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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 cm�cooE g,�es <br /> .. _ .�.�.r.�ee.e2�rrsra:�.�.src�c�.�.h .�. : . - > - , .r.�r. ..,r��.tgc��,t>A <br /> C <br /> State af California <br /> County af Santa Clara <br /> On _Au�ust 1, 2013 betore me, Sarah M. Lorincz,Notary Public <br /> Date Hers insert Name rrq Tillo ot the Olticer <br /> personally appeared Danijela Mosunic <br /> � Name(s)01 Signer(s) <br /> � ' <br /> who proved to me on the basis of satisfactory �, <br /> evidence to be the person(�',► whose name($� isl�� <br /> subscribed to the within instrument and aoknowleclged � <br /> to me that �h�,¢� executed the sar�a in <br /> � �er�£ authorized capaaty�, and that by <br /> �e34�E signature(� on the instrument the <br /> � person(�1, �r the entity upon behalf of which the <br /> � SARAH M. LORINCZ [ Person{�}aCted, executect the instrument. <br /> � :; ��"�� Commission # 1980832 � I certify under PENALTY OF PERJURY under the <br /> c�c�,� - Notary Public-California D <br /> z °�r:�%:` y Santa C�ara County laws of the State of California that the foregoing <br /> My Comm. Expires Jul 1, 2016 paragraph is true and correct. <br /> WITNESS my hand and ofiicial eai. ' <br /> Signature: � ` <br /> f. Place No10ry S�al A6pve ✓..�� Sgnature of Fbtary PUblic <br /> � OPTlONAL <br /> Though the in(orrrtafiOn below ls nol requiraal by law,if rrtay p�ove valuable to persons refying or•r the document <br /> ar+d could prever�t fraudufent remova!ar+d reatlacbmertt ot this torm to arrother documenf. <br /> Descriptio�of Attached Dacument <br /> � <br /> Title or Type oi Document: <br /> � <br /> Document Date: August 1,2013 Number of Pages: <br /> Signer(s}Ofher Than Named Above: <br /> Capacity(ies) Claimed by 5igner(s) <br /> Signer's Name: Signer's IVame: <br /> �' ❑ Corporate Officer— Title(s}: ❑Corporate Officer—Titie{s): <br /> ❑ Individual Cllndividual <br /> . <br /> '• ❑ Partner—�Limited Cl General Top of ihumb here ❑Pariner—a Limited C]General rop oi nwnq nere <br /> ��; p Attorney in Fact ❑Attorney in Fact <br /> C7 Trustee O Truslee <br /> � ❑ Guardian or Conservator �]Guardian or Conservator <br /> � CI Qther: ❑Other: � <br /> � � <br /> � Signer Is Represenifng: Signe�Is Representing: , <br /> i. <br /> ^�iCs`%t.,^�'S�'.��J'c,^.�find'v'�s�i�i�4^Si c."a�4^Ss4^�V"�i'S;i4^s�f�ssit?�*G�r^�'�eti'Se4`S�t�`�c."4�o"S%.u'seG'�.k'�c$4it:'Sdf?SF?S'�(..^S'ec:'SicJ.�'4.^5`e�is$��CS.4-'fin"5'i�GS65S14'4:U�s�^ <br /> �2010 Nalional Notary AseociaGon•NatlonalNotary.org•1-80D-US NOTARY�I-80Q•876-6827} Itam x59DT <br />
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