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B & T WORKS, INC.
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Last modified
11/14/2024 2:55:18 PM
Creation date
3/23/2011 1:46:16 PM
Metadata
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Template:
Contracts
Company Name
B & T WORKS, INC.
Contract #
11-6744
Agency
Public Works
Council Approval Date
3/21/2011
Expiration Date
1/23/2013
Destruction Year
2016
Notes
Project
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CALIFORNIA ALL - PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of w '��_ _ <br />On ZZf�brUdr4aol� before mc, �(1 �� /l �p�i � I �� \:� <br />(He a insert name and title of [he officer) �_ <br />personally appeared �� �- F�a <br />who proved to me on the basis of satisfactory evidence to be the persons) whose name s subscribed to <br />the within instrument and acknowledged to me that l:e,�i jtl�y executed the same in h�tkeer authorized <br />capacity{ -ies), and that by Yxs�ie�•ircir signatureFe -) on the instrument the arson or the anti <br />which the person(�y acted, executed the instrument. p �' ty upon behalf of <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />ASHLEY BAKER <br />Commission • 179e326 <br />WITNESS my hand and official seal. � � Notary Publle - Callfornla � <br />c � Rlvarslds County <br />\,� eyy-�. Comm, 17, 2012 <br />Signamre of Notary Public (Notary <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages Document Date <br />(Additional infortna[ion) <br />CAPACITY CLAIMED BY THE SIGNER <br />O Individual (s) <br />O Corporate Officer <br />(Title) <br />O Partners) <br />O Attorney -in -Fact <br />O Trustees) <br />O Other <br />2008 Version CAPA v12.10.07 800- 873 -9865 www.NotaryClasses. cam <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any gcknow /edgmenl comp /efed in California must contain verbiage esgctly as <br />appears above in the notary rec[ion or a separate acknowledgmen[1w-m meert be <br />properly completed and attached !o Thal document The only exception is ij a <br />document is Ia be recorded outride of California. In such instoncer, any o[[erna[ive <br />acknowledgment verbiage ar may be printed on such o doczrmen[ so long as [he <br />verbiage does not require the notmy to do something [ha[ is illegal for a notary in <br />California (i. e. certifying [he authorized capacity aj [he signer). Please check the <br />doczrmen! corefu[ /y for proper nomria! wording and attach [his farm ifreyzrired. <br />State end County information must be the State and County where the document <br />signers) personally appeared before [he notary public for acknowledgment. <br />• Date of notarization must be the date that the signers) personally appeared which <br />must also be the same date [he acknowledgment is completed. <br />• The notary public must print his or her name as i[ appears within his or her <br />commission followed by a comma and [hen your title (notary public). <br />• Print [he names) of document signers) who personally appear a[ the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (i. e. <br />Ha /she /they,- is /ere) or circling the correct forms. Failure [o correctly indicate [his <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />Signature of the notary public must match the signature on file with [he office of <br />[he county clerk. <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />Indicate title or type of attached document, number of pages and date. <br />°.• Indicate the capacity claimed by [he signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document <br />
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