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PAVEMENT COATINGS CO. (2)
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PAVEMENT COATINGS CO. (2)
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Last modified
10/23/2018 9:22:51 AM
Creation date
5/23/2018 9:27:14 AM
Metadata
Fields
Template:
Contracts
Company Name
PAVEMENT COATINGS CO.
Contract #
17-6882
Agency
Public Works
Council Approval Date
6/20/2017
Document Relationships
23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2017\06/20/2017
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County ' of Al \1P r ) dk ((�� ) <br />Onr� r before me, �>UX)S e krr ryl of �t J <br />Dae Here Insert Name and Title he Officer <br />personally appeared <br />Name(lof <br />who proved to me on the basis of satisfactory evidence to be the person whose name(t Is/qte <br />subscribed to the within instrument and acknowledged to me that he/she/tey executed the same in <br />his/heIr/their authorized capacity(iA, and that by his/her/t[pir signature(A on the instrument the personX, <br />or the entity upon behalf of which the person(slacted, executed the instrument. <br />Ari wSIRJNG <br />J `1 Notary Pu6lw California <br />Riverside Coasty <br />Commission # 2169350 <br />M Comm. Expires Oct 24, 2020 <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS myJaand and official seal.. <br />Signature <br />Public <br />Place Notary Seal Above <br />`— OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: tG�lJ i� Document Date:.' <br />Number of Pages: � Signer(s) Other Th n Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />D Corporate Officer — Title(s): <br />0 Partner — 0j Limited Ll General <br />I Individual i Attorney in Fact <br />;tel Trustee FI Guardian or Conservator <br />Other: <br />Signer Is Representing: <br />Signer's Name: <br />0 Corporate Officer — Title(s): <br />❑ Partner - Cl Limited ri General <br />F individual 0 Attorney in Fact <br />Ex Trustee i i Guardian or Conservator <br />-i Other: <br />Signer Is Representing: <br />02014 National Notary Association • www,Nationa[Notary.org • 1 -800 -US NOTARY (1-800-876-682'7) Item $5907 <br />
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