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ALL AMERICAN ASPHALT (23)
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ALL AMERICAN ASPHALT (23)
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Last modified
4/23/2021 4:22:06 PM
Creation date
1/31/2020 4:51:08 PM
Metadata
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
19-6943
Agency
Public Works
Council Approval Date
12/17/2019
Notes
PROJECT
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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 December 4.2019 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 Signers) <br />COURTNEY CHAPAS <br />Notary Public -California <br />zRiverslde County D <br />Commission # 2172984 <br />My Comm. Expires Nnv 20, 2ozo�1. <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(&) Ware subscribed to the within instrument <br />and acknowledged to me that he/shekhey executed the same in <br />his/herlthe'ir authorized capacity(ies), and that by his/heckheir <br />signature(s) 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 an5'* <br />Signature <br />Place Notary Seal Above otan ubli <br />OPTIONAL <br />Thoughthe 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: December 17, 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 ❑ o Limited ❑General <br />❑ Attorney in Fad <br />❑ Trustee <br />o Other: <br />Top of thumb here <br />er's Name: <br />❑ In ' 'dual <br />❑ Corpor Officer—Title(s): <br />❑ Partner L ❑ ' ited o General <br />❑ Attorney in Fact <br />❑ Trustee Top of thumb here <br />❑ Other <br />
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