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EBS GENERAL ENGINEERING INC.
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EBS GENERAL ENGINEERING INC.
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Last modified
10/27/2016 4:19:29 PM
Creation date
3/22/2016 10:41:34 AM
Metadata
Fields
Template:
Contracts
Company Name
EBS GENERAL ENGINEERING INC.
Contract #
16-7523
Agency
Public Works
Council Approval Date
2/2/2016
Notes
Projects Linked- RFCA
Document Relationships
23A - PROJ - RESIDENTIAL STREET REPAIR
(Related to)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2016\02/02/2016
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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />,rc-.ccL.�.�,cfs;.c` ".;.,cS"aRP�ccY�.cc;u.CiscxciC:cCte£,rccY.cc.cie.c;S',cer.Y,cF�f��ccc.sr,.�fces:Ocfcec�.c,F�eY.�R�Y'�T,�fti <br />❑ See Attached Document (Notary to cross out lines 1-6 below) <br />See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br />Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) <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 ORANGE <br />LEXIS SHERWOOD <br />eq <br />COMM. # 2031782 <br />NOTARY PUeUC+CALIFORNIA00 <br />n <br />`'� <br />ORANGE COUNTY <br />Comm. Exp. JULY 27,2017 <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this 17TH day of DECEMBER 20 15 <br />by Date Month Year <br />CHARLES L. FLARE <br />(and (2) �-\ ), <br />Names) of Signer(s) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />-- ---Signature /I <br />Signature of Notary Public <br />OPTIONAL <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: <br />Document Date: <br />Number of Pages: Signer(s) Other Than Named Above: <br />02014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910 <br />
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