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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 ::::::::.:::: STAPLE RETURN RECEIPTS HERE: Sig tures X CP t1! r J\ a___)w vi 1 - Lender (2) Owner or Public Agency 3 - Original Contractor 4- Subcontractor 5-File