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Agmt11 MCK Services Inc.
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Agmt11 MCK Services Inc.
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Last modified
7/12/2011 2:07:22 PM
Creation date
7/12/2011 2:07:20 PM
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Template:
Agreement
Contractor Name
MCK Services Inc.
PROJECT NAME
2010-2011 Spot Repair and Overlay Project
RMP File Number
304
Date
7/8/2011
MO Ref
11-076
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• <br /> CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of San Francisco <br /> On July 5, 2011 before me, Betty L. Tolentino, Notary Public <br /> Date Mere Insert Name and Title of the Officer <br /> personally appeared Virginia L. Black <br /> Name(s) of Signer(s) <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 /> BETTY L. TOLENTINO which the person(s) acted, executed the instrument. <br /> � • # 18 40627 '� <br /> � comm. I certify under PENALTY OF PERJURY under the laws <br /> G , . NOT ARY PUBLIC - CALIFO c <br /> V r ° , �'� SAN FRANCISCO COUNTY .. of the State of California that the foregoing paragraph is <br /> 0. psi COmm, Expires Apr. 12, 2013 true and correct. <br /> WITNESS my ha + and / o 1 se I. <br /> Signature ' <br /> l_ <br /> Place Notary Seal Above Signature of Notary Public <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: Number of Pages: <br /> Signer(s) Other Than Named Above: <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: _ <br /> ❑ Individual ❑ Individual <br /> ❑ Corporate Officer — Title(s): ❑ Corporate Officer —Title(s): <br /> ❑ Partner — ❑ Limited ❑ General RIGHT T LJMBFRINT 0 Partner — ❑ Limited ❑ General wGM11RUlotePR,Nr <br /> ❑ Attorney in Fact OF SIGNER ❑ Attorney in Fact OF SIGNER <br /> O Trustee Top of thumb here ❑ Trustee Top of thumb here <br /> ❑ Guardian or Conservator ❑ Guardian or Conservator <br /> ❑ Other: ❑ Other: <br /> Signer Is Representing: Signer Is Representing: <br /> ®2007 Natlorgi Notary Association. 9350 De Sob Ave., P.O. Box 2402 • Chetsaarth, CA 91313.2402 • www.NationalNotaryorg Item 55907 Reorder: Cell Tel -Free 1.80048788827 <br /> i <br />
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