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1997-0915_PETAR ARTUKOVICH CONSTRUCTION_Preliminary Notice #20125 PRELIMI IRY 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 furnished or to be fumished,a mechanic's TO: CONSTRUCTION LENDER (Or Reputed Construction Lender) (if any) lien 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 the person or firm giving you this notice TO: X OWNER (Or Reputed Owner) ❑ PUBLIC AGENCY before making payment to your contractor (On Private Work) (On Public Work) or (2)any other method or device that is 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 TO: ORIGINAL CONTRACTOR (Or Reputed Original Contractor) prepaid,addressed to the person at his or her residence, or place of business address, or at the address shown by the Name: Petar Artukovich Construction Co.. Inc building permit on file, or at tho address shown on a recorded Construction Trust Street: 8243 Serenta Drive Deed. City, State, Zip: Whittier, CA 90603 (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 thermo spray - 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 ,732.02 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 ana at the Name: So Cal Striping, Inc. (Job#115) addresses shown on: September 15, 1997 DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION: (Date) I declare under penalty of perjury under Camino Capistrano the laws of the State of California that the foregoing is true and correct. Job: Marbella Gravity Sewer Dated: September 15, 1997 ,,� STAPLE RETURN RECEIPTS HERE: M� __ .. � �� ��� Sign ure: 4 i 1 - Lender C.22- Owner or Public Agency 3 - Original Contractor 4 - Subcontractor 5 - File