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23A - PROJ - MEMORY LANE SA RIVER PARK
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03/15/2016
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23A - PROJ - MEMORY LANE SA RIVER PARK
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Last modified
9/12/2016 8:17:09 AM
Creation date
3/10/2016 4:44:11 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
3/15/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15.2647 <br />MEMORY LANE - SANTA ANA RIVER PARK <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he /she <br />and, all his /her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name; LEHMAN CONSTRUCTION, INC. <br />Business Address: P.O. Box 3569, Tustin, CA 92781 <br />Business E -Mail Address; ml @lehmanconstruction.net <br />Telephone: 714-8387577 <br />State Contractor's License No. and Class: 239570 A and B <br />License Expiration Date; 07/31/2017 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial <br />Registration Expiration r <br />Signed: <br />Title; <br />1000010491 <br />(DIR)/ 05/30/2016 <br />P -5 ofP -1.7 <br />23A -18 <br />
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