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T.E. ROBERTS INC.
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Last modified
6/5/2024 10:17:50 AM
Creation date
7/10/2019 12:24:18 PM
Metadata
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Template:
Contracts
Company Name
T.E. ROBERTS INC.
Contract #
P 11-6413
Agency
Public Works
Council Approval Date
4/2/2019
Notes
Project
Document Relationships
23A - PROJ - SA-5 VAULT MOD
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\04/02/2019
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2 <br />4 <br />See Attached Document (Notary to cross out lines 1-6 below) <br />See Statement Below (Lines 1-6 to be completed only by document slgner[s], not Notary) <br />Signature of Document Signer No. 1 Signature of Document signer No, 2 Of any) <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 x_11 n 0 e_ <br />KIM fl, NEWETT— <br />COMM, ' 22ti431 <br />Notery Puble Oo ntY rme c <br />t ' M CammteE9 Ire, 2022 <br />Subscribed and sworn to (or affirmed) before me <br />on this 11�h day of T�bKV ILN , 20 01 <br />by Date Month Year <br />(1) JI M ._„_.R—b {� ✓l 5 <br />(and (2)- ), <br />Namejs) of %gnWs) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />Signature 1 A),V.,W <br />Signature of Notary Public <br />sear <br />Place Notary Sea/ 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: <br />Document Date: <br />Number of Pages: ___,_ Signer(s) Other Than Named Above: <br />• www.NationalNotary.org <br />VE <br />
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