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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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r <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 Here Insert Name and Title of the Officer I <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 /> capac ity(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 /> c.■s• Q BETTY L. TOLENT$NO <br /> "�" COMM. #1840627 '* I certify under PENALTY OF PERJURY under the laws <br /> ° " r m � a, NOTARY Mit C�,m�. iroI CApr. ALIF12ORN, 201 <br /> IA of the State of California that the foregoing paragraph is <br /> U SAN FRANCISCO COUNTY true and correct. <br /> CL. <br /> 1iCt> _ <br /> WITNESS my h- - d an. • .'al eal. <br /> /% <br /> na <br /> Si g ture <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 RIGHTTHUk9BPRINT ❑ Partner — ❑ Limited ❑ General RIGHT 7RUra, k3NRIrJ1 <br /> ❑ Attorney in Fact OF SIGNER ❑ Attorney in Fact OF SIGNER <br /> ❑ 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 National Notary Association • 9360 De Soto Ave., P.O. Box 2402 •Chatsworth CA 91313-2402. wwrcNationalNotary.org Item #5907 Reorder: Cell lbl-Free 1 -900- 8768827 <br />
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