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Agmt11 Shaw Pipeline, Inc.
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Agmt11 Shaw Pipeline, Inc.
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Last modified
9/21/2011 2:03:29 PM
Creation date
9/21/2011 2:03:27 PM
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Template:
Agreement
Contractor Name
Shaw Pipeline, Inc.
PROJECT NAME
2011-2012 Watermain Replacement Project
RMP File Number
304
Date
9/21/2011
MO Ref
11-132
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> >�>�;���==-----------------�:�,-__:_---------- - <br /> STATE Or CALIFORNIA � <br /> County of Santa Clara <br /> On Seotember 1st. 2011 before me, Molfie Whalen. Notarv Public <br /> Date Mere Insert Name and Title of tne OPoCei <br /> personally appeared Robert Campbell <br /> Namels) of Sioneqs) <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 he/sheRhey <br /> MOlL1E WHALEN executed the same in his/her/their authorized capacity(ies), <br /> Commlulon � 19�1395 and that by his/her/their signature(s) on the instrument the <br /> s Nopry Public • Calitomia person(s), or the entity upon behalf of which the person(s} <br /> Santa Clare Counry _ acted, executed the instrument. <br /> M Comm. Ex irea A r 2, 2015 � certify under PENALTY OF PERJURY under the laws of <br /> the State of California that the foregoing paragraph is true <br /> and correct. <br /> Witness my h an fficial seal. <br /> Signature <br /> Place No�ary Seal Above Sianacure f No�ary Public <br /> OPTIONAL <br /> Thouoh the information below is not required by law, it may prove valuable to persons relying on the document <br /> and cou/d prevent fraudu/ent removal and reattachment ot fhis form to another document. <br /> Description of Attached Document <br /> Title orType oi Document: <br /> Document Date: Number of Pages: <br /> Signer(s) Other Than Named Above: <br /> Capacity(ies) Cfaimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑ Individual ❑ Individuai <br /> ❑ CorporateOfficer—Title(s): ❑ CorporateOfficer—Title(5): <br /> ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited � General <br /> ❑ Attorney in Fact ❑ Attorney in Fad <br /> ❑ Trustee ° ❑ Trustee ° <br /> ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here <br /> ❑ Otner. ❑ Other: <br /> Signer Is Representing: Signer Is Representing: <br /> >�i3�i.�'�.-_-.�--�.- - - - - - - - - - - - -�- - - - - - "�i.�z.�- - - - - - - -�- _ - - - - <br /> Cd 200� Nauonal Notary Associa➢on • 9350 Le So�o Hve. P.D.6ox 24@ � Cnn�swortn, OA 91313-240[- www.NationalNO�arv.org Ilem N59G� Fcome:: Cali Toll-Free �-800-B�d-682� <br />
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