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HARDY & Harper, INC. (11)
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HARDY & Harper, INC. (11)
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Last modified
10/29/2019 2:52:21 PM
Creation date
7/25/2019 11:08:41 AM
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Contracts
Company Name
HARDY & Harper, INC.
Contract #
18-7530
Agency
Public Works
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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <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 signer[s], not Notary) <br />Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if 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 Orange <br />ASHLIE BLANCHARD N <br />CoMM.02278550 n <br />Notary Public -California x <br />ORANGECOUNTY a <br />My Comm. Expires March 3, 2023 <br />Subscribed and sworn to (or affirmed) before me <br />on this 20 day of May 20 19 <br />by Date Month Year <br />(1) sAexe �(,!whw <br />(and (2) ri®n ), <br />Name(s) of Signers) <br />proved to me on the basis of satisfactory evidence <br />to be the person(a) who appeared before me. <br />Signature <br />Signature of Notary Public <br />Seal <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: Non -Collusion Affidavit Document Date: May 20, 2019 <br />Number of Pages: 1Signer(s) Other Than Named Above: non( <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 <br />
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