HomeMy WebLinkAboutBOS 20030911001228 •
Return Address:
City Clerk's Office
11111111111111111111
City of Renton
1055 South Grady Way
Renton,WA 98055
20030911001228
20.00
PAGE 001ROFT002gs
KINGICOUNTY, WA
BILL OF SALE ' Property Tax Parcel Number: /L/(o .D_exo S
Project File#: s_;301
I . Street Intersection:151/4i #k Address: /36 S is�/. Ave--V
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. tiarbov r flo rne$, 1'vt G• • 1. City of Renton,a Municipal Corporation
2.
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:
WATER SYSTEM: Length Size Type
L.F.of Water Main
L.F.of Water Main
L.F.of Water Main
each of " Gate Valves
each of " Gate Valves
each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Size Type
la L.F.of Sewer Main
S s _ L.F.of Sewer Main
L.F.of " • Sewer Main
each of " Diameter Manholes
t each of rj " Diameter Manholes
each of " Diameter Manholes
STORM DRAINAGE SYSTEM: Length Size Type
L.F.of ft Storm Line
L.F.of " Storm Line
L.F.of " Storm Line
each of " Storm Inlet/Outlet
each of Storm Catch Basin
each of " Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk L.F.
Asphalt Pavement: SY or L.F.of Width
STREET LIGHTING: j E Li FT sn4-T I ons (I) L' }}
#of Poles
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.
H:\FILE.SYS\FRMM84HNDOUIIBILISALE.DOCIMAB Page 1
A 9
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Form 84 0001/bh
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below.
V7 /14)
INDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )
SS
COUNTY OF KING ) .�
I certify that I know or have satisfactory evidence that l N v ��
CHARLES F. KOKKO
NOTARY PUBLICsigned is instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and purposes
STATE OF WASHINGTON mentioned in e instrument
COMMISSION EXPIRES
MARCH 19,2006 ( �Q
Notary Public in and for the State of W h1��on
Notary(Print) ( F 12-0
) o
My appointment wires: / — v G
Dated: 6 / h I /
REPRESENTATIVE FORM OFACKNOWLEDGMENT
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
acknowledged it as the and
of to be the 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 OFACINOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )ss
COUNTY OF KING )
On this day of ,19 ,before me personally appeared
to me known to
be of the corporation that
executed the within instrument,and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation,for the uses and purposes therein
mentioned,and each on oath stated that he/she was authorized to execute said
instrument and that the seal affixed is the corporate seal of said corporation.
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
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