1997-0202_CALIFORNIA TRAFFIC MAINTENANCE_Preliminary Notice #20168 PRELFAINORY 20-DAY NOTICE NOTICE TO PROPERTY OWNER
(This form m� be used on both public and private projects) If bills are not paid in full for the labor,
services,equipment,or materials furnished
or to be furnished, a mechanic's lien
TO: CONSTRUCTION LENDER (Or teputed 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
City, State, Zip: consequence by (1) requiring your
contractor to furnish a signed release by the
person or firm giving you this notice before
TO: ® OWNER (Or Reputed Own, -) 0 PUBLIC AGENCY making payment to your contractor or (2)
any other method or device that is
(On Private Work) (On Public Work)
appropriate under the circumstances.
Name: City of San Juan Capistrano MAILING INSTRUCTIONS
Street: 32400 Paseo Adelanto
(1) If the person resides in California,the
City, State, Zip: San Juan Capistrano, CA 92675 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,or
Name: at the address shown by the building permit
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
complete at the time of the deposit of mail.
General description of the labor, service, equipment, or materials furnished, or to be
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 fellow:
$ 3,247.50
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 shown
on:
Name: California Traffic Maintenance (PO#97001)
December 2, 1997
DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION: (Date)
I declare under penalty of perjury under the
laws of the State of California that the
San Juan Capistrano - various locations foregoing is true and correct.
PO #15084 Dated:
CT)
December 2, 1997
STAPLE TU REL IPTS HERE: Sign re:
Za
cu
CI
1 - Lender Owner or Public Agency 3- Original Contractor 4 - Subcontractor 5- File