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Panorama General Engineering, Inc. - Eller Way & TradewindsFile:5892 [CA][PUBLIC][OWNER] Recording Requested by and Return to: ROD Equipment Co. 10108 Riverford Road LAKESIDE, CA 92040 Customer: Panorama General Engineering, Inc P.O. #: Project: Job #12102 Rec ID: 21C69ICl-3833-4965-A922-221017719080 Job #: Cert No.: 9171999991703219098348 CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS (THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE SS 8034(9), 8102, 8106-8118, 8200 et seg., 8612, 9300 et Seg.) >> TO THE OWNER OR REPUTED OWNER City of Menifee Public Works Department 29714 Hann road MENIFEE. CA 92584 >> TO DIRECT OR REPUTED CONTRACTOR Panorama General Engineering, Inc 9007 Arrow Route Suite 140 RANCHO CUCAMONGA, CA 91730 >> TO LENDER, SURETY OR BONDING CO. OR >> REPUTED LENDER, SURETY, BONDING CO. Owner financed. 1. The following is a general description of the labor,service,equipment or materials furnished or to be furnished by the undersigned: Heavy Equipment Rental 2. The estimated amount of the work provided or to be provided is $2,000.00 3. The name of the person who furnished that labor, service, equipment or materials is: AGO Equipment Co. 10108 Riverford Road LAKESIDE, CA 92040 Relationship to Parties: Equipment Supplier 4. The name of the person who contracted for purchase of that labor, service, equipment or material is: Panorama General Engineering, Inc 9007 Arrow Route Suite 140 RANCHO CUCAMONGA, CA 91730 5. The description of the jobsite is: Job #12102 Menifee Eller Way & Tradewinds Dr. MENIFEE, CA 92584 USA County of RIVERSIDE REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY TO CONTRACTING BODY: City of Menifee Public Works Department or State Comptroller The undersigned claimant hereby declares that he has supplied or will supply labor or materials as described above, that payment has not yet been made therefor; and that he hereby requests that the contracting body furnish a certified copy of the Payment Bond, if any, to the claimant, at the address listed above, and the current address of the contracting public entity. I declare th I am authorized to file this claim on behalf of the claimant. I have read the foregoing d come an.J know t4 contents thereof; the same is true of my own knowledge. I declare under pena ty of perj ry h h foregoing is true and correct. Executed at LAKESIDE, California on 10/09/ 012 fo A®O E I E T .�( A ,/ Jennifer Tohnr6 'Pre Idmi `Lien Sp c'alist Phone: (619) 873-1411 Fax: (619) 443-302.9 /!n PROOF OF SERVICE BY MAIL AFFIDAVIT I declare that ved the Pre iminary Notice, and any related documents, by certified or registered m 1, ostage paid, r other certified delivery, addressed to the above named parties, at the a dresses. listed a ov , on 10/09/2012. I declare under penalty of perjury that the foregoing 's tru a d corr c . x at LAKE , California on 10/09/2012. Prepared y: _ Jennifer oh e, reli ry en S i s