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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 ACKNOWLEDGMENT CIVIL C1 a <br />7notary public or other officer completing this ce tificate verifies anly the Iden: ty of the individual who signed the <br />to which this certificate Is attached, and not the truthfulness, acouracy, or validity of that document. <br />State of C lifornia <br />County of st7�� <br />On t r'v ''r d,a1)_1 before me, <br />4. <br />personally appeared <br />Here Insert Name and Title of t* Officer <br />Name) of Signero <br />who proved to me on the basis of satisfactory evidence to be the personA) whose namep) is/aA <br />subscribed to the within instrument and acknowledged to me that he/slbitthey executed the same in <br />his/*/thtir authorized capacity(ie�j; and that by his/hir/coir signature(�on the instrument the persorg, <br />or the entity upon behalf of which the person(9acted, executed the instrument. <br />SUNSHINE A8MI;TgGNG <br />Notary PublIC - California <br />Riverside County <br />Commission # 2169350 <br />M Comm. Ex fres 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 my hand and official seal. <br />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 an unintended document. <br />Description of Attached Document <br />Title or Type of Document: R aLo_o) tJS ) 0j Document Date: <br />Number of Pages: Signer(s) Other Than Named Above: <br />Capacity(les) Maimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Off leer — Title(s): <br />F1 Partner — ❑ Limited General <br />Cl Individual [_,'Attorney In Fact <br />C' Trustee Guardian or Conservator <br />C_i Other: <br />Signer Is Representing: <br />Signer's Name: <br />* Corporate Officer — Title(s): <br />-.I Partner — Ll Limited Ej General <br />Individual C? Attorney in Fact <br />Trustee C: Guardian or Conservator <br />Ds Other: <br />Signer Is Representing: <br />02014 National Notary Association ° www.NationalNotary.org ° 1 -800 -US NOTARY (1-860-876-6827) Item #5907 <br />
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