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HomeMy WebLinkAboutBill of SaleRetttrnAddress:CityClerk’sOfficeCityofRenton1055SouthGradyWayRenton,WA98057BILLOFSALEProjName:PropertyTaxParcelNumber:Projectfile#:StreetIntersection:Address:ReferenceNumber(s)ofDocumentsassignedorreleased:AdditionalreferencenumbersareonpageGrantor(s):Grantee(s):1.1.CityofRenton,aMunicipalCorporation2.TheGrantor,asnamedabove,for,andinconsiderationofmutualbenefits,herebygrants,bargains,sellsanddeliverstotheGrantee,asnamedabove,thefollowingdescribedpersonalproperty:WATERSYSTEM:LengthSize_ _______ _ _ _L.F.of“WaterMain_ _ _ _ _ _ _ _ _ _ _L.F.of“WaterMain_ _ __ __ __ _ _L.F.of“WaterMain_ _ _ _ _ _ _ _ _ _ _eachof“GateValves_ _ _ _ _ _ _ _ _ _ _eachof“GateValves_ _ __ _ _ _ __ _eachofFireHydrantAssembliesSANITARYSEWERSYSTEM:LengthSize__ __ _ _ _ _ _ _L.F.of___ __ __ __ __ _“ __ __ _ _ _ _ _ __SewerMain_ _ _ _ _ _ ___L.F.of______ _ _ _ __“ _ _ _ _ ___ _ _ _SewerMain_ _ _ _ _ _ _ _L.F.of____ __ _ __ _ “ _ _ __ __ __ _SewerMain_ _ _ _ _ _ _ _ _ _ _eachof“DiameterManholes__ __ _ _ _ _ _ _eachof“DiameterManholes_ _ _ _ _ _ _ _ _ _ _eachof“LiftStationsSTORMDRAINAGESYSTEM:LengthzeIyp__ __ _ _ _ _ _ _L.F.of“StormMain__ __ _ _ _ _ _ _L.f.of“_ _ __ __ __ _ _ _StormMain__ _ _ _ __ _ _ _eachof___ __ __ __ __ _“ _ _ __ __ __ _ _ _StormFacility__ _ _ _ __ _ _ _eachof“StormInlet/Outlet__ _ _ _ __ _ _ _eachof“StormCatchBasin__ _ _ _ __ _ _ _eachof“ManholeSTREETIMPROVMENTS:(IncludingCurb,Gutter,Sidewalk.AsphaltPavement)Curb,Gutter,Sidewalk__ __ __ _ _ _ __ __ _L.F.AsphaltPavement:__ __ _ __ _ __ _ _ __ _ __ _SYor_ _ ___ _ _ ___ _ _L.F.ofWidthSTREETLIGHTING:ttofPoles___ _ _ _ __ _ _ _ __ _Bythisconveyance,GrantorwillwarrantanddefendthesaleherebymadeuntotheGranteeagainstallandeverypersonorpersons,whomsoever,lawfullyclaimingortoclaimthesame.Thisconveyanceshallbindtheheirs,executors,administratorsandassignsforever.K:\CED\Data\Forms-Templates\Self-KelpHandouts\PublicWorks\BILLSALE2.DOC INWITNESSWHEREOF,saidGrantorhascausedthisinstrumenttobeexecutedthis—dayof____ _ _ ,20_..INDIVIDUALFORMOfACKNOWLEDGMENTNotarySealmustbewithinboxSTATEOFWASHINGTON)ssCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat__________________________signedthisinstrumentandacknowledgedittobehis/her/theirfreeandvoluntaryacttrtheusesandpurposesmentionedintheinstrumentNotaryPublicinandfortheStateofWashingtonNotary(Print)_______________________________________Myappointmentexpires:Dated:REPRESENTATIVEFORMOFACKNOWLEDGMENTNotarySealmustbewithinboxSTATEOFWASHINGTON)ssCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat_________________________signedthisinstrument,onoathstatedthathe/she/theywas/wereauthorizedtoexecutetheinstrumentanda c k no w l e dg e d i t as t he _ __ __ _ __ _ __ _ __ _ __ _ __ _ __ __ _and__ _ _ _ _ _ _ _ _ _ _ ______of_ _ _ _ ____ _ _ _ _ _ _ ____ _ _ _ _ _ _tobethefreeandvoluntaryactofsuchparty/partiesfortheusesandpurposesmentionedintheinstrument.NotaryPublicinandfortheStateofWashingtonNotary(Print)_________________________________________Myappointmentexpires:Dated:CORPORATEFORMOFACKNOWLEDGMENTNotarySealmustbewithinboxSTATEOFWASHINGTON)sCOUNTYOFKINGOnthis___ __ __dayof__ _ ___ _ _ ___ _ _ _ ,20,beforemepersonallyappeared_______________________________________________________tomeknowntobe___________________________________________________ofthecorporationthatexecutedthewithininstrument,andacknowledgethesaidinstrumenttobethefreeandvoluntaryactanddeedofsaidcorporation,fortheusesandpurposesthereinmentioned,andeachonoathstatedthathe/shewasauthorizedtoexecutesaidinstrumentandthatthesealaffixedisthecorporatesealofsaidcorporation.NotaryPublicinandfortheStateofWashingtonNotary(Print)_________________________________________Myappointmentexpires:Dated:H:\CED\Data\Forms-Templates\Self-HelpHandouts\PublicWorks\BELLSALE2.DOC