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PAVEMENT COATINGS CO.
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PAVEMENT COATINGS CO.
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Last modified
10/23/2018 9:22:42 AM
Creation date
3/30/2018 12:44:07 PM
Metadata
Fields
Template:
Contracts
Company Name
PAVEMENT COATINGS CO.
Contract #
17-6882
Agency
Public Works
Council Approval Date
6/20/2017
Document Relationships
23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2017\06/20/2017
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 oFN%,C-'`( dk,) <br />On beforeme,i1�3�_. ((i 1J1 r L3Y til t, <br />Dae ` Here Insert Name and Titleha Officer <br />personally appeared <br />of <br />who proved to me on the basis of satisfactory evidence to be the person whose name(t is/ate <br />subscribed to the within instrument and acknowledged to me that he/ste/trey executed the same in <br />his/hdr/thgtr authorized capacltyCA, and that by his/her/trr signaturev on the instrument the persona, <br />or the entity upon behalf of which the person(slacted, executed the instrument. <br />ARYf$TRJNG <br />All ).14)1 - Notary Public-Califarnla z <br />a 'm '� ` Riverside Cod 4 �4 <br />z ' Commission # 2169350 <br />My Comm. Expires Oct 24, 2020 <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 myhand and official seal, <br />Signature <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: � ill l L�+ Document <br />Number of Pages: __L_ Signer(s) Other Th n Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />_1 Corporate Officer _. Title(s): <br />Partner — D Limited 1 General <br />i-11 Individual i 1 Attorney in Fact <br />[J Trustee 0 Guardian or Conservator <br />Other: <br />Signer Is Representing: <br />Date: <br />Signer's Name: <br />Corporate Officer — Title(s): <br />L1 Partner -. 0 Limited 0 General <br />Individual Ll Attorney in Fact <br />i_- Trustee ❑ Guardian or Conservator <br />L' Other: <br />Signer Is Representing: <br />02014 National Notary Association ° www,NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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