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ALL AMERICAN ASPHALT (21)
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ALL AMERICAN ASPHALT (21)
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Last modified
11/8/2019 7:08:26 AM
Creation date
11/8/2019 7:02:05 AM
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Contracts
Contract #
17-6885
Agency
Public Works
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 <br /> 1 <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.er validity of that document. <br /> State of California <br /> County of Riverside <br /> On October 3, 2019 before me, B. Royster,Notary Public <br /> Date Here Insert name end Title of the 0<fcer <br /> personally appeared Edward J. Carlson <br /> NameQt'of Signer(/r'— <br /> 7 <br /> who proved to me on the basis of satisfactory evidence to be the <br /> `� — �.�s� person(s) whose name(s) is/are subscribed to the within instrument <br /> e.ROYSTEN 1 and acknowledged to me that he/she/they executed the same in <br /> Notary Public-California ((( his/her/their authorized capacity(ies), and that by his/herthei; <br /> ^ Riverside county signature(s) on the instrument the person(s), or the entity upon behalf <br /> Commission k 2260352 of which the person(s)acted,executed the instrument. <br /> My Comm.Expires Oct 26,2022 <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 /> WINE'S mhh nd n official seal. <br /> Si nature <br /> Place Notary Seal Above S nature 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—City of Santa Ana <br /> Document Date: October 3, 2019 Number of Pages: 8 <br /> Signer(s)Other Than Named Above: John Funk, Assistant City Attorney <br /> Capacity(ies)Claimed by Signer(s) <br /> Signer's Name: Edward J. Carlson Signer's Name: <br /> ❑ Individual o Individual <br /> X Corporate Officer—Title(s): Vice President o Corporate Officer—Title(s • <br /> o Partner 0 o Limited o General o Partner❑ o Limited ❑ eneral <br /> RIGHT THUMBPRINT RIGHT THUMBPRINT <br /> o Attorney in Fact OF SIGNER ❑Attorney in Fact OF SIGNER <br /> ❑Trustee Top of thumb here Top of thumb here <br /> o Trustee <br /> o Other: o Other: <br /> Signer is Representing: <br /> Signer is Representing: <br /> All American As.halt <br />
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