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Agmt12 Valentine Corporation
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Agmt12 Valentine Corporation
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Entry Properties
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 /> State of California <br /> County of SAN FRANCISCO <br /> On NOVEMBER 27, 2012 before me JANET C. ROJO, NOTARY PUBLIC <br /> Date � Here Insert Name and Title of the Officer � <br /> personally appeared VIRGINIA L. BLACK <br /> Name(s)of Signer(s) <br /> e <br /> who proved to me on the basis of satisfactory evidence to <br /> be the persan(s) whose name(s) is/are subscribed to the <br /> within instrument and acknowledged to me that <br /> I��she/�r executed the same inXi�s/her/� authorized <br /> capaciry(ies), and that by�/her/��signature(s) on the <br /> instrument the person(s), or the entity upon behaif of <br /> which the persan(s) acted, executed the instrument. <br /> � JANET C. ROJO � <br /> "' �QMM. #1�67590 { certify under PENALTY OF PERJURY under the faws <br /> ',�3 �* NOTARY PU�LIC-CALIFORNIA �j <br /> �. 4�' SAN FRANGISCO COIINTY -� oT fhe State of California that the foregoing paragraph is <br /> � n�y Cnmm.Expiros Act.9,�013 true and correct. <br /> � <br /> WiT my han and official seal. <br /> Place Nota Seal Above ignature � <br /> �Y Signature of Notary Public <br /> QPTlO <br /> Though fhe irtformation below is not required by law, it may prove ualuable to persons relying on the document <br /> and could prevent fraudulent removal and reattachment of this form to another document. <br /> Description of Attached Document <br /> Title ar Type of Document: <br /> Document Date: Number of Pages: <br /> Signer(s} Other Than Named Above: <br /> Ca�acity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑ Individual ❑ Individual <br /> ❑ Corporate Officer—Titfe(s): ❑ Corporate Officer—Title(s): <br /> ❑ Partner—❑ Limited ❑ General ❑ Pariner—❑ Limited ❑ General <br /> ❑ Attorney in Fact . • - ❑Attorney in Fact • <br /> � Trustee Top of thumb here �Trustee Top of thumb here <br /> ❑ Guardian or Conservator O Guardian or Conservaior <br /> ❑ Other: ❑Other: <br /> Signer Is Representing: Signer Is Representing: <br /> OO 2007 National Notary Association•9350 De Soto Ave.,f�0.Box 2402•Chatsworth,CA 91313-2402•ww�n�.NaiionalNotary.org Item#5907 Reord2r.Call Toll-Free 1-8D0-676-6827 <br />
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