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PALP INC. DBA EXCEL PAVING COMPANY
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PALP INC. DBA EXCEL PAVING COMPANY
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Last modified
7/22/2020 9:26:39 AM
Creation date
6/18/2014 5:30:13 PM
Metadata
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Template:
Contracts
Company Name
PALP INC. DBA EXCEL PAVING COMPANY
Contract #
Various
Agency
Public Works
Council Approval Date
6/17/2014
Notes
Project
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CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of Los Angeles <br />OniJ','° x. before me, C. Phillips, Notary Public <br />(Nero insert name and true of the of m) <br />personally appeared C. P. Brown <br />who proved to me on the basis of satisfactory evidence to be the personal whose nameW is/ne subscribed to <br />the within instrument and acknowledged to me that heh;ha6ffiWexecuted the same in his/ rAbeir authorized <br />capacityQ@O, and that by his/ wzft € signature(a) on the instrument the person(g), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <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 />/' (:. PHILLIPS <br />� {,��*,�r. COMM. tt199£•,177 n <br />tf "'� ° Nnrary Public Ca6rfornia rt <br />WITNESS my h d and official seal. �x, Los ANa;FLes coutvTv �� <br />... `�G�� My Comm. FxPires Oct. 29, 2016{ <br />Si fNotary Public (Notary Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document cautioned) <br />Number of Pages _ Document Date <br />(Additional intervention) <br />CAPACITY CLAIMED EY THE SIGNER <br />❑ <br />Individual (s) <br />❑ <br />Corporate Officer <br />(Tide) <br />❑ <br />Partner(s) <br />❑ <br />Attorney -in -Fact <br />❑ <br />Trustee(s) <br />❑ <br />Other <br />__,.,, 2008 Version CAPA v12 10.0,7 800 873,9865 worw.NotaryClasses corn _ _ <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any acknowledgment completed in Callrernio must mnmin verbiage tsactly as <br />appears above in the nomry section or a separate acknowledgmentform must be <br />properly completed aha attached to that document. The only exception is if a <br />document is to be recorded mtside ofCalffon,la in such intranets, any alternative <br />acknowledgment verbiage as may be printed on such a document so long as the <br />verbiage does not require the notary to do something tlar is diegal for a notary in <br />California (t.e, cerVMng the authorized capacity of the signer). Please check the <br />document earelidly for proper notarial wording and attach this form irrequ red <br />• State and County information must be am State and County where the document <br />signer(s) personally appeared before the 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 the acknowledgment is completed. <br />• The notary public must print his or her acme as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the naw(s) of document signers) who personally appear at the time of <br />notarization. <br />• indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />Wshe/fhey,— is lore ) or circling the correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording., <br />• The notary seal impression must be clear and photographically reproducible. <br />impression most not cover test or lines. If send impression smudges, reseal 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 the office of <br />the twwuy clerk. <br />r'- 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 attaphed document, number of pages and dale. <br />to indicate the capacity claimed by the signer. If the olatmgd capacity is a <br />corporate officer, indicate the due (l.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document <br />
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