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Agmt97 Covey Trucking
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Agmt97 Covey Trucking
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Last modified
7/5/2005 2:56:52 PM
Creation date
9/26/2003 11:27:58 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Covey Trucking
PROJECT NAME
demolition of buildings
RMP File Number
304
Reso Ref
13125
Box
5802
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CALIFORNIA ALL-PURPOS~ ACKNOWLEDGMENT No. S907 <br /> <br /> State of i ~ <br /> County of,_ gcc,') ~ 4 ~ ~) <br /> On J~,~.. '~'/z~"7 before me, ~~ ~~--.~. <br /> d DATE~ __ ~ // NAME, TITLE ~F OFFICER E.G , "JANE DOEtiAR~ PUBUC" ' <br /> personally appeared ~(~ ~/~ <br /> / <br /> NAME(S) OF SIGNER(S) <br /> ~ personally known to me - OR - ~proved to me on the basis of satisfacto~ evidence <br /> to be the person(s) whose name(s) is/are <br /> subscribed to the within instrument and ac- <br /> knowledged to me that he/she/they executed <br /> the same in his/her/their authorized <br /> <br /> capacity(ies), and that by his/her/their <br /> signature(s) on the instrument the person(s), <br /> or the entity upon behalf of which the <br /> ~ person(s) acted, executed the instrument. <br /> <br /> SIGNATURE OF <br /> <br /> OPTIONAL <br /> <br /> Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent <br /> fraudulent rea~achment of this form. <br /> <br /> CAPACITY CLAIMED BY SIGNER DESCRIPTION 0F A~ACHED DOCUMENT <br /> o..o.A E OmCE. <br /> <br /> ~ PARTNER(S) ~ LIMITED <br /> ~ GENERAL <br /> <br /> ~~ GUARDIAN/CONSERVATOR ~/~ <br /> OTHER: -- <br /> <br /> DATE OF DOCUMENT <br /> <br /> SIGNER IS REPRESENTING: <br /> .^,.E oF .ER$O.(S)OR E.T~¥(,ES) <br /> <br /> SIGNER(S) OTHER THAN NAMED ABOVE <br /> <br /> ©1993 NATIONAL NOTARY ASSOCIATION o 8236 Remmet Ave., P.O. Sox 7184 · Canoga Park, CA 91309-7184 <br /> <br /> <br />
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