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Agmt10 Musson Theatrical, Inc.
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Agmt10 Musson Theatrical, Inc.
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Last modified
8/30/2010 9:39:29 AM
Creation date
8/30/2010 9:37:03 AM
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Template:
Agreement
Contractor Name
Musson Theatrical, Inc.
PROJECT NAME
Main Drape Replacement Veterans Memorial Senior Center
RMP File Number
304.5
Date
8/26/2010
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<br />~ <br /> <br />CAI:.IFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />'. <br /> <br />STATE OF California } ss.: <br />COUNTY OF Contra Costa } ss,: <br /> <br />On <br /> <br />May 25,2010 <br /> <br />, before me <br /> <br />Cathy A. Shapard, Notary Public <br />Here Insert Name and Title of the Officer <br /> <br />DATE <br /> <br />personally appeared <br /> <br />Mark C. Johnson <br /> <br />j~-"..~.-.---e-" <br />~"~' '. CATHY A. SHAPARD <br />_ t.--..... Commission # 17802601 <br />~ ~iltb . ':: Notary Public - California z <br />z . ~ z <br />) ;.~:, " Contra Costa County ~ <br /> <br />.. .. .. .. .. ..~~~.~~~l~I:O~ <br /> <br />NAME(S) OF SIGNER(S) <br />who proved to me on the basis of satisfactory evidence to <br />be the person~() whose name(}3), is/are- subscribed to the <br />within instrumenl and acknowleCJged to me that he/she/t-Rey <br />executed the same in his/her.'their: authorized capacity(i~), <br />and that by his/her+tfleir- signature(K) on the instrumen(h,e. <br />personW, or the entity upon beha1r of which the person~ <br />acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br /> <br />WITNESS my hand and official seal. <br /> <br />~'~n~~ <br /> <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 Notary Seal Above <br /> <br />Description of Attached Document <br />Title or Type of Document: Performance and Payment Bonds <br />Document Date: May 25, 2010 <br />Signer(s) Other Than Named Above: Musson Theatrical, Inc. <br /> <br />Number of Pages: 2 <br /> <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Mark C. Johnson <br /> <br />Signer's Name: N/A <br /> <br />o Individual <br />o Corporate Officer - Title( s) <br />o Partner - 0 Limited 0 General <br />~ Attorney-In-Fact <br />o Trustee <br />o Guardian or Conservator <br /> <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 /> <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />I <br />OF SIGNER <br />I <br /> <br />o Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Top of thumb here <br /> <br />Signer is Representing: Great <br />American Insurance Company <br /> <br />Signer is Representing: <br /> <br />@2007 National Notary Association. 9350 De Soto Ave., P.O. Box 2402. Chatsworth, CA 9133-2402. www.NationaINotarv.ora Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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