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RECORDING REQUESTED BY: • I <br /> i . City Clerk <br /> WHEN RECORDED MAIL TO: <br /> City Clerk 1 <br /> Name City of Rancho Palos V:•rdes <br /> 30940 Hawthorne Blvd /iIiIiII1i/1iiIi!iiI//// <br /> 07/21/2010 <br /> reet <br /> Address <br /> City r ft <br /> State Rancho Palos Verdes 7 r'` 1 <br /> 90275 <br /> Space above this line for recorders use <br /> WOLCOTTS FORMS INC. SINCE 1893 <br /> NOTICE OF COMPLETION <br /> Notice pursuant to Civil Code Section 3093,must be filed within 10 days after completion.(See reverse side for complete requirements.) <br /> Notice is hereby given that: <br /> 1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described. <br /> 2. The full name of the owner is City of Rancho Palos Verdes • <br /> 3. The full address of the owner is I • I . . . • • • - . • . _ a s • •- • - • - - • S <br /> 4. The nature of the interest or estate of the owner is:In fee. <br /> (If other than Fee,strike in fee and insert,for example,'purchaser under contract of purchase;or'Lessee") <br /> 5. The full names and full addresses of all persons,if any,who hold title with the undersigned as joint tenants or as tenants in common are: <br /> NAMES ADDRESSES <br /> 6. The full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred subsequent to the <br /> commencement of the work or improvements herein referred to: <br /> NAMES ADDRESSES <br /> 7. A work of improvement on the property hereinafter described was completed on June 15, 2010 .The work done was: <br /> Arterial Street Resurfacing Project 07-08, 08-09 Fed Pro's; 5413-010 <br /> 8. The names of the contractor,if any,for such work of improvement was <br /> All American Asphalt Inc <br /> (If no contractor for work o in prodement as a viole,insert'None) (Date of Contract) <br /> 9. The property on which said work of improvement was completed is in the City of Rancho Palos Verdes <br /> County of Angeles ,State of CA ,and is described as follows: Various Location (see attach) <br /> 10. The street address of said property is various Locations (see attached) <br /> (If no street address has been officially assigned,insert"none.) <br /> Dated 7/20/2010CAAA-6.1ft. L <br /> (Signature of Owner or corporate officer of Owner named in paragraph 2.or his agent) <br /> VERIFICATION <br /> I,the undersigned,say:I am the Cit y C 1 e rk ,the Declarant of the foregoing Notice of Completion; <br /> (President of,Manager of,Partner of,Owner of,etc.) <br /> I have read said Notice of Completion and know the contents thereof;the same is true to my own knowledge.I declare under penalty of <br /> perjury that the foregoing is true and correct. <br /> Executed on o 2 ,201 0 . City .f Rancho Palos Verdes CA . <br /> %..� 1/ <br /> (Personal signature of the individual who is swearing that the contents of the Notice of Completion are true) <br /> Before you use this form fill in all blanks,and make whatever changes are appropriate and necessary �'I I'i1111111111 <br /> to your particular transaction.Consult a lawyer if you doubt the forms fitness for your purpose and use. rli <br /> Wolcotts makes no representation or warranty,express or implied,with respect to the merchantability 7 '167775 01114 z <br /> or fitness of this form for an intended use or purpose. 02005 WOLCOTTS FORMS,INC. <br /> FORM 1114 Rev.10-05 <br />