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PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
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PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
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Last modified
11/14/2024 3:11:32 PM
Creation date
8/18/2010 9:14:23 AM
Metadata
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Template:
Contracts
Company Name
Peterson-Chase General Engineering Construction, Inc.
Contract #
07-2503
Agency
Public Works
Council Approval Date
8/16/2010
Expiration Date
11/30/2012
Notes
Project
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CALIFORNIA JURAT WITH AFFIANT STATEMENT <br />?F:,us??F.aoF.:.c??-.??.»..?=(i?.,"?"ao9}Crfi.?'??w+.r?cr ??:.o ?'Q?=c'Y?•?`S'"??_? ??.C?"?15?5?&z?' __. -, <br />'J?See Attached Document (Notary to cross out lines ?-6 below) <br />O See Statement Below (Lines ?-5 to be completed only by document signer[s], not Notary) <br />Signature of Document Signer No. 1 <br />State of California <br />County of ?14??i ? <br />MONICA V. SAFARIK <br />Commission s t 869715 <br />:4 Notary Publlc - Ca1MOrMa z <br />Z Orsnye CouMp > <br />M Comm. Expires Nov 20, 2013 , <br />Signature oT Document Signer No. 2 (i} any) <br />Subscribed and sworn to (or affirmed) before me on this <br />??? day of ?'!?Y 20 /O by <br />Date Month Year <br />Name of Sig <br />proved to me on the basis of satisfactory evidence <br />be the person who appeared before me (.) (,) <br />f at?d <br />(2) , <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />be the person who appeared efo a me.) <br />Signature ? ?7 <br />Signatur t Nolary Public <br />Place Nolary Seal Above <br />OPT/ONAL <br />Though the information below is not required by law, it may prove _ _ _ <br />valuable to persons relying on fhe document and cou/d prevent ? ? `_ <br />fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here <br />Further Description of Any Attached Document <br />Title or Type of Document: <br />Document Date: Number of Pages: <br />Signer(s) Other Than Named Above: <br />® 2007 National Notary Association • 9350 De Solo Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.NationalNO[ary.org Item #591 O Reortler: Call Toll-Free 1-BOO-876-6827
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