HomeMy WebLinkAboutBOS 20040825000603 •
•
,
Return Address:
City Clerk's Office III I II II III II III
City of Renton 20040825000603
1055 South Grady Way CITY OF RENTON BS 20.00
PAGE001 OF 002
Renton,WA 98055 08/25/2004 10:17
KING , WA
BILL OF SALE Property Tax Parcel Number: 042305-9216
Projectit StreetIntersection: Address:
LA-03, -051, SHPL NE 1st & Harrington PL N= 2720 NE 21st Street
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page .
Grantor(s): Grantee(s):
1. Larry Ku p f e re r 1. City of Renton,a Municipal Corporation
2. Voyce Hanson
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
• 118 L.F.of 4 " I . Water Main
L.F.of " Water Main
L.F.of Water Main
each of 2 " Gate Valves
each of " Gate Valves
each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Size Type
12 L.F.of 8 " PVC Sewer Main
L.F.of Sewer Main
L.F.of Sewer Main
1 each of 48 " Diameter Manholes
each of " Diameter Manholes
each of " Diameter Manholes
STORM DRAINAGE SYSTEM: Length Size Type
L.F.of 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:
#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. z72-0e)+ - 9 7a+b
H:\FILE.SYS\FRM\84HNDOUT\BILLSALE.DOC\MAB Page 1
r
Form 84 0001/bh
IN WI S WHEREOF I hav hereunto set my hand and seal the day and year as written below.
INDIVIDUAL 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 LA' j KUpr KL At't>
VoyCE HANSoxi signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument
c 0
U I
2121• 1 Notary Publi • I for the State of Washington
Notary(Print) TANE, M• V2EMl
• o Lu My appointment expires: b5t, i 7, zao r
2 0, Dated: 3i t-y 7, 2vDtt-
th-
611 REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary •eal must beavith. •.x 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 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