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BEN'S ASPHALT, INC. (3)
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BEN'S ASPHALT, INC. (3)
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Last modified
11/14/2024 2:56:33 PM
Creation date
5/17/2011 9:17:34 AM
Metadata
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Template:
Contracts
Company Name
BEN'S ASPHALT, INC.
Contract #
11-7530
Agency
Public Works
Council Approval Date
5/16/2011
Destruction Year
2016
Notes
Project
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County of Orange } <br />On 4-14-11 before me, Lexie Sherwood Notary Public <br />Date Here Insert Name and Title of the Officer ' <br />personally appeared Richard A. Coon <br />Name(s) of Signer(s) <br />.::... LEXIE SHERWOOD <br />COMM. #7856389 ? <br />C:J t-- NOTARY PUBLIC ? CALIFORNIA 'n <br />? - ?? ? owvNCe couNrY <br />Comm. Exp. JULY 27, 2073 <br />Place Notary Seal Above <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is/are subscribed to the <br />within instrument and acknowledged to me that he/she/they <br />executed the same in his/her/their authorized capacity(ies), <br />and that by his/her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Wigtness my hand an o 'cia? a.?J?Q???d?J? <br />Si nature <br />S?gnatur¢ of ota utNic ? <br />OPT/ONAL <br />Though the information be/ow is not required by law, it may prove va/uab/e to persons relying on the document <br />and cou/d prevent fraudulent remove/ and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />O Individual <br />D Corporate Officer - Title(s):_ <br />? Partner - ? Limited D General <br />? Attorney in Fact <br />? Trustee <br />D Guardian or Conservator <br />? Other: <br />Signer Is Representing: <br />Number of Pages: <br />Signer's Name: <br />O Individual <br />O Corporate Officer -Title(s) <br />? Partner ? Limited O General <br />? Attorney in Fact <br />? Trustee <br />? Guardian or Conservator <br />? Other: <br />Signer Is Representing: <br />® 2007 National Notary Assoria[lon - 9350 De Soto Ava., P.O. Box 2402 -Chatsworth, CA 91313-2402 - www_NalionalNOlary.org Item 1s5907 Reordac Call Tdl-Free 1-600-876-6827
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