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BIG BEN, INC.
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BIG BEN, INC.
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Last modified
10/27/2016 4:15:50 PM
Creation date
7/28/2016 3:31:07 PM
Metadata
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Template:
Contracts
Company Name
BIG BEN, INC.
Contract #
09-3213
Agency
Public Works
Council Approval Date
5/3/2016
Destruction Year
2021
Notes
Project
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT <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 riot the truthfulness, accuracy, or validity of that document. <br />State of California <br />SS. <br />County of San Bernardino <br />On February 10, 2016 before me,Laurie B Druck Notary Public <br />Name and Title of Officer (e. g., "Jane Doe, Notary Public') <br />personally appeared Pamela McCarthy <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence <br />to be the person whose name is subscribed to the <br />within instrument and acknowledged to me that she <br />executed the same in her authorized capacity, <br />and that by her signature on the instrument the <br />person, or the entity upon behalf of which the person <br />acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of <br />RI <br />LAURIE B, 8. ' pRl1CK <br />the State of California that the foregoing paragraph is <br />„1 commission a1 1Jaz3t2 true and correct. <br />-':� Notary public - California Z <br />Z <br />Sail Bernardino County WITNESS my hand and official seal. <br />A'lf?innt Expires Jul lA, 20 16 <br />1j1�h_r,t/ <br />g <br />WWb <br />Signature of Notary Public <br />_._....__,-., OPTIONAL e <br />Though the information below is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent <br />removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of DOCLI <br />Document Date: <br />Signer(s) Other Than <br />Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />O individual <br />O Corporate Officer <br />Title <br />O Partner -- O Limited O General <br />0 Attorney -in -Fact <br />[] Trustee <br />O Guardian or Conservator <br />Other: <br />Signer is Representing: <br />Number of Pages: <br />
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