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RUIZ CONCRETE & PAVING INC.
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RUIZ CONCRETE & PAVING INC.
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Last modified
10/5/2015 10:55:43 AM
Creation date
10/5/2015 10:21:32 AM
Metadata
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Template:
Contracts
Company Name
Ruiz Concrete & Paving Inc.
Contract #
16-6849
Agency
Public Works
Council Approval Date
9/1/2015
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />State of California 1 <br />County of ORANGE J} <br />On September 8,2015 before me, MEG QUICLEY, NOTARY PUBLIC <br />Date Here Insert Name and Title of the Officer <br />personally appeared MICHAEL A. QUIGLEY <br />Name(a) of Slyner(s) <br />m <br />MEG QJIGLEY <br />Commission # 1963669 <br />Notary Public -California z <br />Orange County n <br />My Comm. Expires Jan 10, 2016 <br />Place Notary Seal Above <br />who proved to me on the basis of satisfactory evidence to <br />be the person(@) whose name(s) ishm subscribed to the <br />within Instrument and acknowledged to me that <br />hettlaftbW executed the same in his/baufftir authorized <br />capacity(tim, and that by his/ signature( on the <br />instrument the person(§O, or the entity upon behalf of <br />which the persona) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. Z---% <br />WITNESS my <br />Signature <br />OPTIONAL <br />Though the information below is not required by law, R may prove valuable to persons <br />and could prevent fraudulent removal and reattachment of this form to anot <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer—Title(s): _ <br />❑ Panner — ❑Limited ❑General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />on <br />Number of Pages: <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer — Title(s): <br />_ ❑ Partner —[I Limited ❑ General IV <br />e„ <br />• ❑ Attorney in Fact <br />Top of thumb here ❑ Trustee Top of thumb here <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />'ti.y.XS\✓:\YS�.LL✓ \�..4�..0.�':.\UT✓ .\.i :�4\✓.h<. r✓ `'�L`/•\�L�v:\ai(�.v `ni `v4ve% Yi .\VLL.<`.1F`✓ <br />.1 • 1 .lI :11 f <br />
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