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23A - PROJ SLURRY SEAL 1ST & RAITT
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05/07/2019
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23A - PROJ SLURRY SEAL 1ST & RAITT
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Last modified
5/2/2019 6:14:58 PM
Creation date
5/2/2019 6:02:37 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
5/7/2019
Destruction Year
2024
Document Relationships
ALL AMERICAN ASPHALT (20)
(Message)
Path:
\Contracts / Agreements\ PROJECTS
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CALIFORNIA JURAT <br />GOV CODE § 8202 <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 certiPcate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Riverside <br />�.„ COURTNEY CHAPAS <br />Notary Public - California <br />e "- Riverside County z <br />z 'fit=� Commission t 2172984 <br />My Comm. Expires Nov 20, 2020 <br />Subscribed and sworn to (or affirmed) before <br />me on this 25th day of March, 2019 <br />Date Month <br />By (1) Edward J. Carlson <br />Name of Signer <br />Proved to me on the basis of satisfactory evidence <br />be the person who appeared before me (.) (,) <br />(2) <br />(And <br />of Signer <br />Proved to me on the basis of satisfactory evidence <br />be the person who appeared before me.) <br />Signature &—k UAPO f <br />Place Notary Seal Above Sig re of No ry Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove <br />valuable to person relying on the document and could prevent <br />fraudulent removal and reattachment of this form to another document. <br />Further Description of Any Attached Document <br />Title or Type of Document: Ownership Affidavit <br />Document Date: 3-25.2019 Number of Pages: 1 <br />Signer(s) Other Than Named Above: None <br />23A-17 <br />
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