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PALP INC. DBA EXCEL PAVING COMPANY (4)
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PALP INC. DBA EXCEL PAVING COMPANY (4)
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Last modified
11/14/2024 3:10:54 PM
Creation date
10/5/2015 9:31:26 AM
Metadata
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Template:
Contracts
Company Name
PALP INC. DBA EXCEL PAVING COMPANY
Contract #
Various
Agency
Public Works
Council Approval Date
6/16/2015
Insurance Exp Date
6/1/2016
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• <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 <br /> r - _ _ .. _ d _ _ <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,accuracy,or validity of that document. <br /> State of California ) <br /> County of Los Angeles ) <br /> On fiket.I nils)1 rh4 (5 before me, C,.. Phillips.; Notary Public <br /> Date Here Insert Name and Title of the Officer <br /> • <br /> personally appeared C.P. Brown and Michele E. Drakulich <br /> Name(s)of Signer(s) <br /> who proved to me on the basis of satisfactory evidence-to be the person(s) whose name(s) regare <br /> subscribed to the within instrument and acknowledged to me that iiiatWthey executed the same in <br /> /their authorised capaclty(ies),and that by131i#idt/their signature(s)on the instrument the person(s), <br /> or the entity upon behalf of which the person(s)acted, executed the instrument. <br /> I certify under PENALTY OF PERJURY under the laws <br /> of the State of California that the foregoing paragraph <br /> is true and correct. <br /> " k°. "„ O.PHILLIPS <br /> ° ' <, comm.ux9sev� M WITNESS my hand and official seal. <br /> rv+,.._k Notary Public-California ow <br /> " *� \ LOS ANGELES COUNTY a <br /> " my Comm.Expires Oct.29,2 �t <br /> 016I( <br /> Signature <br /> Sign re of Notary Public <br /> Place Notary Seal Above <br /> OP77ONAL <br /> Though this section is optional, completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an unintended document. <br /> Description of Attached Document <br /> Title or Type of Document: Document Date: <br /> Number of Pages: Signer(s) Other Than Named Above: <br /> Capacity(ies)Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> ❑Corporate Officer —Title(s): • ❑Corporate Officer — Title(s): ' <br /> ❑Partner — 0 Limited 0 General 0 Partner — 0 Limited ❑General <br /> ❑Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact <br /> ❑Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator <br /> El Other 0 Other: <br /> Signer Is Representing: Signer Is Representing: <br /> ©2014 National Notary Association•www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 <br />
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