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ALL AMERICAN ASPHALT(22)
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ALL AMERICAN ASPHALT(22)
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Last modified
1/7/2021 3:15:55 PM
Creation date
12/11/2019 9:44:01 AM
Metadata
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
19-6946
Agency
Public Works
Council Approval Date
11/19/2019
Notes
Project
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE g 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 validity of that document. <br />State of California <br />County of Riverside <br />On October 23, 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) of Signer(a) <br />COL'R7NEY CHAPAS <br />;k ,� <br />Notary Public - California <br />Riverside County i <br />Commission # 2172984 <br />My Comm. Expires Nav 20, 2020 <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/sheAhey executed the same in <br />hislher4heic authorized capacity(ies), and that by his/hedtheir <br />signature(&) on the instrument the person(s), or the entity upon behalf <br />of which the person(s) acted, executed the instrument. <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 />WITNESS my hand and official se <br />Signature vmn <br />Place No[ary Seal Above S lure of Lary ublic <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 Pament Bond <br />Document Date: November 19, 2019 Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Edward J. Carlson <br />❑ Individual <br />X Corporate Officer —Title(s): Vice President <br />❑ Partner L o Limited o General <br />❑ Attorney in Fad <br />❑Trustee Top of Itrumb here <br />❑ Other: <br />Sig 's Name: <br />❑ in <br />diw I <br />❑ Corporate Icer—Title(s): <br />❑ Partner P o Li ' d o General <br />❑ Attorney in Fact <br />Top of thumb here <br />❑ Trustee <br />❑ Other: <br />
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