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1991 AGN NOV 05 I17
Colton
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1991 November 05 Agenda Packet
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1991 AGN NOV 05 I17
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RECORDING REQUESTED By <br />AND un4m maCORDaD MAIL TO <br />ta.r.s r CITY OF COLTON <br />Aa..... Attn: City Clerk <br />C,- is 650 N. La Cadena Dr. <br />"a"LCol ton, CA 92324 J l <br />SPACE ANOVE THIS UNE POR RECORDER'S USE <br />Notice of Completion <br />Corporation <br />Before using this form, refer to recommended procedure slated on reverse side of this form <br />NOTICE IS HEREBY GIVEN THAT: , <br />1. The undersigned is owner of the interest or estate muted below in the properly hereinafter described. <br />2. The full name of the undersigned i......:�.ohn C. Hutton, Director of Public Worksx City. of Colt r <br />3. The full address of the undersigned is.... 650_.N.__ La_.Cade...... _.,..Cplton, CA.._..92324-2897.............. <br />4. The nature of the title of the undersigned is: In fee ......... ........ -....................... ._.......... .............. .... <br />........................_.. <br />tlf other than fee, strike "In fee" and insert, for example, "purchaser under contract of piarrhase," or "Irxaee".1 <br />5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or <br />as tenants in common are: <br />NA\fF_S ADDRFSSF_� <br />....... _. _.........._...... .......... ...................................................... ..... ............. ..................... _. ..... ..... .._..........---.............................. <br />_.............................I..................... ...................................................... ................................ . _............... _..... _.................. <br />...................... _.................................................................. .................... .................................. ....... ......_..... _..............._.......... <br />..._.................................---........._._._....._..............I.............................. _...................._.......................................... _.... ............ <br />........................................................ .............. ............................ -...................................... ......................... _.. _. .... _............. <br />..._.............._..........._............--`..........................................._.......................... <br />.........._...................................._....................-.. <br />6. A work of improvement on the property hereinafter described was completed on......IJoverrber 5 1991 _..... <br />7. The name of the original contractor, if any, for such work of improvement was.. E W Harmon Contracting, <br />Inc...2..Mira Loma...CA............. ..................... ............ ........... ... . <br />(If no rontrartor for work of improvement as a whole, in-ert 'boar".1 <br />8. The full name(s) and addressiesl of the transferor(s) of the undersigned is Carel: <br />NA)IEi S) ADDRF.SSt FS) <br />.................... ........ ................... ............. ............. _..... ... ....... ................. ........... ........................................................................ <br />. <br />........__......._................. ... ---__.....I .... I.... ..... .._....._.......................... ....... ......_................. ........ ........._...._........ _.............. <br />.. <br />.__.._...._.._.._.._._..___-._._.......... ...... ......._........_._..._................... ...... ..... .................. .............. .._.._.._..... -.................... <br />.. <br />_......_......_._._.................._............._.......__.-......... ....._................. _............... ................ ............ .......... ......... ................... <br />._....__..._.-......_.....__......._.__..._..........._...._.-........._..__.................. ....__.............__........_._.._.........._.................... <br />......_. <br />.........__......._.._....____............_.........._._.............__............. .......... _............ ..... ._......... .... -.............._.................... <br />...._... <br />(Complete where undrrsignetl is cucresmr m nworr, who ra—d improvement to Iw constructed) <br />9. The prolrrty on which -aid work of improvement was completed is in the rily of. Colton______ ... __...._.... ... ........ <br />.................. rounty of ... San Bernardino state of California. and is de-rribed as follows: <br />Pennsyl_vania..Ave_....between "C" St.._and._.Laurel__Ave,.;_.Pennsyl.v.,�.oi.d..Axe.....nor.Sh......... <br />...... .. . <br />of Mill St. i Fur. St. and Fairway Dr water line. replacements ........ Ut.y._... ___........... <br />Pro j ec.t. #PW91 -1 . _............ _......_............- <br />__.._.......... . ........ _..._ ..... _... __._ ...... ._......_.._.... <br />............................................................................................................................................................................................... <br />1() The trert 'address of said property is _ None _ ._....._.............._.....__.........._..................__... __._......___ .......... _ <br />................................................................................................................................................................................................... <br />..................................................-...........-.................................... ............................. ........................................................ <br />(If no .t,eet add,e,, has liern oR,iall..east m,d, insert "nemr".i <br />Signature of _C1 ... ...CT ...... .......................... <br />owner named // <br />Daced....october 30,_.1991 in paragraph 2 .... l <br />........ C. HUTTON, IRECTOR OF PUBLIC WORKS <br />Verification for corporate owners <br />STATE. OF CALIFORNIA. ) <br />S5. <br />County of _...... hang duly y <br />..._ ... sworn. <br />says: That he is the_..._...._ ...... .... <br />the corporation that executed the foregoing notice an owner of the <br />afore -aid intere-t nr estate in the property therein d— rihed; that <br />he makes this cerihcation on behalf of said corporation: that he <br />has rend sail nntire and knows the contents thereof, and that the <br />farts therrin stated are true. <br />Signatureof ci icer.___._....._...._......._..........__........_... _..___. _......._..... <br />SUBSCRIBED AND SWORN TO before me on _............__............ <br />Title Order No. Escrow <br />FOR NOTARY SEAL OR STAMP <br />
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