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Agmt97 Interstate Grading & Pav
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Agmt97 Interstate Grading & Pav
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Last modified
7/5/2005 2:56:56 PM
Creation date
9/29/2003 11:44:11 AM
Metadata
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Template:
Agreement
Contractor Name
Interstate Grading & Paving
PROJECT NAME
James Avenue reconstruction
RMP File Number
304
Date
11/17/1997
Reso Ref
13114 13194 13226
MO Ref
97-203 98-095 99-026
Box
5802
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CALIFORNIA ALL-PURPO~ ACKNOWLEDGMENT <br /> <br /> California <br /> State of <br /> <br /> San Francisco <br /> County of <br /> <br /> On November 3, 1997 beforeme, Maureen E. Schmidt,notary public <br /> Date Name and Title of Officer (e g. "Jane Doe, Notary Public") <br /> personally appeared Jo,hn J. Casey <br /> Name(s) of Signer(s) <br /> <br /> :~ personally known to me - OR - [] proved to me on the basis of satisfactory evidence to be the person(s) <br /> whose name(s) is/are subscribed to the within instrument <br /> and acknowledged to me that he/she/they executed the <br /> same in his/her/their authorized capacity(les), and that by <br /> his/her/their signature(s) on the instrument the person(s), <br /> or the entity upon behalf of which the person(s) acted, <br /> · :-~ : executed the instrument. <br /> <br /> WITNESS my hand and official seal. <br /> <br /> Signature of Notary Public <br /> <br /> OPTIONAL <br /> Though the information below is not required by law, it may prove valuab/e to persons relying on the document and Could prevent <br /> fraudu/ent removal and reattachment of this form to another documenL <br /> <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(les) Claimed by Signer(s) <br /> <br /> Signer's Name: John J. Casey Signer's Name: <br /> <br /> L3 individual ~ Individual <br /> [] Corporate Officer [] Corporate Officer <br /> Title(s): Title(s): <br /> [] Partner-- [] Limited [] General [] Partner-- [] Limited [] General <br /> ~ Attorney-in-Fact [] Attorney-in-Fact <br /> [] Trustee [] Trustee <br /> [] Guardian or Conservator [] Guardian or Conservator <br /> [] Other: Top of thumb here [] Other: Top of thumb here <br /> <br /> Signerls Representing: Signerls Representing: <br /> <br /> Employers Insurance of <br /> <br /> Wausau A Mutual Company <br /> <br />© 1995 National Notaw Association · 8236 Rennet Ave, RO. BOX 71~ · Canoga Pa~, CA 91309 7184 Pr~ No. 5907 Reo~er: Call Toll-Free I 800 876 ~27 <br /> <br /> <br />
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