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PALP INC. DBA EXCEL PAVING COMPANY (3)
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PALP INC. DBA EXCEL PAVING COMPANY (3)
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Last modified
7/2/2025 3:05:01 PM
Creation date
1/22/2015 8:52:41 AM
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Contracts
Company Name
PALP INC. DBA EXCEL PAVING COMPANY
Contract #
13-6797
Agency
Public Works
Council Approval Date
10/21/2014
Expiration Date
4/9/2015
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CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />Countyof Los Angeles <br />On /I—Z— 14 _ before me, C. Phillips, Notary Public <br />(Here heart name and nae of the 0 lea) <br />personally appeared <br />who proved to me on the basis of satisfactory evidence to be the person(cv(1 whose name($) is/Aw subscribed to <br />the within instrument and acknowledged to me that helakaAhoWexecuted the same in hist authorized <br />capacity✓ gO, and that by his t>a>g signature(s) on the instrument the person(fi), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Tide or description of Attached document continued) <br />Number of Pages _ Document Date <br />(Additional information) <br />CAPACITY CLAIMED EYTHE SIGNER <br />❑ <br />Individual (s) <br />❑ <br />C. PHILLIPS <br />WITNESS my hand and official seal. <br />Y, <br />❑ <br />c COMM. #1996177 N <br />❑ <br />an <br />❑ <br />a Notary Public -California tt <br />❑ <br />Other <br />LOS ANGELES COUNTY a <br />Notary Seal) <br />•" <br />My Comm. Expires Oct. 29, 2016 <br />igoemreo Notuy Public <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Tide or description of Attached document continued) <br />Number of Pages _ Document Date <br />(Additional information) <br />CAPACITY CLAIMED EYTHE SIGNER <br />❑ <br />Individual (s) <br />❑ <br />Corporate Officer <br />(rite) <br />❑ <br />Partner(s) <br />❑ <br />Attomey-in-Fact <br />❑ <br />Trustee(s) <br />❑ <br />Other <br />_ , .,_ 2008.yer@ion CAPA v12.10,0.7 800-R73 9RGi _www NotaryClassas cam. <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Airy acknowledgment completed in California most comeen verbiage exactly as <br />appears above in lie nolary section or a separate acknowledgment form must be <br />properly. completed and attached to that dacumenq. rhe only rxception is or a <br />domrment is to be recorded outside of Call%rnia In sack imfarees, airy aformarive <br />acknowledgment verbiage as may be printed on such a dacameeu so long as the <br />verbiage does not requirt rhe rotary to do something da it illegal far a notary in <br />California 0.e. cerlWrig the authorized cegwctry of rhe signal. Please check the <br />dacwmew eorefallyfor proper nmarial wording and attach thUform ifnequited <br />• State and County information must be the State and County where the document <br />signet($) personally appeared before the notary public far acknowledgment. <br />• Date of notarization must be the date that the signer(s) personally appeared which <br />most also be Me same date the acknowledgment b completed. <br />• The notory public mostprinthis or her name as it dppew witdn his or her <br />commission followed by a comma and then your lite (notary public). <br />• Print the names) of document signer(i) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (Lo, <br />harsher b tare ) or circling the correct fomrs. Failure to correctly indicate this <br />information may lead to rejection of document recording., <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, rascal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />F Additional information is not required but could help to ensure tds <br />acknowledgment is not misused or attached to a diflfercat document. <br />4 Indicate tide or type of attached docmnent, number of pages and date. <br />v Indicate the capacity claimed by the signer, If the claimed capacity is a <br />corporate officer, indicate the Noe (i, e. CEO, CFO, Secretary). <br />• Securely atcom mus doeumentto the signed document <br />
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