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Agmt12 Valentine Corporation
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Agmt12 Valentine Corporation
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Last modified
12/11/2012 3:37:12 PM
Creation date
12/11/2012 3:32:46 PM
Metadata
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Template:
Agreement
Contractor Name
Valentine Corporation
PROJECT NAME
El Camino Real Storm Drain & Water Main Rehabilitation Project
RMP File Number
304
Date
12/11/2012
MO Ref
12-212s
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> - - - a ; — <br /> State of California <br /> County of SAN FRANCISCO <br /> OnNOVEMBER 27, 2012 beforeme, JANET C. ROJO, NOTARY PUBLIC <br /> Date Here Insert Name and Title of the Oificer � <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 /> f��lshe/�y executed the same inXf�s/her/�I� authorized <br /> capacity(ies), and that by�/her/�l�signature(s) on the <br /> JANET C. ROJO „� instrument the person(s), or the entity upon behalf of <br /> � COMM, #1867590 <br /> � which the person(s) acted, executed the instrument. <br /> � � NOTARY PUBLIGCALIFORNIA � <br /> � SAN FRANCISCO COUNTY -� <br /> My Cr,mm.ExpireQ Oct.9,2013 I certify under PENALTY OF PERJURY under the faws <br /> ofi the State of Califbrnia that the foregoing paragraph is <br /> true and correct. <br /> WiTNES -rd a d official seaf. <br /> ignature ��1�� L <br /> Piace Notary Seal Above Signature oi Notary Public <br /> OPTIO <br /> Though the information below is not raquired by law, it may prove ualuab(e to persons relying on the document <br /> and could prevent fraudulent remoual and reaitachment of thrs form to another document. <br /> Description of Attached Document <br /> Title or Type of Documeni: <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 ❑ fndividual <br /> ❑ Corporate Officer—Title(s): �J Corporate Officer—Title(s): <br /> ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General <br /> ❑ Attorney in Fact • • ❑Attorney in Fact � � �- <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 /> OO 2007 National Noiary Association•9350 Ds Soto Ave.,P.O.Box 2402•Chaisworth,CA 91313-2402•www.NaiionalNotary.org Item#5907 Reordec Call Toll-Free 1-800-876-6827 <br />
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