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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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CALIFORNIA ALL -Dot RPOSS A0KNOWLEDGMENT CIVIL CODE § 1189 <br />FAnotarNy public or otherofficer complexing this certificate vanillas 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 />,on May 19, 2017 before me, Lynn A. Slone, Notary Public <br />Date Here insert Name and Title of the Offloer <br />personally appeared <br />Richard L. Wells <br />Namo(s) of Signer(s) <br />who proved to ma on the basis of satisfactory evidence to be the perscn(� whose narnew is/are <br />subscribed to the within instrument and acknowledged to me tl iat heAW4bay executed the name in <br />his/herlthoir authorized capaolty(ias), and that byhIs/heft*rsIgnature(!4on the instrumentthe person(, <br />or the entity upon behalf of which the parson(N acted, executed the instrument, <br />LYNN A. $LONE t <br />Orange County <br />Commission ja MOO <br />;(DM;COMM, Ex ires Deo 10, 2019 <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 sea]. <br />Signature—,Z/ <br />9 &'��igclnattJ6 6fary Public <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this information can dater alteration of the document of <br />Fraudulent reattachment of this form to an unintended document <br />Description all Attach4ad Document <br />Title or Type of Document: — <br />Number of Ii — Signer(s) <br />Document Date: <br />Other Than Named Above: <br />Caleacity(les) Claimed by Signer(s) <br />Signer's Name: <br />Cl Corporate Officer — Title(s): <br />El Partner ... I Limited EI General <br />1-1 Individual El Attorney in Fact <br />.3 Trustee El Guardian or Conservator <br />I'") Other: <br />Signer Is Representing: <br />Signer's Name! <br />E.) Corporate Officer — I itle(s): <br />1'.1 Partner — ("I Limited El General <br />El Individual G Attorney in Fact <br />El Trustee D Guardian or Conservator <br />M Other: <br />Signer Is Representing; <br />020,14 National Notary Association - www.NationalNotai,y.org - 1 -800 -US NOTARY (1-800-876-6827) Item#6907 <br />23B-17 <br />
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