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Agmt12 Casey Construction, Inc Pump Station 25
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Agmt12 Casey Construction, Inc Pump Station 25
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Last modified
5/31/2012 1:46:09 PM
Creation date
5/31/2012 1:45:54 PM
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Template:
Agreement
Contractor Name
Casey Construction, Inc.
PROJECT NAME
Pump Station # 25 and additional pump station improvements
RMP File Number
604
Date
5/30/2012
MO Ref
12-077
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> . - - - � - - - �- �- - - - - �� _ �.�-�,��� <br /> STATE OF CALIFORNIA � <br /> Countyof San Mateo <br /> On � 5/ � ���u� before me, Katrina Corine Afalava, Notary Public , <br /> Date Here Insert Name and Tnle of the Oflicer <br /> personally appeared Mary Baez <br /> � Name(s)ofSigner(s) <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person(s) whose name(s) is/are suhscribed to the <br /> . within instrument and acknowledged to me that he/sheRhey <br /> executed the same in his/herftheir authorizetl capacity(ies), <br /> and that by his/herRheir signature(s)on the instrument the <br /> KATH�NA CORINE AFALqVA person(s), or the entity upon behatf of which the person(s) <br /> Commisslan# 1840268 acted, executed the instrument. <br /> � •"O Notary Public-Caliiornla D I certify under PENALTY OF PERJURY under the laws of <br /> San Mateo Counry the Siate of California that the foregoing paragraph is true <br /> M Comm.Ex ires Mar 13,2013+ and correcl. <br /> Witness my a d nd official se 4: <br /> Signature vlF-- � <br /> Place Notary Seal Above naN2 of Notary PuElic <br /> OPT/ONAL <br /> Though the infoimation be%w is not required by law, h may prove valuab/e to persons relying on the document <br /> and could prevent fraudu/eni 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(les)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 ❑ Partner—❑Limited❑General <br /> ❑ Attorneyin Fact ❑ Attorneyin Fact <br /> ❑ Trustee � ❑ Trustee ° <br /> ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here <br /> ❑ Other: ❑ Other: <br /> Signer Is Represenfrng: Signer!s Represenling: <br /> �"-�- _� �. . -� – – – _ _ .. _ ._ � - ��`�G`L-'u - - - <br /> O 200]National NO�ary AssoGanan•8%0 De Soro Fva.,P.O.Box 2Y02•ChakwoM,GA 9131&24W•www.NatlonelNOtary.org I�em M580] ReoMac Call To&Frea�-800.8]6fi92'! <br />
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