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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 AOKNOWLEDGMENT 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, aooQra(,y, or validity of that document. <br />State of California <br />County of Orange <br />On May 19, 2017 <br />W <br />before me, Lynn A. Slone, Notary Public <br />Here Insert Name and 77tle of the Officer <br />personally appeared Richard L. Wells <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(C) whose name( istare <br />subscribed to the within instrument and acknowledged to me that heXaW4.hey executed the same in <br />hh/htr1th& authorized capaolty(iGe), and that byhIs/htrfH*rsIgnature%oh the instrument the person(4), <br />or the entity upon behalf of which the person(N acted, executed the instrument, <br />LYNN A. KONE <br />- - - - - - - N-otary- Public-. -09,11fornia <br />Orange County Z <br />Commission # 2134740 fC <br />64 Comm. Egires Dec 16, 2019 <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 my hand and official sea], <br />�9 <br />Signature <br />Signature of Notary Pu61ic <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this information cati 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: _ <br />Number of Pages: — Signor(s) <br />Document Date: <br />Other "['ban Named Above: <br />Call Claimed by Signer(s) <br />Signer's Name: <br />I I Corporate Officer — Title(s): <br />D Partner — I.--) Limited (...I General <br />1-1 Individual [D Attorney in Fact <br />1"I Trustee ED Guardian or Conservator <br />Other; <br />Signor Is Representing: <br />Signer's Name: <br />I Corporate Officer --- Title(s): <br />E.) Partner — (D Limited El General <br />[.1 Individual ID Attorney in Fact <br />Trustee 1.1 Guardian or Conservator <br />I J Other: <br />Signor is Representing: . . . .... _ <br />02014 National Notary Association - www.NationaiNotary.org - 1-800 -US NOTARY (1-800-876-6827) Item#,59W <br />
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