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Agmt13 Blocka Construction, Inc.
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Agmt13 Blocka Construction, Inc.
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Last modified
2/7/2013 12:45:11 PM
Creation date
2/7/2013 12:43:27 PM
Metadata
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Template:
Agreement
Contractor Name
Blocka Construction, Inc.
PROJECT NAME
Sanitary Sewer Pump Station 10 Improvemenets Project
RMP File Number
304
Date
2/7/2013
MO Ref
13-002
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT c�vi�cone y i�as <br /> •.c�<Y',�.�c',.c�(�"> > � > � �..e�us�C;�tC��A.�!"—.c.o.�ca,��,—�.�G''—.c�.c�:�A.�A.�f•.�,�.c�--.�ty.�t.�:se,�v�`.c�.�';T(`.c�.�;���A.c�eL�,c�v�'-. <br /> ' State of California <br /> � <br /> County of Alameda <br /> ` On 1/28/13 before me, Sue A McCarthy, Notary Public <br /> , <br /> Date Fiere Insert Name and Trtle oF tha OfBcer <br /> personaliy appeared Patricia Jean Blocka& Robert Alexander Blocka <br /> Name(s)of Signar(s} <br /> � <br /> who proved to me on the basis af satisfact�ry <br /> evidence to be the persor�s� whose name��/are <br /> subscribec{to the within instrument and acknowledged <br /> to me that F,,�c�1�/they execu the same in <br /> Jy�ef/their authorized capacit ies , and that by <br /> �' q�s`I�/their signatur� an th instrument the <br /> y SUE A. MCCARTHY persori(s�, or the eniity upon behalf of which the <br /> Commission# 1901039 person�acted, execufed the instrument. <br /> Z �� Notary Public -California z <br /> z San Luis Obispo County D I cerfify under PENA�TY OF PERJURY under the <br /> My Comm.Expires Aug 22,2ot 4 laws af the State of California that t�te ioregoing <br /> paragraph is true and correct. <br /> WITNESS my hand and official seal. <br /> Si nature: �� <br /> 9 <br /> , Place Notary Seal Abova SignaNre of Notay Public <br /> oPrroNac <br /> Though the lnformatiort below is not required bylarr,it may prove valuable to persons relying on the document <br /> and could prevent fraudulent remova!and reatiachment ol this form to ano[her document. <br /> Descriptton of Attached Document <br /> Title or Type o4 Document:_Payment Bond No.4887625 <br /> � Document bate: 1/25/13 Number of Pages; 5 <br /> Signer(s}Ofher Than Named Above: <br /> Capacity{ies}Claimed by Signer(s} <br /> Signer's Name: Patricia Jean Blocka �_ Signer's Name: Robert Alexander Blocka <br /> � <br /> � Corporate Officer—Tiile(s):Secretary/Treasurer [_�Corporate Officer—Title(s); President <br /> � individaal ❑Individual �•• <br /> . . <br /> ❑ Partner--❑Limited ❑General Top of thumb here ❑Pariner—�Limited CJ General Top of thumb here <br /> O Attorney in Fact ❑Attorney in Fac# <br /> ❑ Trustee CJ Trustee <br /> ` ❑ Guardian or Conservator � ❑Guardian or Consenrator <br /> ❑ Other: ❑Other: <br /> � Signer Is Representing: Signer Is Representing: <br /> . <br /> �J�3�.�\[�fi�i�(S,�i�! J J J ! J J ` ! .�'J�` > J Y Y Y�jY�(�y J�y <br /> 62010 National Nolary Association•NationalNotary.orq•1-800-US NOTARY(1-800•878-6827) Item q5907 <br />
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