HomeMy WebLinkAboutBOS 20041005001711 -
Return Address: - - -
City Clerk's Office
City of Renton
1055 South Grady Way
Renton,WA 98055
20041005001711
CITY OF RENTON BS 20.00
PAGE001 OF 002
• KINGSCOUNTY33WA4
BILL OF SALE PQsRKN 1 EW P1,71.9 Property Tax Parcel Number: 3343 io (.5$(0 0
r:15 5jNb04-U1(b5 Street t lIntersection:A 4 Camp k►�t,e_Address: 2.30q) r.,F 2r ST
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. IA.aR C. Rou5su 1. City of Renton,a Municipal Corporation
2.
The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to
the Grantee,as named above,the following described personal property:
WATER SYSTEM: Length Size Type
L.F.of Water Main
L.F.of " Water Main
L.F.of Water Main
each of " Gate Valves
each of " Gate Valves
each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Size Type
21 Q L.F.of B " pl G Sewer Main
L.F.of Sewer Main
L.F.of Sewer Main
3 each of <}.$ " Diameter Manholes
each of " Diameter Manholes
each of " Diameter Manholes
STORM DRAINAGE SYSTEM: Length Size Type
Fra L.F.of 12. " Cer—P Storm Line
(Q$ L.F.of P.Z. Storm Line
L.F.of 11 Storm Line
each of Storm Inlet/Outlet
2. each of Z0 " Tice. 1 Storm Catch Basin
each of Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk 5% L.F.
Asphalt Pavement: 10$S SY or 51.o L.F.of Its,t Width
STREET LIGHTING:
#of Poles I
By this conveyance,Grantor will wan-ant 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. 000► _ol�'�� e Q
H:\FILE.SYS'FRM\84HNDOUTBILLSALE.DOCMAB Page 1
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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.
d� jIri�� cs((J
r/ ��-VYI141r ,
TDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )ss
R.gCNti� COUNTY OF KING )
N 0 I certify that I know or have satisfactory evidence that Rare Ieihts g-O
.•ssioq;••�;9 4,1#
t
}�ad it r4.ti o signed this instrument and
eQ'; h1OTAR1,V.%i acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument
e PUBLIC
tte •
°9 . • � Notary Public in and for the State of Washington
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WAS1'� Notary(Print) .4. trite £. 4I-PAY- ci r
My appointment expires: —/9 --o 6
Dated: ?Ji ,/a4
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
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 OFACKNOWLEDGMEAT
Notary Seal must be within box STATE OF WASHINGTON )ss
COUNTY OF KING )
On this day of , 19 ,before me personally appeared
tome 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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