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ALL AMERICAN ASPHALT (15)
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ALL AMERICAN ASPHALT (15)
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Last modified
7/17/2017 2:49:40 PM
Creation date
4/3/2017 10:37:28 AM
Metadata
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
15-6840
Agency
Public Works
Council Approval Date
1/17/2017
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 11189 <br />A notary public or other officer completing this certificate verifies only the identity ofthe individual who signed the <br />document to which this certificate is attached. and not the truthfulness. avenracv, or validitv ot'that document. <br />State of California <br />County of Riverside <br />On 1210712016 before rne, � Rebecca Anl?ela Parra, Notary Public , <br />Date Here Inserl name and TLLIe of the Officer <br />personally appeared Edward J. Carlson <br />Nerne(s) of Signer(s) <br />.... .... <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(s) is/arm subscribed to the within instrument <br />= and acknowledged to me that he/sf e4ey executed the same in <br />ix! f3ECCA ANGI �A )'AltpA his/her1their- authorized capaclt les , and that b his/4erhelr <br />C'jmmission # 2©24944 z signature(s)on the instrument the persons or the entity upon behalf <br />Notary Pubiic . Calitoro a v P (}, Y P <br />a :yes 4 <br />of which the person(&) acted, executed the instrument. <br />Z s",;: Riverside County <br />MY Comm. Expire$ MAY t 7_ -?02j I certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNESS my hard anti official seal, <br />SignatureILIVA 1a�_ee�t — di, <br />' <br />Place Notary Seal Above filgnat of Notary Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to person relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document Bid Botld <br />Document Date: 1112$12016 Number of mages: Qne (1) <br />Signer(s) Other Than Named Above: Fidelity and Deposit Company of Maryland <br />Capacity(los) Claimed by Signer(s) <br />Signer's Name: Edward J, Carlson <br />❑ Individual <br />X Corporate Officer — Title(s): Vice President <br />❑ Partner [.i ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />Signer's Name: <br />❑ Individual <br />ra Corporate Officer d- Title(s): _ <br />a Partner I_' ❑ Limited ❑ General <br />❑ Attorney in Fact <br />* Trustee <br />ra Other: <br />Signer is Representing: j <br />
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