1997-0925_CALIFORNIA TRAFFIC MAINTENANCE_Preliminary Notice #20131 PRELIMINY 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 materials furnishe
or to be furnished, a mechanic's lien
TO: CONSTRUCTION LENDER(Or Reputed Construction Lender) (if any) leading to the loss, through court
foreclosure proceedings, of all or part of
your property being so improved may be
Name: None placed against the property even though
you have paid your contractor in full. You
Street: may wish to protect yourself against this
consequence by (1) requiring your
City, State,Zip: contractor to furnish a signed release by th
• person or firm giving you this notice befor
TO: X OWNER (Or Reputed Owner) 0 PUBLIC AGENCY making payment to your contractor or (2)
(Onany other method or device that is
Private Work) (On Public Work)
appropriate under the circumstances.
Name: San Juan Capistrano, City of
MAILING INSTRUCTIONS
Street: 32400 Paseo Adelanto
City, State, Zip: San Juan Capistrano, CA 92675 (1) If the person resides in California,the
notice may be served by first class
registered or certified mail,postage prepaid
TO: ORIGINAL CONTRACTOR (Or Reputed Original Contractor) addressed to the person at his or her
residence,or place of business address,o
Name: at the aadress shown Dy the building permi
on file, or at the address shown on a
Street: recorded Construction Trust Deed
City, State,Zip: (2) When service is made by first class
registered or certified mail, service is
General description of the labor, service, equipment, or materials furnished, or to be complete at the time of the deposit of mail.
furnished and an estimate of the total price thereof:
Traffic paint - striping If this notice is given by a subcontractor
who is required under a collective
bargaining agreement to pay fringe
benefits,the names and addresses of the
fringe benefits trusts follow
$ 1,623.75
NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE:
Name: Morton International, Inc.
Street: 1675 Commercial St. NE -
City, State,Zip: Salem, OR 97303 PROOF OF SERVICE AFFIDAVIT
..............................................................................................................................................................................................................
NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE LABOR, The undersigned served copies of this
SERVICE, EQUIPMENT, OR MATERIALS: Preliminary 20-Day Notice by first class
registered or certified mail.postage prepaid
on the persons and at the addresses show
on:
Name: California Traffic Maintenance (PO#97001)
...................... . ..... September 25,1997
DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION: (Date)
I declare under penalty of perjury under th
San Juan Capistrano - Various Locations laws of the State of California that the
foregoing is true and correct.
City PO # 150.84 Dated:
_ September 25, 1997
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STAPLE RETURN RECEIPTS HERE: Sig tures
X CP t1! r J\
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1 - Lender (2) Owner or Public Agency 3 - Original Contractor 4- Subcontractor 5-File