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ALL AMERICAN ASPHALT (19)
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ALL AMERICAN ASPHALT (19)
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Last modified
10/23/2019 3:20:21 PM
Creation date
10/23/2019 3:01:43 PM
Metadata
Fields
Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
19-6942
Agency
Public Works
Council Approval Date
7/2/2019
Document Relationships
23A - PROJ STREET MAINTENANCE
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\07/02/2019
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § <br />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 truthfiilness. accuracv. or validity of that document. <br />State of California <br />County of Riverside <br />On 6/20/2019 before me, Donna Thorne, Notary Public <br />Date Here Insert name and Title of the Officer <br />personally appeared Edward J. Carlson <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(s) is/afe subscribed to the within instrument <br />and acknowledged to me that he/aheA#W executed the same in <br />his/heFAheir authorized capacity(ies), and that by hisrher4hel <br />r{ signature(s) on the instrument the person(s), or the entity upon behalf <br />DONNA THORNE i of which the person(s) acted, executed the instrument. <br />Notary Public - California [ <br />Riverside County <br />CommissionSep 10,77 2022 0 I certify <br />My Comm. Expiress Sep under PENALTY OF PERJURY under the laws of the State of <br />+ <br />California that the forgoing paragraph is true and correct. <br />WITNESS my hand and official seal. <br />SignatureAov�. i'W � <br />Place Notary Seal Above signature of Notary Public <br />OPTIONAL <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: Construction Contract <br />Date: 7/2/2019 Number of Pages Three (3) <br />Signer(s) Other Than Named Above: City of Santa Ana <br />Signers Name: Edward J. Carlson <br />❑ Individual <br />XCorporate Officer —Title(s): Vice -President <br />❑ Partner ❑ o Limited o General <br />❑ Attorney in Fact <br />• Trustee <br />Tep er mamb here <br />❑ Other: <br />Signers Name: <br />❑ Individual <br />❑ Corporate Officer —Title(s): _ <br />❑ Partner ❑ n Limited o General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />All American Asphalt I I Signer is Representing: <br />Top or thumb here <br />
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