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PAVEMENT COATINGS CO. (2)
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PAVEMENT COATINGS CO. (2)
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Last modified
10/23/2018 9:22:51 AM
Creation date
5/23/2018 9:27:14 AM
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 of Orange <br />On 15;�W before me, <br />Date <br />personally appeared <br />A`Slone, Notary Public <br />Here Insert Name and Title ofthe Officer <br />Richard LWells <br />of <br />who proved to me on the basis of satisfactory evidence to be the (%vvhuto nunn*w is/are <br />subscribed tothe within instrument and acknowledgedio me thatexecuted the same in <br />hioMeofteirauthorized oapuohy0s), and that byho/iuignaLure(%onthe inatrunnontthnpernon(N, <br />or the entity upon behalf of which the person(4 acted, executed the instrument. <br />I certify under PENALTY OFPERJURY under the laws <br />cVthe State cfCalifornia that the foregoing paragraph <br />intrue and correct. <br />LYNN A. SLONE WITNESS my hand and fficlal seal. <br />Notary Public - California <br />i Orange County <br />My Comm, Expires Dee 16, 2019 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 ofthis form tomnunintended document. <br />Description ofAttached Document <br />Title orType ofDocument: Document Date: <br />Number ofPages: ___-__-Gigoor(m)Other Than Named Above: _________ <br />Claimed by Signer(s) <br />Signer's Name: <br />[] Corporate Officer --Th|m(4: <br />I.'Portnrr-- []UnoiLad [lGeneral <br />E, Individual [] Attorney inFact <br />F' Trustee [] Guardian orConservator <br />Signer |mRepresenting: <br />Signer's Name: <br />[] Corporate Officer ^~Thiek): <br />[]Partner --[]Lin"ited El General <br />[]Individual [] Attorney inFact <br />[]T,umi*e [] Guardian orConservator <br />[] <br />Other: <br />Signer |uRepresenting: <br />02&14National Notary Association ^wwm.Nadvna|Nn\n0/urg^1^800^U8NOTARY (1'80O'870^8827) kom#5907 <br />
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