. LORINCZ <br />Commission # 1805285 <br />j -,,; Notary Public - California ~ <br />1 " , Santa Clara County ~ <br />,................. ...MJ~o~~.!X!'~es",J~1 ~.~o~~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 />Place Notary Seal Above <br /> <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 />Capaclty(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 />RIGHT THUMBPRINT <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 />~~~~~~~~~~~~~~~Y.-~~~~ <br />@2oo7 National Notary Association. 9350 De Soto Ave.. P.O. Box 2402 .Chatsworth, CA 91313-2402. www.NationalNotary.org Item #5907 Reorder: CanTolI-Free 1-800-876-6827 <br />
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