HomeMy WebLinkAboutBOS 20040511002623 r �
Return Address: 111 11 11 11 11111 11 11 111 1111 111 11
City Clerk's Office
City of Renton 20040511002623
1055 South Grady Way CITY OF RENTON BS 20.00
Renton,WA 98055 PAGE001 OF 002
05/11/2004 18:43
KING COUNTY, WA
BILL OF SALE Property Tax Parcel Number:
Project File#: Street intersection:Houser Way N&N 8th Address:915 Houser Way North
Street Renton,WA 98055
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. Stoneway Concrete 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
900 L.F.of 10 DI Water Main
L.F.of Water Main
L.F.of Water Main
2 each of 10 " Gate Valves
each of " Gate Valves
2 each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Size Type
L.F.of 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 Storm Line
L.F.of Storm Line
L.F.of 44Storm Line
each of Storm Inlet/Outlet
each of Storm Catch Basin
each of Manholes
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk L.F.
Asphalt Pavement: S.Y. or L.F. of Width
STREET LIGHTING:
#of Poles AX?I--OV(�o
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\FRM\84HNDOUT\BILLSALE.DOC\MAB Page I
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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.
Stoneway Concrete
BY:
Don Merlin,President
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
signed this instrument on oath
stated that he/she/they was/were authorized to execute this 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:
CORPORATION FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
‘‘\ COUNTY OF KING )
LI J• R� k‘%` On this__3(3,1_,_day of M c-r L h 20 014 ,before me personally appeared
i Ov`�'9%Oti � .9 1I on e..►-(An o to me known to
• }o. I0 be Pr�Si Lt_#' of the corporation that
• o NOTAR y 531 ii executed the within instrument,and acknowledge the said instrument to be the free
UicTA j and voluntary act and deed of said corporation,for the uses and purposes therein
PIJBLIG i mentioned,and each on oath stated that he/she was authorized to execute said
N '• - instrument at the seal affixed is the co rate seal of said corporation.
>>�\ WASN= Notary Public 'n and for the S to of Was gton
Notary(Print) Dort J. R (,c...a_.
My appointment expires: 10/ l D 014
Dated: 31(.3 1Q 11
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