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Home My WebLink AboutBOS 20180228000503 iiiii 18111 iiuc rInt!ii i Il 11111,lIltlellI ! 20180228000503 BILL OF SALE Rec.877.00 2/28/2018 11:03 AM ReturnAddress: KING COUNTY,WA City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98057 BILL OF SALE Please make no mark in the margin space-Reserved for County Auditor's Use Only TYPE OF DOCUMENT: Bill of Sale GRANTOR(S): Summit Petroleum Group GRANTEE; City of Renton,a Municipal Corporation LOT 4 EXC NW 160A2 FT THEREOF AND UNDIVIDED INTEREST IN TRACT"A"KING CO SHORT PLAT NO L99S3019 RECORDING NO 20010831900002 BEING A PORTION OF NE QTR SW QTR STR 23-23- ABBREVIATED LEGAL 05(AKA LOT"B"CITY OF RENTON LOT LINE ADJUSTMENT NO DESCRIPTION: LUA-12-000193-LLA RECORDING NO 20130611900014) ASSESSOR TAX PARCEL I.D.NUMBERS: 232305-9211 NAME OF PROJECT: Cedar River Station-Fueling Station ADDRESS OF PROJECT: 15355 Maple Valley Hwy PROJECT FILE NUMBERS: LUAN/A,UU15005162,PLR-3884 LEGAL DESCRIPTION: See Attached Exhibit A of this Document PERSONAL PROPERTY DESCRIPTION: See Attached Exhibit B of this Document Reference Number(s)of Documents assigned or released: Additional reference#'s on page of document The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to the Grantee,as named above,the following described personal property as described in Exhibit B of this document. By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons,whomsoever,lawfully claiming or to claim the same.This conveyance shall bind the heirs,executors,administrators and assigns forever. IN WITNESS WHEREOF,said Grantor(s)has caused this instrument to be executed this a&4' day of OC-401)t'X' 20 1"R" . By4.-041144.1."51.1By Its oimbee Its BILL OF SALE Page 2 Project File Number.LUAN/A,UU15005162,PLR-3984 INDIVIDUAL FORM OF ACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING I certify that I know or have satisfactory evidence that signed this instrument and acknowledged it to be his/her/their free and volnmtary act for the uses and purposes mentioned in this instrument Notary Public in and for the State of Washington Notary(Print): My appointment expires: Dated: REPRESENTATIYE FORM OF ACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING I certify that I know or have satisfactory evidence that signed this instrument,on oath stated that he/she/they was/were authorized to execute the instrument and acknowledge it as the and of to be free and voluntary act of such party/parties for the uses and purposes mentioned in the instrument. Notary Public in and for the State of Washington Notary(Print): My appointment expires: —"- Dated: CORPORATE FORM OFACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF �N\gA ,J1t�t,I// On aayof Odehe-t. .20 17 ,before me personally appeared 0��%SON`%%% 'W //// '-'s_/'vtala-f * iu..L to me known %C `44 S A 44:44,o to/oto be -ire- t& of the corporation that C 20 qy ��,, executed the within instrument,and acknowledge die said instrument to be the free C.) • " i m Z *id voluntary act and deed of said corporation.for the uses and purposes ther . N'y 4013‘..% 5 0 :ttentioned,and each on oath stated that he/she was authorized to execute said j -9x19418.1` g '��. instrument and that the seal affixed is the corporate seal of said corporation. iit//iii Op wpOs L Notary Public anitinr the State of Washrpgton Notary(Print): jilt odi -A `j- (a.k. t'r My appointnten expires: �p—('}'J.t�'I Dated: 10/20J2 i 7 BILL OF SALE Project File Number.LUAN/A,UUIS005I62,PLR-3881 EXHIBIT A Legal Description LOT 4 EXC NW 160.42 FT THEREOF AND UNDIVIDED INTEREST IN TRACT"A"KING CO SHORT PLAT NO L99S3019 RECORDING NO 20010831900002 BEING A PORTION OF NE QTR SW QTR STR 23-23- 05(AKA LOT"B"CITY OF RENTON LOT LINE ADJUSTMENT NO LUA-12-000193-LLA RECORDING NO 20130611900014) (City Staff Use Only) City Project Numbers: Return Address: WTR N/A City Clerk's Office WWP- N/A City of Renton SWP- 3884 1055 South Grady Way TRO NJA Renton,WA 98057 TED-.3834 EXHIBIT"B" Contributory Assets PROJECT NAME: Cedar River Station-Fueling Station CONSTRUCTION PERMIT NO. U15005162 PROJECT FILE NUMBER: N/A Per the request of the City of Renton the following information is furnished concerning final costs for improvements installed and turned over to the City for the referenced project. ROADWAY,STREET LIGHTS AND SIGNALS DESCRIPTION QTY UNIT TOTAL COST Curb and Gutter 0 L.F. S 0 Sidewalk 0 S.Y. S 0 Asphalt Concrete Pavement 0 S.Y. S 0 Monument Case and Cover 0 EA. S 0 Traffic Signs-Complete System 0 L.S. S 0 Number of Luminaires and Poles 0 EA. S 0 Subtotal $ 0 Sales Tax $ 0 Grand Total Roadway,Street Lights and Signals $ 0 STORMWATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE DESCRIPTION TOTAL COST 20 ft 12" PVC CULVERT $460 Subtotal $ 460 10% Sales Tax $ 46.0 Grand Total Stormwater System Improvements_$ _ 506 e1111111 Page 1 of I