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ALL AMERICAN ASPHALT (20)
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ALL AMERICAN ASPHALT (20)
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Last modified
10/28/2019 5:06:36 PM
Creation date
10/28/2019 5:05:15 PM
Metadata
Fields
Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
Various
Agency
Public Works
Council Approval Date
5/7/2019
Document Relationships
23A - PROJ SLURRY SEAL 1ST & RAITT
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\05/07/2019
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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. accuracv. or validitv of that document. <br />State of California <br />County of Riverside <br />On May 28, 2019 before me, Courtney Chapas, Notary Public <br />Date Here Insert name and Title of the Officer <br />personally appeared Edward J. Carlson <br />Name(s) or Signer(s) <br />f <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/she!#iey executed the same in <br />COURTNEY CHAPAS his,^4„efAhe��k authorized ca acit ies and that by hislherkheir <br />Notary Public - California signature(s) on the instrument the person(s), or the entity upon behalf <br />Riverside County y of which the person(s) acted, executed the instrument. <br />Commission # 217298q <br />My Comm. Expires Nov 20, 2020' 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 7,nd official s <br />Signature W <br />Place Notary Seal Above Si -tore Wful <br />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 Payment Bond <br />Document Date: May 23, 2019 Number of Pages: 1 <br />Signer(s) Other Than Named Above: None <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: Edward J. Carlson Sign Name: <br />❑ Individual ❑ Indivi I <br />X Corporate Officer —Title(s): Vice President <br />❑ Partner E Ti Limited o General <br />❑ Attorney in Fact <br />❑ Trustee <br />Top of thumb here <br />❑ Other: <br />❑ Corporate Ice <br />❑ Partner C n Lim <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />— Title(s): <br />ad n General <br />Signer is Representing: I I Signer is Representing: <br />Top of thumb here <br />
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