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BEN'S ASPHALT, INC. (2)
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BEN'S ASPHALT, INC. (2)
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Last modified
11/14/2024 2:56:23 PM
Creation date
3/7/2012 11:02:07 AM
Metadata
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Template:
Contracts
Company Name
BEN'S ASPHALT, INC.
Contract #
12-2621
Agency
Public Works
Council Approval Date
3/5/2012
Destruction Year
2017
Notes
Project
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<br /> <br /> <br /> <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br /> <br /> STATE OF CALIFORNIA <br /> County of Orange <br /> <br /> On 2-3-12 before me, Lexie Sherwood Notary Public <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared Charles L. Flake <br /> Name(s) of Signer(s) <br /> <br /> <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 /> LEXIE SHERWOOD person(s), or the entity upon behalf of which the person(s) <br /> COMM. #1856389 3 acted, executed the instrument. <br /> 0 NOTARY PUBLIC • CALIFORNIA A <br /> ORANGE COUNTY I certify under PENALTY OF PERJURY under the laws of <br /> Comm. Exp. JULY 27, 2013 the State of California that the foregoing paragraph is true <br /> and correct. <br /> Witness my hand and fficial seal. <br /> Signature <br /> Place Notary Seal Above Signature of Not ry Public <br /> OPTIONAL <br /> Though the information below is not required by law, it may prove valuable to persons 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: <br /> Document Date: Number of Pages: <br /> Signer(s) Other Than Named Above: <br /> <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ? Individual ? Individual <br /> ? Corporate Officer - Title(s): ? Corporate Officer - Title(s): <br /> ? Partner - ? Limited ? General ? Partner - ? Limited ? General <br /> ? Attorney in Fact .1 M. ? Attorney in Fact <br /> ? Trustee ? Trustee <br /> ? Guardian or Conservator Top of thumb here ? Guardian or Conservator 7Topofumb here <br /> ? Other: ? Other: <br /> <br /> Signer Is Representing: Signer Is Representing: <br /> <br /> <br /> <br /> 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.NationaiNotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827 <br />
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