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Agmt10 O'Grady Paving, Inc.
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Agmt10 O'Grady Paving, Inc.
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Last modified
10/6/2010 12:52:21 PM
Creation date
10/6/2010 12:48:10 PM
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Template:
Agreement
Contractor Name
O'Grady Paving, Inc.
PROJECT NAME
2009-2010 Street Overlay Project
RMP File Number
304
Date
9/27/2010
MO Ref
10-152
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CALIF • ACKNO WLEDGMENT <br />�.a..ya. •�S..fati a ��ays�3� .a�'✓.TS��c.�•a• ,�aS�.•�. •a�t.! ..�. as �3..9a� � aa• _ •�S� �. �aC. • �.� <br />State of California <br />County of <br />Sonoma <br />On _ September 15, 20 1 1 11before me, Nancy L. Wallis, Notary Public , <br />Date Here Insert Name and Title of the Officer <br />personally appeared Stacy M. Davis <br />Name(s) of Signer(s) <br />NANCY L . V1lALLIS Z <br />�.. CORM, #1811395 (� <br />NOTARY PUBLIC CALIFORNIA ;0 <br />Z �sr t. SONOMA COUNTY :a <br />My comm. Expires Aug. 28, 2012 <br />IL <br />Place Notary Seal Above <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is /are subscribed to the <br />within instrument and acknowledged to me that <br />he /she /they executed the same in his /her /their authorized <br />capacity(ies), and that by his /her /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 />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 />WITNESS n1k hand and official seal. <br />Signature �PL. - Signature of Notary L lic <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 />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: _ <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Stacy M. Davis <br />Individual <br />Lj Corporate Officer —Title(s): _ <br />0 Partner — ❑ Limited ❑ General <br />El Attorney in Fact <br />El Trustee <br />El Guardian or Conservator <br />M Other: <br />Signer Is Representing: __ <br />Travelers Casualty and Surety Company <br />of merica <br />Number of Pages: <br />RIGHTTHUMBPRINT <br />OF SIGNER <br />.p of thumb here <br />Signer's Name: <br />M Individual <br />EjCorporate Officer — Title(s): _ <br />D Partner — ❑ Limited ❑ General <br />E]Attorney in Fact <br />Trustee <br />EIGuardian or Conservator <br />D Other: <br />Signer Is Representing: <br />RIGHTTHUMBPRINT <br />OF SIGNER <br />©2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313 -2402 • www. National Notary. org Item #5907 Reorder: Call Toll -Free 1 -800- 876 -6827 <br />
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