1998-0128_ALL AMERICAN ASPHALT_Preliminary Notice S 1 Is 2
!771 FORM 105-C mmAIIIAl
PRELIMINARY 20-DAY NOTICE NOTICE TO PROPERTY OWNER
(This form may be used on both public and private projects) If bills are not paid in full for the
labor, services, equipment, or mate-
TO: CONSTRUCTION LENDER (Or Reputed Construction Lender) (if any) rials furnished or to be furnished, a
mechanic's lien leading to the loss,
Name through court foreclosure proceed- }
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ings, of all or part of your property 0
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Street being so improved may be placed w
against the property even though you J
City, State,Zip _ have paid your contractor in full. You m
may wish to protect yourself against
TO: ❑ OWNER (Or Reputed Owner) PUBLIC AGENCY this consequence by(1)requiring your w
contractor to furnish a signed release a
(On Private Work) (On Public Work) by the person or firm giving you this m
City of San-Juan Capistrano notice before making payment to your >'-
Name
Name 32400 Paseo Adelanto contractor or (2) any other method or o_
Street device that is appropriate under the o
circumstances.
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City, State, Zip San Juan Capistrano, CA c J
MAILING INSTRUCTIONS >
TO: ORIGINAL CONTRACTOR (Or Reputed Original Contractor) (1) If the person resides in Califor-
nia,Name L ^,''« _ t a1 the notice may be served by first o
776 Al i �aerican Wa class registered or certified mail, post- (-
Street y age prepaid, addressed to the person
=na, CA 91718-2229 at his or her residence,or place of busi- z
City, State,Zip ness address, or at the address shown o
by the building permit on file, or at U
the address shown on a recorded Con- Q
General description of the labor, service, equipment, or materials furnished, or to be struction Trust Deed. z
furnished and an estimate of the total price thereof: (2) When service is made by first E
-;ac. class registered or certified mail, serv- O
ice is complete at the time of the de-
posit of mail. 0
z
If this notice is given by a subcontrac- w
for who is required under a collective 0
bargaining agreement to pay fringe
$ �'�_�� benefits, the names and addresses of >--
the
the fringe benefits trusts follow: z
NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE �' `� 'ThadesIt!11SC Q
Name .ivera ircigaLiJn, .Inc. '.O. fix '2, Terminal Amex,
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?7r14tC11Ctia Tr S Tti.ist c,
Street f 0S W. Collins Ave. . cc
City, State,Zip "a"'!,_7.: �"' 92867 . W. 6th. St., L.A., CA 4,./02t") m
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NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE LABOR, o
SERVICE, EQUIPMENT, OR MATERIALS >'-
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Name all 4t 'ic_al Aspt-ra1.t oC)
PROOF OF SERVICE AFFIDAVIT
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DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION The undersigned served copies of a.
this Preliminary 20-Day Notice by first
LA y ori: Scut quart ;:apiscan.:a class registered or certified mail, post- m
age prepaid, on the persons and at the a
Preventative Street Maint., Various Locations addresses shown on: wz
J
1/2P/98
(Date) n-
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STAPLE RETURN RECEIPTS HERE I declare under penalty of perjury w
under the laws of the State of California 1—
that the foregoing is true and correct.
Dated: . !?8/ /j j`7
d' 141g c_el Signature. r- �jG�•
FORM 105-C— 1996—A BNI BUILDING NEWS FORM PREPARED BY JAMES ACRET 00