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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 § I 18S <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 Orange <br />On May 19, 2017 before me, <br />os <br />personally appeared <br />n A. Slone, Notary Public <br />1 --fere Insert Name and Title of the Officer <br />Richard L. Wells <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the perscn(Q whose name(o is/are <br />subscribed to the within instrument and acknowledged to me that h".W41" executed the same in <br />h"erlth& authorized capaclty(las), and that by his/hetYthoir signature(* on the instrument the person(4), <br />or the entity upon behalf of which the person(N acted, executed the instrument, <br />LYNNA, $LONE <br />- - - - - - - Notary- Public- -Calif o-rn-la- - <br />Orange County <br />Commission # 244740 <br />M; Comm, Ex ires Dec 16,2019 t <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 myyhandd an official seal, <br />4Z <br />Signature- <br />/ <br />Signature of Notary 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 can unintended document. <br />Title or Type of Document: <br />Number of Pages: _ <br />Document Date: <br />Signeri Other Then Named Above: <br />Capacli Maimed by Signer(s) <br />Signer's Name: <br />I I Corporate Officer Title(s): <br />11 Partner — E-) Limited E] General <br />I I Individual [) Attorney in Fact <br />Ej Trustee (D Guardian or Conservator <br />1.1 Other: <br />Signer Is Representing: <br />Signer's Name! <br />Corporate Officer Title(s): <br />Partner — (I Limited El General <br />E] Individual 1-1 Attorney in Fact <br />0 Trustee D Guardian or Conservator <br />I.] Other: <br />Signer Is Representing; <br />02014 National Notary Association - www.NatiorialNotary.org - 1 -800 -US NOTARY (1-800.876-6827) Item 9{5907 <br />
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