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Agmt13 J & M Inc.
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Agmt13 J & M Inc.
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Last modified
8/19/2013 8:22:13 AM
Creation date
8/19/2013 8:20:23 AM
Metadata
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Template:
Agreement
Contractor Name
J & M Inc.
PROJECT NAME
Sanitary Sewer Air Release Valve Replacement Project
RMP File Number
304
Date
8/14/2013
MO Ref
13-131
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, , . � . CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of Alameda } <br /> On Au�ust 2, 2013 before me, Dawn M Ostyn (Notary Public) <br /> Date Here Insert Name and TiUe of the Officer <br /> Personally appeared Manuel Maraues IV <br /> Nam of Sigtx�sY <br /> who proved to me on the basis of satisfactory <br /> evidence to be the person�whose names�'is/a�e' <br /> subscribed to the within instrument and acknowledged <br /> to me that he/ e/�executed the s e in <br /> his �r authorized capacity�j�e�d that by <br /> his r/ ir signatur�on the instrument the <br /> person�or the entity upon behalf of which the <br /> DAWN M.osrnr person�cted, executed the instrument. <br /> Commfaafon�1891304 <br /> � Notary Public-Calhornia � <br /> Alameda Counry I certify under PENALTY OF PERJIJRY under the <br /> Comm. nt Jun 25,2ot� laws of the State of California that the foregoing <br /> paragraph is true and correct. <br /> WITNESS my hand and official seal. <br /> Signature: �'t/l�l-- �� _ <br /> Place Notary Seal and/or Stamp above Signature of Notary Public <br /> OPTIONAL <br /> Through the infortnation below is not required by law,it may prove valuable 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 or Type of Document: Payment Bond <br /> Document Date: Au�ust l, 2013 Number of Pages: 2 <br /> Signer(s) Other Than Named Above: None <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Manuel Marques IV Signer's Name: <br /> x Corporate Office-Title(s): Secretar�_ ❑ Corporate Officer—Title(s) <br /> ❑ Individua.l ❑ Individual <br /> ❑ Partner- ❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General <br /> ❑ Attorney in Fact ❑ Attorney in Fact <br /> ❑ Trustee r�.�n��r ❑ Trustee �`�i�ra� <br /> ❑ Guardian or Conservator ❑ Guardian or Conservator <br /> ❑ Other: ❑ Other: <br /> Signer is Representing:_ Signer is Representing: <br /> J& M Inc <br />
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