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BOS 20030730004554
t Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98055 20030730004554 CITY OF RENTON BSPAG20.00 07/30 //2003F17: 42 KING COUNTY, WA BILL OF SALE Property Tax Parcel Number: /6)22 Project File#: _act L i_ Street Intersection: Address: '15 p DV'E. 2, 8-76g! Reference Number(s)of Documents assigned or released:Additional reference numbers are on page Grantor(s): Grantee(s): 1. A Aft2 64&1L4 aiklegivnA+Air 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 Size1961( e L.F.of << ., Water Main ?i L.F.of �� Water Main [as1/k/ 1/ L.F.of Water Main • 6j each of 7." Gate Valves © � . 2 each of i! " Gate Valves 'n / 5— each of Fire Hydrant Assemblies (!� SANITARY SEWER SYSTEM: Length Size Type L.F.of 29 Sewer Main L.F.of Sewer Main L.F.of Sewer Main each of " Diameter Manholes each of " Diameter Manholes each of " Diameter Manholes STORM DRAINAGE SYSTEM: Length Size Type L.F.of 117 Storm Line L.F.of _ Storm Line L.F.of Storm Line each of Storm Inlet/Outlet each of SI 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: #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. 3- o t 3 H:\FILE.SYS\FRM\84HNDOU'I\BILLSALE.DOC\MAB Page 1 • • Form 84 0001/bh IN WITNESS WHEREOF,I have here to set m d and seal the day and year as written below. �J 3 e,mPi - Pr/1/ (r/ieoer € ) 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 signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: REPRESENTATIVE 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 C/?,' / f J (Ca J /0 h signed this instrument,on oath stated that ••eri:-y er4-aeuthoriz,. to execute the instrument and acknowledged it as the /o" -(1 l i ' aed• of4 frig((>vhi 'e�'� 't to be the free and voluntary act of such party/pa for theuses and purposes men ned in th •' No Public in and f e State •f Was•' gto Notary(Print) /� � . hi 7.1) My appointment ex ires: • �r7D Dated: C��f 7 (> CORPORATE FORM OFACKNOWLEDGMENT 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: Page 2