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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 <br />// 7 before me, <br />Date <br />personally appeared <br />A. Slone, Notary Public <br />Here Insert Name and Title of the Officer <br />Richard L. Wells <br />Name(s) of Signers) <br />who proved to me on the basis of satisfactory evidence to be the person(o) whose name( Ware <br />subscribed to the within instrument and acknowledged to me that he/ski 44ey executed the same in <br />hisMtrAheh, authorized capacity(i%), and that by his/heiftoir signature(% on the instrument the person(, <br />or the entity upon behalf of which the person(acted, executed the instrument. <br />Notary Public <br />S.Itt)NE <br />G7:!1t�41gN yp ubllc California; <br />6range County. <br />Commission # 2134740 <br />y Comm, Expires Do"c16.,1,011 <br />Place Notary Seal Above <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 an official seal. <br />Signature_Signature of <br />Notary Public <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: <br />Number of Pages: — <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />L� Corporate Officer — Title(s): <br />E.Partner — i_' Limited _Jj General <br />1-: Individual Cl Attorney in Fact <br />Trustee F.' Guardian or Conservator <br />L..' Other: <br />Signer Is Representing: <br />Signer's Name: <br />1- Corporate Officer Title(s): <br />L J Partner — L., Limited .-'General <br />1] Individual 0 Attorney in Fact <br />L: Trustee r7 Guardian or Conservator <br />I : 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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