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23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
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23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
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Last modified
6/19/2017 8:43:54 AM
Creation date
6/15/2017 4:26:23 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
6/20/2017
Destruction Year
2022
Document Relationships
PAVEMENT COATINGS CO.
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Path:
\Contracts / Agreements\ PROJECTS
PAVEMENT COATINGS CO. (2)
(Message)
Path:
\Contracts / Agreements\ PROJECTS
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a• „r a :.i iF <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 T)l\1R Irm ou, ) <br />On a (r before me, Sh Lne, A -f iY) ' r n . Nc?+A ro , <br />!Jae , Here Insert Name and Title qtkhe Officer <br />personally appeared <br />Name(of <br />who proved to me on the basis of satisfactory evidence to be the person whose name() Is/ate <br />subscribed to the within instrument and acknowledged to me that he/stieft� executed the same in <br />his/hdritheJr authorized capacity(ig�, and that by his/hor/tht(eir signature(O on the instrument the person, <br />or the entity upon behalf of which the person((acted, executed the instrument. <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 />nWITNESS <br />n +sraoNa <br />Notary public- California <br />z ;:w e' �. e. <br />Rrvafside Coeety <br />Commission # 2169350Signature <br />M Comm. Expires Oct 24, 2020+ <br />and official seal. <br />Public <br />Place Notary Seal Above <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: i7 'i&Q -1Document Date: <br />Number of Pages: _ Signer(s) Other Th n Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: _ <br />0 Corporate Officer — Title(s): <br />Partner— Limited � General <br />I Individual I:J Attorney in Fact <br />Ci Trustee C Guardian or Conservator <br />Ct Other: <br />Signer Is Representing: <br />Signer's Name: <br />Corporate Officer -- Title(s): <br />i -t Partner -• C7 Limited P General <br />L:i Individual 0 Attorney in Fact <br />C Trustee Cl Guardian or Conservator <br />C'. Other: <br />Signer Is Representing: <br />02014 National Notary Association - www.Nationa[Notary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />23B-14 <br />
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