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23B - PROJ - BICYCLE BLVDS
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11/15/2016
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23B - PROJ - BICYCLE BLVDS
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Last modified
11/10/2016 3:51:23 PM
Creation date
11/10/2016 3:43:35 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
11/15/2016
Destruction Year
2021
Document Relationships
EXCEL PAVING COMPANY
(Amended By)
Path:
\Contracts / Agreements\ PROJECTS
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CALWOMIA ALL4101)M086 ACMOWLBtifiNSW CML OODE 11199 <br />------------ <br />A notary public or other off o r completing this certificate verifies only the identity of ft Ind'mdud who signed the <br />domont to which this Certificate Is ettadred, and not the trrrtlNulness, amnW,, or validity of #w tI oument. <br />State of caiifornia <br />County of Los Aneeles <br />On SEI' _ 8 2016 beloreme, C. Phillips, Notary Public <br />Date Here insert Nome and Title of Me Officer <br />personally appeared C. P. Brown <br />Name(q) ofSigner(a) <br />who proved to me on the basis of satisfactory evidence• to be the person(* whose names) isAM <br />subscribed to the within instrument and acknowledged to me that hsAhaflbsy executed the same in <br />hl authorikked capeelty(les), and that by hlslift isir signature(a) on the instrument the person(s), <br />or the entity itpon behalf of which the person(s) acted, executed the inetrument, <br />.. t..PS <br />COMM it�.99C�177 ^ <br />P,p; hk, ,Notary Putrllc-Callfs�rnfa <br />a <br />t.+�i.GS ANGFI C:S CGUNiY <br />My Comm, [x0iras Oct4?9, <br />Place Notary Seal Above <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 />WITNESS my hand and official seal. <br />Signature <br />Sig a re 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 />Number of Pages: Signers) <br />Document Date: <br />Other Than Named Above: <br />Capacity(les) Claimed by Signers) <br />Signer's Name: <br />❑ Corporate Officer -r Trtie(s) <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />F1 Other. <br />Signer Is Representing:— <br />Signer's Name: <br />• Corporate Officer -- TRie(a): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other. ----._— <br />Signer Is Representing: <br />02014 National Notary Association , www.NationaiNotary.org • 1 -800 -US NOTARY (1.000-876.6627) Item #8907 <br />23B-11 <br />
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