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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)
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Path:
\Contracts / Agreements\ PROJECTS
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ya <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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 accumcv. nr validity of that document. <br />State of California <br />County of Riverside <br />On March 25. 2019 before me, Courtney Chagas. Notary Public <br />Daze Here Insen name and Tire or rine OIlcer <br />personally appeared Edward J. Carlson <br />Names) of S.gnegs) <br />COURTNEY <br />Notary Public . California <br />a a ` Riverside County z <br />z: <br />Z <br />Commission # 2172984 <br />A <br />My Comm. Expires Nov 20, 2020' <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(s) is/are subscribed to the within instrument <br />and acknowledged to me that he/sh"'..�;My executed the same in <br />his/herkheir authorized capacity(ies), and that by his/heAtheir <br />signature(r) on the instrument the person(s), or the entity upon behalf <br />of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNESS my hand and official seal <br />Signature l <br />Place Notary Seal Above Signa yre of Not P is <br />OPTIONAL V <br />Though the information below is not required by law, it may prove valuable to person 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 Bid Bond <br />Document Date: March 19. 2019 Number of Pages: 1 <br />Signer(e) Other Than Named Above: None <br />Capacity(ies) Claimed by Signer(s) <br />Signers Name: Edward J. Carlson <br />in Individual <br />X Corporate Officer—Title(s): Vice President <br />❑ Partner E o Limited o General <br />❑ Attorney in Fact <br />❑ Trustee Top of a umb bare <br />❑ Other: <br />SignXs Name: <br />❑ Indv al <br />❑ Corporate fice <br />r—Title(s): <br />❑ Partner f o LI 'ted o General <br />❑ Attorney in Fact <br />Top of Numb here <br />❑ Trustee <br />in Other <br />23A-19 <br />
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